NU372 Final exam practice |\ |\ |\ |\
questions with answers |\ |\
A client arrives for an influenza vaccination and reports a low-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
grade fever with a cough. Which action would the nurse take
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
next? - CORRECT ANSWERS ✔✔Check the temperature and
|\ |\ |\ |\ |\ |\ |\ |\
current history. |\
Which intervention would the nurse perform to prevent disease
|\ |\ |\ |\ |\ |\ |\ |\ |\
transmission when caring for a hospitalized client with influenza?
|\ |\ |\ |\ |\ |\ |\ |\
- CORRECT ANSWERS ✔✔Don a mask in the room
|\ |\ |\ |\ |\ |\ |\ |\ |\
Which nursing action will be most helpful in preventing
|\ |\ |\ |\ |\ |\ |\ |\ |\
transmission of influenza in crowded communities? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Educating about the importance of having annual
|\ |\ |\ |\ |\ |\ |\ |\
vaccinations
Which information would the nurse include when teaching about
|\ |\ |\ |\ |\ |\ |\ |\ |\
why women are more susceptible to urinary tract infections than
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
men? - CORRECT ANSWERS ✔✔The length of the urethra
|\ |\ |\ |\ |\ |\ |\ |\
Which characteristic of urine changes in the presence of a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
urinary tract infection (UTI)? - CORRECT ANSWERS ✔✔Clarity
|\ |\ |\ |\ |\ |\ |\
Which instruction would the nurse include in a health practices
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
teaching plan for a female client with a history of recurrent
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
,urinary tract infections? - CORRECT ANSWERS ✔✔"Wear cotton
|\ |\ |\ |\ |\ |\ |\ |\
underwear or lingerie." |\ |\
A client recovering from deep partial-thickness burns develops
|\ |\ |\ |\ |\ |\ |\ |\
chills, fever, flank pain, and malaise. The primary health care
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
provider makes a tentative diagnosis of urinary tract infection.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Which diagnostic tests would the nurse expect the primary health
|\ |\ |\ |\ |\ |\ |\ |\ |\
care provider to prescribe to confirm this diagnosis? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Urinalysis with a urine culture and sensitivity
|\ |\ |\ |\ |\ |\ |\
A primary health care provider diagnoses the client's condition as
|\ |\ |\ |\ |\ |\ |\ |\ |\
otitis media. Which assessment finding supports that diagnosis?
|\ |\ |\ |\ |\ |\ |\ |\
- CORRECT ANSWERS ✔✔Redness of the eardrum
|\ |\ |\ |\ |\ |\ |\
The nurse would include which instruction to the parents of a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
child being treated with oral ampicillin for otitis media? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Complete the entire course of antibiotic
|\ |\ |\ |\ |\ |\ |\ |\
therapy.
Which factor would the nurse consider when the parent of a 10-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
month-old infant expresses frustration that this is the baby's third
|\ |\ |\ |\ |\ |\ |\ |\ |\
otitis media in 3 months? - CORRECT ANSWERS ✔✔The
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
eustachian tube is short and horizontal. |\ |\ |\ |\ |\
Which is the primary cause of otitis media in young children? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔An obstructed eustachian tube
|\ |\ |\ |\ |\
,Rationale: A blocked eustachian tube impairs drainage and
|\ |\ |\ |\ |\ |\ |\ |\
creates negative pressure; when the tube opens, bacteria are
|\ |\ |\ |\ |\ |\ |\ |\ |\
pulled into the middle ear.
|\ |\ |\ |\
A client is prescribed rifampin after being exposed to active
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
tuberculosis. Which finding would the nurse immediately report |\ |\ |\ |\ |\ |\ |\ |\
to the health care provider? Select all that apply. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Small, red, pinpoint areas on the arms
|\ |\ |\ |\ |\ |\ |\
A client is being admitted to a medical unit with a diagnosis of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
pulmonary tuberculosis. Which type of room would the nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\
assign this client? - CORRECT ANSWERS ✔✔Negative-airflow
|\ |\ |\ |\ |\ |\ |\
room
A client arrives at a health clinic stating, "I am here to have my
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
tuberculin skin test read." The nurse notes that there is a 7-mm
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
indurated area at the injection site. Which statement made by
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the nurse correctly describes this result? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔"The result indicates that you are infected with the
|\ |\ |\ |\ |\ |\ |\ |\ |\
tuberculosis organism." |\
A client with tuberculosis receives instructions regarding isoniazid
|\ |\ |\ |\ |\ |\ |\
(INH) therapy from the assigned nurse. Which client statement
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
indicates a misunderstanding of the content? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔"I should apply sunscreen and wear sun-protective
|\ |\ |\ |\ |\ |\ |\ |\
clothing while going outside." |\ |\ |\
Rationale: This medication is not a photosensitive medication. All
|\ |\ |\ |\ |\ |\ |\ |\ |\
the rest of the statements are accurate.
