Archer Q bank
. An oncology nurse is reviewing lab values for her patients in the morning. She has a
45-year-old patient who has been diagnosed with cancer of the bone marrow, which has
resulted in a persistently low platelet count. The nurse would expect that his platelet count
will be less than ___________k cells/mm3. - ANS-- 150 or 150, 000
Note that the normal platelet count ranges from 150,000 to 400,000 cells/mm3. A
12-year-old client with chronic asthma exacerbations has decided to try guided imagery as a
way to manage anxiety that is contributing to frequent asthma attacks. Which statement by
the client indicates an understanding of this stress reduction technique? - ANS-- "I can do
this anytime and anywhere when I feel anxious"
For two weeks, a 90-year-old woman has been in bed at home. Which of the following, if
observed by the nurse, is not an expected finding due to immobility? - ANS-- Loss of
short-term memory
NOTE: it is not an expected complication of prolonged immobility and warrants further
assessment. Memory loss in the short term may be a sign of medication side effects,
Alzheimer's disease, or Lewy body dementia. Intravenous magnesium sulfate is being given
to a patient with convulsions who was admitted to the medical ward. The nurse taking care
of her must be alert for which sign is indicating an expected side effect of the drug. - ANS--
Frequent sleepiness
NOTE: Clients taking Magnesium sulfate are expected to become sleepy during the
daytime, have hot flashes, and be lethargic.
A client is prescribed bed rest by the physician after surgery. The nurse that is taking care
of the patient always avoids putting pressure on the back of the client's knees. The reason
for this is to prevent which complication? - ANS-- Pulmonary embolism
A client states that she refuses to have her children immunized because she believes
vaccinations increase a child's odds of developing autism. Which of the following should the
nurse point out to her as the consequences of her decision to your community overall?
(Select all that apply). - ANS-- Reduction in herd immunity
- Increased incidence of diseases once thought to be eradicated
- An increase in days off from work or school - Increased costs associated with doctor and
hospital visits
A gastrointestinal disease of childhood where a piece of bowel goes backward inside itself
forming an obstruction is called what? - ANS-- intussusception
NOTE: A gastrointestinal disease of childhood where a piece of bowel goes backward
inside itself, forming an obstruction
Septic shock has set in for a newly admitted patient. based on his diagnosis of a clotting
disorder-related high risk for injury. Which of the following are appropriate entries in the
nursing care plan? Select All That Apply. - ANS-- Administer packed RBCs, if ordered
-Obtain an order for a stool softener
- Encourage the client to rinse his mouth with mouthwash and use an oral sponge to scrub
the teeth.
A newly registered nurse is tasked by the nurse educator to do a wet-to-dry dressing
change on a stage 3 pressure ulcer. The new RN packs wet gauze into the ulcer without
, overlapping it onto the skin, which of the following actions would indicate to the nurse that
the LPN is following proper technique? NOTE: The wet dressing should not touch the intact
skin as it will cause skin breakdown.
A patient is started on a daily amount of Phenytoin (Dilantin) 200mg PO in two divided
doses. What directive? Suppose given by the nurse to the patient. Is INCORRECT? -
ANS-- "You will need annual labs to determine the medication level in your body."
NOTE: weekly labs need to be drawn, NOT annual labs.
A toddler is brought to the family clinic by her parents due to poor sleep within the past two
weeks and intense perianal itching and scratching. The nurse in the clinic would suspect
which condition? - ANS-Enterobiasis
A woman in her 30th week of pregnancy was taken to the emergency room after falling
down some stairs. On evaluation, the physician notes a rigid, board like abdomen;
FHR=167bpm; with stable vital signs. ANS-Abruptio placentae: which obstetric emergency
should be anticipated in the event of a possible abdominal trauma? NOTE: External trauma
can lead to abruptio placentae, the complete or partial separation of the placenta from the
uterine wall. A sign that concealed hemorrhage has occurred is the rapid increase in uterine
size along with rigidity.
