Disease Prevention

The nurse is auditing the use of personal protective equipment (PPE) on the unit. Which provider removes the PPE correctly?

The nurse intervenes if the provider attempts to remove which article of personal protective equipment first after contact with the patient with active tuberculosis?

In which order does the nurse don personal protective equipment prior to caring for the pediatric patient suspected of having the chickenpox?

The infectious disease team is reviewing proper glove use with the nursing staff. Which statement indicates a need for further teaching?

The nurse is answering questions regarding a new prescription of a monoamine oxidase type B inhibitor (MAOI-B) for the patient recently diagnosed with Parkinson's disease. Which reminders does the nurse include in teaching? Select all that apply.

The nurse is planning an informational session at the community center to help parents identify when their children are at an increased risk for suicide. The nurse includes information about which activities in the class? Select all that apply.

The community health nurse is teaching an outreach course on how parents can help to prevent suicide attempts in their at-risk children. Which statement by a parent indicates a need for further teaching?

The 17-year-old male patient is brought to the clinic for a yearly check-up. The nurse observes the patient to be unkempt, with greasy hair and significant body odor. The patient has a flat affect during questioning. When the nurse provides education on safety practices such as wearing a seatbelt when in the car, not driving with impaired persons, and using protection during sexual intercourse, the patient retorts, “I don’t really see the point in wearing a seatbelt, if it helps me die more quickly.” Which initial response by the nurse is most appropriate?

The community health nurse is developing an initiative to prevent long-term morbidity of cerebrovascular accidents by raising awareness of transient ischemic attacks. To which patient populations does the nurse direct these efforts? Select all that apply.

The patient is brought to the emergency department (ED) after being found on the floor in the garage by his wife. His right cheek balloons with each expiration and his right leg drags when he walks. While being assisted to the magnetic resonance imaging suite, the patient’s facial drooping resolves and he no longer walks with a limp. Which action does the nurse take first?

The nurse is supervising the care of the patient who suffered an embolic stroke of the right middle cerebral artery after a clot formed on the patient’s prosthetic mitral valve. Which instruction does the nurse provide to the unlicensed assistive personnel that will be most important to prevent bacterial endocarditis?

The nurse is providing safety teaching to the woman who has just tested positive for human chorionic gonadotropin. Which statement by the woman indicates the teaching was successful?

Which practice is appropriate for a surgical scrub prior to donning a sterile gown?

Following a scleral buckling procedure, the patient complains of nausea. Which action does the nurse take?

The patient is scheduled to undergo a trabeculectomy for the treatment of refractory glaucoma. The nurse is providing preoperative teaching to the patient. Which statement indicates a need for further teaching?

The nurse is visiting the home of a patient who recently underwent a trabeculectomy. Which statement improves patient safety?

The patient with a sore throat has tested positive for group A beta-hemolytic Streptococcus pyogenes. The nurse educates the patient to complete the entire course of antibiotics in order to prevent which complications? Select all that apply.

Which instruction does the nurse provide to the patient with recurrent otitis externa infections?

The school nurse is creating a health pamphlet to send home with the students prior to summer break on how to prevent otitis externa. Which information does the nurse include on the cause of otitis externa?

The nurse is educating the 2-year-old patient’s parents on how to instill ear drops to treat acute otitis media. Which statement indicates a need for further teaching?

The nurse is creating a presentation on rickets in the community. The nurse focuses on which group of individuals for this teaching?

The nurse caring for the patient with rheumatoid arthritis who is scheduled for an operation under general anesthesia advocates for which test prior to the procedure?

The nurse learns in report that the patient has a Jackson-Pratt drain. Which nursing intervention will be required for this patient immediately after emptying the drain?

The nurse empties the patient’s Jackson-Pratt drain 24 hours after a partial colon resection. There is 10 mL drainage that is noted to be light red and thin. There is no odor and the fluid is free of sediment or clots. How does the nurse document this assessment in the medical record that is charted by exception?