|\ |\ |\ |\ |\ |\
, The nurse identifies 12 mm of induration at the site of a client's
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
tuberculin purified protein derivative (PPD) test. Which rational
|\ |\ |\ |\ |\ |\ |\ |\
would the nurse use to explain this test? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔The result indicates a need for further tests and a chest x-ray.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Rationale: The test result is positive, not negative; thus further
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
testing is necessary. |\ |\
It is the most accurate skin test for tuberculosis (TB) because of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the testing material and the intradermal method used
|\ |\ |\ |\ |\ |\ |\
Which clinical manifestations are associated with a diagnosis of
|\ |\ |\ |\ |\ |\ |\ |\ |\
tuberculosis? Select all that apply. - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\ |\
✔✔Hemoptysis
Anorexia
Night sweats |\
Which client is at an increased risk for hospital-acquired
|\ |\ |\ |\ |\ |\ |\ |\ |\
pneumonia? Select all that apply. One, some, or all responses |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
may be correct. - CORRECT ANSWERS ✔✔Client who was
|\ |\ |\ |\ |\ |\ |\ |\ |\
admitted to the hospital 5 days ago for abdominal pain |\ |\ |\ |\ |\ |\ |\ |\ |\
Rationale: Hospital-acquired pneumonia occurs in non-intubated|\ |\ |\ |\ |\ |\
clients and begins 48 hours after admission. A client admitted 5
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
days ago with abdominal pain would meet the criteria and is at
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
increased risk for hospital-acquired pneumonia. A client admitted
|\ |\ |\ |\ |\ |\ |\
the previous day has not been in the hospital at least 48 hours.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
A client on mechanical ventilation is intubated and does not meet
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the criteria for hospital-acquired pneumonia. A client who has
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
been on an airplane with other ill individuals would be at risk for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
questions with answers |\ |\
A client arrives for an influenza vaccination and reports a low-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
grade fever with a cough. Which action would the nurse take
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
next? - CORRECT ANSWERS ✔✔Check the temperature and
|\ |\ |\ |\ |\ |\ |\ |\
current history. |\
Which intervention would the nurse perform to prevent disease
|\ |\ |\ |\ |\ |\ |\ |\ |\
transmission when caring for a hospitalized client with influenza?
|\ |\ |\ |\ |\ |\ |\ |\
- CORRECT ANSWERS ✔✔Don a mask in the room
|\ |\ |\ |\ |\ |\ |\ |\ |\
Which nursing action will be most helpful in preventing
|\ |\ |\ |\ |\ |\ |\ |\ |\
transmission of influenza in crowded communities? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Educating about the importance of having annual
|\ |\ |\ |\ |\ |\ |\ |\
vaccinations
Which information would the nurse include when teaching about
|\ |\ |\ |\ |\ |\ |\ |\ |\
why women are more susceptible to urinary tract infections than
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
men? - CORRECT ANSWERS ✔✔The length of the urethra
|\ |\ |\ |\ |\ |\ |\ |\
Which characteristic of urine changes in the presence of a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
urinary tract infection (UTI)? - CORRECT ANSWERS ✔✔Clarity
|\ |\ |\ |\ |\ |\ |\
Which instruction would the nurse include in a health practices
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
teaching plan for a female client with a history of recurrent
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
,urinary tract infections? - CORRECT ANSWERS ✔✔"Wear cotton
|\ |\ |\ |\ |\ |\ |\ |\
underwear or lingerie." |\ |\
A client recovering from deep partial-thickness burns develops
|\ |\ |\ |\ |\ |\ |\ |\
chills, fever, flank pain, and malaise. The primary health care
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
provider makes a tentative diagnosis of urinary tract infection.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Which diagnostic tests would the nurse expect the primary health
|\ |\ |\ |\ |\ |\ |\ |\ |\
care provider to prescribe to confirm this diagnosis? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Urinalysis with a urine culture and sensitivity
|\ |\ |\ |\ |\ |\ |\
A primary health care provider diagnoses the client's condition as
|\ |\ |\ |\ |\ |\ |\ |\ |\
otitis media. Which assessment finding supports that diagnosis?
|\ |\ |\ |\ |\ |\ |\ |\
- CORRECT ANSWERS ✔✔Redness of the eardrum
|\ |\ |\ |\ |\ |\ |\
The nurse would include which instruction to the parents of a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
child being treated with oral ampicillin for otitis media? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Complete the entire course of antibiotic
|\ |\ |\ |\ |\ |\ |\ |\
therapy.
