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Level 1 Exam 1 Success

Total questions: 21

Worksheet time: 42mins

Name
Class
Date
1.

A nurse is admitting a new patient to the medical-surgical unit. Which action represents the FIRST step in the nursing process?

a)

Developing a care plan based on the patient's diagnosis

b)

Collecting physical, emotional, and cultural data about the patient

c)

Identifying nursing diagnoses from the patient's symptoms

d)

Implementing interventions to address the patient's needs

2.

Which patient behavior MOST significantly contributes to impaired tissue perfusion?

a)

Exercising 30 minutes daily

b)

Smoking cigarettes

c)

Eating a low-fat diet

d)

Drinking moderate amounts of water

3.

A client had cataract surgery with a lens implant 1 week ago and tells the home care nurse he combined all prescribed eye drops into one container to reduce the number of drops. What is the nurse's BEST response?

a)

This is not a good idea because not all of the drugs are on the same schedule.

b)

That is a good idea; just remember not to touch the dropper to your eye when giving yourself the drops.

c)

Call your surgeon immediately and get new prescriptions because together these drugs can lower your blood pressure.

d)

Call your surgeon immediately and get new prescriptions to use one at a time because these drugs cannot be mixed together.

4.

Which precaution is MOST important for the nurse to teach a 62-year-old client newly diagnosed with early-stage dry age-related macular degeneration?

a)

Quit smoking

b)

Quit drinking alcoholic beverages

c)

Eat more dark green, red, and yellow vegetables

d)

Wear dark glasses whenever outside or in bright interior lighting environments

5.

A nurse is caring for a 78-year-old patient with presbycusis. Which communication technique should the nurse implement when providing patient education?

a)

Speak very loudly and slowly while standing behind the patient

b)

Position themselves in adequate lighting facing the patient and speak in a lower-pitched voice

c)

Use high-frequency tones to ensure the patient can hear clearly

d)

Avoid using any visual aids since the patient has a hearing problem

6.

A nurse is teaching a patient about hearing aid care. Which statement by the patient indicates understanding?

a)

I should clean my hearing aid with alcohol wipes daily.

b)

Hearing aids work equally well for both conductive and sensorineural hearing loss.

c)

I need to check and replace the batteries regularly to avoid mechanical problems.

d)

I can let anyone handle my hearing aid since they're very durable.

7.

A nurse is providing discharge teaching to a patient who underwent cataract surgery 2 hours ago. The patient has been prescribed prednisolone ophthalmic drops. Which statement by the patient indicates understanding of the medication regimen?

a)

I can stop using the drops once my eye stops looking red.

b)

I'll follow the exact schedule for my eyedrops that my nurse helped me write down.

c)

I should take aspirin if I have any eye discomfort instead of using these drops.

d)

These drops will help me see clearly right away, so I can drive home today.

8.

A nurse is teaching a patient newly diagnosed with open-angle glaucoma about timolol eyedrops. Which statement by the patient indicates understanding of proper administration technique?

a)

I should tilt my head back and apply the drops directly onto my cornea.

b)

I will press on the inner corner of my eye near my nose before putting in the drops.

c)

I can use the same eyedrop bottle for both eyes to save money.

d)

If I'm using two different eyedrops, I can put them both in at the same time.

9.

A nurse is preparing to assist with the administration of ranibizumab to a patient with wet age-related macular degeneration (AMD). Which statement by the patient indicates a need for FURTHER teaching?

a)

"This medication will help stop the abnormal blood vessels from leaking in my eye."

b)

"I understand this injection might help improve my vision."

c)

"This medication will cure my macular degeneration completely."

d)

"I may need repeated injections over time to manage my condition."

10.

Which age group has the GREATEST potential to demonstrate regression when they are sick?

a)

Infant

b)

Toddler

c)

Adolescent

d)

Young adult

11.

When admitting a child to the inpatient pediatric unit, the nurse should assess for which risk factors that can increase the child's stress level associated with hospitalization?

 

 Select all that apply. One, some, or all responses may be correct.

a)

Mild temperament

b)

Lack of closeness between parent and child

c)

Below-average intelligence

d)

Age

e)

Gender

12.

The nurse is discharging a young child from the hospital. The nurse should instruct the parents to look for which post-hospital child behaviors?

 

Select all that apply. One, some, or all responses may be correct.

a)

Tendency to cling to parents

b)

Jealousy toward others

c)

Demands for parents' attention

d)

Anger toward parents

e)

New fears such as nightmares

13.

Which developmental milestone should the nurse expect in a 6-month-old infant?

a)

Walking independently

b)

Sitting with support

c)

Using two-word sentences

d)

Building a tower of four blocks

14.

Which finding in a 15-month-old toddler requires IMMEDIATE intervention?

a)

Uses a spoon with assistance

b)

Climbs onto furniture

c)

Is not speaking words

d)

Shows separation anxiety

15.

A nurse is assessing a 4-year-old child who insists on choosing their own clothes and helping set the table. According to Erikson's theory, which developmental stage is this child demonstrating?

a)

Autonomy versus shame and doubt

b)

Initiative versus guilt

c)

Industry versus inferiority

d)

Identity versus role confusion

16.

A 9-year-old student tells the school nurse, "I'm terrible at math. I'll never be good at anything." According to Erikson, which developmental crisis is this child struggling with?

a)

Autonomy versus shame and doubt

b)

Initiative versus guilt

c)

Industry versus inferiority

d)

Identity versus role confusion

17.

A nurse is caring for a 2-year-old child who refuses to let the parent help with feeding. The child insists, "Me do it!" Which of Erikson's stages is the child demonstrating?

a)

Trust versus mistrust

b)

Autonomy versus shame and doubt

c)

Initiative versus guilt

d)

Industry versus inferiority

18.

The nurse is assessing four adult patients. Which patient demonstrates successful resolution of their current Erikson developmental stage?

a)

A 30-year-old who states, "I prefer living alone and avoid getting too close to anyone"

b)


A 45-year-old who mentors nursing students and volunteers at a homeless shelter

c)

A 55-year-old who states, "I focus on my own needs; others can take care of themselves"

d)

A 75-year-old who states, "My life has been a waste; I made all the wrong choices"

19.

Which patient requires priority intervention for unsuccessful developmental task resolution?

a)

A 32-year-old who recently married

b)

A 48-year-old who states, "I only care about my own comfort and security"

c)

A 68-year-old who volunteers weekly

d)

A 25-year-old exploring career options

20.

A 28-year-old patient tells the nurse, "I feel like I can't maintain close relationships. I always push people away." According to Erikson's theory, which developmental stage is this patient struggling with?

a)

Identity versus role confusion

b)

Intimacy versus isolation

c)

Generativity versus stagnation

d)

Integrity versus despair

21.

A 72-year-old patient tells the nurse, "I've lived a good life. I made mistakes, but I learned from them and did my best for my family." This statement reflects successful resolution of which Erikson stage?

a)

Generativity versus stagnation

b)

Intimacy versus isolation

c)

Integrity versus despair

d)

Identity versus role confusion