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Worksheets3250 Exam 2 review
Total questions: 40
Worksheet time: 21mins
When caring for a male client with severe impetigo, the nurse should include which intervention in the plan of care?
Keep mitts on the client’s hands.
Encourage daily bathing with antibacterial soap
Apply topical corticosteroids as prescribed.
Continuing to administer antifungals for 21 days as prescribed.
A patient with herpes zoster is newly admitted. Based on your nursing knowledge of this disease, which statement is correct?
"The virus is located in the basal nerve root ganglion."
"If a person has not had chickenpox they could contract herpes zoster."
"Herpes zoster can appear in a healthy person at anytime."
"Herpes zoster can only be diagnosed by skin stains."
A patient from a long-term care facility is admitted to the hospital with a sacral pressure ulcer. The base of the wound is yellow and involves subcutaneous tissue. How should the nurse classify this pressure ulcer?
Stage I
Stage II
Stage III
Stage IV
A young male patient who is a paraplegic has a stage II sacral pressure ulcer and is being cared for at home by his mother. To prevent further tissue damage, what instructions are most important for the nurse to teach the mother?
Change the patient’s bedding frequently.
Use a hydrocolloid dressing over the ulcer.
Record the size and appearance of the ulcer weekly.
Change the patient’s position at least every 2 hours.
When admitting a patient with stage III pressure ulcers on both heels, which information obtained by the nurse will have the most impact on wound healing?
The patient takes insulin daily.
The patient states that the ulcers are very painful.
The patient has had the heel ulcers for the last 6 months.
The patient has several old incisions that have formed keloids.
The health care provider diagnoses impetigo in a patient who has crusty vesicopustular lesions on the lower face. Which instructions should the nurse include in the teaching plan?
Clean the infected areas with soap and water.
Apply alcohol-based cleansers on the lesions.
Avoid use of antibiotic ointments on the lesions.
Use petroleum jelly (Vaseline) to soften crusty areas.
A teenaged male patient who wrestles in high school is examined by the nurse in the clinic. Which assessment finding would prompt the nurse to teach the patient about the importance of not sharing headgear to prevent the spread of pediculosis?
Ringlike rashes with red, scaly borders over the entire scalp
Papular, wheal-like lesions with white deposits on the hair shaft
Patchy areas of alopecia with small vesicles and excoriated areas
Red, hivelike papules and plaques with sharply circumscribed border
A patient with atopic dermatitis has been using a high-potency topical corticosteroid ointment for several weeks. The nurse should assess for which adverse effect?
Thinning of the affected skin
Alopecia of the affected areas
Reddish-brown discoloration of the skin
Dryness and scaling in the areas of treatment
A patient who has severe refractory psoriasis on the face, neck, and extremities is socially withdrawn because of the appearance of the lesions. Which action should the nurse take first?
Discuss the possibility of enrolling in a worker-retraining program.
Encourage the patient to volunteer to work on community projects.
Suggest that the patient use cosmetics to cover the psoriatic lesions.
Ask the patient to describe the impact of psoriasis on quality of life.
A nurse is teaching a patient how to use a meter-dosed inhaler for her asthma. Which comments from the patient assure the nurse that the teaching has been effective? Select all that apply.
I will continue to inhale when the cold propellant is in my throat.
I will only inhale one spray with one breath.
I will hold the canister upside down when using it.
I will activate the device while continuing to inhale.
I will be careful not to shake up the canister before using it.
A nurse is caring for a patient with chronic lung disease who is receiving oxygen through a nasal cannula. What nursing action is performed correctly?
The nurse assures that the oxygen is flowing into the prongs.
The nurse adjusts the fit of the cannula so it fits snug and tight against the skin.
The nurse encourages the patient to breathe through the nose with the mouth closed.
The nurse adjusts the flow rate to 6 L/min or more.
The nurse is providing an educational session for a group of preschool workers. The nurse reminds the group about the most important thing to do to prevent the spread of infection. Which information did the nurse share with the preschool workers?
Encourage preschool children to eat a nutritious diet.
Wash their hands between each interaction with children.
Suggest that parents provide a multivitamin to the children.
