Disease Prevention

Which food item, if selected by the patient, would prompt the nurse to provide additional education? Review the patient’s chart to make selection.

Which meal selection is appropriate for this patient? Review the patient’s chart to make a selection.

After reviewing the patient’s chart, which instruction does the nurse give the unlicensed assistive personnel working with the patient?

The patient receiving tube feeding experiences confusion, diaphoresis, pallor, and tremors two hours after receiving a bolus tube feeding. The nurse requests an order for which test?

The patient with a subtotal gastrectomy has been advanced to a regular diet. Which information does the nurse provide the patient? Select all that apply.

A mass casualty incident has occurred and the charge nurse must make beds available in the intensive care unit for incoming victims. Which patients can be safely downgraded to the floor? Select all that apply.

Following a major natural disaster, the charge nurse receives instruction from superiors to pair patients as roommates to increase the number of available rooms. The first patient to be paired is a 42-year-old patient with cellulitis who has a 103°C fever and tachycardia. The charge nurse places her in a room with which patient?

Which patient does the nurse advocate to be transferred to the intensive care unit?

Which patient in the emergency department (ED) must be treated first?

The nurse is a first responder after a gas explosion at an apartment complex. Which patient does the nurse mark to be treated first?

The patient is scheduled for a percutaneous liver biopsy at the bedside at 0730. The nurse is reviewing the patient’s chart prior to the procedure. Which initial statement by the nurse is most appropriate? Review the chart to determine the correct answer.

Review the chart and decide the best room for the patient.

The nurse is assisting a provider with a sterile procedure. During the procedure, the nurse observes the provider lower his right hand holding sterile forceps below his waist. He states, “These forceps are no longer sterile. Could you please obtain another one?” Which response by the nurse is most appropriate?

The nurse is preparing for the insertion of a peripherally inserted central catheter (PICC). Which action prompts the nurse’s orientee to clarify sterile technique?

The nurse is setting up the sterile field for a sterile dressing change. A sterile gauze 4x4 falls with the corner 2 cm from the sterile field. Which action by the nurse is most appropriate?

The nurse is setting up a sterile field for the provider to insert a chest tube. The nurse drops the scissors onto the field where they land with the tip 2 inches from the edge. Which action by the nurse is most appropriate?

The operating room nurse is supervising the orientee circulating nurse who has been asked to pour sterile saline into the sterile tray. Which action(s) by the nurse prompt the supervising nurse to provide additional education? Select all that apply.

The patient who underwent a partial thyroidectomy 1 day ago complains of tingling in the lips and tongue. Upon assessment, the nurse notes increased deep tendon reflexes. Which order does the nurse question for this patient?

The postpartum nurse is supervising new parents placing their newborn into the car seat to drive home during a snowstorm. Which observation is most concerning?

Which information does the nurse include when preparing an informational session for expectant first-time parents about car seat safety? Select all that apply

Which food is a priority for the nurse to encourage the patient to eat? Look at the patient’s chart to make a selection.

The nurse is creating a tool to screen for patients who are risk for vitamin A deficiency. The nurse includes which conditions in the screening tool? Select all that apply.

The 2-day-old full term child has been rooming in with the mother who reports successful breastfeeding. Which information is most important to report to the provider?

The nurse has observed the resident physician move between patients without performing hand hygiene on multiple occasions. Each time, the nurse asks the resident physician to perform hand hygiene before moving on to the next patient; the resident physician scoffs at the nurse and continues examining patients. Which action by the nurse is most appropriate?

The 74-year-old otherwise healthy patient presents to the clinic complaining of severe pain and burning of the skin over the right flank. Upon assessment, the nurse notes two lines of vesicles that curve laterally away from the spine on the right side. The nurse provides which instruction to the patient regarding treatment?

The 15-year-old emancipated minor patient who weighs 32 kg presents to the emergency department with fever, malaise, cervical lymphadenopathy, and severe throat pain that was not preceded by an upper respiratory infection. The nurse anticipates providing teaching about which prescription?

The nurse is preparing educational material about brown recluse spider bites. Which information is most important to include?

The 12-year-old child is brought to the emergency room after being bitten by a family friend’s tarantula. The child is healthy and has received all scheduled vaccinations. Which medication must be given as soon as possible?

The patient seeking medical care for a spider bite asks the nurse why the Diphtheria, Tetanus, and Pertussis (DTaP) vaccine has been prescribed. Which response by the nurse is most appropriate?

The patient in Arizona calls the nurse line to report being stung by a scorpion. Which follow-up question by the nurse is most important?

The nurse is providing education to the parents of a child who experienced anaphylaxis following a bee sting. Which statement by the parents indicates a need for further teaching?

An individual calls the nurse line to report his friend has been bitten by a water moccasin snake on the hand. Which statement by the individual requires correction by the nurse?

The nurse is supervising the care of a patient with a stage II pressure injury on the coccyx. Which intervention by the student nurse prompts the nurse to intervene with further education?

The patient with cobalamin deficiency requires prompt and effective treatment to prevent which conditions? Select all that apply.  

The nurse more closely assesses patients with which conditions for signs of pernicious anemia? Select all that apply.  

Which patient characteristic increases the risk for pernicious anemia following a subtotal gastrectomy?  

The nurse is creating a screening form to determine which patients are at heightened risk for laryngeal cancer. Which professions does the nurse include? Select all that apply.  

In the postoperative period following a Whipple procedure, the nurse includes which interventions in the care plan? 

The nurse notes the patient has an increased prostate-specific antigen level. The nurse searches the chart for which information?  

The nurse is providing discharge education to the patient who has a tracheostomy following a total laryngectomy. Which instruction does the nurse give the patient to maintain airway patency?   

The nurse performs a shift assessment on the patient who has been undergoing continuous bladder irrigation (CBI) following a transurethral resection of the prostate (TURP) for 3 days and notes the output to be an amber color. Which action by the nurse is most appropriate?

The nurse is preparing an informational session for individuals at risk for prostate cancer. Which statement does the nurse include in the talk?  

The nurse clarifies the order for a perineal prostatectomy for treatment of prostate cancer in the patient with which condition?   

The patient with severe psoriasis has been prescribed methotrexate. The nurse instructs the patient to schedule which follow-up tests? Select all that apply.   

The patient who has been prescribed methotrexate for the treatment of severe psoriasis has received medication teaching. Which statements indicate the teaching was effective? Select all that apply.

The 62-year-old patient reports erectile dysfunction and states, “I’ve been treating it with herbal remedies prescribed by my naturopathic doctor". Which conditions, if found in the patient’s medical history, prompt the nurse to counsel the patient against these herbal remedies? Select all that apply.  

The patient with high cholesterol reports forgoing the prescribed statin medication for an herbal remedy. The nurse assesses the patient for which adverse effects? Select all that apply. 

During a routine physical, the patient states, “I feel more comfortable taking herbal remedies than prescription medications for my high blood pressure.” Which response by the nurse is most important?  

The patient who was started on warfarin sodium for the treatment of atrial fibrillation has reached steady state with the current dose. Which instruction is most important to give the patient?

The 21-year-old patient with a body mass index of 10.1 undergoes placement of a peripherally inserted central catheter (PICC) at 1000 and total parenteral nutrition (TPN) is initiated at 1200. At 1600, 160 mL have infused and the patient is noted to be breathing shallowly, there is blood oozing from the PICC insertion site, and the patient is exhibiting confusion. Which action does the nurse perform first?