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WorksheetsNCLEX - HEALTH PROM & MAINTENANCE Day 1
Total questions: 15
Worksheet time: 15mins
Name
Class
Date
1.
The school nurse is conducting an educational session for middle school teachers that is designed to heighten awareness of school bullying. The nurse recognizes that further instruction is needed when one of the teachers makes which comment?
a)
Bullying is a normal part of childhood growth and development.
b)
Children with physical disabilities are more vulnerable to bullying.
c)
Most children who are victims of a school bully do not tell an adult about it.
d)
The most common form of bullying is verbal aggression, such as insults and intimidation.
e)
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2.
The nurse is conducting a health history interview on an 8-year-old child. Which of the following strategies are appropriate when communicating with the child? Select all that apply.
a)
Allow the child to describe the symptoms
b)
Ask closed-ended questions to obtain pertinent information
c)
Explain procedures to match the child's concrete thinking
d)
Interview the child separately from the parents
e)
Maintain an eye-level position when speaking with the child
3.
The nurse is caring for a client on the organ donation waiting list for cardiac transplantation. Which teaching topic is most important for the nurse to emphasize at this time?
a)
Immunosuppressive therapy as a lifelong commitment
b)
Importance of accurate daily weight monitoring
c)
Importance of periodic endomyocardial biopsies
d)
Maintenance of meticulous surgical incision care
e)
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4.
The nurse is performing a routine physical assessment of a 2-year-old client. The parent expresses concern that the client has been eating less than the client did as an infant. Which of the following actions would be most appropriate for the nurse to take?
a)
Collect a stool specimen to check for parasitic infection.
b)
Provide the parent with information about physiologic anorexia.
c)
Request that the primary health care provider speak with the parent.
d)
Consult with the pediatric nutritionist about a suspected eating disorder.
e)
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5.
The camp nurse conducts a class for incoming summer counselors on prevention of tick bites and Lyme disease. Which instructions should the nurse include? Select all that apply.
a)
Apply a tick repellent spray before outdoor activities
b)
Avoid hiking through areas of tall grass and thick underbrush
c)
Cover ticks found on skin with petroleum jelly
d)
Report bull's-eye rash or flulike symptoms to a health care provider
e)
Wear a long-sleeved shirt tucked into pants and closed-toe shoes while hiking
6.
The nurse is assessing a 2-year-old client with acute otitis media. Which of the following actions would be appropriate for the nurse to take? Select all that apply.
a)
Ask for assistance in restraining the client's arms and stabilizing the head
b)
Avoid inserting the speculum into the bony interior part of the ear canal
c)
Inspect the tympanic membrane for redness, bulging, and perforation
d)
Pull the client's pinna up and back during the otoscopic examination
e)
Wait until the end of the assessment to perform the otoscopic examination
7.
The nurse is conducting a well-child checkup on a 30-month-old child. What assessment finding should be reported to the primary health care provider?
a)
Communicates in a single-word sentence
b)
Follows two-step directions
c)
Imitates others by talking on the telephone
d)
Prefers to play next to, not with, others
e)
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8.
The charge nurse and the nurse are discussing the care of a client at 20 weeks gestation who has secondary syphilis. The client reports a penicillin allergy. Which of the following statements would be appropriate for the charge nurse to make?
a)
Amoxicillin is a safe alternative to penicillin for treating syphilis during pregnancy.
b)
Newborns are not affected by syphilis because it cannot cross the placenta.
c)
Treatment is effective only if provided during the primary stage of syphilis.
d)
Penicillin desensitization is necessary to treat syphilis during pregnancy.
e)
-
9.
The nurse is performing an eye assessment for an 84-year-old client. Which of the following would be an expected age-related finding? Select all that apply.
a)
cataracts
b)
smaller pupil size
c)
profuse tear production
d)
elasticity of the lens
e)
presbyopia
10.
The nurse is reviewing the medical record of a 4-year-old client with failure to thrive. Which of the following risk factors likely contribute to the client's condition? Select all that apply.
a)
Child is the youngest of four children in the home
b)
One parent is incarcerated for spousal abuse
c)
One parent was diagnosed with anorexia nervosa prior to having children
d)
One parent works a full-time job outside the home
e)
Parents are concerned about not having enough money to buy food
11.
The nurse is teaching the parents of a newborn about newborn safety. What information should the nurse include?
a)
Dress your baby in a coat during cold weather before securing the car seat harness.
b)
Dress your baby in a wearable blanket, such as a sleep sack, for sleep.
c)
Place your baby in the prone position in the crib for sleep.
d)
Place your baby's car seat facing forward in the back seat of your car.
e)
-
12.
An experienced registered nurse (RN) is mentoring a new nurse in the telemetry unit. Which assessment technique by the new nurse requires intervention by the RN?
a)
Nurse carefully auscultates for heart murmurs at Erb's point
b)
Nurse palpates bilateral carotid arteries simultaneously to assess for symmetry
c)
Nurse places client in semi-Fowler's position to assess for jugular venous distension
d)
Nurse positions client supine to assess the point of maximal impulse
e)
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13.
The nurse is evaluating a return demonstration by the client of a dry dressing change. Which action by the client would cause the nurse to intervene?
a)
Client applies sterile adhesive dressing over gauze without touching the wound bed
b)
Client applies sterile gauze moistened with sterile saline to wound surface
c)
Client cleanses site with a sterile saline swab in a spiral pattern from the center out
d)
Client removes old dressing with clean gloves and checks site for signs of infection
e)
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14.
The nurse is educating the parents of a 6-month-old about introducing solid foods into the infant's diet. Which parental statement indicates a need for further teaching?
a)
I can introduce soft finger foods before my child has teeth.
b)
I can offer a variety of foods within the first week of introducing solids.
c)
I can prepare rice cereal with formula, breast milk, or water.
d)
I can save money by preparing baby food at home instead of buying it.
e)
-
15.
The nurse is caring for a 12-month-old client who is HIV-positive and severely immunosuppressed. Which of the following scheduled immunizations should the nurse anticipate administering to the client? Select all that apply.
a)
Haemophilus influenzae type b
b)
Hepatitis A
c)
Measles, mumps, rubella
d)
Pneumococcal conjugate vaccine
e)
Varicella
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