A young couple is at a well-baby clinic for their regular check-up. The couple asks about
introducing solid foods to their child. The nurse replies that the earliest time they can add
solid food to their child is at - ANS-4 to 6 months when the child's sucking reflex disappears
Select the domain of pain that is accurately paired with its appropriate nonpharmacological,
alternative, complementary pain management intervention
A. Reiki
B. massage
C. self-hypnosis
D. music therapy - ANS-Reiki is a nonpharmacological, alternative, complementary pain
management intervention for the spirit or spiritual, domain of pain. Reiki is performed by the
reiki therapist by placing their hands above the person, or lightly on the person, to promote
the client's own healing processes including the management and control of pain.
Student nursing is discussing Freud's psychosexual stages of development with a pediatric
nurse. The student nurse is correct when she says that Freud's anal stage is linked to which
psychosocial development? ANS-Toilet training is common during this stage. The leading
and single MOST important indicator of the intensity and presence of pain is: - ANS-- The
client's reports of pain to the nurse and other healthcare providers.
The mean arterial pressure necessary for adequate end-organ perfusion in the average
adult patient is ________. - ANS-60
Note that the average adult requires a MAP of 60 for adequate brain and kidney perfusion.
The nurse encounters an infant with irritability from Acute Otitis Media while working in a
pediatrics clinic. The nurse ought to be aware that the infant is more likely than an adult to
develop otitis media due to: - ANS-- Eustachian tubes that are narrower, shorter, and more
horizontal. The nurse enters a patient's room and finds them lying on the floor. They report
that they fell trying to get out of bed. The RN contacts the Charge nurse, who then contacts
the nursing supervisor and care provider to inform them of the accident. The nurse then fills
out an incident report because it will help collect data that will help improve patient safety
and promote high-quality care in the future. The nurse has had to apply physical restraints to
a combative patient who has been physically aggressive toward the nursing staff. After
initiating restraints, the nurse must obtain a physician's order within which time frame? -
ANS-- within one hour
. An oncology nurse is reviewing lab values for her patients in the morning. She has a
45-year-old patient who has been diagnosed with cancer of the bone marrow, which has
resulted in a persistently low platelet count. The nurse would expect that his platelet count
will be less than ___________k cells/mm3. - ANS-- 150 or 150, 000
Note that the normal platelet count ranges from 150,000 to 400,000 cells/mm3. A
12-year-old client with chronic asthma exacerbations has decided to try guided imagery as a
way to manage anxiety that is contributing to frequent asthma attacks. Which statement by
the client indicates an understanding of this stress reduction technique? - ANS-- "I can do
this anytime and anywhere when I feel anxious"
For two weeks, a 90-year-old woman has been in bed at home. Which of the following, if
observed by the nurse, is not an expected finding due to immobility? - ANS-- Loss of
short-term memory
NOTE: it is not an expected complication of prolonged immobility and warrants further
assessment. Memory loss in the short term may be a sign of medication side effects,
Alzheimer's disease, or Lewy body dementia. Intravenous magnesium sulfate is being given
to a patient with convulsions who was admitted to the medical ward. The nurse taking care
of her must be alert for which sign is indicating an expected side effect of the drug. - ANS--
Frequent sleepiness
NOTE: Clients taking Magnesium sulfate are expected to become sleepy during the
daytime, have hot flashes, and be lethargic.
A client is prescribed bed rest by the physician after surgery. The nurse that is taking care
of the patient always avoids putting pressure on the back of the client's knees. The reason
for this is to prevent which complication? - ANS-- Pulmonary embolism
A client states that she refuses to have her children immunized because she believes
vaccinations increase a child's odds of developing autism. Which of the following should the
nurse point out to her as the consequences of her decision to your community overall?
