MISC priority Exam Questions with Answers
1, 2, 3, 5 You are preparing to teach a patient with a new diagnosis of osteo
( The purpose of the teaching is to help the patient prevent strategies to prevent falls. Which teaching points will you be sure to
falls. The hip protector can prevent hip fractures if the all that apply.)
patient falls. Throw rugs and obstacles in the home 1. Wear a hip protector when ambulating.
increase the risk of falls. Patients who are tired are also 2. Remove throw rugs and other obstacles at home.
more likely to fall. Exercise helps to strengthen muscles 3. Exercise to help build your strength.
and improve coordination. Focus: Prioritization) 4. Expect a few bumps and bruises when you go home.
5. Rest when you are tired.
1, 2, 4, 5 You are providing care for a patient with recently diagnosed asthm
( Bedding should be washed in hot water to destroy dust points would you be sure to include in your teaching plan for this p
mites. All of the other points are accurate and appropriate that apply.)
to a teaching plan for a patient with a new diagnosis of 1. Avoid potential environmental asthma triggers such as smoke.
asthma. Focus: Prioritization) 2. Use the inhaler 30 minutes before exercising to prevent broncho
3. Wash all bedding in cold water to reduce and destroy dust mites
4. Be sure to get at least 8 hours of rest and sleep every night.
5. Avoid foods prepared with monosodium glutamate (MSG).
, MISC priority Exam Questions with Answers
1, 2, 4 An experienced LPN/LVN, under the supervision of the team leade
( The experienced LPN/LVN is capable of gathering data nursing care for a patient with a respiratory problem. Which actions
and making observations, including noting breath sounds to the scope of practice of an experienced LPN/LVN? (Select all th
and performing pulse oximetry. Administering medications, 1. Auscultating breath sounds
such as those delivered via MDIs, is within the scope of 2. Administering medications via metered-dose inhaler (MDI)
practice of the LPN/LVN. Independently completing the 3. Completing in-depth admission assessment
admission assessment, developing the nursing care plan, 4. Checking oxygen saturation using pulse oximetry
and evaluating a patient's abilities require additional 5. Developing the nursing care plan
education and skills within the scope of practice of the 6. Evaluating the patient's technique for using MDIs
professional RN. Focus: Delegation, supervision)
1, 2 You are preparing to change the linens on the bed of a client who
( A gown and gloves should be used when coming in sacral wound infected by MRSA. Which PPE items will you plan to u
contact with linens that may be contaminated by the that apply.)
client's wound secretions. The other PPE items are not 1. Gown
necessary, because transmission by splashes, droplets, or 2. Gloves
airborne means will not occur when the bed is changed. 3. Goggles
Focus: Prioritization) 4. Surgical mask
5. N95 respirator
, MISC priority Exam Questions with Answers
1, 2 While admitting a client, you obtain this information about her card
( The client's major modifiable risk factor is her ongoing factors: Her mother and two siblings have had myocardial infarctio
smoking. The family history is significant, and she should be client smokes and has a 20 pack-year history of cigarette use. Her
aware that this increases her cardiovascular risk. The goal carrier involves a lot of walking. She takes metoprolol (Lopressor) f
when treating hypertension with medications is reduction and her blood pressure has been in the range of 130/60 to 138/85 m
of blood pressure to under 140/90 mm Hg. There is no interventions will be important to include in the discharge plan for
indication that stress is a risk factor for this client. The (Select all that apply.)
client's work involves moderate physical activity; although 1. Referral to community programs that assist in smoking cessation
leisure exercise may further decrease her cardiac risk, this 2. Teaching about the impact of family history on cardiovascular ris
is not an immediate need for this client. Focus: 3. Education about the need for a change in antihypertensive thera
Prioritization) 4. Assistance in reducing the stress associated with her cardiovascu
5. Discussion of the risks associated with having a sedentary lifesty
, MISC priority Exam Questions with Answers
1, 2 You are acting as preceptor for a newly-graduated RN during her s
( The new RN is at an early point in her orientation. The orientation. You would assign the new RN under your supervision t
most appropriate patients to assign to her are those in care to which patients? (Select all that apply.)
stable condition who require routine care. The patient with 1. 38-year-old with moderate persistent asthma awaiting discharge
the lobectomy will require the care of an experienced 2. 63-year-old with a tracheostomy needing tracheostomy care eve
nurse, who will perform frequent assessments and 3. 56-year-old with lung cancer who has just undergone left lower
monitoring for postoperative complications. The patient 4. 49-year-old just admitted with a new diagnosis of esophageal ca
admitted with newly-diagnosed esophageal cancer will 5. 76-year-old newly diagnosed with type 2 diabetes
also benefit from care by an experienced nurse. This
patient may have questions and needs a comprehensive
admission assessment. As the new nurse advances through
her orientation, you will want to work with him or her in
providing care for these patients with more complex
needs. The newly-diagnosed diabetic patient will need
much teaching as well as careful monitoring. Focus:
Assignment, delegation, supervision)
1, 2, 3, 5 You are preparing to teach a patient with a new diagnosis of osteo
( The purpose of the teaching is to help the patient prevent strategies to prevent falls. Which teaching points will you be sure to
falls. The hip protector can prevent hip fractures if the all that apply.)
patient falls. Throw rugs and obstacles in the home 1. Wear a hip protector when ambulating.
increase the risk of falls. Patients who are tired are also 2. Remove throw rugs and other obstacles at home.
more likely to fall. Exercise helps to strengthen muscles 3. Exercise to help build your strength.
and improve coordination. Focus: Prioritization) 4. Expect a few bumps and bruises when you go home.
