Question: In preparing a pamphlet on Hepatitis A (HAV), what information should the nurse include?
Answer Options:
Reported cases are primarily from sexual contact.
Mortality rate is greater than 50%.
Transmission is possible through sexual contact.
Most patients develop jaundice.
Answer: Transmission is possible through sexual contact.
Question: Which intervention should the nurse carry out when providing cyclic nasogastric tube feedings to a patient?
Answer Options:
Checking for residual every six hours.
Keeping the patient in high Fowler’s.
Delaying tube feeding if residual is high.
Turning the patient to the prone position.
Answer: Keeping the patient in high Fowler’s.
Question: Which patient should be assessed first by the nurse following the hand-off report?
Answer Options:
The patient who is in the process of receiving a unit of packed cells.
The patient who is in pain distress after abdominal surgery.
The patient who is complaining of pain on inspiration.
The patient’s spouse is asking for updates.
Answer: The patient who is in the process of receiving a unit of packed cells.
Question: A nurse is working on an orthopedic floor. Which patient should she assess first by the report?
Answer Options:
A 52-year-old male with an external fixation device, right fibula.
A 45-year-old male with a hip replacement who just returned from the PACU following a right total knee.
A 56-year-old female who is complaining of pain.
A 78-year-old female with a fractured left hip in Buck’s traction scheduled for surgery, whose mental status has changed since admission.
Answer: A 78-year-old female with a fractured left hip in Buck’s traction scheduled for surgery, whose mental status has changed since admission.
Question: Which steps are appropriate by the nurse when administering medications through a patient’s nasogastric tube being used for supplemental feedings?
Answer Options:
Adding water to the crushed pills.
Checking for residual prior to administering medications.
Ensuring the head of the bed is high enough to prevent aspiration.
Allowing the syringe to empty entirely between medications.
Answer: Checking for residual prior to administering medications.
Ensuring the head of the bed is high enough to prevent aspiration.
Allowing the syringe to empty entirely between medications.
Question: The nurse is providing discharge teaching to a patient who has undergone a colon resection. Which intervention is the priority on the first postoperative day?
Answer Options:
Encouraging participation in self-care activities.
Measuring the nasogastric tube output.
Assessing pain medication effectiveness.
Assisting the patient out of bed to the chair.
Answer: Assessing pain medication effectiveness.
Question: The nurse is part of a neurovascular check and should include the following when caring for a patient who has undergone a right total knee replacement. Identify the appropriate interventions.
Answer Options:
Checking the pedal pulses.
Asking the patient to describe the pain.
Checking the temperature of the toes.
Instructing the patient to wiggle his toes.
Answer: Checking the pedal pulses.
Asking the patient to describe the pain.
Instructing the patient to wiggle his toes.
Question: For a small bowel obstruction, the nurse is assessing a patient admitted for intravenous infusion of NS 0.9% as ordered. Which assessment should the nurse focus on for this intervention?
Answer Options:
Maintaining the intravenous site.
Performing a degree of abdominal distention assessment.
Providing psychosocial support of the patient and family members.
Evaluating the effectiveness of the pain medication that was administered.
Answer: Performing a degree of abdominal distention assessment.
Question: Which clinical manifestation should alert the nurse to the possibility of compartment syndrome in a patient who underwent a total hip replacement?
Answer Options:
Paresthesia across the chest.
Continued complaints of pain.
Increased edema along the incision.
Loss of pulses.
Answer: Increased edema along the incision.
Question: The nurse should discuss with the provider the need for total parenteral nutrition for which patient?
Answer Options:
A patient with post-radiation therapy for severe dehydration.
A patient who is one day post-op following a colon resection.
A patient with chronic pancreatitis.
A patient who is one day post-op following gastric bypass surgery.
Answer: A patient who is one day post-op following a colon resection.
Question: Identify an appropriate nursing goal for a patient diagnosed with osteoarthritis.
Answer Options:
The patient will understand the risks associated with the use of complementary therapies.
The patient will be free of pain in affected joints.
