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1. A fire is found in a client's room during a routine medication pass. The room
is empty and there are no clients in the area, what is the nurse's first action?
A, Contain the fire
B, Extinguish the fire
C, Activate the fire alarm
D Notify the supervisor
Answer
C, Activate the fire alarm
2. A client states that they will schedule massages as well as take their
prescribed medication for pain control. What is this an example of?
a. Non-therapeutic communication
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B, Complementary therapy
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,C, pain therapy
D, Nociceptive pain control
Answer
B, Complementary therapy
3. A nurse is telling a new mother from Africa that she shouldn't carry her
baby in a sling created from a large rectangular cloth. The African woman tells
the nurse that everyone in Mozambique carries babies this way. The nurse
believes bassinets are safer for infants, what is this scenario an example of?
A, RAcism
B, Cultural Imposition
C, Cultural Competency
D,Stereotyping
Answer
B, Cultural Imposition
4. 8,What factors may interfere with sleep? Select all that apply
A, Medications
B, A stressful job
C, Similar routine each night
D, A large meal right before bedtime
E, Anxiety
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Answer
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A, Medications
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,B, A stressful job
D, A large meal right before bedtime
E, Anxiety
5. When a labor and delivery nurse tells a coworker that an asian client
probably did not want any pain medication because Asian women typically
are stoic, "the nurse expresses a belief known as what?
A, Ethnic slur
B, Stigma
C, Stereotype
D Bias
Answer
C, Stereotype
6. A client begins to fall while the nurse is assisting with ambulation, what is
the priority nursing intervention?
A, Guide the client safely to the floor
B, Initiate a code
C, Call the client's doctor
D, Call the charge nurse
Answer
A, Guide the client safely to the floor
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7. Suffocation by smothering is the leading cause of death for infants
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,younger than 1 year. What should the nurse teach the client about causes of
infant suffocation? Select all that apply
A, Excess bedding or pillows should be removed from the infant crib
B, toys hung from long ribbons inside the infant's crib do not pose a suffoca-
tion risk
C, Suffocation of infants is often related to bed or crib hazards
D, Suffocation can only happen when the parent or caregiver is out of the
room
Answer
A, Excess bedding or pillows should be removed from the infant crib
C, Suffocation of infants is often related to bed or crib hazards
8. Nursing personnel are consistently listed in the top 10 occupations for
work-related musculoskeletal disorders. Which of the following would not help
reduce musculoskeletal disorders in nurses?
A, Reporting Hazards
B, Learning about body mechanics
C, Frequent bending and twisting
D, Safe moving programs
Answer
C, Frequent bending and twisting
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9. Which organization publishes the National patient safety Goals
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,A, Medicare
B, The joint Commission
C, The American Nurses Association
D, The institute of medicine
Answer
B, The joint Commission
10. What complication may be a result of decreased mobility
A, Increased energy
B, Diarhea
C,Euphoria
D, Pressure injuries
Answer
D, Pressure injuries
11. A nurse overhears the following comments throughout the day by cowork-
ers. Which of the statements warrants immediate intervention?
A, "you can have chicken for dinner, but after midnight you have restrictions
for your surgery tomorrow and will not be able to have anything to eat or
drink."
B, I'm turning your light off for the night. Do not turn it on when you use the
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restroom. It will make your roommate
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C, I'm placing your call light next to you. Press this button for assistance
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,D, I would like to have you participate in your discharge planning. Tell me how
many stairs are in your home
Answer
B, I'm turning your light off for the night. Do not turn
it on when you use the restroom. It will make your roommate
12. which herbal product is correctly matched to its effect? (select all that
apply)
A, Chamomile enhances the immune response to influenza A
B, Aloe promotes wound healing
C, Ginkgo Biloba causes fibrin clot formation
D, Echinacea enhances immunity
E, Ginseng increases physical endurance
Answer
B, Aloe promotes wound healing D, Echinacea enhances immunity
E, Ginseng increases physical endurance
13. Time orientation within cultures can vary quite a bit. The client receiving a
transplant will need to maintain a strict schedule of antirejection medications.
The client states he has never used a watch before, and his people do things
when they know they should be done. An appropriate response by the nurse
would be which of the following?
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A, Here is the schedule. Here is a watch. You take these three medication at
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,8am, these four at noon, and these three, again, at 5pm. At 10pm, you have
these five pills, and you will take at 3pm"
B, you have to take these at a certain time, or you will die
C, Tell me more about that. Let's talk about finding a method that will work for
you
D well, that's your prerogative. Here is the schedule. If you adhere to it, you'll
be healthier."
Answer
C, Tell me more about that. Let's talk about finding a method that will work for you
14. A client just received a diagnosis of cancer. Which statement by the nurse
best demonstrates empathy?
A, Tomorrow will be better
B, This must be hard news to hear. Tell me more about it
C, What is your biggest fear about this diagnosis
D, I believe you can overcome this because I've seen how strong you are
Answer
B, This must be hard news to hear. Tell me more about it
15. What client should the nurse assess first?
a. a client who has an appt for vaccination.
b. a recently divorced client
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c. a client who is homeless
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d. a client needing to void
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, Answer
d. a client needing to void
16. Accepting pauses or silences that may extend for some time without
inter- jecting a verbal response is considered which of the following?
A. A form of verbal communication
B. Therapeutic communication
C. Rude behavior
D. A barrier to communication
Answer
B. Therapeutic communication
17. The American Nurse Association exists to advance the nursing
profession by each of the following except which?
A. Fostering high standards of nursing practice
B. Advocating on health care issues affecting nurses and the public
C. Producing affordable health care
D. Promoting a safe and ethical work environment
Answer
C. Producing affordable health care
18. Which of the following is not a component of the nursing process?
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A. Provide research to the multidisciplinary team
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, B. Promote professionalism
C. provide a framework for use of skills
D. promote use of critical thinking
Answer
A. Provide research to the multidisciplinary team
19. Which set of vital signs, taken on an adult, is cause for concern and
requires further evaluation?
A, Temperature 96.9 F; pulse 100 bpm; respirations 20 breath/minute; blood
pressure 120/80
B, Temperature 99 F; Pulse 72 bpm; respirations 16 breaths/minute; blood
pressure 100/60
C, Temperature 98 F; pulse 60 bpm; respirations 14 breaths/minute; blood
pressure 110/76
D, Temperature 97.F; pulse 54 bpm; respirations 14 breaths/minute; blood
pressure 196/114 mmHg
Answer
D, Temperature 97.F; pulse 54 bpm; respirations 14 breaths/minute; blood
pressure 196/114 mmHg
20. A nurse observes an unlicensed assistive personnel (UAP) obtaining vitals
from a client with hearing loss. Which of the following actions by the unli-
censed assistive personnel causes the nurse to provide further education to
improve communication?
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A, UAP is chewing gum while taking
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