Question # 1. The client with AIDS tells the nurse that he has been using acupuncture to help with his pain. The nurse should question the client regarding this treatment because acupuncture:
A. Uses pressure from the fingers and hands to stimulate the energy points in the body
B. Uses oils extracted from plants and herbs
C. Uses needles to stimulate certain points on the body to treat pain
D. Uses manipulation of the skeletal muscles to relieve stress and pain
Answer D is correct. Acupuncture uses needles, and because HIV is transmitted by blood and body fluids, the nurse should question this treatment. Answer A describes acupressure, and answers B and C describe massage therapy with the use of oils.
Question # 2. The 10-year-old is being treated for asthma. Before administering Theodur, the nurse should check the:
A. Urinary output
B. Blood pressure
C. Pulse
D. Temperature
Answer C is correct. Theodur is a bronchodilator, and a side effect of bronchodilators is tachycardia, so checking the pulse is important. Extreme tachycardia should be reported to the doctor. Answers A, B, and D are not necessary.
Question # 3. The nurse witnesses the nursing assistant hitting the client in the long-term care facility. The nursing assistant can be charged with:
A. Assault
B. Tort
C. Negligence
D. Malpractice
Answer A is correct. Assault is defined as striking or touching the client inappropriately, so a nurse assistant striking a client could be charged with assault. Answer A, negligence, is failing to perform care for the client. Answer B, a tort, is a wrongful act committed on the client or their belongings. Answer D, malpractice, is failure to perform an act that the nursing assistant knows should be done, or the act of doing something wrong that results in harm to the client.
Question # 4. The nurse has just received a change-of-shift report. Which client should the nurse assess first?
A. A client 2 hours post-lobectomy with 150ccs drainage
B. A client 2 days post-gastrectomy with scant drainage
C. A client with pneumonia with an oral temperature of 102°F
D. A client with a fractured hip in Buck’s traction
Answer A is correct. The first client to be seen is the one who recently returned from surgery. The other clients in answers B, C, and D are more stable and can be seen later.
Question # 5. A client with glomerulonephritis is placed on a low-sodium diet. Which of the following snacks is suitable for the client with sodium restriction?
A. Peanut butter cookies
B. Fresh peach
C. Cottage cheese and fruit
D. Grilled cheese sandwich
Answer B is correct. The fresh peach is the lowest in sodium of these choices.
Answers A, C, and D have much higher amounts of sodium.
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A. Uses pressure from the fingers and hands to stimulate the energy points in the body
B. Uses oils extracted from plants and herbs
C. Uses needles to stimulate certain points on the body to treat pain
D. Uses manipulation of the skeletal muscles to relieve stress and pain
Answer D is correct. Acupuncture uses needles, and because HIV is transmitted by blood and body fluids, the nurse should question this treatment. Answer A describes acupressure, and answers B and C describe massage therapy with the use of oils.
Question # 2. The 10-year-old is being treated for asthma. Before administering Theodur, the nurse should check the:
A. Urinary output
B. Blood pressure
C. Pulse
D. Temperature
Answer C is correct. Theodur is a bronchodilator, and a side effect of bronchodilators is tachycardia, so checking the pulse is important. Extreme tachycardia should be reported to the doctor. Answers A, B, and D are not necessary.
Question # 3. The nurse witnesses the nursing assistant hitting the client in the long-term care facility. The nursing assistant can be charged with:
A. Assault
B. Tort
C. Negligence
D. Malpractice
Answer A is correct. Assault is defined as striking or touching the client inappropriately, so a nurse assistant striking a client could be charged with assault. Answer A, negligence, is failing to perform care for the client. Answer B, a tort, is a wrongful act committed on the client or their belongings. Answer D, malpractice, is failure to perform an act that the nursing assistant knows should be done, or the act of doing something wrong that results in harm to the client.
Question # 4. The nurse has just received a change-of-shift report. Which client should the nurse assess first?
A. A client 2 hours post-lobectomy with 150ccs drainage
B. A client 2 days post-gastrectomy with scant drainage
C. A client with pneumonia with an oral temperature of 102°F
D. A client with a fractured hip in Buck’s traction
Answer A is correct. The first client to be seen is the one who recently returned from surgery. The other clients in answers B, C, and D are more stable and can be seen later.
Question # 5. A client with glomerulonephritis is placed on a low-sodium diet. Which of the following snacks is suitable for the client with sodium restriction?
A. Peanut butter cookies
B. Fresh peach
C. Cottage cheese and fruit
D. Grilled cheese sandwich
Answer B is correct. The fresh peach is the lowest in sodium of these choices.
Answers A, C, and D have much higher amounts of sodium.
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