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Worksheetsprometric exam review 1.2
Total questions: 100
Worksheet time: 53mins
Which of the following best describes the rule of case manager:
Promotes a healthy lifestyle
Provides coordination of care to ensure continuity
Possesses highly skilled communication methods
Promotes the comfort of the patient
The nurse provides genetic counseling to the parents of a newborn infant girl who has an X-linked recessive disorder in which there is a disruption of the normal intrinsic coagulation. The nurse advises the parents of the chances of this infant giving birth to a child with this disorder when she becomes an adult. If the husband is not a carrier, what are the chances of the boys having disorder?
0%
25%
75%
100%
A five-year old child is brought into the emergency department complaining of pain in the right hip area. The patient is not able to bear weight on the right leg. Which pain scale should the nurse use for this patient?
Faces pain rating scale
Verbal rating scale
Numeric rating scale
Pain rating diary
Client arrives in the emergency room with a possible fractured femur. The nurse should anticipate an order for
Trendelenburg position
Ice to the entire extremity
Buck's traction
An abduction pillow.
A 41-year-old patient in the male psychiatric ward aggressively complained of the negligence of the hospital staff, low quality of the food and discomforts during hospitalization. The charged nurse patiently listened to him and discussed with him how each of his complaints could be handled. What is the best description of the nurse’s action?
Promoting patient’s autonomy
Demonstrating sympathy to
Ensuring patient support
Showing concerns
A 78 year-old man with a diagnosis of Alzheimer's disease had been wandering outside the home and made an attempt to escape the compound of the long-term care facility where he lived. When the male nurses approached him during such an escape, he became aggressive and combative. Once back inside, he would not calm down and after several attempts reason with him, he is placed in restraints on his bed. A nurse is assigned to provide one-to-one care in the immediate period afterwards. What is the next most important step?
Administer a PRN1 sedative
Monitor fluid and hydration status.
Check policies restraint duration
Ensure correct placement of restraints
Mother brought her six month-old healthy infant to the well-baby clinic. Which immunization should the nurse anticipate to administer as per World Health Organization recommendation?
Varicella (Chicken pox)
Rotavirus and hepatitis
Diphtheria, Tetanus and Polio
Measles, Mumps, Rubella (MMR)
Child 8 months with vomiting and diarrhoea since 3 days the doctor order for oral hydration salt how many ml oral ORS per kg you will give
25
50
75
100
A client has autoimmune thrombocytopenic purpura. To determine the client’s response to treatment, the nurse would monitor:
Platelet count
White blood cell count
Potassium levels
Partial prothrombin time (PTT)
There study community assess random sample of resident by telephone questioner, obesity is strongly associated with diagnoses diabetic?
cross sectional study
cohort study
correlation study
case control study
Comparison between smoker and non-smoker who have cancer?
case control
study cohort study
correlation study
cross sectional study
There are studies about cardiac disease between 1992 and 1996? Which is that study?
case control
cohort study
correlation study
cross sectional study
On a home visit, you notice some dust on a vent in your client's room and on the windowsill. Which of the following methods would you teach the family to use for removing dust?
Use a wet towel to remove the dust.
Use a feather duster to remove dust.
Vacuum machine.
Use dry towel.
Mother has a labor pain and contenie every 5 to 10 contraction during 60 Second. What is the frequency during 70 second?
70
90
Study for 100 internal students weights that recorded 75+-10 how much proportion between 65 kg and 85 kg?
34%
50%
95%
68%
During surgery requiring general anesthesia, the patient heart’s stops and a carotid pulse is not palpated. How many compressions per minute should be administered?
50
60
80
100
Patient came to ER with snake bite in his left ankle. The nurse will tie the tourniquet....bite site
below
above
over
below and above
Patient after delivery Blood group A+ and her baby o- at which time must be taken antagin?
24h
72h
48h
A client is admitted to the substance abuse unit for alcohol detoxification. Which of the following medications is the nurse most likely to administer to reduce the symptoms of alcohol withdrawal?
naloxone (Narcan)
haloperidol (Haldol)
magnesium sulphate
chlordiazepoxide (Librium)
Stacy has beginning stomatitis. To promote oral hygiene and comfort, the nurse-in-charge should:
Provide frequent mouthwash with normal saline.
