CDC Practice Exam A

CDC Practice Exam A A nurse manager is developing a facility policy about the use of a fax machine to communicate information from a client's electronic medical record (EMR). What should the nurse include in the policy? Use a coversheet when sending a fax from the health care unit A nurse is caring for a client who is 2 days post operative following an above the knee amputation. The client states he is experiencing a dull, burning pain in the leg that was amputated. What should the nurse do to treat the patient neuropathic pain? Administer a beta-blocking medication to the client. A nurse is assessing a client who has fibromyalgia. What treatment modality prescription should the nurse expect for the clients mixed pain? Pregabalin PO twice daily A nurse is planning a menu for a client who practices Seventh-Day Adventism. What food selection should the nurse take? Scrambled-eggs A nurse is providing teaching to a client who has chronic-fatigue syndrome, what should the nurse say? Take NSAIDs for body aches and pains. A nurse is using therapeutic communication to attempt de-escalation with a client who is yelling at staff members. What statement should the nurse make? Tell me what is causing your anger at this moment. A home health nurse manager is assisting in the implementation of an electronic medical record (EMR) system for client care. What actions should the nurse manager take the promote interoperability. Recommend a single coding system for each department to use. A nurse is planning care for a client who has breast cancer and is scheduled for chemotherapy. The client reports experiencing chemotherapy-induced nausea and vomiting (CINV) during her previous round of treatment. What intervention should the nurse include in the patient's plan of care? Administer ondansetron to the client prior to chemotherapy administration. A nurse is teaching a client about strategies to prevent constipation. What instructions should the nurse include? "Perform moderate exercises daily" "Add more whole grains to you diet" "Increase your fluid intake" A nurse is documenting an assessment in a client's electronic health record who an assistive personnel (AP) asks to enter the morning blood glucose for the client. What actions should the nurse take? Request that the AP use another computer to enter the data. A nurse is performing a focused assessment on a client who has chronic pain die to fibromyalgia. What should the nurse ask to assess the quality of the client's pain? Can you describe what your pain feels like? A nurse is preparing to leave the room of a client who is on isolation precautions. What action should the nurse take when removing a tied surgical mask? Remove the mask by securely holding the ties and moving it away from the face. A nurse is assessing for acute pain in a client who is postoperative. The client has dementia and is nonverbal. What finding should the nurse identify as a need for administration of a PRN pain medication? Rapid breathing. A nurse is administering ophthalmic solution to a client who has bacterial conjunctivitis. What action should the nurse take? Have the patient lie supine A nurse is preparing a client for an elective vaginal hysterectomy when the client states, "My doctor said there are more conservative ways to treat my problem. I realize now that I don't want this surgery, but I already singed that consent form" What response should the nurse make? You have the right to refuse this and any other procedure, even after you have signed the consent form. A nurse in a mental health facility is preparing an educational program for a group of staff nurses about the proper use of restraints. What information should the nurse plan to include? An adult client may be in a mechanical restraint for up to 4 hours. A nurse is preparing to administer intermittent enteral nutrition via a client's NG tube. In what order should the nurse take action? 1.Assist the client to an upright position 2.Aspirate 5mL of gastric content 3.Test the pH of gastric aspirate 4.Measure gastric residual volume 5. Flush the NG tube with 30 mL of water. A nurse is planning a community health program about substance use disorders. What information should the nurse include when discussing the guidelines for safe limits of alcohol consumption? A healthy woman of any age should consume no more than 7 drinks in a week. A nurse in a mental health facility is caring for a client who is exhibiting violent behavior and has been placed in seclusion. What actions should the nurse take? Document the client's status every 15 min. A nurse is preparing to administer acetaminophen 120 mg PO to a toddler. Available is acetaminophen drops 80 mg/0.8 mL. How many mL should the nurse administer? 1.2 mL A nurse is caring for an adolescent client who is in critical condition following a motor vehicle crash in which he was the passenger. The client's parent shouts at the nurse, asking why her son is dying instead of the driver. What action should the nurse take to provide emotional support to the parent? Inform the parent that anger is a natural response when dealing with loss. A nurse is preparing to document care in a client's medical record. In adherence with the Joint Commission National Patient Safety Goals regarding communication errors, what entries should the nurse make? "Client medicated with morphine 5 mg IM for pain" A nurse is preparing to administer a medication via intermittent IV bolus to a client who is receiving a continuous infusion via an infusion pump. The client's IV fluid solution is incompatible with the bolus, What action should the nurse take first? Stop the continuous IV infusion. A nurse on the medical-surgical unit is caring for a group of clients. The nurse should identify that what type of pain is classified as neuropathic? Spinal nerve pain, postherpetic neuralgia pain, phantom limb pain. A nurse on a pediatric unit is admitting an infant who has pertussis, what isolation precautions should the nurse initiate? Droplet A nurse is preparing to collect a stool specimen from a client who has had diarrhea for 3 days, with fever and abdominal cramping. When reviewing the client's recent medication administration record, the nurse should recognize that treatment with what medication increases the clients risk of developing a Clostridium difficile infection? Ciproflaxin. A nurse is teaching an older adult client about accessing electronic resources for health care information on the internet. What statement should the nurse include in the teaching? "Websites ending in '.gov' are reliable sites for obtaining health information from government agencies. A nurse is caring for a client who has Clostridium difficile infection and is incontinent of stool following long-term antibiotic therapy. What action should the nurse make? Wear a gown when providing care for the client. A charge nurse is teaching a group of newly licensed nurses how to prevent errors during administration of blood transfusions. What actions should the nurse include? Use a new blood administration tubing set for each blood bag infused A nurse is preparing to admit a client to the hospital. What action should the nurse take first? Determine the need for an interpreter A nurse is providing teaching to the parent of a 6-year-old girl about preventing UTIs. What statement by the parent indicates an understanding of the teaching. "I will increase her intake of foods high in fiber" A nurse is planning to implement bladder retraining for a client who has urge urinary incontinence. What actions should the nurse plan to take? Gradually lengthen the time between the client's scheduled voids. A nurse in an emergency room is caring for an infant who requires emergency surgery. The infant is accompanied by his 16 year-old mother and his maternal grandfather. What action should the nurse take when assisting with informed consent?