Hsei Comprehensive Exam 2

Comprehensive 2 1.ID: Which biological practices are federally regulated for healthcare workers? (Select all that apply.) A. Correct Standard precautions. B. Correct N-95 tuberculosis standard. C. Correct Blood-borne pathogen standard. D. Biological product exposure limit (BPEL). E. Correct Resource Conservation and Recovery Act (RCRA). F. As Low as Reasonably Allowable standard (ALARA). 2.ID: Which contextual factors are considered external environmental influences in the framework for occupational health programs and services? (Select all that apply.) A. Correct Economics. B. Workforce. C. Correct Technology. D. Interventions. E. Socio-economic status. F. Correct Legislation/regulation. 3.ID: A client with terminal pancreatic cancer is receiving hospice care at home and reports increasing shortness of breath and associated anxiety. Which prescription should the nurse implement first? A. Prednisone (Deltasone) 10 mg PO. B. Albuterol (Proventil) 0.5% solution per nebulizer. C. Correct Morphine sulfate (Roxanol) 5 to 10 mg SL as needed. BASIC HOSPICE CARE! D. Oxygen 2 to 6 liters per minute using a nasal cannula. HE IS DYING: SOB AND ANXIETY PERSISTS… 4.ID: During the initial home visit, the nurse performs a family assessment. Which component is most important for the nurse to consider? A. The legal definition of family in the United States. B. Members of the group that are direct descendents or bonded by marriage. C. Correct An exploration of the group relationships, structure, functions, and roles. D. Cultural differences among members of the extended family. 5.ID: Designated funds are received to address the healthcare needs of a community's vulnerable populations. Which group qualifies for this funding? A. African-American women who are 30 to 35 years of age. B. Correct Survivors of violence that occurred at least 5 years ago. C. Active armed forces reserve unit returning from Europe. D. Full-time students who are attending public colleges. 6.ID: Which intervention should the school nurse implement to decrease the incidence of hepatitis A in a preschool setting? A. Promote hygiene by ensuring that children's faces and hair are kept clean. B. Correct Ensure that all enrolled children have been immunized for Hepatitis A. MOST EFFECTIVE! C. Put a strip bandage on bleeding injuries to prevent contamination of others. D. Teach children the correct handwashing technique to use after toileting. 7.ID: When examining the wound of a client who had abdominal surgery yesterday, the nurse finds that the wound edges are close together, there is no sign of redness, and there is a slight amount of bright red blood oozing from the incision. What action should the nurse take? A. Correct Record these findings in the client's record. B. Observe closely for possible dehiscence. OCCUR AFTER 3RD TO 5TH DAY: GUSH OF SEROSANGUINEOUS C. Notify the healthcare provider that the client's wound is producing a sanguineous drainage. D. Increase the IV fluid rate and encourage the client to eat more ice chips. 8.ID: When culturing a wound, the nurse should obtain the sample from which part of the wound? A. The outer edges of the wound. SKIN NORMAL FLORA B. All necrotic sections of the wound. C. Correct Areas containing purulent or pooled exudates. D. Any particularly painful area of the wound. 9.ID: While conducting a routine health assessment of a woman who recently immigrated to the U.S. from China, the nurse notes that the client makes little direct eye contact, is deferential to healthcare personnel, and avoids sharing her personal thoughts and feelings. What action should the nurse take? A. Correct Continue the interview process and record the findings. B. Refer the client to a psychiatric outpatient clinic. C. Determine if there is a family history of emotional disorders. D. Encourage the woman to attend citizenship classes. 10.ID: After the sudden death of a severely injured client while in transport by helicopter, the flight nurse discovers that the oxygen tank that was attached to the oxygen supply was empty during the transport. What action should the flight nurse take? A. Replace the empty tank without reporting the situation to any members of the agency. B. Correct Complete an adverse occurrence report and submit it to the nurse-manager. C. Send an anonymous letter explaining the situation to the family of the client. D. Advise the flight crew of the situation, then suggest that no further discussion be held. 11.ID: A client has a living will and an advance directive specifying no intubation or CPR. The client's spouse and children tell the nurse privately that they want the client resuscitated, if the need arises. How should the nurse respond? A. Nurses use their best judgment based on the client's condition. B. Correct The healthcare team must honor the written wishes of the client. C. Notify the healthcare provider of the family's wishes, so a decision can be made. D. Every effort must be made to honor the family's wishes about their loved one.