Health Safety Test Questions

1. Although the components of the nursing process relate to each other in a cyclical and dynamic manner, the steps should still be followed in a certain order. Which answer choice correctly represents this order?
A. Assessment, outcomes identification, pl

B. Assessment, diagnosis, outcomes identification, planning, implementation, evaluation

2. A well-written plan of care must be all of the following except
A. diagnostic-specific.
B. consistent with state statutes and regulations.
C. culturally sensitive.
D. based on the desires of the patient.

D. based on the desires of the patient.

3. Shana has been a professional nurse for ten years. She currently works for a family practice group of physicians. Shana makes it a point to receive input from the parents when planning care for the pediatric patients. She also considers it important to

A. Collaboration, Leadership, Education

4. Which of the following statements does not accurately describe one of the underlying ethical principles that nurses should follow in their practice?
A. Discern ethical issues that relate to the changing context of health care.
B. Be loyal to the patien

D. Promote social justice and social reform.

5. A man presents to the hospital's emergency room after falling from a ladder. He is complaining of pain in his right leg and left arm. What type of nursing assessment should the nurse perform?
A. Initial
B. Focused
C. Emergency
D. Time-lapsed

A. Initial

6. In the course of conducting an initial assessment, the nurse discusses the patient's condition with his spouse. The spouse states, "My husband started feeling feverish yesterday afternoon and went to bed early. I tried to wake him up in the middle of t

D. secondary, subjective data.

7. The RN delegates to an LPN the care of four stable patients. The LPN reports back to the RN that one of the patients shows an increased blood pressure from the baseline. The increased blood pressure is an example of
A. primary, objective data.
B. prima

A. primary, objective data.

8. The nurse is collecting data on one patient during the late evening. The nurse notes how much dinner the patient ate and spends some time talking with him. Which of the following entries into the patient record represents the best documentation?
A. "Pa

B. "Patient ate half a bowl of soup, two slices toast with butter, one apple, four oz chicken breast. Patient said, 'I feel tired this evening. I can't wait to get back to my own bed.'

9. For data to be documented, it must be all of the following except
A. accurate.
B. factual.
C. complete.
D. validated.

D. validated

10. The nurse is caring for a fourteen-year-old female who was admitted into a mental health unit forty-eight hours ago immediately following an attempted suicide. The nurse reads the following assessment data from the prior nursing shift:
Client spoke wi

D. Risk for self-directed violence related to body image disturbance

11. Of the following nursing diagnoses, which would take priority?
A. Ineffective airway clearance related to inflammation and presence of secretions
B. At risk for ineffective tissue perfusion related to impaired transport of oxygen
C. Ineffective therap

A. Ineffective airway clearance related to inflammation and presence of secretions

12. Of the following nursing diagnoses, which would take priority?
A. Chronic low self-esteem related to abuse
B. Body image disturbance related to weight gain secondary to pregnancy
C. Interrupted family process related to shift in health status of a fam

C. Interrupted family process related to shift in health status of a family member

13. Consider the following nursing diagnosis: Readiness for enhanced spirituality related to family relationships; manifested by the client's statement "I feel pretty good about where we are, but I'd like to grow into a better spouse and a better mother.

C. wellness diagnosis.

14. A school nurse is working with a six-year-old boy who has just been diagnosed with a learning disability after months of problem behavior in the classroom. The nurse's notes reflect the following nursing diagnoses:
Self-esteem disturbance related to p

C. The client, with permission from his parents, will choose one classmate to have over to his home for playtime within the next two weeks.