Clean the toys every afternoon before putting them away.
The nurse is admitting a patient with an infectious disease process. Which question will be most appropriate for a nurse to ask about the patient’s susceptibility to this infectious process?
“Do you have a chronic disease?”
“Do you have a spouse?”
“Do you have any children living in the home?”
“Do you have any religious belief that will influence your care?”
A female adult patient presents to the clinic with reports of a white discharge and itching in the vaginal area. A nurse is taking a health history. Which question is the priority?
“Has this condition affected your eating habits in any way?”
“When was the last time you visited your primary health care provider?”
“Are you able to sleep at night?”
“What medications are you currently taking?”
Which patients would be placed in droplet precautions? Select all that apply
A 5-year-old Pt. with Chicken Pox
A 36-Year-old Pt. with pertussis
A 25-year-old Pt. with scarlet fever
A 56-year-old Pt. with TB
A 76-year-old Pt. with C. Dff.
A patient with Disseminated Herpes zoster requires routine tracheostomy suction. Select the appropriate PPE you will wear.
surgical mask, goggles, gown
Respirator mask, face shield, gown, gloves
N95 mask, gown, face shield
Surgical mask, face shield, gown, gloves
A 12-year-old female is diagnosed with Varicella. What type of isolation precautions will be initiated for this patient?
Droplet
Airborne
Airborne and Contact
Droplet and contact
You are providing care to a patient with C.Diff. After removing the appropriate PPE, you would perform hand hygiene by:
Using hand sanitizer
Using soap and water only if hands are soiled but can use hand sanitizer.
Using Soap and Water
Using either hand sanitizer or soap and water
What is the best method to prevent the spread of infection when the nurse is changing the dressing over a wound infected with Staphylococcus aureus?
Change the dressing using sterile gloves.
Soak the dressing in sterile normal saline.
Apply antibiotic ointment over the wound.
Wash hands and properly dispose of soiled dressings
Which of the following patients would be in contact precautions? Select all that apply
A 14-year-old pt. with impetigo
A 6-year-old with RSV
A 9-year-old pt. with pediculosis
A 36-year-old patient with Tuberculosis
You're patient is being transported to special procedures for a PICC line placement. The patient is in droplet precautions. What are your nursing actions to ensure proper transport of the patient?
Notify the receiving department and place a surgical mask on the patient.
Place an N95 mask on the patient and notify the receiving department.
Cancel transport and notify the physician for further orders.
Notify the receiving department and place goggles, gown, and mask on the pt.
Select ALL the conditions that warrant airborne precautions:
Varicella
Measles
Tuberculosis
Hepatitis A
Select ALL the conditions that warrant airborne precautions:
Disseminated Varicella-Zoster
Whooping cough
MRSA
Meningitis
A 45-year-old obese man arrives in a clinic reporting daytime sleepiness, difficulty going to sleep at night, and snoring. The nurse should recognize the manifestations of what health problem?
Adenoiditis
Chronic tonsilitis
Obstructive Sleep Apnea
Laryngeal cancer
A new employee asks the occupational health nurse about measures to prevent inhalation exposure to toxic substances. What should the nurse recommend?
Position a fan blowing toxic substances away from you to prevent you from being exposed
Wear protective attire and devices when working with a toxic substance
make sure that you keep your immunizations up to date to prevent respiratory diseases resulting from toxins
always wear a disposable paper face mask when you are working with inhalable toxins
A hospital has been the site of an increased incidence of hospital-acquired pneumonia (HAP). What is an important measure for the prevention of HAP?
administration of prophylactic antibiotics
administration of pneumococcal vaccine to vulnerable individuals
obtaining culture and sensitivity swabs from all newly admitted clients
administration of antiviral medications to clients over the age of 65
When assessing for substances that are known to harm workers' lungs, the occupational health nurse should assess their potential exposure to which of the following?
Organic acids
Solvents
Asbestos
Gypsum
What is the best rationale for health care providers receiving the influenza vaccination on a yearly basis?
