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Quiz 1

Total questions: 11

Worksheet time: 11mins

Name
Class
Date
1.
  1. The nurse is caring for a client with heart failure. During the assessment, the nurse noted that the client was dyspneic, and crackles were audible on auscultation. What additional manifestations would the nurse expect to note in this client if excess fluid volume is present? 

a)
  1. Weight loss and dry skin 

b)
  1. Flat neck and hand veins and decreased urinary output 

c)
  1. An increase in blood pressure and increased respirations

d)
  1. Weakness and decreased central venous pressure (CVP)

2.

8 month-old child diagnosed with bronchiolitis due to respiratory syncytial virus (RSV) is admitted to the pediatric hospital. The nurse should initiate which of the following isolation precaution?

a)

Contact

b)

Airborne

c)

Standard

d)

Droplet

3.

The nurse is teaching a client with right-sided weakness related to a stroke about how to ambulate with a cane properly. Which client action would indicate a need for further teaching?

a)
  1. The client holds the cane on the right side of the body.

b)
  1. The client moves the weaker leg toward the cane first.

c)
  1. The client holds the cane 6 inches laterally from the foot.

d)
  1. The client always keeps two points of support on the floor.

4.

At 28 weeks' gestation, a primigravida woman complains of headache, impaired vision, abrupt hand swelling and her blood pressure is 150/95 mmHg.  Which nursing intervention is the most important?

a)

Encourage bed rest at home.

b)

Give antihypertensive drugs as prescribed.

c)

Check for protein in the urine.

d)

Assure the woman that these symptoms are typical throughout pregnancy.

5.

The nurse is caring for a client with increased intracranial pressure as a result of a head injury. The nurse would note which trend in vital signs if the intracranial pressure is rising?

a)
  1. Increasing temperature, increasing pulse, increasing respirations, decreasing blood pressure

b)
  1. Increasing temperature, decreasing pulse, decreasing respirations, increasing blood pressure

c)
  1. Decreasing temperature, decreasing pulse, increasing respirations, decreasing blood pressure

d)
  1. Decreasing temperature, increasing pulse, decreasing respirations, increasing blood pressure

6.

  A nurse manager decentralizes decision-making, empowers charge nurses, encourages innovation, and emphasizes long-term professional development of staff. Which leadership theory BEST explains this approach?

a)

Transactional Leadership

b)

Autocratic Leadership

c)

Transformational Leadership

d)

Laissez-faire Leadership

7.

A decline in age-specific mortality is observed, but crude mortality remains unchanged. Which explanation is MOST appropriate?

a)

Population aging has increased

b)

Disease incidence has stabilized

c)

Reporting accuracy has declined

d)

    Case fatality has increased

8.

A competent patient refuses a life-saving blood transfusion for religious reasons. Which ethical principle MOST strongly supports honoring this decision?

a)

Beneficence

b)

Autonomy

c)

Justice

d)

Fidelity

9.

A patient with schizophrenia exhibits flat affect, alogia, and avolition. Which neurobiological pathway dysfunction MOST closely explains these symptoms?

a)

Mesolimbic dopamine pathway

b)

Mesocortical dopamine pathway

c)

Nigrostriatal dopamine pathway

d)

Tuberoinfundibular pathway

10.
  1. The nurse reviews a client’s record and determines that the client is at risk for developing a potassium deficit if which situation is documented? 

a)
  1. Sustained tissue damage 

b)
  1. Requires nasogastric suction

c)
  1. Has a history of Addison’s disease 

d)
  1. Uric acid level of 9.4 mg/dL (557 mcmol/L)

11.

A 62-year-old male, 6 hours post-colectomy, suddenly becomes restless. Vital signs show: BP: 86/54 mmHg, HR: 128 bpm, RR: 28/min, SpO₂: 90% on room air. The surgical drain output has increased and is dark red. You are the team leader of four nurses. What is the MOST effective team action?

a)

Ask one nurse to reassess vital signs while another documents the findings

b)

Call the surgeon immediately while waiting for further assessment

c)

Delegate one nurse to apply oxygen, another to assess the surgical site, and you initiate rapid response activation

d)

Increase IV fluids and recheck vital signs after 15 minutes