__% of herbal use is self-care based. Correct Answers 95
11.Despite less restrictive interventions, a patient's behavior
escalates, requiring emergency application of restraints. Which
of the following must the nurse do in this situation?
1) Obtain a physician's order before applying restraints.
2) Monitor the patient's status every 4 hours while restrained.
3) Release the restraints and check circulation every hour.
4) Continually reevaluate the patient's need for restraint.
Correct Answers 4) Continually reevaluate the patient's need for
restraint
2.The nurse is teaching a child and family about firearm safety.
The nurse should instruct the child to take which step first if he
sees a gun at a friend's house?
1) Leave the area.
2) Do not touch the gun.
3) Stop where he is.
4) Tell an adult. Correct Answers 3) Stop where he is.
4.While teaching a health promotion group of adults, the nurse
notices one person who is clutching his throat with both hands.
What should the nurse do first?
1) Call 911.
2) Encourage the person to cough vigorously.
3) Ask, "Are you choking?"
4) Give five back blows. Correct Answers 3) Ask, "Are you
choking?"
,5.What should parents do to promote child safety in the home?
1) Attach the baby's pacifier to a ribbon so that it does not fall
on the floor.
2) Give a 2-year-old whole grapes instead of popcorn for a
snack.
3) Store firearms unloaded and out of sight in a location too high
for the child to reach.
4) Install window guards; never leave a window wide open.
Correct Answers 4) Install window guards; never leave a
window wide open.
6.What is the leading cause of unintentional death for the entire
U.S. population?
1) Motor vehicle accidents
2) Poisoning
3) Choking
4) Falls Correct Answers 1) Poisoning
8.A 78-year-old patient is being seen in the emergency
department. The nurse observes his gait and balance appear to
be slightly unsteady. What assessment should the nurse perform
next?
1) Perform the Get Up and Go Test.
2) Ask the patient whether he has fallen in the past year.
3) Refer the patient for a comprehensive fall evaluation.
4) Administer the Timed Up & Go Test. Correct Answers 3)
Refer the patient for a comprehensive fall evaluation
9.The nurse notes that the electrical cord on an IV infusion
pump is cracked. Which action by the nurse is best?
,1) Continue to monitor the pump to see whether the crack
worsens.
2) Place the pump back on the utility room shelf.
3) A small crack poses no danger so continue using the pump.
4) Clearly label the pump and send it for repair. Correct
Answers 4) Clearly label the pump and send it for repair
A child is brought to the emergency department after
swallowing liquid cleanser. He is awake and alert and able to
swallow. Which action should the nurse take first?
1) Administer a dose of syrup of ipecac.
2) Administer activated charcoal immediately.
3) Give water to the child immediately.
4) Call the nearest poison control center. Correct Answers 3)
Give water to the child immediately
A client just admitted with an acute myocardial infarction (heart
attack) is prescribed heparin (an anticoagulant) 2,000 units IV
now. Which action should the nurse take first before
administering this medication?
1) Make sure the informed consent is signed.
2) Verify the prescription with the physician.
3) Check the laboratory results of coagulation studies.
4) Be sure a signed HIPPA form is on the chart. Correct
Answers 3) Check the laboratory results of coagulation studies.
A patient has received a radiation implant. The patient is weak
and needs help even to turn in bed. Which action should the
nurse take when caring for this patient?
1) Avoid giving the patient a complete bed bath.
2) Limit the amount of time spent with the patient.
, 3) Allow extra time for the patient to express feelings.
4) Do not allow anyone to visit the patient. Correct Answers 2)
Limit the amount of time spent with the patient
A patient is agitated and continues to try to get out of bed. The
nurse tries unsuccessfully to reorient him. What should the nurse
do next?
1) Apply a vest restraint.
2) Move the patient to a quieter room.
3) Ask another nurse to care for the patient.
4) Provide comfort measures. Correct Answers 4) Provide
comfort measures.
A patient with a history of falling continually attempts to get out
of bed unassisted despite frequent reminders to call for help
first. Which action should the nurse take first?
1) Apply a cloth vest restraint.
2) Encourage a family member to stay with the patient.
3) Administer lorazepam (an anti-anxiety medication).
4) Keep the patient's bed siderails up. Correct Answers 2)
Encourage a family member to stay with the patient
Antiplatelet meds have antithrombotic effects. What do
antithrombotic effects reduce the risk for? Correct Answers
Fatal and nonfatal strokes
Approximately __% of the world's population relies on plant
derived remedies. Correct Answers 80
At what angle must a subcutaneous injection be given? Correct
Answers 45-90