SOLUTIONS
A home care nurse plans for a client who has just been
diagnosed with type 2 diabetes. Which task is appropriate for the
nurse to delegate to the home health aide?
a. Assist the patient to choose appropriate foods.
b. Help the patient with a daily bath and oral care.
c. Check the patient's feet for signs of breakdown.
d. Teach the patient how to monitor blood glucose. Correct
Answer b. Help the patient with a daily bath and oral care.
A newly pregnant client asks the health department nurse why
she must undergo screening for sexually transmitted diseases
(STDs) during her initial visit. Which nursing response is
accurate?
a. All STDs can be cured with antibiotics and treatment should
start now.
b. Some STDs can cross the placenta and harm the infant.
c. Women are always asymptomatic and unaware of STDs.
d. A c-section will be scheduled today based on the STD results.
Correct Answer b. Some STDs can cross the placenta and harm
the infant.
A nurse implements tertiary prevention strategies as part of the
quality management process. Which of the following best
describes a strategy the nurse would have used?
,a. Mock fire drills are carried out twice a year to assess response
and readiness in the event of a real fire.
b. All new employees complete a program on fire safety that
details what to do in the event of a fire.
c. After evaluation of response to an actual fire, new procedures
implemented in the fire response protocols are distributed to
employees.
d. At the yearly employee picnic, teams compete in putting out
trash can fires and in racing while carrying mock victims, using
safe education techniques. Correct Answer a. Mock fire drills
are carried out twice a year to assess response and readiness in
the event of a real fire.
A nurse is implementing a primary prevention strategy focusing
on economics within the community. Which of the following
interventions the nurse most likely completing?
a. Applying for a grant to establish a daycare center to serve
dependent older adult clients living with working families.
b. Referring clients with renal failure to apply for Medicare.
c. Persuading legislators to pass a bill offering health care
financial aid to families at risk.
d. Screening cocaine addicts for financial assistance eligibility
for drug treatment. Correct Answer c. Persuading legislators
to pass a bill offering health care financial aid to families at risk.
A nurse is using a case management plan to maximize patient
care outcomes. Which of the following describes an important
consideration that should be made by the nurse?
, a. Case management plans focus on the natural progression of
the disease.
b. Case management plans provide additional expense to the
client and family.
c. Case management plans should be used only by nurses to
manage care.
d. Case management plans should be individualized for each
client. Correct Answer d. Case management plans should be
individualized for each client.
A nurse practitioner prescribes 30 mg Zantac IV twice a day
(BID). Available on hand is 15 mg per mL. The nurse will
administers _____ mL/hour. Correct Answer
The client has ordered piperacillin 4.5 grams once daily to be
infused over 4 hours. It is available in a concentration of 90
mg/2 mL. The nurse will set the infusion pump to ____
mL/hour. Correct Answer
The client must receive 40 mEq of potassium chloride to infuse
over 2 hours. It is available in a bag labeled 10 mEq in 15 mL.
The nurse will set the infusion pump to ___ mL/hr. Correct
Answer
The community health nurse conducts surveillance for food
poisoning from contaminated lettuce. Which term describes the
pattern of occurrence of the outbreak?
a. Mixed outbreak.
b. Propagated outbreak.
c. Intermittent outbreak.