Health Promotion

At a well-child visit, the nurse recommends which type of play to encourage development of the toddler’s gross motor skills?

The nurse is teaching a 50-year-old patient with rheumatoid arthritis self-care and management of the condition. Which morning activity does the nurse recommend to the patient to facilitate further activities?

The nurse is caring for a 50-year-old male patient with osteoarthritis who is prescribed a non-steroidal anti-inflammatory drug for pain. Which instruction does the nurse provide to the patient?

The patient is in a coma following evacuation of an acute subdural hematoma. Which intervention does the nurse utilize to increase the patient's level of consciousness? 

The patient with decreased mobility complains of neck and lower back pain during a bed bath. Which initial intervention does the nurse utilize to promote relaxation and comfort to the patient? 

The nurse is caring for a 20-year-old female patient who reports severe dysmenorrheal pain that is not relieved with NSAIDs. The nurse recommends which intervention?

The patient presents to the urgent care clinic with a hand laceration sustained while using pruning shears in the garden. Which vaccine is most important for this patient?

The patient presents to the clinic following being bitten by a bat while cleaning out a barn. The nurse anticipates administering which vaccine?

The patient has been diagnosed with Rocky Mountain spotted fever (RMSF). The nurse is aware this patient’s symptoms are caused by which microorganism?

The nurse is providing dietary education to a patient with nephrotic syndrome. Which dietary change does the nurse counsel the patient to make?

The patient with severe fatigue and muscle wasting due to acquired immunodeficiency syndrome (AIDS) is experiencing pain. Which nonpharmacological therapy is most appropriate to include in this patient’s treatment plan?

Which assessment indicates the patient with chronic pain is meditating effectively?

Place the steps of therapeutic touch in the correct order.

The patient appears to be fatiguing before daily bathing and grooming is finished. Which action by the nurse is most appropriate?

Which substance in milk promotes sleep, making it a popular bedtime drink?

The nurse is performing a psychosocial assessment on an 84-year-old male in a hospice. The patient says, “I have had a good life. My children are grown and successful, and I was a successful businessman.” How does the nurse document this patient’s psychosocial development?

During a routine clinic visit by a 25-year-old male, which question does the nurse use to appropriately assess the psychosocial development of the individual according to Erikson's psychosocial stages?

Following a mass casualty event, the nurse is called in to the hospital to work in accordance with the city's emergency response plan. The nurse is instructed to discharge as many current inpatients as possible to assist with reallocation of resources. Which patient is most appropriate to be discharged?

The nurse is assigned to care for a patient with human immunodeficiency virus (HIV) with an infected boil that requires lancing. Which personal protective equipment does the nurse don? Select all that apply.

The nurse is assessing a 55-year-old male in bilateral wrist and ankle restraints for violent behavior. The nurse notes that the patient’s toes have a 5 second capillary refill time. Which action by the nurse is most appropriate?

The nurse is admitting a patient positive for human immunodeficiency virus (HIV). A fellow nurse states, “This patient is on contact precautions for his HIV status. You need to wear an isolation gown in addition to your gloves.” Which response by the nurse is most appropriate?

A 12-year-old male patient has received the first dose of the human papillomavirus vaccine in May of this year. When will the nurse schedule an appointment for him to come back to receive his second and third doses?

The nurse is teaching a patient how to walk with a cane following a cerebrovascular accident that left the patient with right-sided weakness. Which action by the patient indicates the teaching was effective?

The patient who is scheduled for a cardiac catheterization is unable to read or write. How does the medical team obtain informed consent for the procedure? 

Prior to transporting a patient to surgery, the nurse ensures which items are in the patient's chart? Select all that apply. 

The nurse is assessing the 75-year-old female patient whose spouse died unexpectedly six months ago. Which statement by the patient reflects ineffective coping mechanisms?

A 14-year-old patient presents to the clinic complaining of right outer ear pain. Which characteristic most likely explains the cause of the pain?

Following an assault by an unknown assailant, the patient is diagnosed with post-traumatic stress disorder. Which intervention must be implemented first for this patient? 

The patient with major depressive disorder has been prescribed a monoamine oxidase inhibitor (MAOI). The nurse has educated the patient on dietary restrictions that are required while taking an MAOI. Which statement by the patient indicates further teaching is required?

The patient who is scheduled for an elective surgery in 2 hours asks the nurse, “What time do the maids typically come to clean the hotel room?” Further questioning reveals the patient believes the hospital in the United States is a hotel in Paris, France, and the year is 20 years prior. The nurse notes that the patient signed a consent form for the procedure just minutes ago. Which action does the nurse take first?

The adult patient with type 1 diabetes mellitus and Parkinson’s disease lives alone. Which patient statement would prompt the nurse to advocate for a delay in discharge from the hospital?

Which statement by the novice nurse requires correction by the charge nurse?

Which process improvement project will be most effective in improving patient satisfaction?

Which observation prompts the nurse manager to implement a process improvement project on alarm fatigue in the unit?

Patients with which characteristics are at an increased risk for falls? Select all that apply.

The nurse is caring for the patient who was admitted to the hospital after a fall at the nursing home. Which intervention does the nurse implement in order to reduce the patient’s fall risk?

The nurse is providing education to a patient with localized shingles. Which statement by the patient indicates the teaching was effective?

A fire develops in the nurses’ station kitchen. Which action does the nurse take first?

Which is an example of the mitigation phase of disaster planning?

The 8-year-old presents with a generalized rash. The patient's mother reports that some areas of the rash have developed into pimples that are oozing clear fluid. The nurse places this patient on which type of precaution(s)? Select all that apply.

Which action by the intensive care unit (ICU) nurse is most appropriate following the resolution of an active shooter emergency in the emergency department?

Which statement by a patient with mumps indicates an understanding of the diagnosis?

The nurse is teaching a student nurse about cancer screening guidelines. Which statement by the student nurse indicates the need for further teaching?

A first-time mother brings in her one-year-old daughter for a check-up. Which assessment finding requires further investigation?

Which statement by a patient with type 1 diabetes mellitus indicates understanding of teaching about the recommended diet?

Which statement by the patient with placenta accreta indicates they understand the nurse’s teaching?

Which patient is at risk for failure to progress past the Industry vs. Inferiority stage of Erik Erikson’s developmental stages?

The patient tells the nurse “I drink three cups of black coffee a day. Is that okay?” Which response by the nurse is best?

The 15-year-old patient is hospitalized after harming herself when her mother would not let her use her cell phone. While she is awaiting inpatient psychiatric placement, she repeatedly expresses a desire to leave. Which intervention is most helpful to prevent the patient from eloping?

The patient with advanced dementia accuses the nurse of trying to poison him with his scheduled medications. Which nursing intervention is most appropriate?