(Select all that apply). - ANS-- Reduction in herd immunity
- Increased incidence of diseases once thought to be eradicated
- An increase in days off from work or school - Increased costs associated with doctor and
hospital visits
A gastrointestinal disease of childhood where a piece of bowel goes backward inside itself
forming an obstruction is called what? - ANS-- intussusception
NOTE: A gastrointestinal disease of childhood where a piece of bowel goes backward
inside itself, forming an obstruction
Septic shock has set in for a newly admitted patient. based on his diagnosis of a clotting
disorder-related high risk for injury. Which of the following are appropriate entries in the
nursing care plan? Select All That Apply. - ANS-- Administer packed RBCs, if ordered
-Obtain an order for a stool softener
- Encourage the client to rinse his mouth with mouthwash and use an oral sponge to scrub
the teeth.
A newly registered nurse is tasked by the nurse educator to do a wet-to-dry dressing
change on a stage 3 pressure ulcer. The new RN packs wet gauze into the ulcer without
, overlapping it onto the skin, which of the following actions would indicate to the nurse that
the LPN is following proper technique? NOTE: The wet dressing should not touch the intact
skin as it will cause skin breakdown.
A patient is started on a daily amount of Phenytoin (Dilantin) 200mg PO in two divided
doses. What directive? Suppose given by the nurse to the patient. Is INCORRECT? -
ANS-- "You will need annual labs to determine the medication level in your body."
NOTE: weekly labs need to be drawn, NOT annual labs.
A toddler is brought to the family clinic by her parents due to poor sleep within the past two
weeks and intense perianal itching and scratching. The nurse in the clinic would suspect
which condition? - ANS-Enterobiasis
A woman in her 30th week of pregnancy was taken to the emergency room after falling
down some stairs. On evaluation, the physician notes a rigid, board like abdomen;
FHR=167bpm; with stable vital signs. ANS-Abruptio placentae: which obstetric emergency
should be anticipated in the event of a possible abdominal trauma? NOTE: External trauma
can lead to abruptio placentae, the complete or partial separation of the placenta from the
uterine wall. A sign that concealed hemorrhage has occurred is the rapid increase in uterine
size along with rigidity.
A young couple is at a well-baby clinic for their regular check-up. The couple asks about
introducing solid foods to their child. The nurse replies that the earliest time they can add
solid food to their child is at - ANS-4 to 6 months when the child's sucking reflex disappears
Select the domain of pain that is accurately paired with its appropriate nonpharmacological,
alternative, complementary pain management intervention
A. Reiki
B. massage
C. self-hypnosis
D. music therapy - ANS-Reiki is a nonpharmacological, alternative, complementary pain
management intervention for the spirit or spiritual, domain of pain. Reiki is performed by the
reiki therapist by placing their hands above the person, or lightly on the person, to promote
the client's own healing processes including the management and control of pain.
Student nursing is discussing Freud's psychosexual stages of development with a pediatric
nurse. The student nurse is correct when she says that Freud's anal stage is linked to which
psychosocial development? ANS-Toilet training is common during this stage. The leading
and single MOST important indicator of the intensity and presence of pain is: - ANS-- The
client's reports of pain to the nurse and other healthcare providers.
The mean arterial pressure necessary for adequate end-organ perfusion in the average
adult patient is ________. - ANS-60
Note that the average adult requires a MAP of 60 for adequate brain and kidney perfusion.
The nurse encounters an infant with irritability from Acute Otitis Media while working in a
pediatrics clinic. The nurse ought to be aware that the infant is more likely than an adult to
develop otitis media due to: - ANS-- Eustachian tubes that are narrower, shorter, and more
horizontal. The nurse enters a patient's room and finds them lying on the floor. They report
that they fell trying to get out of bed. The RN contacts the Charge nurse, who then contacts
the nursing supervisor and care provider to inform them of the accident. The nurse then fills
out an incident report because it will help collect data that will help improve patient safety
and promote high-quality care in the future. The nurse has had to apply physical restraints to
a combative patient who has been physically aggressive toward the nursing staff. After
initiating restraints, the nurse must obtain a physician's order within which time frame? -
ANS-- within one hour
