N618 - Exam 2 – questions with correct answers
The school nurse is presenting a class to students at a primary school on
how to
prevent the transmission of the common cold virus. Which information
should the nurse discuss?
1. Instruct the children to always keep a tissue or handkerchief with
them.
2. Explain that children current with immunizations will not get a cold.
3. Tell the children they should go to the doctor if they get a cold.
4. Demonstrate to the students how to wash hands correctly. Correct
Answer-1. It is not feasible for a child to always have a tissue or
handkerchief available.
2.There is no immunization for the common cold. Colds are actually
caused by at least 200 separate viruses and the viruses mutate frequently.
3. Colds are caused by a virus and antibiotics do not treat a virus;
therefore, there is no need to go to a health-care provider.
4.Hand washing is the single most useful technique for prevention of
disease.
TEST-TAKING HINT: Option "1" contains the word "always," an
absolute word, and in most questions, absolutes such as "always,"
"never," and "only" make that answer option incorrect.
Which information should the nurse teach the client diagnosed with
acute sinusitis?
,1. Instruct the client to complete all the ordered antibiotics.
2. Teach the client how to irrigate the nasal passages.
3. Have the client demonstrate how to blow the nose.
4. Give the client samples of a narcotic analgesic for the headache.
Correct Answer-1. The client should be taught to take all antibiotics as
ordered. Discontinuing antibiotics prior to the full dose results in the
development of antibiotic- resistant bacteria. Sinus infections are
difficult to treat and may become chronic, and will then require several
weeks of therapy or possibly surgery to control.
2. If the sinuses are irrigated, it is done under anesthesia by a health-care
provider.
3. Blowing the nose will increase pressure in the sinus cavities and will
cause the client increased pain.
4. The nurse is not licensed to prescribe medications, so this is not in the
nurse's scope of practice. Also, narcotic analgesic medications are
controlled substances and require written documentation of being
prescribed by the health-care provider; samples are not generally
available.
TEST-TAKING HINT: Note in this situation an "all" is in the correct
answer. There are very few cases in which absolute adjectives will
describe the correct answer. The test taker must be aware that general
rules will not always apply.
The client has been diagnosed with chronic sinusitis. Which
sign/symptom alerts the
nurse to a potentially life-threatening complication?
,1. Muscle weakness.
2. Purulent sputum.
3. Nuchal rigidity.
4. Intermittent loss of muscle control. Correct Answer-1. Muscle
weakness is a sign/symptom of myalgia, but it is not a life-threatening
complication of sinusitis.
2.Purulent sputum would be a sign/symptom of a lung infection, but it is
not a
life-threatening complication of sinusitis.
3.Nuchal rigidity is a sign/symptom of meningitis, which is a life-
threatening potential complication of sinusitis resulting from the close
proximity of the sinus cavities to the meninges.
4.Intermittent loss of muscle control can be a symptom of multiple
sclerosis, but it would not be a life-threatening complication of sinusitis.
TEST-TAKING HINT: A basic knowledge of anatomy and physiology
would help to answer this question. The sinuses lie in the head and
surround the orbital cavity. Options "1" and "4" refer to muscle
problems, so both could be ruled out as wrong.
The client diagnosed with tonsillitis is scheduled to have surgery in the
morning. Which assessment data should the nurse notify the health-care
provider about prior to surgery?
1. The client has a hemoglobin of 12.2 g/dL and hematocrit of 36.5%.
2. The client has an oral temperature of 100.2˚F and a dry cough.
3. There are one (1) to two (2) white blood cells in the urinalysis.
, 4. The client's current international normalized ratio (INR) is 1.0.
Correct Answer-1. The hemoglobin and hematocrit given are within
normal range. This would not warrant notifying the health-care provider.
2. A low-grade temperature and a cough could indicate the presence of
an infection, in which case the health-care provider would not want to
subject the client to anesthesia and the possibility of further
complications. The surgery would be postponed.
3.One (1) to two (2) WBCs in a urinalysis is not uncommon because of
the normal flora in the bladder.
4.The INR indicates that the client's bleeding time is within normal
range.
TEST-TAKING HINT: In this question, all the answer options contain
normal data except for one. The nurse would not call the health-care
provider to notify him or her of normal values.
The influenza vaccine is in short supply. Which group of clients would
the public health nurse consider priority when administering the
vaccine?
1. Elderly and chronically ill clients.
2. Child-care workers and children <four (4) years of age.
3. Hospital chaplains and health-care workers.
4. Schoolteachers and students living in a dormitory. Correct Answer-1.
The elderly and chronically ill are at greatest risk for developing serious
complications if they contract the influenza virus.