Apply viscous Lidocaine to oral ulcers as needed.
Use lemon glycerine swabs every 2 hours.
Rinse mouth with Hydrogen Peróxido.
Diagnostic test for pulmonary embolism
CT Scan
MRI
pulmonary angiography
pulmonary function test
During the administration of chemotherapy agents, Nurse Oliver observed that the IV site is red and swollen when the IV is touched. Stacy shouts in pain. The first nursing action to take is:
Notify the physician
Flush the IV line with saline solution
Immediately discontinue the infusion
Apply an ice pack to the site, followed by warm compress.
As part of a neurological assessment, which of the following is associated with the highest score on the Glasgow Coma Scale?
Eye opening to pain, no verbalization
Confused, obey commands
Localizes pain, abnormal extension
Eye opening to speech, confused
The nurse is caring for a client receiving chemotherapy for lung cancer. Laboratory results show a platelet count of 18,000/mm³ and WBC of 5,000/mm³. Which of the following measures should the nurse implement based on these results?
Respiratory isolation
Bleeding precautions
Reverse isolation
Contact isolation
The physician has ordered an injection of RhoGam for the postpartum client whose blood type is A negative but whose baby is O positive. To provide postpartum prophylaxis, RhoGam should be administered:
Within 72 hours of delivery
Within 1 week of delivery
Within 2 weeks of delivery
Within 1 month of delivery
A male client has active tuberculosis (TB). Which of the following symptoms will be exhibited?
Chest and lower back pain
Chills, fever, night sweats, and haemoptysis
Fever of more than 104°F (40°C) and nausea
Headache and photophobia
71 years old male patient in CCU department, with left heart failure, he complain severe dyspnoea at night, which of the following cause of dyspnoea:
pulmonary oedema.
accumulation of fluid in the lung.
Pulmonary embolism.
Anaemia.
Which of the following is performed by the nurse with an agitated psychiatric patient:
Calm down and play music.
Patient restrain.
Leave the patient half an hour.
Give the patient a cigarette.
A nurse is instructing parents to perform chest Physiotherapy (CPT) on their son with pneumonia the nurse has the parents place their son in a prone position with the body tilted downward before performing CPT. Based on this information, the nurse is instructing the parents to remove drainage from which of the following lung lobe segment?
Upper posterior
Lower anterior
A patient in a long-term care facility is in persistent vegetative state with a right contracture of the right arm and hand. What is the BEST goal over the next 90 days for this patient related to the nursing diagnosis of impaired mobility?
Develop no further contractures
Wear an arm and hand splint
Have no pain related to the contractures
A vaginal discharge green with foul odor, painful during urination is _______.
Trichomonas
Candida
Chlamydia
Gardnerella
When we care for Patient has BM is higher we should use _______.
Nutrition management
Physical therapy
Medication adjustment
Fluid restriction
45-year-old patient is in a lower body cast following a motor vehicle accident. In order to minimize muscle strength loss while in the cast, the nurse will instruct the patient in the performance of:
Isometric exercises
Passive range of motion exercises
Active-assistive range of motion exercises
Resistive range of motion exercises
A 70 year-old quadriplegic man has ulceration on the left buttocks with full thickness skin loss. Several interventions have been used but the ulcer is not healing. Which of the following is most likely insufficient in his diet?
Vitamin D
Calcium
Protein
Vitamin C
Which vitamin deficiency is most likely to be a long-term consequence of a full-thickness burn injury?
Vitamin A
Vitamin C
Vitamin B
Vitamin D
Three days ago a patient underwent an invasive surgery with an open wound. The patient is febrile with drop in blood pressure. Laboratory test results shows elevated WBC count. This could be possible presentation of:
Sepsis
Atelectasis
Internal haemorrhaging
Excess fluid volume.
A patient admitted with a cerebrovascular accident (CVA), is unable to chew or swallow. The patient is a risk for aspiration. The nurse would anticipate receiving which of the following orders for this patient?