15. Which of the following are defined as institutionally approved, preprinted instructions governing interventions or actions to be taken in the care of groups of patients with particular problems?
A. Policies
B. Protocols
C. Procedures
D. Standing order

B. Protocols

16. A client with pernicious anemia has the following as one of his nursing diagnoses: Impaired oral mucous membrane. Which of the following would be an appropriately worded nursing order for this diagnosis?
A. Provide a nutritious diet high in iron, prot

C. Provide mouth care before and after meals using a toothbrush with soft bristles and nonirritating rinses.

17. The nurse is administering medications when he notices that the physician has ordered a medication to which the patient's record states he has allergies. The nurse withholds http://quizlet.com/create_set/the medication and contacts the physician. The

B. independent

18. Which of the following nursing tasks could be delegated to a competent nursing assistant?
A. Changing dressings
B. Teaching a patient to use crutches
C. Administering oral medications
D. Assisting a client with bathing

D. Assisting a client with bathing

19. The nurse assigns a competent LPN to monitor the vital signs of a patient every hour and to report back if there is any change of more than 5 percent from the baseline. Two hours later, the LPN alerts the nurse that the patient's temperature is elevat

B. Re-assess the vital signs personally.

20. A nurse is providing community care to a certain low-income neighborhood. Through surveys, the nurse discovers that the current rate of childhood immunization in the neighborhood is 50 percent. The nurse believes that ideally the neighborhood should b

B. recognizes that ongoing evaluation is needed since the goal was not yet reached. The nurse revises the expected outcome to "increase immunization compliance rate to 90 percent in the next year" and develops plans to achieve that goal.

1. A client visiting his physician for an annual wellness exam discusses his physical condition with the nurse. He says, "I'm only here because my wife said that I need to have an exam before we update our insurance policy. I'm actually very healthy and d

A. Clinical

2. The nurse is helping a client formulate a plan to stop smoking. Through interaction with the client, the nurse has determined that the client has a strong external locus of control. Which of the following should the nurse recommend as most effective fo

C. Setting up a reward system based on fewer packs of cigarettes consumed per week; the fewer consumed, the greater the reward

3. Molly is concerned that she might get breast cancer at a young age. Both her mother and her grandmother died before the age of fifty from breast cancer. Molly has decided to take action before she is diagnosed. She devises a diet plan to incorporate ex

B. Preparation

4. Which of the following individuals is exhibiting high-level wellness?
A. A man visits his physician because he has been experiencing a lot of indigestion. The physician recommends a prescription medication. The man fills the prescription and begins tak

C. A woman pregnant for the first time signs up for a childbirth education class at the local hospital.

5. The nurse is talking with a mother of a two-year-old. The mother says, "I just don't know what to do with my child. He throws a temper tantrum every time I tell him to do something he doesn't want to. For instance, when I need to go grocery shopping an

D. "At two years old, children don't take into consideration others' needs or feelings; your son's behavior is normal. He will begin to understand better around age four. Until then, let him know when it is almost time to change activities to help make th

6. A mother approaches the nurse with concerns about her ten-year-old daughter. "My daughter is getting fat," she says. "She is only ten and she is already about twenty pounds overweight. I never thought I would have a fat child. I've tried putting her on

B. "At this age, you don't need to put pressure on your daughter about her excess weight. The best way to help her is to keep healthy food in the house rather than junk food and by getting her involved in active things that she enjoys.

7. A college student tells his friend that he hasn't been feeling well. He says, "I've been really tired recently, and I just feel run down. Also, I have a headache and I'm very congested. Do you think I should go and see a doctor?" If his friend thinks i

C. "Have you been getting enough sleep and eating well? If you adjust your lifestyle a bit, you might start feeling better.

8. According to Rosenstock and Becker's Health Belief Model, which of the following clients is most likely to comply with the treatment regimen for his/her health problem?
A. A twenty-five-year-old with high blood pressure appears healthy and leads an act

B. A fifty-two-year-old with high cholesterol sees commercials for a new medication. He makes an appointment and requests the prescription from his doctor.

9. A client and his spouse are talking with the nurse. The client came into the emergency room with an ankle injury sustained in his daily run. The spouse complains to the nurse, "My husband has hurt himself three times in the last year running, yet he wi

A. The client's excessive striving in the domain of physical exercise is depleting his wellness in other domains of his life.

10. Mary's mother was diagnosed with fibromyalgia six months ago. Since the diagnosis, her mother has become less and less active. Most days she lies on the couch at home and watches television. Mary and her sisters are frustrated with their mother becaus

D. Mary and her sisters are frustrated because people who assume the sick role are also expected to take responsibility for working toward wellness.