The school nurse is presenting a class to students at a primary school on
how to
prevent the transmission of the common cold virus. Which information
should the nurse discuss?
1. Instruct the children to always keep a tissue or handkerchief with
them.
2. Explain that children current with immunizations will not get a cold.
3. Tell the children they should go to the doctor if they get a cold.
4. Demonstrate to the students how to wash hands correctly. Correct
Answer-1. It is not feasible for a child to always have a tissue or
handkerchief available.
2.There is no immunization for the common cold. Colds are actually
caused by at least 200 separate viruses and the viruses mutate frequently.
3. Colds are caused by a virus and antibiotics do not treat a virus;
therefore, there is no need to go to a health-care provider.
4.Hand washing is the single most useful technique for prevention of
disease.
TEST-TAKING HINT: Option "1" contains the word "always," an
absolute word, and in most questions, absolutes such as "always,"
"never," and "only" make that answer option incorrect.
Which information should the nurse teach the client diagnosed with
acute sinusitis?
,1. Instruct the client to complete all the ordered antibiotics.
2. Teach the client how to irrigate the nasal passages.
3. Have the client demonstrate how to blow the nose.
4. Give the client samples of a narcotic analgesic for the headache.
Correct Answer-1. The client should be taught to take all antibiotics as
ordered. Discontinuing antibiotics prior to the full dose results in the
development of antibiotic- resistant bacteria. Sinus infections are
difficult to treat and may become chronic, and will then require several
weeks of therapy or possibly surgery to control.
2. If the sinuses are irrigated, it is done under anesthesia by a health-care
provider.
3. Blowing the nose will increase pressure in the sinus cavities and will
cause the client increased pain.
4. The nurse is not licensed to prescribe medications, so this is not in the
nurse's scope of practice. Also, narcotic analgesic medications are
controlled substances and require written documentation of being
prescribed by the health-care provider; samples are not generally
available.
TEST-TAKING HINT: Note in this situation an "all" is in the correct
answer. There are very few cases in which absolute adjectives will
describe the correct answer. The test taker must be aware that general
rules will not always apply.
The client has been diagnosed with chronic sinusitis. Which
sign/symptom alerts the
nurse to a potentially life-threatening complication?
,1. Muscle weakness.
2. Purulent sputum.
3. Nuchal rigidity.
4. Intermittent loss of muscle control. Correct Answer-1. Muscle
weakness is a sign/symptom of myalgia, but it is not a life-threatening
complication of sinusitis.
2.Purulent sputum would be a sign/symptom of a lung infection, but it is
not a
life-threatening complication of sinusitis.
3.Nuchal rigidity is a sign/symptom of meningitis, which is a life-
threatening potential complication of sinusitis resulting from the close
proximity of the sinus cavities to the meninges.
4.Intermittent loss of muscle control can be a symptom of multiple
sclerosis, but it would not be a life-threatening complication of sinusitis.
TEST-TAKING HINT: A basic knowledge of anatomy and physiology
would help to answer this question. The sinuses lie in the head and
surround the orbital cavity. Options "1" and "4" refer to muscle
problems, so both could be ruled out as wrong.
The client diagnosed with tonsillitis is scheduled to have surgery in the
morning. Which assessment data should the nurse notify the health-care
provider about prior to surgery?
1. The client has a hemoglobin of 12.2 g/dL and hematocrit of 36.5%.
2. The client has an oral temperature of 100.2˚F and a dry cough.
3. There are one (1) to two (2) white blood cells in the urinalysis.
, 4. The client's current international normalized ratio (INR) is 1.0.
Correct Answer-1. The hemoglobin and hematocrit given are within
normal range. This would not warrant notifying the health-care provider.
2. A low-grade temperature and a cough could indicate the presence of
an infection, in which case the health-care provider would not want to
subject the client to anesthesia and the possibility of further
complications. The surgery would be postponed.
3.One (1) to two (2) WBCs in a urinalysis is not uncommon because of
the normal flora in the bladder.
4.The INR indicates that the client's bleeding time is within normal
range.
TEST-TAKING HINT: In this question, all the answer options contain
normal data except for one. The nurse would not call the health-care
provider to notify him or her of normal values.
The influenza vaccine is in short supply. Which group of clients would
the public health nurse consider priority when administering the
vaccine?
1. Elderly and chronically ill clients.
2. Child-care workers and children <four (4) years of age.
3. Hospital chaplains and health-care workers.
4. Schoolteachers and students living in a dormitory. Correct Answer-1.
The elderly and chronically ill are at greatest risk for developing serious
complications if they contract the influenza virus.
