Disease Prevention

The charge nurse is making patient assignments for the unit, including one patient with disseminated varicella zoster virus infection. Which question is most important to ask the nurses when making assignments?

The patient with gastroenteritis is hospitalized for dehydration and stool culture reveals infection with Listeria monocytogenes. Which personal protective equipment does the nurse don prior to entering the room?

The patient presents to the emergency room complaining of fever, malaise, and nuchal rigidity. Which personal protective equipment does the nurse don prior to assessing the patient? Select all that apply.

The nurse learns in shift report the 1-year-old with respiratory distress due to parainfluenza virus has had increased nasal and oral secretions and has had increased coughing fits. Which personal protective equipment does the nurse don prior to caring for the patient? Select all that apply.

The neonate is diagnosed with congenital parvovirus. The nurse requests an order for which transmission prevention precaution?

The 6-month-old patient is admitted to the pediatric intensive care unit for treatment of a pertussis infection. The donning of which personal protective equipment by the unlicensed assistive personnel (UAP) entering this patient’s room would prompt the nurse to intervene and provide additional education?

The nurse observes the physician enter the room of a patient with pneumococcal pneumonia without donning personal protective equipment. Which response by the nurse is appropriate?

The nurse is providing discharge teaching to the patient admitted with anaphylaxis after blowing up a rubber balloon. Which foods, if selected by the patient as safe to eat, indicate a need for further teaching? Select all that apply.

The nurse is counseling the parents of an 8-month-old child born with myelomeningocele on appropriate baby foods to introduce to the child. Which foods, if selected by the parents, indicate teaching was effective? Select all that apply.

The nurse is assisting the provider in lancing the abscess of a patient whose medical history is notable for anaphylaxis after ingestion of oysters. The nurse enters the room as the provider begins swabbing the affected skin with povidone-iodine solution. Which response by the nurse is appropriate?

The bedridden patient has been admitted to the floor. When transferring the patient from the stretcher to the hospital bed, which action does the nurse perform first?

Which patient statement is most appropriate to report to the social worker?

The nurse is caring for the patient who was admitted to the hospital in septic shock due to Escherichia coli bacteremia. Which patient assessment is most appropriate to report to the inpatient pharmacist on the patient’s medical team?

The patient who is 32 weeks pregnant presents to the obstetrician’s office with concern for decreased fetal movement. A biophysical profile (BPP) assessment is ordered to determine if the fetus is compromised and needs to be delivered. The nurse prepares the client for which tests as part of the BPP? Select all that apply.

The patient in the rehabilitation hospital following a spinal cord injury sustained in a motor vehicle accident is preparing for discharge home. The patient tells the nurse, “I had a huge support network back home. Since I moved to this new state for my husband’s job, I feel so out of touch. I don’t know how I’ll get to my therapy and doctor appointments when my husband is at work.” To which interdisciplinary team member does the nurse report the patient’s comments?

The nurse is asked to assist in a contraction stress test for a patient who is 38-weeks’ gestation. Which strategies does the nurse use to stimulate contractions? Select all that apply.

The nurse is present at the delivery of a 34-weeks pregnant woman with absent end diastolic flow through the umbilical arteries. The nurse anticipated which appearance of the neonate?

The patient who is 27-weeks pregnant is admitted to the hospital with contractions and decreased fetal movement. A biophysical profile (BPP) is performed and determined to be 4 out of 10 and the amniotic fluid volume is decreased. Which action by the nurse is most appropriate?

The presence of which substance in amniotic fluid is most helpful indicator of fetal lung maturity?

The nurse notes a sinusoidal pattern on the fetal heart rate tracing of a patient who is 32-weeks pregnant. Which information is most important for the nurse to determine?

The patient has been prescribed enalapril and spironolactone for the treatment of hypertension. The nurse is providing medication education to the patient regarding diet. Which food, if selected by the patient, indicates a need for further teaching?

An emergency room nurse is caring for a patient admitted by ambulance after a motor vehicle collision. The patient was transported with a long spine board and rigid cervical collar. Thirty minutes after arrival, the patient has been log-rolled off the spine board, completed imaging studies of the spine, and is requesting removal of the cervical collar. Which is the nurse’s next action?