Which factor would the nurse consider when the parent of a 10-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
month-old infant expresses frustration that this is the baby's third
|\ |\ |\ |\ |\ |\ |\ |\ |\
otitis media in 3 months? - CORRECT ANSWERS ✔✔The
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
eustachian tube is short and horizontal. |\ |\ |\ |\ |\
Which is the primary cause of otitis media in young children? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔An obstructed eustachian tube
|\ |\ |\ |\ |\
,Rationale: A blocked eustachian tube impairs drainage and
|\ |\ |\ |\ |\ |\ |\ |\
creates negative pressure; when the tube opens, bacteria are
|\ |\ |\ |\ |\ |\ |\ |\ |\
pulled into the middle ear.
|\ |\ |\ |\
A client is prescribed rifampin after being exposed to active
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
tuberculosis. Which finding would the nurse immediately report |\ |\ |\ |\ |\ |\ |\ |\
to the health care provider? Select all that apply. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Small, red, pinpoint areas on the arms
|\ |\ |\ |\ |\ |\ |\
A client is being admitted to a medical unit with a diagnosis of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
pulmonary tuberculosis. Which type of room would the nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\
assign this client? - CORRECT ANSWERS ✔✔Negative-airflow
|\ |\ |\ |\ |\ |\ |\
room
A client arrives at a health clinic stating, "I am here to have my
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
tuberculin skin test read." The nurse notes that there is a 7-mm
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
indurated area at the injection site. Which statement made by
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the nurse correctly describes this result? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔"The result indicates that you are infected with the
|\ |\ |\ |\ |\ |\ |\ |\ |\
tuberculosis organism." |\
A client with tuberculosis receives instructions regarding isoniazid
|\ |\ |\ |\ |\ |\ |\
(INH) therapy from the assigned nurse. Which client statement
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
indicates a misunderstanding of the content? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔"I should apply sunscreen and wear sun-protective
|\ |\ |\ |\ |\ |\ |\ |\
clothing while going outside." |\ |\ |\
Rationale: This medication is not a photosensitive medication. All
|\ |\ |\ |\ |\ |\ |\ |\ |\
the rest of the statements are accurate.
|\ |\ |\ |\ |\ |\
, The nurse identifies 12 mm of induration at the site of a client's
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
tuberculin purified protein derivative (PPD) test. Which rational
|\ |\ |\ |\ |\ |\ |\ |\
would the nurse use to explain this test? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔The result indicates a need for further tests and a chest x-ray.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Rationale: The test result is positive, not negative; thus further
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
testing is necessary. |\ |\
It is the most accurate skin test for tuberculosis (TB) because of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the testing material and the intradermal method used
|\ |\ |\ |\ |\ |\ |\
Which clinical manifestations are associated with a diagnosis of
|\ |\ |\ |\ |\ |\ |\ |\ |\
tuberculosis? Select all that apply. - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\ |\
✔✔Hemoptysis
Anorexia
Night sweats |\
Which client is at an increased risk for hospital-acquired
|\ |\ |\ |\ |\ |\ |\ |\ |\
pneumonia? Select all that apply. One, some, or all responses |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
may be correct. - CORRECT ANSWERS ✔✔Client who was
|\ |\ |\ |\ |\ |\ |\ |\ |\
admitted to the hospital 5 days ago for abdominal pain |\ |\ |\ |\ |\ |\ |\ |\ |\
Rationale: Hospital-acquired pneumonia occurs in non-intubated|\ |\ |\ |\ |\ |\
clients and begins 48 hours after admission. A client admitted 5
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
days ago with abdominal pain would meet the criteria and is at
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
increased risk for hospital-acquired pneumonia. A client admitted
|\ |\ |\ |\ |\ |\ |\
the previous day has not been in the hospital at least 48 hours.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
A client on mechanical ventilation is intubated and does not meet
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the criteria for hospital-acquired pneumonia. A client who has
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
been on an airplane with other ill individuals would be at risk for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
