Ms. Smith is admitted for internal radiation for cancer of the cervix. The nurse knows the client understands the procedure when she makes which of the following remarks the night before the procedure? A. She says to her husband, “Please bring me a hamburger and french fries tomorrow when you come. I hate hospital… Read More »
You are the charge nurse on the pediatric unit when a pediatrician calls wanting to admit a child with rubeola (measles). Which of these factors is of most concern in determining whether to admit the child to your unit? A. No negative-airflow rooms are available on the unit B. The infection control nurse liaison is… Read More »
The nurse is finishing her shift in the pediatric unit. Because her shift is ending, which intervention takes top priority? A. Restocking the bedside supplies needed for a dressing change on the upcoming shift B. Documenting the care provided during her shift C. Emptying the trash cans in the assigned client room … Read More »
The nurse in charge is evaluating the infection control procedures on the unit. Which finding indicates a break in technique and the need for education of staff? A. The nurse puts on a mask, a gown, and gloves before entering the room of a client in strict isolation. B. A nurse with open,… Read More »
A client who states that he may have been contaminated by anthrax arrives at the ED. The following actions are part of the ED protocol for possible anthrax exposure or infection. Which action will you take first? A. Assess the client for signs of infection B. Notify hospital security personnel about the client … Read More »
A client has been diagnosed with disseminated herpes zoster. Which personal protective equipment (PPE) will you need to put on when preparing to assess the client? Select all that apply A. Goggles B. Gown C. Gloves D. Shoe covers E. N95 respirator F. Surgical face mask Correct Answer: B, C,… Read More »
Nurse Harry is providing cardiopulmonary resuscitation (CPR) to a child, age 4. the nurse should: A. Perform only two-person CPR B. Deliver 12 breaths/minute C. Place two fingers on the sternum, press down about 1.5 inches deep D. Use the heel of one hand for sternal compressions at least 2 inches… Read More »
The charge nurse observes a new staff nurse who is changing a dressing on a surgical wound. After carefully washing her hands the nurse dons sterile gloves to remove the old dressing. After removing the dirty dressing, the nurse removes the gloves and dons a new pair of sterile gloves in preparation for cleaning and… Read More »
A 4-month-old with meningococcal meningitis has just been admitted to the pediatric unit. Which nursing intervention has the highest priority? A. Obtaining history information from the parents B. Administering acetaminophen (Tylenol) C. Instituting droplet precautions D. Orienting the parents to the pediatric unit Correct Answer: C. Instituting droplet precautions… Read More »
Nurse Jane is visiting a client at home and is assessing him for risk of a fall. The most important factor to consider in this assessment is: A. Correct illumination of the environment B. Amount of regular exercise C. The resting pulse rate D. Status of salt intake Correct… Read More »