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1. 1.An eight-year-old child is eating hotdog and begins coughing. What is
the priority action of the nurse?
a) Begin the Heimlich maneuver quickly
b) Tell the child to put his hands by his neck to signify that he is choking
c) promote coughing
d) leave the child alone to find a phone
Answer
promote coughing
2. 2.A client with dementia is being admitted to the medical surgical unit
after a period of syncope. The charge nurse should place the nighttime safety
and decrease the risk of falling?
a) In a room close to the nurses' station, and with tightly applied posey
restraint
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b) In a room close to the nurses' station with quite atmosphere.
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,c) In a room away from nurses' station so that the client can sleep better.
d) In a room with television for distraction
Answer
In a room close to the nurses' station with quite atmosphere.
3. 3. A nurse from predominately Latino culture works in a hospital that
services are a large Hmong population. What action by the nurse best demon-
strates cultural competency?
a) The nurse asks the client what matters most to them in their illness and
treatment.
b) The nurse the client that they should not continue taking herbs.
c) The nurse asks the client if they utilize shaman
d) the nurse tells the client that they should follow the provider 's orders.
Answer
The nurse asks the client what matters most to them in their illness and
treatment.
4. 4. A client states that they are experiencing pain. What question should
the nurse asks in performing a focused pain assessment (select all that apply)
a) What does the pain feel like?
b) when did your pain start?
c) why didn't you tell someone sooner?
d) Is it really painful?
e) How does the pain affect your sleep?
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Answer
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, What does the pain feel like?
b) when did your pain start?
f) How does the pain affect your sleep?
5. 5. A client states that he is a Muslim. The client has type two diabetes
mellitus and has been prescribed along-acting insulin. The client says that he
fasts for Ramadan. What intervention is most appropriate for this client?
a) Educate the client that fasting is not an option.
b) Tell the client not to take his insulin the night before.
c) Inform the client he will need to change his lifestyle completely.
d) Collaborate with the client and provider to develop a client-centered plan of
care.
Answer
Collaborate with the client and provider to develop a client-centered plan of care.
6. 6. What would be the best education for a nurse to give a client to prevent
poisoning a child at home?
a) Take only prescription medications as prescribed.
b) Never share your prescription drugs.
C) Keep cleaning liquids in a locked cabinet.
Answer
Keep cleaning liquids in a locked cabinet.
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7. 7. A nurse is teaching a community group about poisoning prevention.
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,Which of the following statements from an attendee would indicate the need
for further teaching?
a) "I should take prescription medication only as they are prescribed".
b) "I should never share my prescription medication with anyone".
c) "I should immediately induce vomiting if I suspect poisoning".
d) "I should take the phone number of for the poison control center easily
accessible".
Answer
"I should immediately induce vomiting if I suspect poisoning".
8. 8. Which of the following responses by the nurse could create a barrier
to communication?
a) "What you did was wrong. You shouldn't do that."
b) "Good morning Mrs. Nightingela. Is there anything I can do to make you
more comfortable?"
c) "Let's see what we can do to find a solution."
d) Is it a good time to discuss your new diagnosis?"
Answer
"What you did was wrong. You shouldn't do that."
9. 9. What is not a standard practice in the North American Healthcare
system?
a) Punctuality
b) Folk medicine
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c) Handwashing
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,d) Annual exams
Answer
Folk medicine
10. 10. Which of the following statements creates a barrier to communica-
tion?
a) Do you Know how to change your dressing?
b) What did your healthcare provider tell you about your need for this hospi-
talization?
c) You mention your dad earlier. Did he develop complications related to high
blood pressure?
Answer
You mention your dad earlier. Did he develop complications related to high blood
pressure?
11. 11. What complication may be a result of decreased mobility?
a) Pressure injuries
b) Diarrhea
c) Euphoria
Answer
Pressure injuries
12. 12. accepting pauses or silences that may extend for some time without
interjecting a verbal response is consider which of the following?
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a) Rude behavior
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,b) A barrier to communication
c) Therapeutic communication
d) A form of a verbal communication
Answer
Therapeutic communication
13. 13. A fire is found in a client room during a routine medication pass. What
is the nurse's first action?
a) Activate the fire alarm
b) Contain the fire
c) Notify the supervisor
d) Remove the client from the room
Answer
Remove the client from the room
14. 14. Using A Maslow's Hierarchy of needs to prioritize, what client should
the nurse see first?
a) The client with temperature 101F
b) The homeless client
c) The client who is depressed
d) The client the Alzheimer's disease.
Answer
The client with temperature 101F
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15. 15. What statement by the student nurse educating a client on food safety
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,is a cause for concern?
a) "It is acceptable to eat food at any time that has been sitting out for a
potluck."
b) "Make sure to wash your hands with soap and water before eating."
c) "Make sure to wash produce."
Answer
"It is acceptable to eat food at any time that
has been sitting out for a potluck."
16. 16) You have immigrated from the United States to Mexico. Over time you
begin to eat more local foods and learnt Spanish. What is this an example of?
a) Socialization
b) acculturation
c) assimilation
d) Ethnocentrism
Answer
acculturation
17. 17) A person who recently migrated from Mexico to the United States and
lived in a Spanish-speaking community with other relatives is taken to the ER
following a fall at work. He is admitted to the hospital for observation. This
client is at risk for which of the following?
a) Cultural assimilation
b) Cultural imposition
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c) cultural shock
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, Answer
cultural shock
18. 18. A client states "I don't know what to do. My life is a mess." What is the
appropriate response by the nurse?
a) Place the client on a 72-hour hold immediately
b) Remain attentive but silent
c) Leave the room immediately
d) Tell the client that everything will be fine
Answer
Remain attentive but silent
19. 19. Which organization publishes the National Patient Safety Goals?
a) Medicare
b) The American Nurses Association
c) The Joint Commission
d) The Institute of Medicine
Answer
The Joint Commission
20. 20. Nursing personnel are consistently listed in the top 10 occupations
for work related musculoskeletal disorders. Which of the following would not
help reduce musculoskeletal disorders in nurses?
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a) Reporting hazards
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