PN 3006 Final
A 3-year-old child is visiting the pediatric clinic. The nurse suspects that the child has a urinary
tract infection (UTI). Which of the following methods is appropriate for the nurse to implement to
obtain a urine specimen from the child?
Select one:
a. Use an indwelling catheter.
b. Offer fluids 30 minutes in advance.
c. Apply pressure over the urinary bladder.
d. Place a diaper on the child and squeeze out the specimen. - ANS - Offer fluids 30 minutes in
advance.
\A child has been brough to the ER after he had fallen and hit his head. Which assessment
suggests a concussion?
a. Sleepy but easily arousable
b. Complaining of a stiff neck
c. Cannot remember what happened to him
d. Pupils react sluggishly to light - ANS - Cannot remember what happened to him
\A child having an asthma attack has presented to the emergency department. He is breathing
rapidly and has a blood pH of 7.47, signs and symptoms that the nurse suspects are consistent
with which of the following conditions?
Select one:
a. Metabolic acidosis
b. Metabolic alkalosis
c. Respiratory acidosis
d. Respiratory alkalosis - ANS - Respiratory alkalosis
\A client complains of a headache and chills during a blood transfusion. Which one of the
following actions should the nurse take immediately?
Select one:
a. Check the vital signs.
b. Stop the blood transfusion.
c. Slow the rate of blood flow.
d. Notify the physician and blood bank personnel. - ANS - Stop the blood transfusion.
\A client experiences a loss of intracellular fluid. The nurse anticipates that which of the
following IV therapies will be used to replace this type of fluid loss?
Select one:
a. 0.45% normal saline (NS)
b. 10% dextrose
, c. 5% dextrose in lactated Ringer's
d. Dextrose 5% in 1/2 NS - ANS - 0.45% normal saline (NS)
\A client has intravenous (IV) therapy for the administration of antibiotics and is stating that the
IV site "hurts and is swollen." Which of the following information assessed on the client indicates
the presence of phlebitis, as opposed to infiltration?
Select one:
a. Intensity of the pain
b. Warmth of integument surrounding the IV site
c. Amount of subcutaneous edema
d. Skin discoloration of a bruised nature - ANS - Warmth of integument surrounding the IV site
\A client in the hospital has an indwelling urinary catheter, and the nurse is instructing the
nursing student in the appropriate care to provide. Which one of the following does the nurse
teach the student to do?
Select one:
a. Empty the drainage bag at least q8h.
b. Cleanse up the length of the catheter to the perineum.
c. Use sterile technique to obtain a specimen for culture and sensitivity.
d. Place the drainage bag on the client's lap while transporting the client to testing. - ANS -
Empty the drainage bag at least q8h.
\A client taking an MAOI for depression is instructed by the nurse to
a. Avoid chocolate and cheese
b. Avoid grapefruit juices
c. Take this medication with milk
d. Take frequent naps - ANS - Avoid chocolate and cheese
\A condom catheter is to be used for an adult male client in the extended care facility. Which of
the following techniques is appropriate for the nurse to use in applying the condom catheter?
Select one:
a. Using sterile gloves
b. Wrapping the adhesive tape securely around the base of the penis
c. Leaving a 2.5- to 5-cm space between the tip of the penis and the end of the catheter
d. Taping the tubing tightly to the thigh and attaching the drainage bag to the bed frame - ANS -
Leaving a 2.5- to 5-cm space between the tip of the penis and the end of the catheter
\A patient can be admitted involuntarily for 48 hours under the BC MHA with one medical
certificate. If a second certificate is signed by another physician within 48 hours, the patient may
be required to do which of the following
a. stay in the hospital for another week
b. stay in the hospital for 6 months
c. stay in the hospital for up to one month
d. go home - ANS - stay in the hospital for up to one month
A 3-year-old child is visiting the pediatric clinic. The nurse suspects that the child has a urinary
tract infection (UTI). Which of the following methods is appropriate for the nurse to implement to
obtain a urine specimen from the child?
Select one:
a. Use an indwelling catheter.
b. Offer fluids 30 minutes in advance.
c. Apply pressure over the urinary bladder.
d. Place a diaper on the child and squeeze out the specimen. - ANS - Offer fluids 30 minutes in
advance.
\A child has been brough to the ER after he had fallen and hit his head. Which assessment
suggests a concussion?
a. Sleepy but easily arousable
b. Complaining of a stiff neck
c. Cannot remember what happened to him
d. Pupils react sluggishly to light - ANS - Cannot remember what happened to him
\A child having an asthma attack has presented to the emergency department. He is breathing
rapidly and has a blood pH of 7.47, signs and symptoms that the nurse suspects are consistent
with which of the following conditions?
Select one:
a. Metabolic acidosis
b. Metabolic alkalosis
c. Respiratory acidosis
d. Respiratory alkalosis - ANS - Respiratory alkalosis
\A client complains of a headache and chills during a blood transfusion. Which one of the
following actions should the nurse take immediately?
Select one:
a. Check the vital signs.
b. Stop the blood transfusion.
c. Slow the rate of blood flow.
d. Notify the physician and blood bank personnel. - ANS - Stop the blood transfusion.
\A client experiences a loss of intracellular fluid. The nurse anticipates that which of the
following IV therapies will be used to replace this type of fluid loss?
Select one:
a. 0.45% normal saline (NS)
b. 10% dextrose
, c. 5% dextrose in lactated Ringer's
d. Dextrose 5% in 1/2 NS - ANS - 0.45% normal saline (NS)
\A client has intravenous (IV) therapy for the administration of antibiotics and is stating that the
IV site "hurts and is swollen." Which of the following information assessed on the client indicates
the presence of phlebitis, as opposed to infiltration?
Select one:
a. Intensity of the pain
b. Warmth of integument surrounding the IV site
c. Amount of subcutaneous edema
d. Skin discoloration of a bruised nature - ANS - Warmth of integument surrounding the IV site
\A client in the hospital has an indwelling urinary catheter, and the nurse is instructing the
nursing student in the appropriate care to provide. Which one of the following does the nurse
teach the student to do?
Select one:
a. Empty the drainage bag at least q8h.
b. Cleanse up the length of the catheter to the perineum.
c. Use sterile technique to obtain a specimen for culture and sensitivity.
d. Place the drainage bag on the client's lap while transporting the client to testing. - ANS -
Empty the drainage bag at least q8h.
\A client taking an MAOI for depression is instructed by the nurse to
a. Avoid chocolate and cheese
b. Avoid grapefruit juices
c. Take this medication with milk
d. Take frequent naps - ANS - Avoid chocolate and cheese
\A condom catheter is to be used for an adult male client in the extended care facility. Which of
the following techniques is appropriate for the nurse to use in applying the condom catheter?
Select one:
a. Using sterile gloves
b. Wrapping the adhesive tape securely around the base of the penis
c. Leaving a 2.5- to 5-cm space between the tip of the penis and the end of the catheter
d. Taping the tubing tightly to the thigh and attaching the drainage bag to the bed frame - ANS -
Leaving a 2.5- to 5-cm space between the tip of the penis and the end of the catheter
\A patient can be admitted involuntarily for 48 hours under the BC MHA with one medical
certificate. If a second certificate is signed by another physician within 48 hours, the patient may
be required to do which of the following
a. stay in the hospital for another week
b. stay in the hospital for 6 months
c. stay in the hospital for up to one month
d. go home - ANS - stay in the hospital for up to one month
