front 1 A nurse working in a geriatric clinic sees clients with cold symptoms and rhinitis the primary health care provider (PHCP) often leaves a prescription for diphenhydramine what action by the nurse is best | back 1 Consult with the PHCP about the medication |
front 2 A nurse in a family practice clinic is preparing discharge instructions for a client reporting facial pain that is worse when bending over tenderness across the cheeks and postnasal discharge what instruction will be most helpful | back 2 Try warm moist heat packs on your face |
front 3 which teaching point is most important for the client with peritonsillar abscess | back 3 Take all antibiotics as directed |
front 4 A client is in the family practice clinic reporting a severe cold that started 4 days ago on examination the nurse notes that the client also has a severe headache and muscle aches what action by the nurse is best | back 4 Teach the client to sneeze in the upper sleeve |
front 5 The charge nurse on a medical unit is preparing to admit several clients who have possible pandemic flu during a preparedness drill what action by the nurse is best | back 5 Inquire as to recent travel outside the United States |
front 6 A client admitted for pneumonia has been tachypneic for several days when the nurse starts an IV to give fluids the client questions this action saying I have been drinking tons of water How an I dehydrated what response by the nurse is best | back 6 Breathing so quickly can be dehydrating |
front 7 An older adult is brought to the emergency department by a family member who reports a moderate change in mental status and mild cough the client is afebrile the primary health care provider orders a chest xray the family member questions why this is needed since the symptoms seem so vague what response by the nurse is besr | back 7 Older people often have vague symptoms so an xray is essential |
front 8 A client had ben diagnosed with tuberculosis (TB) what action by the nurse takes highest priority | back 8 Educating the client on adherence to the treatment regimen |
front 9 A client has been admitted for suspected inhalation anthrax infection what question by the nurse is most important | back 9 what is your occupation |
front 10 A charge nurse is rounding on several older clients on ventilators in the intensive care unit whom the nurse identifies as being at high risk for ventilators associated pneumonia to reduce this risk what activity would the nurse to delegate to the assistive personnel(AP) | back 10 Provide oral care every 4 hours |
front 11 The emergency department (ED) manager is reviewing client charts to determine how well the staff perform when treating clients with community acquired pneumonia what outcome demonstrates that goals for this client type have been met | back 11 Antibiotics started before admission |
front 12 A nurse has educated a client on isoniazed what statement by the client indicates that teaching has been effective | back 12 I will take this medication on an empty stomach |
front 13 A client has been taking isoniazid for tuberculosis for 3 weeks what laboratory results need to be reported to the primary health care provider immediately | back 13 Alanine aminotransferase (ALT) 180 U/L |
front 14 A client seen in the emergency department reports fever fatigue and dry cough but no other upper respiratory symptoms a chest xray reveals mediastinal widening what action by the nurse is best | back 14 Inform the client that oral antibiotics will be needed for 60 days |
front 15 A client has been hospitalized with tuberculosis (TB) the clients spouse is fearful of entering the room where the client is in isolation and refuses to visit what action by the nurse is best | back 15 Ask the spouse to explain the fear of visiting in further detail |
front 16 A client is being discharged on long term therapy for tuberculosis (TB) what referral by the nurse is most appropriate | back 16 Visiting nurses for directly observed therapy |
front 17 A client is admitted with suspected pneumonia from the emergency department the client went to the primary health care provider a few days ago and shows the nurse the results of what the client calls a allergy test the reddened area is firm what action by the nurse is best | back 17 Call the primary health care providers office to request records |
front 18 A nurse admits a client from the emergency department client data are listed below History 70 years of age History of diabetes On insulin twice a day Reports new onset dyspnea and productive cough Physical assessment Crackles and rhonci heard throughout the lungs Dullness to percussion LLL Afebrile Oriented to person only Laboratory Values WBC 5,200 Pa02 on room air 85 what action by the nurse is the priority | back 18 Administer oxygen at 4L per nasal cannula |
front 19 A nurse is providing pneumonia vaccinations in a community setting due to limited finances the event organizers must limit giving the vaccination to priority groups what clients would be considered a priority when administering the pneumonia vaccination(SATA) | back 19 A 22 year old client with asthma Client with well controlled diabetes Healthy 72 year old client Client who is taking medication for hypertension |
front 20 A hospital nurse is participating in a drill during many clients with inhalation anthrax are being admitted what drugs would the nurse anticipate administering (SATA) | back 20 Vancomycin Ciprofloxacin Doxycycline |
front 21 A client is in the emergency department is taking rifampin for tuberculosis the client reports yellowing of the sclera and skin and bleeding after minor trauma what laboratory results correlate to this condition(SATA) | back 21 International normalized ratio (INR) 6.3 Prothrombin time 35 seconds |
front 22 A client has been diagnosed with an emphysema what interventions would the nurse anticipate providing to this client (SATA) | back 22 Assisting the chest tube insertion Facilitating pleural fluid sampling Performing frequently respiratory assessment Providing antipyretics as needed |
front 23 The emergency department nurse is participating in a bioterrorism drill in which several clients are suspected to have inhalation anthrax which clients would the nurse see as the priorities (SATA) | back 23 Stridor Oxygen saturation Diaphoresis |
front 24 A client is taking ethambutol for tuberculosis what instructions does the nurse provide the client regarding this drug(SATA) | back 24 Contact the primary health care provider if preexisting gout becomes worse Report any changes in vision immediately to the health care provider You will take this medication along with some others for 8 weeks Take this medicine with full glass of water |
front 25 The nurse is learning about endemic pulmonary diseases which diseases are matched with correct information(SATA) | back 25 Hanta virus: found in urine droppings and saliva of infected rodents Histoplasmosis: sources include soil containing bird and bat droppings Coccidiodomycosis: found in the south west and far west of the united states |