Give no food by mouth and start intravenous hydration
Start a pureed diet with thickened liquids
Refer the patient to a psychiatrist for depression related to the CVA
Refer the patient to physical therapy for muscle strengthening
A Patient has a dissection aortic aneurysm. The patient’s surgery would be categorized as:
Elective
Urgent
Emergency
Diagnostic
A patient is scheduled for a pneumonectomy in the morning. Which of the following diagnosis is the MOST likely indication for this type of surgery?
A. Lung carcinoma
B. Pulmonary tuberculosis
C. Benign pulmonary nodule
D. Mediastinal shift
Referring to the giving data, what is the specific death rate caused from cardiovascular disease?
28 / 100
28 / 100,000
1191 / 100,000
1198 / 100,000
A 6-month-old boy is admitted with a diagnosis of failure to thrive. According to the growth chart at 3 months of age the infant’s weight is in which percentile?
25th
5th
103
Below the 5th
The nurse is teaching the parent of a child with celiac disease. Which of following diets should be reviewed with the parent?
Gluten-free
Dairy free
Vegetarian
Sodium-restricted
On the auscultation, the physician heard the patient's heart with crackle sound and wheezing, where could the problem exist?
left ventricular
left atrium
right ventricular
A 20 year-old woman takes cyclosporine 100 mg by mouth twice per day. She had a heart transplant two months ago and complains of dizziness, shortness of breath, light headedness and fatigue. Capillary refill >3. Blood pressure 90/50 mmHg Heart rate, irregular 100/min Respiratory rate 28/mm Temperature 38.0°C What is the most likely underlying cause of the patient's problem?
Which of the following site nurse should avoid to take temperature if the patient has heart attack?
oral
rectal
tympanic
axillary
Prior to initiating therapy with unfractionated heparin for a patient hospitalized with a deep vein thrombosis, the nurse should plan to:
Weigh the patient
Administer aspirin
Limit fluid intake
Undress the patient
A nurse is instructing parents to perform chest Physiotherapy (CPT) on their son with pneumonia. The nurse has the parents place their son in a prone position with the body tilted downward before performing CPT. Based on this information, the nurse is instructing the parents to remove drainage from which of the following lung lobe segments?
Upper posterior
Lower anterior
Lower posterior
Upper anterior
A patient has pacemaker implanted. Which of the following interventions is appropriate for the nursing diagnosis of risk for injury?
Have patient avoid exposure to magnetic resonance imaging (MRI)
Observe incision site for redness, purulent drainage
Offer back rubs to promote relaxation
Instruct patient in dorsiflexion exercises of ankles
A 50 year-old male presents to the medical office 3 weeks after cardiac surgery with complaints of a feeling of weakness, difficulty breathing, and joint pains. Upon examination the nurse finds a fever and a friction rub on auscultation of the chest. The nurse recognizes that the MOST likely surgical complication is:
Neuropsychological dysfunction
Post pericardiotomy syndrome
Cardiac tamponade
Phrenic nerve damage
Alzheimer patient with dementia the doctor said to his son that they will be responsible to take medical decisions because of his case the patient loose two ethical aspects??
Autonomy & fidelity
Varsity & justice
A patient exhibits clinical manifestation of a pulmonary embolism. Arterial blood gas (ABG) levels and a chest x-ray are . Which of the following test is used to diagnose this condition?
Computer tomography scan (CT scan)
Magnetic resonance imaging (MRI)
Pulmonary angiography
Pulmonary function test
A conscious victim of motor vehicle accident arrives at the emergency department. The patient gasping of air, is extremely anxious, and has a deviated trachea. What diagnosis should the nurse anticipate?
Pleural effusion
Tension pneumothorax
Pneumothorax
Hemothorax
Female patient newly diagnosed with lung cancer asked the nurse to don't share this data about her diagnosis to anyone except her husband. The nurse follows the patient's instruction according to the previous situation. The nurse applied which one of the following ethical consideration?
Autonomy
Confidentiality
Fairness
Beneficence
A 30-year-old married man presents to the clinic with complaints of feeling sad for the past three months. He is unable to maintain a regular sleep routine, has lost his appetite and has difficulty concentrating. He is prescribed a medication which prevents the reuptake of specific neurotransmitters that could contribute to his mental health problem. Which side effects would be most important for the nurse to advise the patient of?
