GALEN’S QUESTION BANK – Unit 1
1. When a nurse is providing care for a client who has been diagnosed with mycoplasma
pneumonia the nurse should implement which precaution method?
a. Contact
b. Airborne
c. Droplet
d. Standard
2. When a nurse is providing care for a client who has been diagnosed with Hepatitis A, the nurse
should implement which precaution method?
a. Standard
b. Contact
c. Droplet
d. Airborne
3. When a nurse is providing care for a client who has been diagnosed with scarlet fever the nurse
should implement which precaution method?
a. Airborne
b. Contact
c. Droplet
4. When a nurse is providing care for a client who has been diagnosed with rubella, the nurse
should implement which precaution method?
a. Airborne
b. Droplet
c. Contact
5. A nurse is providing nail care for a non-diabetic client. Which of the following actions should the
nurse take?
a. Push the cuticles back with a metal nail file.
b. Clean under the nail with an orange stick
c. Trim the nails at the lateral corners.
d. File the nails in a rounded shape.
Rationale: The nurse should use an orange stick to push back the cuticle and clean under the nail.
6. A client is scheduled for a nuclear imaging test. What should the nurse instruct the client about
this test?
, a. It produces a three-dimensional image of an organ.
b. A radioisotope will be injected to determine organ functioning as being either hot or cold.
c. It is the use of a magnetic field to produce an image of a body part or organ.
d. It is more sensitive than an x-ray image.
7. The nurse in a long-term care facility is observing an unlicensed assistant personnel (UAP)
changing the linen for a client who has fecal incontinence. Which of the following actions
indicates that the UAP understands the principles of infection control?
a. Shakes the soiled linen to remove any toilet paper remnants
b. Places clean linen that touched the floor in the soiled linen bag
c. Places the soiled linen on the floor before bagging it
d. Holds the soiled linen against her body while carrying it to the linen bag
Rationale: Linen that touches the floor or the UAP drops requires laundering.
8. A charge nurse is making room assignments. Which of the following clients should be moved
closer to the nursing station to prevent falls?
a. A young adult who is in a cast for a broken tibia.
b. A middle-aged adult who is postoperative following a laparoscopic appendectomy.
c. A teenager who is on telemetry for dysrhythmias.
d. An older adult who is postoperative following a left below the knee amputation.
Rationale: This client has most risk factors present for falls. Elderly and impaired mobility.
9. A client needs to go up the stairs while using crutches. What finding by the nurse demonstrates
the client understands how to ambulate upstairs with crutches?
a. The client moves the injured leg forward onto the steps, then moves the crutches, and then
moves the non-injured leg.
, b. The client moves the non-injured (unaffected) leg forward on the stairs and then brings
crutches up onto the stairs and aligned with the unaffected leg
c. The client moves the crutches forward up the step, then the injured and non-injured leg.
d. The client moves the crutches and non-injured leg forward to the step together, and then the
non-injured leg.
Rationale: The patient should transfer weight from the crutches to the non-injured leg on the stairs
(Good leg up the stairs 1st). The crutches are then brought up onto the stair and aligned with the
unaffected leg.
Good up/Bad down
10. While going down the stairs with crutches the client will move the crutches down onto the step
followed by
a. Moving the injured leg down onto the step.
b. Moving the non-injured leg down onto the step.
c. Moving both legs down onto the step.
11. The relationship between acute illness and chronic illness is represented by which comparison?
a. In-client surgical care is to out-client medical care.
b. Health insurance is to Medicare for older adults.
c. An emergency department is to a nursing home.
d. A hospital staff nurse is to a nurse practitioner.
Rationale: Acute illness can be likened to an emergency department because it treats conditions with
sudden onset and sudden exacerbations of existing conditions with short-term treatment options, as
compared with a nursing home, which cares for individuals with long-term conditions that warrant
admission after a decline in health or to individuals with long-term health care needs. The acute
chronic analogy is a comparison of sudden and short-term versus gradual and long-term.
The comparison between a nurse and a nurse practitioner is one of the practice setÝngs and the
scope of the practice. Medicare is a type of health insurance; however, chronic illness is not a type of
acute illness. In-client surgical care can be emergent and elective, and out-client medical care is
usually for ongoing health care but can also be applied to emergent conditions.