5. Rest when you are tired.
1, 2, 4, 5 You are providing care for a patient with recently diagnosed asthm
( Bedding should be washed in hot water to destroy dust points would you be sure to include in your teaching plan for this p
mites. All of the other points are accurate and appropriate that apply.)
to a teaching plan for a patient with a new diagnosis of 1. Avoid potential environmental asthma triggers such as smoke.
asthma. Focus: Prioritization) 2. Use the inhaler 30 minutes before exercising to prevent broncho
3. Wash all bedding in cold water to reduce and destroy dust mites
4. Be sure to get at least 8 hours of rest and sleep every night.
5. Avoid foods prepared with monosodium glutamate (MSG).
, MISC priority Exam Questions with Answers
1, 2, 4 An experienced LPN/LVN, under the supervision of the team leade
( The experienced LPN/LVN is capable of gathering data nursing care for a patient with a respiratory problem. Which actions
and making observations, including noting breath sounds to the scope of practice of an experienced LPN/LVN? (Select all th
and performing pulse oximetry. Administering medications, 1. Auscultating breath sounds
such as those delivered via MDIs, is within the scope of 2. Administering medications via metered-dose inhaler (MDI)
practice of the LPN/LVN. Independently completing the 3. Completing in-depth admission assessment
admission assessment, developing the nursing care plan, 4. Checking oxygen saturation using pulse oximetry
and evaluating a patient's abilities require additional 5. Developing the nursing care plan
education and skills within the scope of practice of the 6. Evaluating the patient's technique for using MDIs
professional RN. Focus: Delegation, supervision)
1, 2 You are preparing to change the linens on the bed of a client who
( A gown and gloves should be used when coming in sacral wound infected by MRSA. Which PPE items will you plan to u
contact with linens that may be contaminated by the that apply.)
client's wound secretions. The other PPE items are not 1. Gown
necessary, because transmission by splashes, droplets, or 2. Gloves
airborne means will not occur when the bed is changed. 3. Goggles
Focus: Prioritization) 4. Surgical mask
5. N95 respirator
, MISC priority Exam Questions with Answers
1, 2 While admitting a client, you obtain this information about her card
( The client's major modifiable risk factor is her ongoing factors: Her mother and two siblings have had myocardial infarctio
smoking. The family history is significant, and she should be client smokes and has a 20 pack-year history of cigarette use. Her
aware that this increases her cardiovascular risk. The goal carrier involves a lot of walking. She takes metoprolol (Lopressor) f
when treating hypertension with medications is reduction and her blood pressure has been in the range of 130/60 to 138/85 m
of blood pressure to under 140/90 mm Hg. There is no interventions will be important to include in the discharge plan for
indication that stress is a risk factor for this client. The (Select all that apply.)
client's work involves moderate physical activity; although 1. Referral to community programs that assist in smoking cessation
leisure exercise may further decrease her cardiac risk, this 2. Teaching about the impact of family history on cardiovascular ris
is not an immediate need for this client. Focus: 3. Education about the need for a change in antihypertensive thera
Prioritization) 4. Assistance in reducing the stress associated with her cardiovascu
5. Discussion of the risks associated with having a sedentary lifesty
, MISC priority Exam Questions with Answers
1, 2 You are acting as preceptor for a newly-graduated RN during her s
( The new RN is at an early point in her orientation. The orientation. You would assign the new RN under your supervision t
most appropriate patients to assign to her are those in care to which patients? (Select all that apply.)
stable condition who require routine care. The patient with 1. 38-year-old with moderate persistent asthma awaiting discharge
the lobectomy will require the care of an experienced 2. 63-year-old with a tracheostomy needing tracheostomy care eve
nurse, who will perform frequent assessments and 3. 56-year-old with lung cancer who has just undergone left lower
monitoring for postoperative complications. The patient 4. 49-year-old just admitted with a new diagnosis of esophageal ca
admitted with newly-diagnosed esophageal cancer will 5. 76-year-old newly diagnosed with type 2 diabetes
also benefit from care by an experienced nurse. This
patient may have questions and needs a comprehensive
admission assessment. As the new nurse advances through
her orientation, you will want to work with him or her in
providing care for these patients with more complex
needs. The newly-diagnosed diabetic patient will need
much teaching as well as careful monitoring. Focus:
Assignment, delegation, supervision)