11. The female victim of a violent rape is brought by police to the emergency room. The nurse assesses the patient and finds superficial bruises and lacerations in addition to substantial vaginal trauma. The patient's blood pressure, respiratory rate, and

C. the countershock phase of the physiologic alarm reaction.

12. The nurse is caring for a client who has just had a miscarriage at thirteen weeks' gestational age. The client says, "I'm fine. I understand that women lose babies often during the first trimester; I read that it happens 10-15 percent of the time. I'm

C. Intellectualization

13. The nurse is assessing a male client who is 5'8" tall and has a large body frame. What is this client's approximate ideal weight?
A. 140 pounds
B. 154 pounds
C. 169 pounds
D. 180 pounds

C. 169 pounds

14. A twenty-year-old client visits the clinic and is speaking with the nurse. The client says that she would like very much to lose weight, particularly fat. She is 5'3" (1.6 m) tall, weighs 143 pounds (65 kg), and has a medium-sized frame. Which of the

A. "Your approximate ideal weight is 115 pounds, so you are a bit overweight. I agree that you should lose some weight in a healthy way in order to minimize your future health risk.

15. The nurse is conducting a physical assessment. Which of the following represents an abnormal result?
A. The nurse asks the client to perform the Romberg test. When the client's eyes are closed, the nurse observes a sway to the right. The client moves

A. The nurse asks the client to perform the Romberg test. When the client's eyes are closed, the nurse observes a sway to the right. The client moves his feet to maintain his balance.

16. Which of the following questions would be appropriate for assessment of orientation?
A. "Can you name this object for me?" (pointing to a wristwatch)
B. "What is your wife's name?"
C. "Would you please point to your nose?"
D. "Would you please match t

B. "What is your wife's name?

17. Which of the following nursing diagnoses addresses secondary prevention?
A. Impaired skin integrity related to first-degree thermal burns
B. Pain related to post-cesarean surgery infection
C. At risk for falls related to decreased bone density
D. Read

C. At risk for falls related to decreased bone density

18. Which of the following ethnic groups is least likely to suffer from diabetes?
A. Caucasian (white Americans)
B. African American
C. American Indian
D. Hispanic

A. Caucasian (white Americans)

19. A woman who believes in the healing power of the mind spends time every evening in the following exercise: She makes sure that her bedroom is quiet and dark, then lies on her bed. She tenses and releases each muscle group in her body and concentrates

D. progressive relaxation.

20. Which of the following would provide the most helpful information for a practicing nurse?
A. Healthy People 2010
B. Framingham Heart Study
C. Agency of Healthcare Research and Quality (AHRQ)
D. Nurses' Health Study

C. Agency of Healthcare Research and Quality (AHRQ)

1. A woman calls the local Poison Control Center and reports that her younger brother, a teenager, just ingested motor oil. The brother was working in the garage on a mechanical project and decided to use his mouth to siphon oil out of a container. He cou

B. Chemical; do not induce vomiting but see a doctor quickly for assessment and treatment options

2. Which of the following people would be at increased risk of environmental injury due to firearm injury?
A. A four-year-old boy living at home with his divorced mother
B. A thirteen-year-old girl living at home with both parents
C. A fifty-two-year-old

B. A thirteen-year-old girl living at home with both parents

3. Mrs. Parker is a seventy-two-year-old woman who is admitted into an assisted living facility by her family. Mrs. Parker has been living at home alone for three years since her husband passed away. The family lives nearby and visits her often but has be

C. Score of 5; high risk for falls

4. A home health nurse is conducting a home visit with a fifty-two-year-old female client with diabetes. The client has recently been prescribed insulin for the first time and the nurse is conducting teaching on how to self-administer injections. While to

B. Provide a locked biohazard box for the storage of used needles.

5. A forty-two-year-old woman is brought to the emergency room with flu-like symptoms. She is speaking quickly in a foreign language and crying. Her twenty-year-old daughter and forty-year-old sister accompany her. The daughter explains that her mother is

D. A hospital volunteer who immigrated from Nicaragua five years ago and speaks fluent English and Spanish

6. A lactation nurse is making a home visit to a new mother who has a 3-week-old infant. She notices all of the following safety hazards in the home: medications are stored in a lower cabinet with no lock, there are a number of toxic plants in the front y

A. Educate client about the risk for falls and recommend installing night lights near the bedrooms

7. The nurse is speaking with a client who came in for his annual physical exam. The client asks, "How long can I keep a prescription medication? I have some codeine leftover from a dental procedure I had done a few months ago, and I wanted to save it bec

D. "It can be dangerous to use medications for purposes other than what they were prescribed for. It would be best to discard them right away.