To decrease nurses susceptibility to health care associated infections
to decrease risk of transmission to vulnerable clients
to eventually eradicate the influenza virus in the United States
To prevent the emergence of drug-resistant strains of the influenza virus
A nurse is caring for a client with a stage III pressure injury. Which of the following dietary recommendations would best promote wound healing.
high protein, high fat diet
high protein, high calorie diet with vitamin C and zinc
Low calorie, high carbohydrate diet
High fiber, low protein diet
A nurse practitioner is seeing a 16-year-old client who has come to the dermatology clinic for treatment of acne. The nurse practitioner would know that the treatment may consist of which of the following medications?
Acyclovir
Retinoids
Diphenhydramine
Triaminolone
A public health nurse is participating in a health promotion campaign that has the goal of improving outcomes related to skin cancer in the community. What action has the greatest potential to achieve this goal?
Educating participants about the relationship between general health and the risk of skin cancer
Educating participants about the early signs and symptoms of skin cancer
Educating participants about treatment options for skin cancer
Educating participants about the health risks associated with smoking and assisting with smoking cessation
A client is learning about a new diagnosis of asthma with the asthma nurse. What medication will best prevent the onset of acute asthma exacerbations?
Diphenhydramine
Montelukast
Albuterol Sulfate
Epinephrine
A nurse practitioner has provided care for three different clients with chronic pharyngitis over the past several months. Which client is at greatest risk for developing chronic pharyngitis?
A client who is a habitual user of alcohol and tobacco
A client who is a habitual use of caffeine and other stimulants
A client who eats a diet high in spicy foods
A client who has GERD
It is cold season, and the school nurse has been asked to provide an educational event for the parent teacher organization of the local elementary school. Which information should the nurse include in education about the treatment of pharyngitis?
Pharyngitis is more common in children whose immunizations are not up to date
There are no effective, evidence-based treatments for pharyngitis
Use of warm saline gargles or throat irrigations can relieve symptoms
Heat may increase the spasms in pharyngeal muscles.
A mother calls the clinic asking for a prescription for amoxicillin for her 2-year-old child, who has what the nurse suspects to be viral rhinitis. What should the nurse explain to this mother?
"I will relay your request promptly to the doctor, but I suspect that the doctor won't get back to you if it's a cold."
"I'll certainly inform the doctor, but if it is a cold, antibiotics won't be used because they do not affect the virus."
"I'll phone in the prescription for you since it can be prescribed by the pharmacist."
"Amoxicillin is not likely the best antibiotic, but I'll call in the right prescription for you."
A client with asthma is admitted for an exacerbation. Which finding requires the nurse’s immediate assessment?
Audible Wheezing
Use of accessory muscles
Quiet breath sounds
Coughing with thick sputum
The nurse is providing discharge teaching to a client recovering from cellulitis. Which statement indicates a need for further teaching?
“I will complete the full course of antibiotics.”
“I should monitor the area for increasing redness or swelling.”
“If the redness improves, I can stop the antibiotics early.”
“I will elevate my leg while sitting.”
A client reports an allergy to penicillin. The health care provider prescribes cefazolin. What should the nurse do first?
Administer the medication as prescribed
Hold the medication and notify the provider
Ask the client to describe the allergic reaction to Penicillin
Document the allergy in the chart
A client arrives at the health care clinic and tells the nurse that they were just bitten by a tick and would like to be tested for Lyme disease. The client tells the nurse that the tick was removed and flushed down the toilet. Which actions are most appropriate? Select all that apply.
Tell the client that testing is not necessary unless arthralgia develops.
Tell the client to avoid any woody, grassy areas that may contain ticks.
Instruct the client to immediately start to take the antibiotics that are prescribed.
Inform the client to plan to have a blood test 4 to 6 weeks after a bite to detect the presence of the disease.
Tell the client that if this happens again, to never remove the tick but to vigorously scrub the area with an antiseptic.
The client with acquired immunodeficiency syndrome is diagnosed with cutaneous Kaposi’s sarcoma. Based on this diagnosis, the nurse would anticipate this assessment finding?
Swelling in the genital area
ulcerated lesions that weep.
colorless, firm, movable nodules
Appearance of a reddish-blue lesions noted on the skin