The patient will maintain optimal functional ability.
The patient will ambulate without an assistive device.
Answer: The patient will maintain optimal functional ability.
Question: Which statement is true and should be considered when planning nursing care for a patient with Hepatitis B?
Answer Options:
Anti-viral medications have been ineffective.
Jaundice is often absent.
Chronic infection is possible.
Hand washing will prevent the spread of the virus.
Answer: Chronic infection is possible.
Question: A patient who is receiving total parenteral nutrition (TPN) should have the infusion rate set at what rate?
Answer Options:
200
400
300
100
Answer: 400
Question: The nurse is caring for a patient who had surgery to create a colostomy two days post-op. The stoma is red. Which action should the nurse carry out?
Answer Options:
Check for leakage under the colostomy appliance.
Reapply a new colostomy dressing.
Document the health assessment finding.
Create a larger diameter opening in the colostomy flange.
Answer: Document the health assessment finding.
Question: A patient who has sustained a compound fracture of the right tibia and has an external fixation device applied. What information should the nurse provide?
Answer Options:
Promotes new bone growth at the fracture site.
Eliminates the need for surgery.
Increases blood supply to promote healing.
Minimizes the chance of infection.
Answer: Promotes new bone growth at the fracture site.
Question: The aroma of esters is associated with _____.
Answer Options:
a. Fruit b. Flowers c. All the answers are correct d. Mint
Answer: c. All the answers are correct
Question: Esterification is a chemical reaction between a carboxylic acid molecule and an alcohol molecule and it forms an ester and water.
Answer Options:
True False
Answer: True
Question: For the ester pictured below, the alcohol’s IUPAC name component is _____ and the carboxylic acid’s IUPAC name component is _____.
Answer Options:
a. methyl; butanoate b. propyl; ethanoate c. methyl; propanoate d. butyl; methanoate
Answer: c. methyl; propanoate
Question: What is the correct IUPAC name for the ester that forms from ethanol and pentanoic acid?
Answer Options:
a. ethyl pentanoate b. pentyl pentanoate c. ethyl ethanoate d. pentyl ethanoate
Answer: a. ethyl pentanoate
Question: Esters will have a lower boiling point than carboxylic acids with the same molecular formula.
Answer Options:
True False
Answer: True
Question: Plasticizers change the physical properties of a polymer to _____.
Answer Options:
a. increase flexibility b. decrease brittleness c. All of the above d. increase elasticity
Answer: c. All of the above
Question: A polymer _____.
Answer Options:
a. is a macromolecule b. has repeating subunits c. All of the above d. is made of monomers
Answer: c. All of the above
Question: Plasticizers are chemical additives that change the _____ properties of a polymer and make them more ______.
Answer Options:
a. molecular; rigid b. chemical; elastic c. physical; flexible d. None of the above
Answer: c. physical; flexible
Question: The white polymer with variable reaction times was synthesized by a reaction between _____ and _____.
Answer Options:
a. polyvinyl acetate; sodium tetraborate b. None of the above c. styrene; vinyl chloride d. starch; glycerol
Answer: a. polyvinyl acetate; sodium tetraborate
Question: Polystyrene is a _____ made from styrene in a(n) _____ polymerization reaction.
Answer Options:
a. copolymer; condensation b. copolymer; addition c. None of the above d. homopolymer; addition
Answer: d. homopolymer; addition
Question: The nurse is caring for a 67-year-old client who presented to the ED with complaints of feeling “sluggish and out of it” for 2 days. The client’s family members report a history of hypertension and Type 2 DM, non-insulin dependent. Assessment findings reveal that the client is oriented to person and place only, capillary blood glucose obtained in triage with a reading of 850 mg/dL. The client is diagnosed with hyperglycemic-hyperosmolar state. Which priority problem would be correct for the nurse to anticipate in order to plan the client’s care?
Answer Options:
A) overproduction of glucagon, B) fluid volume deficit, C) metabolic acidosis, D) fluid volume excess.
Answer: B) fluid volume deficit