Question: A charge nurse is admitting a client who has bipolar disorder and who is in the manic phase. Which of the following room assignments should the nurse give the client?
Answer Options: A private room in a quiet location on the unit, A private room across from the exercise room, A semi-private room across from the day room, A semi-private room across from the snack area
Answer: A private room in a quiet location on the unit
Question: A nurse is caring for a group of clients. She plans to delegate obtaining morning vital signs to an assistive personnel (AP) on her team. Which of the following actions should the nurse plan to take?
Answer Options: Observe the AP as she obtains the vital signs of each client, Determine the time frame the AP should report the results, Verify the AP’s educational preparation prior to delegating the task, Ask the AP to take the vital signs of the client returning from surgery first.
Answer: Determine the time frame the AP should report the results.
Question: Parents of a school-age child are asking the nurse about methods to help with improving the sleeping pattern of their child. What information should the nurse include in the teaching plan?
Answer Options: a. Turn off cell phones at least 30 minutes before bedtime. b. Sleep with the television on low volume every night. c. Avoid studying or completing homework in bed. d. Encourage the child to go to bed when they feel tired. e. Adhere to a calming, consistent bedtime routine every night.
Answer: a, c, e
Question: A nurse is reviewing elements of end-of-life care for a family whose child has a chronic health condition. Which interventions are inconsistent with end-of-life care?
Answer Options: a. Allow the child to remain at home and encourage visitation from family members b. Admit the child for inpatient observation as death draws near c. Provide pharmacological pain management interventions d. Administer blood transfusions as needed e. Encourage the child to partake in “normal” activities
Answer: b, d
Question: When considering the treatment plan for a child with osteomyelitis, which priority treatment plan should the nurse anticipate that the health-care provider will order?
Answer Options: a. NSAIDs for pain relief b. Around-the-clock dosing of Tylenol c. Long-term antibiotic therapy d. Steroid dose pack
Answer: c
Question: The nurse is caring for a hospitalized child with epilepsy. Which of the following findings would concern the nurse upon entering the child’s room for the initial assessment?
Answer Options: a. The child is lying in bed with raised, padded siderails b. The child removed all continuous monitoring leads to promote better rest c. The child is wearing loose-fitting pajamas their parents brought from home d. The child’s pulse oximeter reads 95% on room air
Answer: b
Question: A child has mild anemia, and the parent asks why this makes the child have difficulty concentrating. What response by the nurse is best?
Answer Options: a. “All sick children have trouble concentrating.” b. “Her anemia makes her too tired to think.” c. “She may have another problem with her brain.” d. “The brain isn’t getting enough oxygen.”
Answer: d
Question: A nurse is caring for a child who had an open reduction and internal fixation (ORIF) of a femur fracture 12 hours ago. The nurse finds the child pale and short of breath. What action by the nurse takes priority?
Answer Options: a. Assess oxygen saturation while a coworker calls the physician. b. Assess and treat the child for pain or anxiety as needed. c. Raise the head of the bed to a 45-degree angle and reassess. d. Review the child’s postoperative hemoglobin and hematocrit.
Answer: a
Question: The RN is preparing educational materials for the family of a pediatric patient undergoing chemotherapy. Which information should be included in the plan?
Answer Options: a. Keep the child upright for at least 1 hour after eating to prevent reflux. b. Encourage consumption of solid foods and liquids at the same time to promote digestion. c. Decrease fiber in the diet to prevent diarrhea. d. Offer larger, less frequent meals when appetite is decreased. e. Encourage the child to have their favorite foods and drinks.
Answer: a, e
Question: A child presents to the emergency department with sickle cell crisis. Which intervention does the nurse perform first?
Answer Options: a. Provide oral hydration. b. Assess and treat pain. c. Administer oxygen. d. Administer IV fluids.
Answer: b
Question: Ordered: Diltiazem 75 mg po every 6 hours. How many tablets would the nurse administer per dose?
Answer Options: Calculation based on the strength of the tablet available and the prescribed dose.
Answer: 2.5 tablets per dose.
Question: The nurse is providing discharge teaching to a client with newly diagnosed Crohn’s disease on dietary measures. Which statement further teaching during exacerbation of Crohn’s?
Answer Options: A: “I will increase dietary fiber”, B: “I need to monitor what I eat so that my Crohn’s does not get worse”, C: “I need to eat more because of the stress”, D: “I need to avoid caffeinated beverages”.
Answer: A: “I will increase dietary fiber”.
Question: S.T.R. Approach to Stroke Awareness is
Answer Options: Smile, Tongue, Reach / See, Talk, Reach / Smile, Talk, Reach / Smile, Talk, Walk
Answer: Smile, Talk, Reach
Question: Alcohol is a central nervous system stimulant that increases alertness.
Answer Options: True / False
Answer: False
Question: Precancerous cells are typically destroyed by the immune system.
Answer Options: True / False
Answer: False
Question: Chronic inflammation can also develop from things as diverse as STDs, stress, anger, and gum disease.
Answer Options: True / False
Answer: True
Question: Fat adds texture and flavor to food.
Answer Options: True / False
Answer: True
Question: Systolic is the pumping pressure and diastolic is the force of blood against the heart when it relaxes.
Answer Options: True / False
Answer: True
Question: Each day the heart beats 100,000 times and pumps 2,000 gallons of blood.
Answer Options: True / False
Answer: True
Question: Prediabetes or insulin resistance occurs when fasting blood glucose levels are between 100-125mg/dl.
Answer Options: True / False
Answer: True