with Guaranteed Pass Solutions 2025-
2026 Edition.
A client arrives for an influenza vaccination and reports a low-grade fever with a cough. Which
action would the nurse take next? - Answer Check the temperature and current history.
Which intervention would the nurse perform to prevent disease transmission when caring for a
hospitalized client with influenza? - Answer Don a mask in the room
Which nursing action will be most helpful in preventing transmission of influenza in crowded
communities? - Answer 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? - Answer The length of the urethra
Which characteristic of urine changes in the presence of a urinary tract infection (UTI)? - Answer
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? - Answer "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? - Answer 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? - Answer Redness of the eardrum
The nurse would include which instruction to the parents of a child being treated with oral
ampicillin for otitis media? - Answer Complete the entire course of antibiotic therapy.
Which factor would the nurse consider when the parent of a 10-month-old infant expresses
,Which is the primary cause of otitis media in young children? - Answer 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. - Answer 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? - Answer 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? - Answer "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? - Answer
"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? - Answer 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. - Answer Hemoptysis
Anorexia
, Which client is at an increased risk for hospital-acquired pneumonia? Select all that apply. One,
some, or all responses may be correct. - Answer 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 community-acquired pneumonia. A client in the
emergency department has not been admitted to the hospital.
An older client with shortness of breath is admitted to the hospital. The medical history reveals
and a diagnosis of pneumonia 3 days ago. Which vital sign assessment would be seen as a sign
that the client needs immediate medical attention? - Answer Oxygen saturation: 89%
Rationale: An oxygen saturation of less than 90% observed in a client with pneumonia indicates
that the client is at risk of respiratory depression.
When caring for a client with pneumonia, which nursing intervention is the highest priority? -
Answer Employ breathing exercises and controlled coughing
When a client has difficulty swallowing after a stroke, which action by the nurse would be most
important in preventing pneumonia? - Answer Having suction available during meals
When a client with pneumonia is experiencing dyspnea because of difficulty expectorating thick
respiratory secretions, which action by the nurse will be most helpful? - Answer Offer fluids at
frequent intervals
A client with acquired immunodeficiency syndrome (AIDS) and cryptococcal pneumonia
frequently is incontinent of feces and urine and produces copious sputum. When giving this
client a bath, which protective equipment would the nurse use? Select all that apply. One,
some, or all responses may be correct - Answer Surgical mask
Gown
Gloves
Rationale: A gown, mask, and gloves when bathing the client prevent contact with feces,