Disease Prevention

The nurse provides education to the pregnant woman about the signs of blood clots due to which cause of increased blood clotting risk during pregnancy?

The patient with human immunodeficiency virus (HIV) presents to the clinic for a follow-up visit. The nurse provides education to the patient about which cardiovascular complication the patient is most likely to experience related to the disease process?

The nurse is discharging a patient after fecal disimpaction in the emergency department (ED). Which statement by the patient indicates a need for further teaching?

The registered nurse is providing an inservice on recognizing urinary tract infections (UTI) in older adults for the staff of the long-term care facility. The nurse reminds the staff to be vigilant for which symptom, which may be the only indicator of a UTI in the older adult patient?

The nurse advocates for gastric carcinoma screening for the patient with a history of infection with which organism?

The nurse is preparing a wellness presentation for colleagues. Which tips does the nurse include to prevent low back pain and injury? Select all that apply.

The nurse is preparing for an infant’s two-month well-baby check-up. Which immunizations does the nurse prepare? Select all that apply.

The nurse prepares a diphtheria, tetanus, and pertussis (DTaP) vaccination for a 6-year-old patient. The patient’s mother states, “Wait! He’s already gotten that vaccine, several times when he was younger. I have it written down in his records.” Which response by the nurse is appropriate?

The nurse is preparing a Haemophilus influenzae type b (Hib) immunization for the 2-month-old patient. The baby’s mother states, “I recently read the influenza vaccine isn’t given until at least a year. Are you sure he should be getting this now?” Which response by the nurse is most appropriate?

The nurse reviewing the vaccination record of a 12-month-old infant expects the infant to have completed which vaccine series?

The nurse is preparing for the well-baby visit of the 6-month-old who is up-to-date on vaccines. Which vaccinations does the nurse prepare for the visit? Select all that apply.

The 13-year-old female patient presents to the clinic in January to begin the vaccine series for human papillomavirus. The nurse instructs the patient’s mother to schedule an appointment for the next vaccine in the series during which month at the earliest?

The baby born at 32 weeks’ gestation to a mother who is hepatitis B surface antigen negative (HBsAg-negative) is taken to the Neonatal Intensive Care Unit (NICU) for care. The neonate, who weighs 1.8 kg, requires continuous positive airway pressure of 7 cm H20, intravenous fluids containing dextrose, and intravenous caffeine. After getting consent from the mother, when is the most appropriate time to administer the hepatitis B vaccine to the baby?

The 34-week-gestation neonate is born weighing 1.7 kg to a mother who is hepatitis B surface antigen (HBsAg) positive; all other infectious disease serologies are negative. Which orders are appropriate for this patient? Select all that apply.

The 1.9 kg neonate is born precipitously via vaginal delivery to a 32-year-old mother who received no prenatal care or infectious disease serology testing before delivery. The mother has a history of intravenous drug use. Which intervention does the nurse perform first?

The patient whose mother chose not to vaccinate him presents to the clinic the day after his 18th birthday to receive all eligible vaccinations. The nurse uses which statement to counsel the patient about the hepatitis B vaccine series?

The 19-year-old patient tells the nurse, “I was reviewing my vaccination records for school and noted I never received the varicella vaccination.” Which response by the nurse is most appropriate?

The 10-year-old female patient’s mother brings her to the clinic for a check-up and immunizations and requests that she receives the human papillomavirus (HPV) vaccination. Which question does the nurse ask first?

The 18-year-old patient calls the clinic two weeks after receiving the 2nd vaccination in the three-dose series for human papillomavirus (HPV). She states, “I didn’t realize it when I got the vaccine, but I was 6 weeks pregnant. Will my baby be okay?” Which response by the nurse is most appropriate?

The nurse is providing discharge education to the patient regarding immunizations following a hematopoietic stem cell transplant. When does the nurse instruct the patient to visit the clinic for the Haemophilus influenzae type b (Hib) vaccine?

The public health nurse encourages which individuals to receive the hepatitis A vaccine? Select all that apply.

The 18-year-old healthy female presents to the clinic requesting to receive the vaccinations her mother refused for her when she was a child. Reviewing the chart, the nurse notes the patient never received the measles, mumps, rubella (MMR) vaccine. Prior to administering the vaccination, which test is most important?