12. A nurse is planning health education on chronic illnesses for a group of seniors in the
community. When deciding upon which illnesses to focus upon, the nurse knows that which of
the following are the most common diseases in the United States? ( Select all that apply. )
, a. Asthma
b. Diabetes
c. Hepatitis
d. Cancer
e. Heart disease
Rationale: Six in ten adults in the United States have at least one chronic disease and 4 in 10 have two
or more. Heart disease, cancer, chronic lung disease, stroke, Alzheimer’s disease diabetes and chronic
kidney disease are not only common, but are seen primarily in older adults. This is not true of asthma
and hepatitis.
13. A patient living in community housing for the elderly says, “I don’t go to the senior citizen’s club.
They play cards and talk about the past because that’s all they can do.” The nurse analyzes these
remarks to represent
a. Paranoid thinking.
b. Hypercritical behavior.
c. Failure to achieve developmental tasks.
d. Thinking associated with ageism.
Rationale: Ageism is negative stereotyping and devaluation of people based on their age. Older adults
might be as guilty of ageism as younger individuals. The other options are not substantiated by the
information given in the scenario.
14. An elderly patient must be physically restrained. Who is responsible for the patient’s safety?
a. Health care provider who prescribed application of restraint
b. Unlicensed assistive personnel who apply the restraint
c. The nurse assigned to care for the patient
d. Family member who agrees to application of the restraint
Rationale: Although restraint is prescribed by a health care provider, the restraint is a measure carried
out by nursing staff. The nurse caring for the patient is responsible for safe application of restraining
devices and for providing safe care while the patient is restrained. Nurses may delegate the
application of restraining devices and the care of the patient in restraint, but the nurse remains
responsible for outcomes. Even when family agree to restraint, nurses are responsible for providing
safe outcomes.
15. A nurse is providing teaching to the family of a client who has Parkinson's disease. Which of the
following information should the nurse include in the teaching?
a. Speak loudly to the client.
b. Limit client physical activity.
c. Leave the television on continuously.
d. Provide client supervision.
1. When a nurse is providing care for a client who has been diagnosed with mycoplasma
pneumonia the nurse should implement which precaution method?
a. Contact
b. Airborne
c. Droplet
d. Standard
2. When a nurse is providing care for a client who has been diagnosed with Hepatitis A, the nurse
should implement which precaution method?
a. Standard
b. Contact
c. Droplet
d. Airborne
3. When a nurse is providing care for a client who has been diagnosed with scarlet fever the nurse
should implement which precaution method?
a. Airborne
b. Contact
c. Droplet
4. When a nurse is providing care for a client who has been diagnosed with rubella, the nurse
should implement which precaution method?
a. Airborne
b. Droplet
c. Contact
5. A nurse is providing nail care for a non-diabetic client. Which of the following actions should the
nurse take?
a. Push the cuticles back with a metal nail file.
b. Clean under the nail with an orange stick
c. Trim the nails at the lateral corners.
d. File the nails in a rounded shape.
Rationale: The nurse should use an orange stick to push back the cuticle and clean under the nail.
6. A client is scheduled for a nuclear imaging test. What should the nurse instruct the client about
this test?
, a. It produces a three-dimensional image of an organ.
b. A radioisotope will be injected to determine organ functioning as being either hot or cold.
c. It is the use of a magnetic field to produce an image of a body part or organ.
d. It is more sensitive than an x-ray image.
7. The nurse in a long-term care facility is observing an unlicensed assistant personnel (UAP)
changing the linen for a client who has fecal incontinence. Which of the following actions
indicates that the UAP understands the principles of infection control?
a. Shakes the soiled linen to remove any toilet paper remnants
b. Places clean linen that touched the floor in the soiled linen bag
c. Places the soiled linen on the floor before bagging it
d. Holds the soiled linen against her body while carrying it to the linen bag
Rationale: Linen that touches the floor or the UAP drops requires laundering.