The nurse is creating an educational class for community members who care for an older relative in the home about brain injury in the older adult. Which factors does the nurse include to impress upon the individuals the high mortality risk associated with brain injuries in the older adult? Select all that apply.

Following a stroke, the older client in a nursing home experiences chronic pain. The nurse plans care to prevent which complications in this patient? Select all that apply.

Which situations prompt the use of four-point restraints? Select all that apply.

The nurse is teaching a community health promotion class for older adults and includes a discussion on modifying which risks for hypertension?

The nurse is completing discharge education with the parents of a child with congenital heart disease. Which statement by the mother indicates a need for further teaching?

The nurse anticipates administering which medications to the patient with meningitis? Select all that apply.

Pregnancy is confirmed in the patient who states, “How did this happen? We were careful and wore condoms every time we had sex.” Which response by the nurse is most appropriate?

The 18-year-old female patient tells the nurse, “I would like to change my contraceptive method before I go away to college. I’m afraid I will forget to take the pill every day and I have had issues finding the right balance of hormones. Honestly, I don’t have a boyfriend and can’t see myself getting married or having kids until well after college.” The nurse reviews the chart and notes the patient’s medical history is negative for any infections or diseases. The patient’s BMI is 32 and metabolic panel is normal. Which contraceptive method does the nurse recommend to this patient?

The 22-year-old woman has selected the Depo-Provera injection as her preferred method of contraception. Which information, if present in the patient’s chart, prompts the nurse to hold the medication and alert the physician?

The patient had a contraceptive implant placed 14 months ago. The implant must be replaced in how many months? Enter your answer using a whole number.

The patient had a copper intrauterine device placed at aged 21. At what age will the patient be when it must be replaced if the patient desires to continue contraception? Enter your answer using a whole number.

The nurse is counseling the patient following the removal of a copper intrauterine device. Which statement is most important for the nurse to include in teaching?

The first-time mom requests information from the nurse about providing foods other than breast milk to her 3-month-old child. Which response by the nurse is most appropriate?

The mother of a 1-month-old child tells the nurse, “I’m concerned because my child does not hold his head up during tummy time.” Which response by the nurse is appropriate?

The nurse is preparing for the well-baby visit for a 4-month-old baby and expects which behaviors from the patient? Select all that apply.

The nurse receives an alert that a packed red blood cell transfusion has been ordered for the patient who was admitted after a laparoscopic cholecystectomy. Which is the nurse’s initial action?

The nurse is asked to help properly dispose of the patient’s soiled linens. Which question is most important for the nurse to ask?

The nurse is planning care for the patient receiving adalimumab. Which nursing intervention does the nurse utilize to prevent complications of the medication?

The nurse applies a fetal heart rate monitor to the abdomen of the 34-week-gestation patient in preterm labor. The patient asks the nurse, “This is so uncomfortable. Why do I have to wear this thing?” The nurse bases the response on which understanding of the rationale for fetal heart rate (FHR) monitoring?

During an amnioinfusion, the uterine resting tone is found to be three times as high as normal. Which action by the nurse is most appropriate?

The nurse is providing discharge teaching to a patient who will receive chemotherapy at home for cervical cancer. Which statement by the patient indicates a need for further teaching?

The nurse advocates for the use of secukinumab in which patient?

The female patient tells the nurse, “I think the man I had unprotected sex with last night might have herpes. I’m so afraid I’m going to get it, too.” Which response by the nurse is most appropriate?

Which mother is at highest risk for passing herpes simplex virus (HSV) to her fetus/neonate?

The 32-weeks-pregnant woman who presents with genital lesions is diagnosed with herpes simplex virus-2. The nurse prepares a patient information handout for which medication for this patient?

The full-term neonate (3.2 kg) born precipitously to a mother of unknown infectious disease status has had a positive rapid plasma reagin (RPR) test. The nurse plans care to perform which intervention first?

The patient is admitted to the hospital with systemic syphilis infection. The patient is ordered to receive a 14-day course of penicillin G 20 million units/day intravenously. Prior to administering the medication, the nurse checks the patient’s allergies and learns the patient experienced anaphylaxis after receiving ampicillin. Which action does the nurse take?

Which patient on the surgical floor is at the greatest risk for abdominal wound dehiscence?