with 100 % Correct Answers
Which makes the older adult more susceptible to respiratory infections such as
pneumonia?
A. Decreased cough efficiency
B. Increased ability to clear secretions
C. Increased fluid intake
D. Decreased number of alveoli - CORRECT ANSWER- A. Decreased cough
efficiency
Which patient is at the highest risk for developing sepsis?
A. A patient admitted for nephrolithiasis
B. A patient admitted for end-stage kidney disease
C. A patient admitted for vaginal delivery of a child
D. A patient who is newly nothing-by-mouth (NPO) status for a procedure in the morning
- CORRECT ANSWER- B. A patient admitted for end-stage kidney disease
Which patient population should not be prescribed tetracyclines?
A. Those with chronic kidney disease
B. Those with a penicillin allergy
C. Children under 8 year old
D. Adults over the age of 65 - CORRECT ANSWER- C. Children under 8 years old
Which tertiary prevention measure should be included in the health promotion plan of
care for a patient newly diagnosed with diabetes?
A. Avoiding carcinogens
B. Foot screening techniques
C. Glaucoma screening
D. Seat belt use - CORRECT ANSWER- B. Foot screening techniques
Which vaccines should the older adult receive to prevent respiratory complications?
A. Measles, mumps, rubella (MMR) and polio vaccines
B. Varicella and hepatitis B vaccines
C. Influenza and pneumonia vaccines
D. Tetanus, diphtheria, and pertussis (Tdap) vaccine - CORRECT ANSWER- C.
Influenza and pneumonia vaccines
Who do standard precautions apply to? - CORRECT ANSWER- EVERYONE
,Who is in charge of the scope of practice? - CORRECT ANSWER- The state board
of Nursing
Young Adulthood screenings - CORRECT ANSWER- Cervical Examinations (PAP
smears)
1st gen antihistamine - CORRECT ANSWER- DROWSINESS and DRY MOUTH
- Chlorpheniramine
- Benadryl (Don't give if the patient has BPH, means they will have more problems
peeing. Also don't give if the patient has glaucoma).
1st Line TB - CORRECT ANSWER- - Isoniazid (INH), depletes B6, causes
Neuropathy; give patient B6 supplement
- Rifampin, turns pee, saliva, sweat, tears ORANGE
- Ethambutal, advise patient to get regular eye exams this medication affects vision.
2nd gen Antihistamine - CORRECT ANSWER- DOESNT Cause drowsiness.
- Claratin
- Zyrtec
- Allegra
- Astelin
2nd line TB - CORRECT ANSWER- AFFECTS LIVER MORE THAN 1st LINE
- Kanamycin
- Capreomycin
- Cycloserine
- Pyrazinamide
A 40yo patient presents to her provider for a yearly physical. The provider notes family
history of breast cancer in the patients mother. The provider schedules the patient for a
mammogram. The nurse recognizes this as what level of prevention?
A. Tertiary
B. Primary
C. Secondary
D. Holistic - CORRECT ANSWER- C. Secondary
A 76-year-old patient is taking celecoxib for arthritic back pain. When administering
celecoxib, which of the following patient teaching points is most important?
A. Any chest pain should be reported to the prescriber immediately.
B. Celecoxib can be administered with warfarin.
C. Increased mobility should be reported to the prescriber.
D. Celecoxib can be administered with aspirin during periods of infection. - CORRECT
ANSWER- A. Any chest pain should be reported to the prescriber immediately.
, A mother tells the nurse that she is worried about her 4-year-old daughter because she
is "overly attached to her father and won't listen to anything I tell her to do." What
information will the nurse convey to this parent?
A. This is normal behavior for a preschooler.
B. She and her family should see a counselor.
C. Try to spend more time with her daughter.
D. Her child should be tested for autism. - CORRECT ANSWER- A. This is normal
behavior for a preschooler
A nurse is caring for older adults in a senior adult day services (ADS) center. Which
findings require follow up with the health care provider?
A. Skin pigmentation caused by exposure to sun over the years
B. Thin toenails with a bluish tint to the nail beds
C. Using a walker while healing from a hip fracture related to brittle bones
D. Bruising on forearms due to fragile blood vessels in the dermis - CORRECT
ANSWER- B. Thin toenails with a bluish tint to the nail beds
A nurse is explaining to a parent how vaccines work. Vaccines provide which of the
following?
A. active immunity
B. passive immunity
C. innate immunity
D. nonspecific immunity - CORRECT ANSWER- A. Active immunity
A nurse is orienting to a new job in a home health care agency and is told that most of
her patients need tertiary prevention. What activity does the nurse plan to include in the
daily routine? - CORRECT ANSWER- Antibiotic administration
A nurse is planning primary prevention activities. Which activity would the nurse include
in this plan? - CORRECT ANSWER- Safer sex education for teens
A nurse is teaching new mothers about infant care and safety. What will the nurse
include as a teaching point?
A. Keep infants younger than 6 months out of direct sunlight.
B. Use honey instead of sugar in homemade baby food.
C. Place the baby on their stomach for sleeping.
D. Keep crib rails down at all times - CORRECT ANSWER- A. keep infants younger
than 6 months out of direct sunlight
A nurse is teaching parents of toddlers how to spend quality time with their children.
Which activity is developmentally appropriate for this age group?
A. Playing video games