Polyuria
Fluid retention
Sexual dysfunction
The mother complains to the nurse about her son having many absences from school and having difficulty concentrating in class. Where is the best place to meet the client?
Home
School
Cafeteria
Nursing office
A 69-year-old female patient in the Medical Ward is in a semiconscious state. Her pancreatic cancer is metastasized to her liver and lungs and she is admitted for supportive treatment. Her physicians discussed with the family that she will not be given the CPR to save the life as she goes into the cardiac arrest. Her two sons agreed but the daughter is indecisive. What is the critical thinking behind not providing Cardiopulmonary Resuscitation?
Unilateral judgment of health professionals
Refusal of patient's right to treatment
Ethical dilemma and indecisiveness
Mercy killing to ease suffering
A 28-year-old male is recovering from a moderate concussion following a motor vehicle accident 2 weeks ago, when he suddenly develops an increased thirst, craving cold water. The patient urinates very large amount of dilute, water like urine with specific gravity of 1.001 to 1.005. The patient is MOST likely developing
Diabetic mellitus
Diabetic insipidus
Hypothyroidism
Thyroid storm
78. Mother has a labour pain and continues every 5 to 10 contraction during 60 second. What is the frequency during 70 second?
6 to 12 contractions
7 to 14 contractions
5 to 10 contractions
8 to 16 contractions
A nurse administers albuterol nebulizer to a child with asthma exacerbation. The nurse measures pulse Oximetry and auscultates the lungs to determine whether the goal of clear respiratory status has been met. The step of nursing is called:
Assessment
Diagnosis
Implementation
Evaluation
A nursing home client is admitted to the hospital with a pressure ulcer involving full thickness loss extending to the bone. The nurse documents the pressure ulcer as being at which of the following stages?
Stage I
Stage II
Stage III
Stage IV
13 years old female admitted in general ward, she’s afraid to talk to anyone and she refuse to eat anything in the hospital. Her mother yelled at her in front of everyone and forced her to eat her food, according to Maslow's Hierarchy which level of essential needs is disturbed?
Self-esteem
Self actualization
Safety and security
Love and belonging
To encourage adequate nutritional intake for a client with Alzheimer's disease, the nurse should:
Stay with the client and encourage him to eat.
Help the client fill out his menu.
Give the client privacy during meals.
A 4 years old girl was playing outside, she came to her mom crying and holding her right upper arm, she went to the hospital with swelling over the upper arm, pain and itching, the appropriate management is:
Maintain patient airway
Administer s/c Epinephrine
Prepare for intubation
55 years old patient suffers from heart failure, when the nurse examines his lungs she noticed the presence of crackles which means that the patient has:
Right-Sided- Failure
Left-Sided- Failure
Biventricular Failure
Congestive Heart Failure
A patient is scheduled for a bowel resection, the preoperative plan of care includes putting on anti-embolism stockings prior to transferring the patient to the operating room.
Putting on anti-embolism stockings prior to surgery is part of the preoperative plan of care.
The patient should be given antibiotics before surgery.
The patient should be NPO for 8 hours before surgery.
The patient should be informed about the risks of surgery.
What is the normal pulse rate for an adult?
70
90
170
190
A 10-year-old patient is admitted after sustaining a broken arm in a snowmobile accident. Which of the following should be consulted?
Social worker
Home health nurse
Respiratory therapist
A 41-year-old patient in the male psychiatric ward aggressively complained of the negligence of the hospital staff, low quality of the food and discomforts during hospitalization. The charged nurse patiently listened to him and discussed with him how each of his complaints could be handled. What is the best description of the nurse’s action?
Promoting patient’s autonomy
Demonstrating sympathy
Ensuring patient support
Showing concerns
A nurse visits a patient who is 37-weeks pregnant and asking for information about breast feeding versus feeding prepared infant formula. A beneficial reason to breast feed includes:
Readily available and economical
Keeps a baby full longer
Larger curds than cow’s milk and therefore is easier to digest
Encourage greater deposits of subcutaneous fat in an infant
A nurse is caring for an eight-year-old male with cystic fibrosis. Based on the nurse’s understanding of the decease what nursing intervention should the nurse expect to perform?