The student nurse is preparing to perform an irrigation of the patient’s indwelling urethral catheter. Which action by the student nurse prompts the supervising nurse to intervene immediately?

Place the steps for indwelling urinary catheter irrigation into the correct order.

The nurse is attempting to perform an irrigation of the patient’s indwelling urinary catheter but it is unable to instill the irrigant with normal force. Which action does the nurse take?

The patient has a peritoneal dialysis catheter. The nurse notes the dressing is saturated and prepares to change it. Upon removing the dressing, the nurse notes a foul odor and purulent drainage around the site, which is red. Which action does the nurse take next?

The nurse is providing discharge teaching to the patient who will be discharged with a peritoneal dialysis catheter. Which statement indicates a need for further teaching?

The woman with human immunodeficiency virus (HIV) who has a high CD4 count is concerned her fetus may be infected with the virus. Which statement by the nurse is appropriate?

The nurse provides which instruction to the patient prescribed incentive spirometry following lower limb orthopedic surgery? 

The elderly patient with hypertension, hyperlipidemia, arthritis, diabetes, and improving cellulitis is being discharged home after a stay in a sub-acute care facility. The caregiver asks the nurse about the patient's risk for falls. The nurse reviews the patient's medical history for which risk factors for falls? Select all that apply.

Which interventions does the nurse include in the plan of care for the 2-day-old infant who requires phototherapy for hyperbilirubinemia? Select all that apply.

At which age does the nurse instruct the parent to bring the child in to the clinic for the measles, mumps, and rubella (MMR) vaccine?

A high school wide receiver suffered substantial head trauma during a tackle. The school nurse is concerned about concussion. The nurse provides which information to the adolescent and parents? Select all that apply.

The patient is seeking dietary information on the difference between macronutrients and micronutrients. Which statement by the nurse is appropriate?

The women in the fertility clinic states, “I read an article that said I should increase my omega-3 fatty acid intake to improve my chances of conceiving. Which foods should I eat?” The nurse responds with which foods? Select all that apply.

A six-year-old child presents to a primary care appointment with curved tibias and fibulas, protruding forehead, pigeon chest, and protruding abdomen. Which vitamin deficiency does the nurse immediately suspect?

A ten-year-old patient presents to the emergency department (ED) complaining of abdominal pain. He states, “I poop every day. It sometimes hurts to go and the poop is small, hard pieces. Which response does the nurse anticipate when the child is asked, “How much water do you drink in a day?”

The nurse provides which education to parents of a 1-day-old infant to prevent Sudden Infant Death Syndrome? Select all that apply.

The older adult patient recently diagnosed with a spinal cord injury and limited mobility is referred to a physical therapist to discuss using a wheelchair for increased mobility. The patient asks the nurse, “Do I really have to see the physical therapist? I broke my leg as a kid and used one then.” Which response by the nurse is appropriate?

The patient newly diagnosed with idiopathic pulmonary arterial hypertension is prescribed bosentan. The result of which test is most important for the nurse to verify prior to administering the medication?

The nurse is caring for a patient with left-sided weakness in the hospital who had vocal cord surgery this morning. Which intervention is most important to promote safety?

The patient with a history of hypertension and atherosclerosis presents to the emergency department (ED) complaining of severe lower back pain. Which question by the nurse is most important?

The 58-year-old patient with chronic obstructive pulmonary disorder (COPD) presents to the clinic requesting the pneumococcal vaccine. Which response by the nurse is appropriate?

Which patients are at an increased risk for Raynaud’s phenomenon? Select all that apply.

The nurse is providing education to the patient recently diagnosed with Raynaud’s phenomenon. Which information does the nurse include in teaching?

The American Academy of Pediatrics recommends children remain in rear-facing car seats away from airbags until which age?

Which evening meal choice is appropriate for this patient? Look at the patient’s chart to make a selection.

Which food items does the nurse encourage the patient to eat? Look at the patient’s chart to make selections and select all that apply.