Nursing Care Quiz: Patient Assessment & Priorities
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Questions and Answers

What is the most appropriate response for a nurse when a client with delirium expresses anxiety?

  • I'll get you some medicine to help you relax. The more you worry, the worse it will get.
  • I'll sit with you until you calm down a little. (correct)
  • I wish I could do something to make it stop, but unfortunately I can't.
  • As soon as we know what's causing this, we can try to stop it. I'll get you some medicine to help you relax.
  • Which statement indicates a primigravid client understands exercise recommendations during pregnancy?

  • Even though I'm pregnant, I can learn to ski next month.
  • While we are on vacation next month, I can continue to scuba dive.
  • Sitting in a hot tub after exercise will help me to relax.
  • While pregnant, I should avoid contact sports. (correct)
  • What is the first priority for a nurse assessing a client who has had a myocardial infarction?

  • Prepare the client for discharge.
  • Determine the patient's level of pain.
  • Identify the cardiac rhythm present. (correct)
  • Monitor vital signs continuously.
  • What is the most appropriate action for a nurse who is untrained in administering chemotherapy?

    <p>Ask a nurse from the oncology floor to come to administer the medication.</p> Signup and view all the answers

    Which is a priority goal after the surgical repair of a cleft lip?

    <p>Preventing infection.</p> Signup and view all the answers

    What should be an appropriate outcome for a client diagnosed with rheumatoid arthritis?

    <p>The client will manage joint pain and fatigue to perform activities of daily living.</p> Signup and view all the answers

    What is the primary purpose of continuous bladder irrigation after a transurethral resection of the prostate (TURP)?

    <p>To keep the catheter free from clot obstruction.</p> Signup and view all the answers

    When preparing for a child with meningococcal meningitis's admission, what should the nurse do first?

    <p>Institute droplet precautions.</p> Signup and view all the answers

    In the context of emergency response, why is it essential to call a crisis nurse after a tour bus accident?

    <p>To coordinate calls from relatives about the passengers.</p> Signup and view all the answers

    Which assessment finding would most likely indicate a distended bladder during a physical examination?

    <p>Dullness.</p> Signup and view all the answers

    To help prevent tension on the perineum in a neonate post-surgery for an imperforate anus, which position should the nurse avoid?

    <p>Abdomen, with legs pulled up under the body.</p> Signup and view all the answers

    Which activity would be the most beneficial for a 14-year-old boy feeling bored due to being in a cast?

    <p>Playing a card game with a boy the same age.</p> Signup and view all the answers

    What key information should the nurse include when preparing an adolescent for an emergency appendectomy?

    <p>The scar will be small.</p> Signup and view all the answers

    Why is it important to monitor siblings' health at home when admitting a child with meningococcal meningitis?

    <p>To assess for symptoms of the illness in siblings.</p> Signup and view all the answers

    What is the first action the nurse should take when the client returns to the room after surgery for sequential compression therapy?

    <p>Confirm the client's identity using two client identifiers.</p> Signup and view all the answers

    In the context of handling a family crisis, which issue should be prioritized regarding the adolescent's behavior following a sibling's suicide?

    <p>Potential suicidal thoughts/plans of both family members.</p> Signup and view all the answers

    Which characteristic of child molesters is essential for the educational program on safety?

    <p>Child molesters pick children or teens over whom they have authority.</p> Signup and view all the answers

    During the assessment of a woman in labor, which action should be prioritized for pain management?

    <p>Assess the intensity of contractions.</p> Signup and view all the answers

    What is a common misconception regarding child molesters that should be clarified in educational programs?

    <p>Understanding their motivations can reduce incidents of molestation.</p> Signup and view all the answers

    Which factor is NOT a priority when evaluating a parent’s response to a child's behavioral problems post-crisis?

    <p>The parent's ability to provide financial support.</p> Signup and view all the answers

    What should be included in the follow-up assessment for a previously healthy client admitted with unexplained vomiting?

    <p>Assess for signs of dehydration.</p> Signup and view all the answers

    Which of the following is an essential nursing duty in managing a laboring woman considering an epidural?

    <p>Monitor the frequency of contractions.</p> Signup and view all the answers

    Study Notes

    TEST 1: COMPREHENSIVE

    • A client with HIV and AIDS confides in the nurse that he is homosexual and his employer does not know his HIV status. The best response by the nurse is "The information you confide in me is confidential."
    • A mother of a child with bronchial asthma tells the nurse that the child wants a pet. The most appropriate pet for a child with asthma is a fish.
    • An elderly client admitted to same-day surgery for cataract extraction has several diamond rings. The rings should be placed in an envelope, the client should sign the envelope, and the envelope is placed in a safe.
    • When an infant resumes taking oral feedings after surgery, the parents comment that the child seems to suck on the pacifier more since the surgery. The nurse explains that sucking on a pacifier provides an outlet for emotional tension.

    TEST 1: COMPREHENSIVE questions

    • A client with HIV and acquired immunodeficiency syndrome (AIDS) confides that he is homosexual and his employer does not know his HIV status. Which response by the nurse is best?
      1. "Would you like me to help you tell them?”
      1. “The information you confide in me is confidential."
      1. "I must share this information with your family."
      1. "I must share this information with your employer."
    • The mother of a child with bronchial asthma tells the nurse that the child wants a pet. Which of the following pets is most appropriate?
      1. Cat.
      1. Fish.
      1. Gerbil.
      1. Canary.
    • An elderly client is being admitted to same-day surgery for cataract extraction. The client has several diamond rings. The nurse should explain to the client that:
      1. The rings will be taped before the surgery.
      1. The rings will be placed in an envelope, the client will sign the envelope, and the envelope will be placed in a safe.
      1. The rings will be locked in the narcotics box.
      1. The nursing supervisor will hold onto the rings during the surgery.
    • When an infant resumes taking oral feedings after surgery to correct intussusception, the parents comment that the child seems to suck on the pacifier more since the surgery. The nurse explains that sucking on a pacifier:
      1. Provides an outlet for emotional tension.
      1. Indicates readiness to take solid foods.
      1. Indicates intestinal motility.
      1. Is an attempt to get attention from the parents.

    Other questions

    • Under which circumstance may a nurse communicate medical information without the client's consent?
    • When requested by the client's family.
    • A 22-year-old client is brought to the emergency department with his fiancée after being involved in a serious motor vehicle accident. His Glasgow Coma Scale score is 7, and he demonstrates evidence of decorticate posturing. Which of the following is appropriate for obtaining permission to place a catheter for intracranial pressure (ICP) monitoring?
    • The physician will get a consultation from another physician and proceed with placement of the ICP catheter until the family arrives to sign the consent.
    • A 68-year-old client's daughter is asking about the follow-up evaluation for her father after his pneumonectomy for primary lung cancer. The nurse's best response is which of the following?
    • "The follow-up for your father will be a chest x-ray every 6 months."
    • Which of the following blood administration set should the nurse use?
    • Micron mesh filter.

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    Description

    Test your knowledge on nursing care priorities and patient assessment techniques in various scenarios. This quiz covers topics related to treating clients with acute conditions, exercise recommendations for pregnant clients, and post-operative care among others, requiring careful evaluation and response from nursing professionals.

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