Restrict sodium and fluid intake
Give antidiarrheal medications
Administer pancreatic enzymes with each meal
When teaching the parents of neonate with spine bifida techniques to promote bladder emptying, the nurse reviews a technique in which firm; gentle pressure is applied to the abdomen press towards the symphysis pubis. This method is known as:
Crede’s
Intermittent
Foley
Prophylactic
A co-worker informs that the nurse about experiencing increased level of stress associated with daily responsibilities to help cope with professional stress, the nurse should encourage the co-worker to;
Make a list of unfinished tasks
Complete complex mental task before physical tasks
What these stocking will do?
Promote venous return
Minimize joint stiffness
51 years-old bed ridden patient in the Geriatric ward was given antipeotic through his nasogastric tube. After an hour the patient went into deep sleep, his breathing pattern changed and he did not respond to calling his name. How should the nurse utilize her critical thinking related to the medication?
Elderly patients are more sensitive to drugs
Patient’s drug response is individualized
Adverse drug response was higher
A nurse administers albuterol nebulizer to a child with asthma exacerbation. The nurse measures pulse Oximetry and auscultates the lungs to determine whether the goal of clear respiratory status has been met. The step of nursing is called:
Assessment
Diagnosis
Implementation
Evaluation
What will happen to the patient if whole blood transfused exceeds four hours in room temperature?
Hypokalemia
Hyperkalemia
Hyponatremia
Hypernatremia
A female patient newly diagnosed with lung cancer asked the nurse to don't share this data about her diagnosis to anyone except her husband. The nurse follows the patient’s instruction according to the previous situation the nurse applied which one of the following ethical consideration
A. Autonomy
B. Confidentiality
C. Fairness
D. Beneficence
Patient has severe headache and nausea when moving from supine to sitting or to standing
Hypotension
Hypertension
Orthostatic Hypotension
Hypertension
A 24-year-old gravid I, Para 1 is in the postpartum care unit 24 hours after the delivery of full-term infant girl. The mother is breastfeeding the infant on demand, whenever the infant wants to feed. During non-feeding times, the new mother has little interest in the newborn, happily allows the staff to provide the infant’s care and passes time watching television. What is most likely explanation for the mother’s behavior?
Normal postpartum adjustment (taking-in phase)
Postpartum depression
Lack of maternal bonding
Fatigue from delivery
A health care team established new strategies that help in prevention of death among cases of certain disease, but these strategies do not prevent the occurrence of that disease. Which of the following measure reflect the expected outcome?
Increase prevalence
Decrease prevalence
Increase incidence
Decrease incidence
A nurse has been visiting a bed-bound patient with decreased bowel mobility in the home for one month. The family tells the nurse that the patient is becoming incontinent of feces. The nurse evaluates the plan of care and notes which of the following intervention would MOST likely beneficial?
An enema two times a week
Increased fiber in the diet
An enema three times a week
A study examined the relationship between exposure to chest irradiation and subsequent risk of breast cancer that was conducted in 2005. In this study, women who received radiation therapy for postpartum mastitis (an inflammation of the breast that occurs after giving birth) in the 1940s were compared to women who received no radiation therapy for postpartum mastitis in the 1940s. The women were followed for 50-60 years to determine the incidence rates of breast cancer in each group. This is an example of
Prospective Cohort
U
Case Control
A 9-month-old child who has had four ear infections in the past 6 months is being discharged. Which statement by the parent indicates the need for further discharge teaching?
I should never put my baby to bed with bottle
My child should not use a pacifier after age 6 months
My child should drink his bottle while lying flat in my lap
A patient wound is draining thick yellow material. The nurse correctly describes the drainage as which of the following?
Serous
Purulent
Sanguineous
A three-year-old boy present to the paediatric clinic with his mother who complains that the child has developed a skin rash. There is a clear drainage from the nose and he appeared tired. The rash first appeared on the face and then spread over the trunk and is now beginning to appear over the hands. Some lesions show open ulcerations and other have crusted over. There are scratch marks over the skin. Which finding would indicate the child is ready to return to school?