The nurse is providing discharge education to the 48-year-old patient with a third grade reading level about his new prescription for valsartan. Which is the best way for the nurse to assess the patient’s understanding of the teaching?

The nurse has provided teaching to the patient regarding the use of crutches after she broke her ankle. Which is the best way for the nurse to assess the patient’s understanding of the teaching?

The nurse is reviewing the chart of the patient who is scheduled for a magnetic resonance imaging (MRI) scan of the brain. Which patient characteristic, if found in the patient’s chart, prompts the nurse to contact the provider about cancelling the test?

The nurse is reviewing the chart of the patient scheduled to undergo a magnetic resonance imaging scan (MRI) of the brain. Which disorder present in the patient’s history prompts the nurse to obtain more information from the patient?

How does exposure to lead cause damage in the developing child?

Which child from an urban city is most at risk for sequelae associated with lead poisoning?

The 7-year-old child with pica is brought to the emergency room (ER) with decreased level of consciousness after ingesting lead paint. His blood lead level (BLL) is determined to be 72 mcg/dL. The nurse prepares to administer which medication?

Which initiative is a primary strategy to prevent lead toxicity?

The nurse holds the dose of propranolol and contacts the provider for which vital sign?

The nurse is teaching the patient who has been prescribed propranolol. Which statement by the patient indicates an understanding of the teaching?

The nurse is assessing the patient’s ability to live independently. The patient ambulates with a cane but cannot manage stairs (lives in a one-level home). Due to advancing macular degeneration, the patient has forfeited her driving license. The patient has a daughter who is able to assist with transport to doctor appointments but cannot visit regularly. The macular degeneration is affecting the patient’s ability to tell the difference between her many pills. Which level of nursing care is appropriate for the patient?

The home care nurse visits the home of an elderly married couple who lives with their adult children. Medication bottles and loose pills are found throughout the house. The nurse provides which information about safe storage of medications? Select all that apply.

Which instruction does the nurse give the patient with epilepsy who is 6 weeks pregnant?

Which nursing interventions are performed for the patient after an uneventful colonoscopy? Select all that apply.

The 35-year-old woman is interested in starting hormonal birth control. Which characteristic, if found in the patient's medical record, indicates the patient requires an alternative form of contraceptive?

The patient wants to quit smoking before starting hormonal birth control. Using motivational interviewing, which statement by the nurse would best elicit change talk from the patient?

The nurse orders which items for the patient who has been ordered to receive a clear liquid diet? Select all that apply.

The nurse is providing preprocedure education to the family of the child with type 1 diabetes mellitus who must undergo a tonsillectomy. Which information does the nurse include?

Parents bring their 12-month-old baby who was born prematurely to the pediatrician for a well-baby appointment. How does the nurse judge the adequacy of the baby's weight gain?

The nurse planning care for the neonate with myelomeningocele plans interventions to ensure the child does not develop an allergy to which substance?

The nurse is supervising the student nurse preparing for the return of a neonate from surgery to repair a myelomeningocele. Which item, if brought into the room by the student nurse, does the nurse remove immediately?

The registered nurse is caring for a 48-year-old patient with a surgical wound infected with methicillin-resistant Staphylococcus aureus (MRSA) requiring q6h intravenous antibiotic infusions and dressing changes twice per shift. The patient with which diagnosis is most appropriate to be added to this nurse’s assignment?

The charge nurse is planning room assignments during an outbreak of Shiga toxin-producing Escherichia coli (STEC). Due to the influx of patients, only one private room is available. Which patient with STEC must be placed in this private room?

The nurse is preparing to perform open tracheostomy suctioning for a patient with methicillin-sensitive Staphylococcus aureus (MSSA) tracheitis. Which personal protective equipment does the nurse utilize for this procedure? Select all that apply.

Which personal protective equipment is most important for standard precautions?

The nurse performed a procedure for which a mask with face shield, shoe covers, and gloves were required. Place the actions of the nurse after the procedure in the correct order.

The patient has a wound that is infected with methicillin-resistant Staphylococcus aureus (MRSA). Which personal protective equipment does the nurse don prior to entering the patient’s room? Select all that apply.

The nurse is performing the initial assessment of the patient with human immunodeficiency virus (HIV). Which personal protective equipment does the nurse don during the assessment?