8. A charge nurse is making room assignments. Which of the following clients should be moved
closer to the nursing station to prevent falls?
a. A young adult who is in a cast for a broken tibia.
b. A middle-aged adult who is postoperative following a laparoscopic appendectomy.
c. A teenager who is on telemetry for dysrhythmias.
d. An older adult who is postoperative following a left below the knee amputation.
Rationale: This client has most risk factors present for falls. Elderly and impaired mobility.
9. A client needs to go up the stairs while using crutches. What finding by the nurse demonstrates
the client understands how to ambulate upstairs with crutches?
a. The client moves the injured leg forward onto the steps, then moves the crutches, and then
moves the non-injured leg.
, b. The client moves the non-injured (unaffected) leg forward on the stairs and then brings
crutches up onto the stairs and aligned with the unaffected leg
c. The client moves the crutches forward up the step, then the injured and non-injured leg.
d. The client moves the crutches and non-injured leg forward to the step together, and then the
non-injured leg.
Rationale: The patient should transfer weight from the crutches to the non-injured leg on the stairs
(Good leg up the stairs 1st). The crutches are then brought up onto the stair and aligned with the
unaffected leg.
Good up/Bad down
10. While going down the stairs with crutches the client will move the crutches down onto the step
followed by
a. Moving the injured leg down onto the step.
b. Moving the non-injured leg down onto the step.
c. Moving both legs down onto the step.
11. The relationship between acute illness and chronic illness is represented by which comparison?
a. In-client surgical care is to out-client medical care.
b. Health insurance is to Medicare for older adults.
c. An emergency department is to a nursing home.
d. A hospital staff nurse is to a nurse practitioner.
Rationale: Acute illness can be likened to an emergency department because it treats conditions with
sudden onset and sudden exacerbations of existing conditions with short-term treatment options, as
compared with a nursing home, which cares for individuals with long-term conditions that warrant
admission after a decline in health or to individuals with long-term health care needs. The acute
chronic analogy is a comparison of sudden and short-term versus gradual and long-term.
The comparison between a nurse and a nurse practitioner is one of the practice setÝngs and the
scope of the practice. Medicare is a type of health insurance; however, chronic illness is not a type of
acute illness. In-client surgical care can be emergent and elective, and out-client medical care is
usually for ongoing health care but can also be applied to emergent conditions.
12. A nurse is planning health education on chronic illnesses for a group of seniors in the
community. When deciding upon which illnesses to focus upon, the nurse knows that which of
the following are the most common diseases in the United States? ( Select all that apply. )
, a. Asthma
b. Diabetes
c. Hepatitis
d. Cancer
e. Heart disease
Rationale: Six in ten adults in the United States have at least one chronic disease and 4 in 10 have two
or more. Heart disease, cancer, chronic lung disease, stroke, Alzheimer’s disease diabetes and chronic
kidney disease are not only common, but are seen primarily in older adults. This is not true of asthma
and hepatitis.
13. A patient living in community housing for the elderly says, “I don’t go to the senior citizen’s club.
They play cards and talk about the past because that’s all they can do.” The nurse analyzes these
remarks to represent
a. Paranoid thinking.
b. Hypercritical behavior.
c. Failure to achieve developmental tasks.
d. Thinking associated with ageism.
Rationale: Ageism is negative stereotyping and devaluation of people based on their age. Older adults
might be as guilty of ageism as younger individuals. The other options are not substantiated by the
information given in the scenario.
14. An elderly patient must be physically restrained. Who is responsible for the patient’s safety?
a. Health care provider who prescribed application of restraint
b. Unlicensed assistive personnel who apply the restraint
c. The nurse assigned to care for the patient
d. Family member who agrees to application of the restraint
Rationale: Although restraint is prescribed by a health care provider, the restraint is a measure carried
out by nursing staff. The nurse caring for the patient is responsible for safe application of restraining
devices and for providing safe care while the patient is restrained. Nurses may delegate the
application of restraining devices and the care of the patient in restraint, but the nurse remains
responsible for outcomes. Even when family agree to restraint, nurses are responsible for providing
safe outcomes.
15. A nurse is providing teaching to the family of a client who has Parkinson's disease. Which of the
following information should the nurse include in the teaching?
a. Speak loudly to the client.
b. Limit client physical activity.
c. Leave the television on continuously.
d. Provide client supervision.