Normal body temperature
Dry and scabbed lesions
Nares of free of drainage
Absence of rash over trunk
A patient is scheduled for a bowel resection, the preoperative plan of care includes putting on anti-embolism stockings prior to transferring the patient to the operating room. What these stocking will do?
Promote venous return
Minimize joint stiffness
The nurse cares for 60 years-old women with a history of hypertension, hypothyroidism and elevated cholesterol levels, she takes tablets daily for each of the health problem. The doctor orders a routine dual-energy X-ray absorptiometry test that shows decreased bone density. Which medication most likely contributed to the test result?
Statins
Anti-hypertensive
Synthetic thyroid hormones
Cholesterol absorption inhibitors
Patient with gout is encouraged to increase fluid intake. What is the benefit of the fluids?
Decrease inflammation
Increase calcium absorption
Promote the excretion of uric acid
Provide a cushion for weakened bones
45-year-old patient is in a lower body cast following a motor vehicle accident. In order to minimize muscle strength loss while in the cast, the nurse will instruct the patient in the performance of:
Isometric exercises
Passive range of motion exercises
Active-assistive range of motion exercises
Resistive range of motion exercises
A patient is having difficulty with cognitive abilities after a stroke. What part of the brain was MOST likely affected?
Midbrain
Cerebrum
Medulla oblongata
Cerebellum
A patient has hepatitis B (HBV) and is now a chronic carrier. In planning care, the nurse would explain an HBV carrier would MOST likely be at risk for developing a super infection with which other type of hepatitis?
A
B
C
D
A nurse is teaching a prenatal class to a group of the first time mothers, each at different points in their gestation, which of the statement is TRUE regarding the management of fatigue?
Rest flat on back, especially during the third trimester
Exercise programs should focus on their training
The nurse is caring for a patient two hours after a pacemaker placement. The patient suddenly starts complaining of chest pain. The nurse observes dyspnoea, cyanosis and absent breath sounds on the right side. The nurse should anticipate what complications?
Hemothorax
Perforation of the heart
Pneumothorax
36 years old male patient complaining of fever and headache for 3 days now, when examining this patient which of the following signs would indicate that this patient may have meningitis:
Positive Kernig’s sign
Negative Brudzinski’s sign
Positive homan’s sign
Negative Kernig’s sign
A patient is scheduled for a bowel resection, the preoperative plan of care includes putting on anti-embolism stockings prior to transferring the patient to the operating room. What these stocking will do?
Promote venous return
Minimize joint stiffness
A 69 years-old man is admitted to the medical Unit with complaints of urinary retention. The physician orders several investigations. Which of the following diagnostic studies is essential to differentiate between renal failure and lower renal obstruction that cause urinary retention?
Cholesterol level
Abdominal X-ray
Complete blood tests
Blood urea nitrogen and serum creatinine
A nurse is caring for an eight-year-old male with cystic fibrosis. Based on the nurse’s understanding of the disease what nursing intervention should the nurse expect to perform?
Restrict sodium and fluid intake
Give antidiarrheal medications
Administer pancreatic enzymes with each meal.
A study evaluated the relationship between breast cancer and a woman's history of breastfeeding. The investigator selects women with breast cancer and an age-matched sample of women who live in the same neighborhoods as the women with breast cancer. Study subjects are interviewed to determine if they breastfed any of their children. This is an example of
Prospective cohort
Retrospective cohort
Case control
Cross sectional
A patient with severe diverticulitis had surgery for placement of a colostomy. The patient is upset, crying, and will not look at the colostomy. Which of the following would be the highest priority nursing diagnosis at this time?
Knowledge deficit, colostomy care
Distorted body image
Self-care deficit, toileting
A 58 year-old man has been diagnosed with Stage IV prostate cancer with metastasis to the bones. The patient refuses a medical management plan that includes chemotherapy and radiation. Although the nurse believes that every possible intervention should be done to preserve life, the nurse supports the patient’s decision. Which ethical principle underlies the nurse’s response?
Fidelity
Beneficence
Non-maleficence
Autonomy
