Health Screening

The 19-year-old female patient is brought to the emergency department by her mother for severe abdominal pain. The patient denies being sexually active, but a point of care pregnancy test is positive. Which action does the nurse take next?

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 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 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 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?

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?

While individual labs vary, which is the normal range of thyroid-stimulating hormone (TSH) levels in healthy individuals?

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

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 40-year-old woman is pregnant for the first time. She undergoes prenatal testing and is found to have an elevated serum alpha-fetoprotein and asks the nurse to explain what this could mean for her baby. Which response by the nurse is most appropriate?

The 30-week gestation pregnant woman reports her fetus moved two times in an hour during her assessment of fetal activity. Which response by the nurse is best?

The patient who is 33 weeks pregnant reports fetal activity of 8 kicks/hour. Which action by the nurse is appropriate?

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

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 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 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 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 mother brings her 18-month-old child to the clinic with concerns for developmental delay. She states, “She says ‘Mama’ and ‘Dada’, and ten or so other words. I keep working with her but I’m concerned she is falling behind.” Which response by the nurse is most appropriate?

The patient has had a positive rapid plasma reagin (RPR) test. Further testing will most likely reveal the presence of which organism?

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 patient presents to the clinic complaining of a painful sore on his penis. Upon assessment, the nurse notes an ulceration with a yellow slough wound base that is soft with an irregular border. The inguinal lymph node on the ipsilateral side of the wound is enlarged and firm. The nurse suspects which organism is the cause of the wound?

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?

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

The nurse identifies which patient at highest risk for delayed wound healing?

The nurse advocates for a guaiac test to be performed on the patient with which stool?

During routine tracheostomy cleaning and care, the nurse notes a strong smell of dirty gym socks coming from the dressing around the stoma. Which action by the nurse is most appropriate?

Viewing the patient’s chart, the nurse notes the patient has 20/100 vision. How does the nurse interpret these results?

The nurse is supervising a nursing student performing a comprehensive shift assessment on a patient hospitalized with severe abdominal pain from an unknown cause. Which action, if performed by the nursing student, prompts the nurse to intervene and provide additional teaching?

At the 2-month checkup, the baby’s mother tells the nurse that the 4.1 kg baby eats 3 ounces of expressed breast milk every 3 hours. How many kilocalories/kg/day is the baby receiving? Input your answer using a whole number.

Which patients are at risk for restrictive pulmonary disease? Select all that apply.

The patient who takes milk of magnesia every day is at risk for which electrolyte imbalance?

The patient returns from Mexico with severe diarrhea lasting 4 days. The nurse anticipates the serum electrolyte levels to reflect which imbalances? Select all that apply.