8. Suppose that as a practicing nurse, you are volunteering at a community safety drive. You have been given the task of checking proper fit of car seats for infants and children. Which of the following children is at risk and requires additional parental

C. A seven-year-old child is sitting in a booster seat wearing a lap belt; the shoulder belt is placed behind her back to avoid it being placed too high on the neck.

9. The nurse comes into a client room, smells smoke, and sees a fire in the trash can by the window just below a curtain. What should be the first action by the nurse?
A. Pull the fire alarm on the wall.
B. Use the fire extinguisher from the hallway to ex

D. Remove the client from the room.

10. The nurse is teaching a class to high school students about sun safety. Which of the following instructions should the nurse include?
A. "The most dangerous time for sun exposure is between 1 p.m. and 4 p.m.; minimize sun exposure during this time."
B

B. "You should select a sunscreen with PABA in it (unless you are allergic) because it increases the effectiveness of the sunscreen.

11. If a sunscreen label claims that it has an SPF of 50, this means that
A. if it normally takes a person 5 minutes of sun exposure to burn, the sunscreen will protect the person for 50 minutes.
B. if it normally takes a person 8 minutes of sun exposure

D. if it normally takes a person 6 minutes of sun exposure to burn, the sunscreen will protect the person for 5 hours.

12. Given the nursing diagnosis of "Impaired skin integrity related to poison ivy exposure manifested by multiple vesicles on leg," what would be an appropriate intervention?
A. Wear long-sleeved shirt and long-legged pants when walking in the woods.
B. S

D. Apply an antipruritic lotion several times daily and take Aveeno baths as needed

13. A mother has just installed a carbon monoxide detector in her home and asks the nurse what she should do if it ever goes off. The best response by the nurse would be to say,
A. "Call the fire department immediately and let them come and check your hom

B. "Get your family out of the house until the home levels can be checked by a professional.

14. An elderly patient suffers from dementia and continually tries to pull out his gastronomy tube. Which of the following would be the best primary intervention by the nurse?
A. Loosely restrain the patient's hands, allowing freedom of movement but not e

C. Tuck the patient's gown into a pair of pants so that the tube cannot be seen.

15. A patient in the common room of a mental health hospital hears imagined voices telling him that he is "no good to society." He becomes belligerent and angry. The nurse attempts to calm the patient but he becomes increasingly upset. The nurse is concer

D. The patient must be monitored continually while in seclusion, either face-to-face by a trained staff member or by video and audio equipment.

16. If restraints are used for a patient, all of the following must be documented in the patient's chart except
A. alternatives or other less restrictive interventions attempted.
B. a description of the training that the staff member ordering the restrain

B. a description of the training that the staff member ordering the restraint has received regarding restraint use.

17. The nurse working in a long-term care facility notes that a physician has left an order for restraints to be used on a patient for the next four hours. After two hours, the nurse assesses the patient and finds that the use of restraints is no longer n

A. The nurse should document the findings in the patient record and remove the restraints.

18. Mr. Smith is a ninety-one-year-old resident of a nursing home. Mr. Smith has advanced dementia and has consistently resisted nursing attempts to assist him in rising from bed and walking. The nurses have attempted to use both bed sensors and a low bed

D. The physician, the nurse, and the facility; they are all held responsible for any use of restraints.

19. Imagine that you are creating a preparedness plan for an outbreak of pneumonic plague. Which of the following recommendations would be appropriate?
A. Order plague vaccine from the CDC at first sign of outbreak to prevent shortage; issue vaccine to hi

B. Ensure that there is an adequate supply on hand of the agents that are effective against the plague, including streptomycin and tetracyclines.

