NSG 4800 Comprehensive Review
Questions
The nurse is caring for assigned clients. Which of
the following actions is appropriate for the nurse
to take?
A. Having a client with pertussis wear a surgical
mask during transport
B. Wearing a respirator mask when caring for a
client who has impetigo
C. Initiating airborne precautions for a client
diagnosed with epiglottitis
D. Placing a client who had a stem cell transplant
in contact isolation - CORRECT ANSWER-A.
Having a client with pertussis wear a surgical
mask during transport
Pertussis is droplet precautions which requires
the patient to wear a mask during transport and
requires the nurse to wear gloves, gown, surgical
mask and a private room. The other diseases are
incorrectly matched to their isolation type.
The nurse is caring for a client who is currently
prescribed bedrest. Which of the following actions
,should the nurse take to help prevent the
development of a pulmonary embolus?
A. Instruct the client to perform leg exercises
B. Determine if the client is using the incentive
spirometer correctly
C. Encourage the client to cough and deep breath
D. Elevate the client's legs on a pillow -
CORRECT ANSWER-A. Instruct the client to
perform leg exercises
While other interventions are correct, they are to
prevent atelectasis and pressure ulcers. Leg
exercises is the only intervention that would help
with PE's specifically.
The nurse is planning care for a client who has
end-stage cirrhosis of the liver with
encephalopathy. Which of the following
interventions should the nurse be prepared to
implement to decrease the client's ammonia
level?
A. Restrict the client's intake of fluid
B. Administer prescribed Vitamin K
C. Administered prescribe diuretics
, D. Reduce the client's intake of protein -
CORRECT ANSWER-D. Reduce the client's
intake of protein
The byproduct of protein is amino acids, which
results in higher levels of ammonia. This is the
only intervention that would help decrease the
ammonia level.
The nurse is caring for a client who is suspected
of having bacterial meningitis. Which of the
following actions is a priority for the nurse to take?
A. Initiate droplet precautions
B. Prepare the client for a lumbar puncture
C. Administer IV antibiotics
D. Obtain a set of blood cultures - CORRECT
ANSWER-A. Initiate droplet precautions
While all are important interventions, initiating
droplet precautions should be the priority.
The nurses talking with the parent of a three-year-
old child who states, "I am concerned that my
child is in constant motion and is unable to sit long
enough to listen to a story. I am wondering if my
child may be hyperactive?" Which of the following
Questions
The nurse is caring for assigned clients. Which of
the following actions is appropriate for the nurse
to take?
A. Having a client with pertussis wear a surgical
mask during transport
B. Wearing a respirator mask when caring for a
client who has impetigo
C. Initiating airborne precautions for a client
diagnosed with epiglottitis
D. Placing a client who had a stem cell transplant
in contact isolation - CORRECT ANSWER-A.
Having a client with pertussis wear a surgical
mask during transport
Pertussis is droplet precautions which requires
the patient to wear a mask during transport and
requires the nurse to wear gloves, gown, surgical
mask and a private room. The other diseases are
incorrectly matched to their isolation type.
The nurse is caring for a client who is currently
prescribed bedrest. Which of the following actions
,should the nurse take to help prevent the
development of a pulmonary embolus?
A. Instruct the client to perform leg exercises
B. Determine if the client is using the incentive
spirometer correctly
C. Encourage the client to cough and deep breath
D. Elevate the client's legs on a pillow -
CORRECT ANSWER-A. Instruct the client to
perform leg exercises
While other interventions are correct, they are to
prevent atelectasis and pressure ulcers. Leg
exercises is the only intervention that would help
with PE's specifically.
The nurse is planning care for a client who has
end-stage cirrhosis of the liver with
encephalopathy. Which of the following
interventions should the nurse be prepared to
implement to decrease the client's ammonia
level?
A. Restrict the client's intake of fluid
B. Administer prescribed Vitamin K
C. Administered prescribe diuretics
, D. Reduce the client's intake of protein -
CORRECT ANSWER-D. Reduce the client's
intake of protein
The byproduct of protein is amino acids, which
results in higher levels of ammonia. This is the
only intervention that would help decrease the
ammonia level.
The nurse is caring for a client who is suspected
of having bacterial meningitis. Which of the
following actions is a priority for the nurse to take?
A. Initiate droplet precautions
B. Prepare the client for a lumbar puncture
C. Administer IV antibiotics
D. Obtain a set of blood cultures - CORRECT
ANSWER-A. Initiate droplet precautions
While all are important interventions, initiating
droplet precautions should be the priority.
The nurses talking with the parent of a three-year-
old child who states, "I am concerned that my
child is in constant motion and is unable to sit long
enough to listen to a story. I am wondering if my
child may be hyperactive?" Which of the following
