Questions with Verified Answers
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Consist of 100 multichoice Questions with Answers
1. A client with acquired immune deficiency syndrome (AIDS) has Pneumo-
cystis carinii (PCP). What is the nurse's priority assessment for this client?
a. Lung sounds
b. Skin Turgor
c. Radial pulses
d. Capillary refill
Answer
a. Lung sounds
2. The client with rheumatoid arthritis is having her rheumatoid factor (RF)
drawn while she is having a flare-up of the disease. Which result is seen in
clients with rheumatoid arthritis?
a. A positive rheumatoid factor
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b. Factor does not change
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,c. A negative rheumatoid factor
d. decreased level of rheumatoid factor
Answer
a. A positive rheumatoid factor
3. A nurse is providing education for a client who has glaucoma which of the
following statements should the nurse include in the teaching?
a. "Use of eye drops will improve vision overtime."
b. "Without treatment, glaucoma can cause blindness."
c. "Double vision is a common symptom of glaucoma."
d. "Glaucoma is caused by inadequate production of fluid within the eye."
Answer
b. "Without treatment, glaucoma can cause blindness."
4. A nurse is caring for an immobile client. What is the priority assessment in
this client?
a. Assessment of skin turgor
b. Auscultation of bowel sounds
c. Auscultation of lungs sounds
d. Assessment for the presence of peripheral edema
Answer
a. Assessment of skin turgor
5. A client with a diagnosis of human immunodeficiency virus (HIV) develops
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pneumonia. What type of infection is this?
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,a. A nosocomial infection
b. A pathogenic infection
c. An opportunistic infection
d. A root cause infection
Answer
c. An opportunistic infection
6. What level of Maslow hierarchy does shelter belong to
a. Esteem
b. Love and belonging
c. Safety and security
d. physiological
Answer
d. physiological
7. A client states that he has been experiencing oozing from his wound. What
is the nurse priority?
a. Inspect the wound and assess the drainage
b. Call the provide to initiate antibiotics
c. Appy topical ointment to the wound
d. Culture the wound
Answer
a. Inspect the wound and assess the drainage
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8. What is not a potential complication of rheumatoid arthritis?
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,a. Joint deformity
b. fibromyalgia
c. Paresthesia
d. Dry eye
Answer
c. Paresthesia
9. The nurse is planning care for a post-operative client after a total hip
arthroplasty. What is the priority nursing intervention?
a. Perform neurovascular assessment per protocol
b. Use aseptic techniques for wound care and emptying of drains
c. Observe client for changes in mental status
d. keep the client's heels off the bed
Answer
a. Perform neurovascular assessment per protocol
10. The nurse is providing medication education for a client with osteoarthritis.
What teaching should the nurse include in the education?
a. Nonsteroidal anti-inflammatory drug (NSAIDs) are very safe and are known
to have
no side effect
b. The main side effect of acetaminophen is gastrointestinal (GI) bleeding
c. You should not take more than 4000mg of acetaminophen a day
d. The most common adverse effect of nonsteroidal anti-inflammatory drugs
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(NSAIDs)
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,Answer
c. You should not take more than 4000mg of acetaminophen a day
11. The mother of a new born baby is concerned that the baby will develop
illnesses from being around people from outside of their family. What is the
nurse's best response?
a. "I did that, and my kids turned out just fine"
b. "Why do you think that it is a bad idea?"
c. "You should never go around people after you baby is born"
d. "Tell me more about that"
Answer
d. "Tell me more about that"
12. the nurse is preparing to administer medication to a client with osteoarthri-
tis. what is the goal of medication therapy?
a. Eradicate the disease
b. Manage weight loss
c. Reduce pain and inflammation
d. Turn of the immune system
Answer
c. Reduce pain and inflammation
13. The nurse has documented the following wound assessment
"Shallow open, reddened ulcer with no slough on the anterior region of the
right heel?" What stage is the wound?
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a. Stage 3
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,b. Stage 2
c. Stage 4
d. Stage 1
Answer
b. Stage 2
14. By providing measures to prevent skin breakdown, how does the nurse
break the chain of infection
a. Creating a reservoir to decrease the risk of infection
b. Maintaining the integrity of a portal of entry
c. Serializing the area to reduce the reservoir risk
d. Creating a susceptible host
Answer
b. Maintaining the integrity of a portal of entry
15. What is not an appropriate nursing intervention for psoriasis?
a. apply rubbing alcohol to plaques
b. apply corticosteroids as ordered
c. urge the client to consider in participating in support groups
d. Teach client how to utilize UV radiation
Answer
a. apply rubbing alcohol to plaques
16. A client has sustained an open fracture. How can the nurse best prevent
osteomyelitis in this client?
a. Delegate all client personal care to specific unlicensed assistive
personnel (UAP)
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b. Place the client in contact precautions
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,c. Use proper hand hygiene and strict infection control
d. Administer pain medication
Answer
c. Use proper hand hygiene and strict infection control
17. Where will the nurse collect the most reliable source of pain assessment?
a. From a medical-surgical book
b. From the client's chart
c. From nurse-to-nurse bedside report
d. From the client
Answer
d. From the client
18. Which of the following would be the most appropriate goal for an elderly
client with a nursing diagnosis of risk for injury after hip surgery?
a. Client will increase mobility by the time of discharge from hospital
b. Client will remain free from falls throughout their hospital stay
c. Client will demonstrate effective breathing pattern when ambulating
throughout hospital stay
d. Client will increase activity tolerance by discharge from the hospital
Answer
b. Client will remain free from falls throughout their hospital stay
19. Dry skin (xerosis) can lead to itching (pruritis). What statement by the client
indicates a need for further teaching about preventing dry skin?
a. "I will avoid tight belts"
b. "I will shower every day in hot water
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c. "I will use a humidifier during the winter months/"
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, d. "I will drink at least 3000ml of water daily."
Answer
b. "I will shower every day in hot water
20. What client is susceptible host most at risk for infection?
a. A client with leukemia
b. A hospitalized 35-year-old client
c. A 60-year-old client
d. A child who is immunized
Answer
a. A client with leukemia
21. What nursing interventions decrease the risk of pressure injuries? (Select
all that apply)
a. Keep head of bed (HOB) at or less than 30 degrees
b. Padding hard surfaces
c. keep head of bed HOB) elevated to 75 degrees
d. Place pillows between bony surfaces
Answer
a. Keep head of bed (HOB) at or less than 30 degrees
b. Padding hard surfaces
d. Place pillows between bony surfaces
22. The nurse is most concerned about which of these findings in a client with
systematic lupus erythematosus?
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a. The client has a butterfly rush
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b. Urine output of 20 mL/hour
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