20. When developing plans to control infection during a bioterrorism outbreak of a respiratory agent, which of the following would be most important?
A. Scheduling PPE breaks for staff members
B. Educating the public about respiratory etiquette
C. Creatin

B. Educating the public about respiratory etiquette

1. A certain child care center experiences an outbreak of Streptococcal pharyngitis. Infected children are brought to the center prior to becoming symptomatic and are passing the agent to each other before they can even be diagnosed. Over the last week, 5

A. The agent

2. A certain child care center experiences an outbreak of Streptococcal pharyngitis. Infected children are brought to the center prior to becoming symptomatic and are passing the agent to each other before they can even be diagnosed. Over the last week, 5

D. The mode of transmission

3. A certain child care center experiences an outbreak of Streptococcal pharyngitis. Infected children are brought to the center prior to becoming symptomatic and are passing the agent to each other before they can even be diagnosed. Over the last week, 5

D. Closing the center to children until they have tested negative; since the children are the reservoir for the agent, they will not be able to continue to transmit the agent to one another.

4. A surgical field is being established in a patient's room on the over-bed table. The nurse knows that the outer margin of a surgical drape is
A. considered clean and may touch the patient's bedding.
B. considered contaminated and must not touch any obj

B. considered contaminated and must not touch any object, including bedding.

5. Serosanguineous drainage is noted seeping from a patient's surgical incision. The nurse knows this is a sign
A. of a direct cell-mediated response to infection.
B. of the first stage of the specific inflammatory response that consists of a vascular and

C. of the second stage of the nonspecific inflammatory response called the exudative stage.

6. Wound healing will be delayed by which one of the following?
A. Hematocrit 44 percent
B. Hemoglobin 8.5 percent
C. Serum albumin 4.3 percent
D. Total leukocytes 5,600/mm3

B. Hemoglobin 8.5 percent

7. After being told that a patient's abdominal wound eviscerated, the nurse knows that
A. healing is progressing as intended.
B. the wound is infected.
C. the wound will now have to heal by means of primary intention.
D. the viscera are protruding through

D. the viscera are protruding through the patient's wound.

8. Which of the following conditions is least likely to predispose a patient to infection?
A. Chronic obstructive pulmonary disease
B. Ferrous sulfate therapy
C. Prednisone therapy
D. Urinary retention requiring catheterization

B. Ferrous sulfate therapy

9. A thin blister is most likely to be hiding a dark wound bed in which one of the following groups?
A. Infants
B. Older adults
C. Persons with darker skin tones
D. Persons with deficiencies in vitamins B and C

C. Persons with darker skin tones

10. Which of the following interventions is most likely to facilitate healing of a Stage III sacral pressure ulcer?
A. Air is the best healer; leave the wound open.
B. Keep the wound dry at all times.
C. Use a dressing that balances wound moisture and seq

C. Use a dressing that balances wound moisture and sequesters exudate, if present.

11. Which of the following surgical scrub actions is correct?
A. Dry first the elbows, then wrists, and then hands.
B. During washing, hands should be kept above elbows.
C. Hand jewelry may remain in place since it will be covered with gloves.
D. Rinse so

D. Rinse soap and water while holding hands above elbows.

12. After the nurse has established a sterile field, each of the following events occurs. Which one would require the nurse to consider the field contaminated?
A. An assisting nurse uses clean forceps to grasp sterile dressings and places them on the ster

A. An assisting nurse uses clean forceps to grasp sterile dressings and places them on the sterile field.

13. The application of heat is permitted on which one of the following patients?
A. A twenty-two-year-old patient with a strained quadricep muscle
B. A forty-six-year-old patient with type II diabetes mellitus, a stasis ulcer of the right lower leg, and r

A. A twenty-two-year-old patient with a strained quadricep muscle

14. A sixty-five-year-old patient with a severe wound infection is admitted to the hospital. The nurse measures the patient's intake and output and recommends that the patient drink
A. five 8-ounce glasses of fluid per day.
B. ten 8-ounce glasses of fluid

B. ten 8-ounce glasses of fluid per day.

15. Why does an item need to be cleaned before it is disinfected?
A. Because the presence of organic materials can render the disinfectant ineffective
B. Because the cleaning process is the first step in eliminating the primary link in the infection proce

A. Because the presence of organic materials can render the disinfectant ineffective

16. Which is the first antibody produced during a body's immune response?
A. IgA
B. IgG
C. IgE
D. IgM

D. IgM

17. The nurse is called by a mother who says she is concerned her child might be getting sick. The mother says, "My daughter is in kindergarten, and they have recently had a lot of kids getting sick with the flu. This morning my daughter was complaining t

C. Prodromal; the family should exercise handwashing precautions and clean surfaces frequently.

18. In which of the following situations would a nurse not need to wash his or her hands for at least ten to fifteen seconds?
A. After caring for a two-week-old infant during a well visit while wearing disposable gloves
B. Prior to cleansing the anal area

C. Prior to changing the bedding of a forty-year-old patient in the hospital's cardiac unit

19. Robyn, a nurse, is setting up a sterile field in the surgical unit. As she is finishing, the doctor enters the surgical suite with a loud, cheerful, "Hello!" The nurse was so focused on her work that the doctor's greeting startled her. She jumps and t

B. No; the nurse turned so that the field was out of her view.

20. Which of the following would be classified as part of the body's nonspecific defense against infection?
A. Immunoglobulin
B. Antibody
C. Histamine release
D. Cytotoxic T cell

C. Histamine release

2. A nurse works in a small rural hospital as the nursing supervisor for the evening shift. The hospital pharmacy is only open from 7:00 a.m. to 9:00 p.m. At 10:00 p.m., a physician hands the nurse a prescription for a patient and asks the nurse to go to

D. Access the pharmacy and give the patient a single dose of the medication.

3. The nurse is calculating the dose for a child with a BSA of 0.49m2. The normal adult dose of the medication is 30 ml. What is the appropriate pediatric dose for this child?
A. 7.35 ml
B. 8.5 ml
C. 9.2 ml
D. 14.7 ml

B. 8.5 ml

4. The nurse needs to give 1300 ml of IV fluid over the next 8 hours. The tubing the nurse is using has a drop factor of 15 drops/ml. How many drops per minute are needed?
A. 11 ggts/min.
B. 24 ggts/min.
C. 41 ggts/min.
D. 42 ggts/min.

C. 41 ggts/min.

5. When applying an ointment containing a systemic agent to the skin, which of the following is not true?
A. The nurse should wear gloves to protect him or herself from the agent.
B. Clean technique must be used.
C. The agent and affected skin should be c

D. The ointment should be rubbed gently over the affected area using a circular motion.

6. The nurse is giving instructions to the adult daughter of a seventy-year-old client with glaucoma about applying eyedrops. Which of the following statements by the daughter shows that she correctly understands the instructions?
A. "I should wash my han

B. "No one else except Mom should use these eyedrops.

7. Which one of the following nonsteroidal anti-inflammatory drugs (NSAIDs) is listed by its generic name rather than a trade name?
A. Naproxen
B. Celebrex
C. Motrin
D. Mobic

A. Naproxen

8. When delivering an IV drug bolus by IV push, which of the following is true?
A. Toxic reactions are more likely to be immediate because of the direct route of delivery.
B. Limiting the speed of infusion will not make any difference in the speed at whic

A. Toxic reactions are more likely to be immediate because of the direct route of delivery.

9. Which of the following would be subject to the first-pass effect?
A. Amoxicillin prepared in syrup
B. Intramuscular morphine
C. Subcutaneous heparin
D. A dose of Albuterol via inhaler

A. Amoxicillin prepared in syrup

10. After properly checking the medication order, the administration record, the Kardex, and the patient's ID bracelet, the nurse gives a medication to the client. The client says, "This doesn't look the same as the pill I had this morning. Are you sure t

A. "Yes, nurses have to triple check everything before we administer medications. I have checked already and I am sure this is your medication.

11. The nurse is administering medications to clients during a very busy morning shift. When the nurse enters one client's room, the nurse finds the phlebotomist starting an IV. The phlebotomist says, "You can leave the medication here; we'll be done in a

D. "I don't need to interrupt, but I cannot leave the medication here. I will come back in fifteen minutes.

12. A mother brings her five-year-old child to the clinic. The child is exhibiting fever, nausea, and a severe headache. The mother mentions that she noticed a rash starting around his ankles and wrists. The nurse asks if the child has recently had a tick

A. A tetracycline such as Doxycycline

13. If all of the following clients are given a usual dose of INH, which will be at greatest risk for INH-induced hepatoxicity?
A. A twenty-two-year-old Caucasian female with a history of an eating disorder
B. A forty-five-year-old Caucasian male with a h

D. A seventy-five-year-old African American female

14. A home visit nurse sees all of the following patients. Which patient is in danger of a medication interaction?
A. A client with diabetes mellitus who is on insulin states, "I know I'm not supposed to eat sugar, but I dearly love chocolate chip cookies

C. A sixty-eight-year-old client on antiseizure medication states, "I've started taking Gingko biloba for my memory; I don't want to end up with Alzheimer's at an early age. I'm also doing Sudoku puzzles.

15. Which of the following drugs will be most readily absorbed by the body?
A. Vitamin C capsule
B. Vitamin D tablet
C. Vitamin K capsule taken on an empty stomach
D. An enteric-coated aspirin tablet taken on an empty stomach

A. Vitamin C capsule

16. If a drug's serum level is 12 mg at noon and its half-life is three hours, what will the serum level be at 6:00 a.m. the next morning?
A. 0.19 mg
B. 0.75 mg
C. 1.5 mg
D. 3.0 mg

A. 0.19 mg

17. Sally is prescribed hydrochlorothiazide by her doctor for hypertension. After taking the medication for a few days, she calls the nurse and says, "Sometimes when I stand up I get these dizzy spells. Is this related to my medication? I didn't have thes

B. an iatrogenic effect of her medication.

18. The nurse has just begun a blood transfusion when the patient complains, "My side hurts!" The client is not showing any other symptoms of a reaction. What should the nurse do first?
A. Assess the client for signs of fever.
B. Notify the physician.
C.

D. Stop the transfusion.

19. The nurse has just begun a blood transfusion when the patient complains, "My side hurts!" The client is not showing any other symptoms of a reaction. Which type of immunologic reaction is this client experiencing?
A. Type I
B. Type II
C. Type III
D. T

B. Type II

20. The nurse is administering a suppository to a client. Which of the following actions by the nurse is correct?
A. The nurse keeps the suppository stored in the refrigerator until it is time for its administration.
B. Prior to suppository instillation,

A. The nurse keeps the suppository stored in the refrigerator until it is time for its administration.

1. The nurse is caring for a client who is five hours postpartum. The client wishes to breastfeed but was unable to at the time of birth because of an elevated temperature in the infant. The infant has just been released from the nursery to the mother's r

D. Say to the mother, "I am here to help you with breastfeeding for the first time. Since your child has not yet been able to nurse, we should get started very soon. This may be a good time to ask your visitors to step out and give us some privacy.

2. After which of the following client statements would it be appropriate for the nurse to use silence as a therapeutic tool?
A. "I am so afraid of this surgery. I don't know if I can handle it."
B. "I'm trying to decide if my sister should be in the birt

B. "I'm trying to decide if my sister should be in the birthing room with me; we've been kind of distant for the last few years.

3. In the communication process, the medium by which the message is delivered (email, verbal, written, etc.) is referred to as the
A. stimulus.
B. message.
C. channel.
D. decoder.

C. channel.

4. A client tells the nurse, "I hate being in the hospital. I miss my own bed, and I hate getting woken up every night by you people for this, that, and the other." Which of the following responses by the nurse would be therapeutic?
A. "It sounds like you

A. "It sounds like you are saying you feel like you aren't getting enough rest.

5. The nurse is caring for a client who just had his right leg amputated. When the nurse enters the room, the client is crying. Which of the following statements or actions by the nurse would be appropriate?
A. "I'm so sorry about your leg. I'm sure that

C. "Could you tell me why you are crying?

6. The nurse is preparing a client to enter surgery for a mastectomy. The client remarks, "I don't know how I'm going to feel after this; will I still feel like a woman?" Which of the following responses by the nurse would be appropriate?
A. "Do you think

A. "Do you think you will still feel like a woman?

7. Which one of the following is not a characteristic of a therapeutic helping relationship?
A. Make sure you have the information your client requires so that the client will continue to see you as the expert.
B. Be empathetic by imagining what it would

A. Make sure you have the information your client requires so that the client will continue to see you as the expert.

8. The client should be an active participant in developing a plan of care by the end of which phase of the therapeutic helping relationship?
A. Preinteraction
B. Introductory
C. Interaction
D. Working

B. Introductory

9. Which of the following is an example of an open-ended question?
A. "Where is your pain?"
B. "How long has it been since your last period?"
C. "Are there any members of your family with this condition?"
D. "What brought you to the clinic today?

D. "What brought you to the clinic today?

10. The nurse is planning a teaching session for a fifteen-year-old client who must learn to use an oral inhaler. The nurse is writing objectives and planning the format for the session. Which of the following would be an appropriate written objective for

A. By the end of the session, the client will be able to state the proper method for storing and cleaning the oral inhaler.

11. The nurse is planning a teaching session for a fifteen-year-old client who must learn to use an oral inhaler. The nurse is writing objectives and planning the format for the session. Which of the following would be the best order for the content of th

D. How to insert the medication into the unit, how to inhale while dispensing the medication, cleaning the unit, storage of the unit, questions and answers

12. The nurse is planning a teaching session for a fifteen-year-old client who must learn to use an oral inhaler. Which of the following learning formats would work best for this client and this session?
A. Video accompanied by role-playing
B. Lecture acc

C. Demonstration/return demonstration

13. A client comes to the clinic exhibiting mild cold symptoms. The nurse remembers this client from a physical exam about six months previously; the client was very upset about her weight and scared that she might develop diabetes. The nurse remembers co

B. Ask the client, "How have things been going with trying to eat healthy and exercise?

14. A client comes to the clinic exhibiting mild cold symptoms. The nurse remembers this client from a physical exam about six months previously; the client was very upset about her weight and scared that she might develop diabetes. The nurse remembers co

D. "That is a hard situation. Why don't you and I think together of some things that might not be too difficult but would help you to be healthier and at the same time will help you feel better?

15. Which of the following clients will be most motivated to learn from the nurse?
A. A six-year-old boy is being put on medication for ADHD; he has had a hard time concentrating on tests at school and his mother and teacher feel this will help him. The n

D. A seventy-two-year-old woman is healing from a broken hip and is preparing to be discharged back to her apartment, where she lives alone. The nurse wants to teach her to use a walker.

16. When utilizing a system for an electronic health record (EHR), which of the following is true?
A. Information technology experts and specialized nurse informaticists have the role of developing the program; the professional nurse's role is primarily t

D. Even though the format by which nurses document care is moving from a paper-based system to an electronic system, the same standards of nursing practice and documentation remain in place.

17. The nurse is caring for an obese client in a family physician's office who has just been diagnosed with primary hypertension. Suddenly the client begins to cry. The nurse inquires what is wrong and the client replies, "I feel so bad that I have just b

B. "You aren't a failure. Lots of people who have hypertension are not overweight.

18. The nurse is caring for an obese client in a family physician's office who has just been diagnosed with primary hypertension. Suddenly the client begins to cry. The nurse inquires what is wrong and the client replies, "I feel so bad that I have just b

C. Affective

19. The nurse is visiting a teenage client in her hospital room to teach her about how to self-inject insulin. When the nurse comes in, the client is staring sadly out the window. The lights in the room are off and the room is dark. When the nurse inquire

D. No; the nurse needs to spend time with this client exploring her feelings and helping her adjust to her diagnosis.

20. The nurse answers a phone call from the mother of a nineteen-year-old patient who was just admitted through the emergency room and is in stable condition. The mother is very concerned and asks the nurse if her son is okay. The nurse checks the patient

D. The nurse cannot give the mother any information whatsoever.