Health Promotion

The nurse is exiting the room after providing care for the patient diagnosed with tuberculosis. In which order does the nurse remove the personal protective equipment?

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 nurse in the long-term care facility is assessing a new resident who has Parkinson's disease. The nurse usually explains which group activities are available during the intake interview. Which communication technique is most helpful for the nurse to utilize with this resident?

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 7-month-old infant is sitting quietly on the mother’s lap. Which assessment does the nurse perform first?

Which statement does the nurse include in discharge teaching to the parents of the 9-year-old who underwent tonsillectomy and adenoidectomy?

Which statement by the woman in her third trimester of pregnancy is most concerning to the nurse?

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?

A patient tells the nurse in an outpatient endocrinology clinic that he is unhappy with his diabetes care and wants to see another physician. The nurse provides which advice?

The resident of a large, long-term care facility has reactivated tuberculosis and is infectious. Which action does the nurse take?

The baby requires phototherapy for moderate hyperbilirubinemia, but the baby’s mother wants to breastfeed. Which response by the nurse is most appropriate?

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

The patient is brought to the floor from the post-anesthesia care unit following orthopedic surgery. Which action does the nurse take first?

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

The nurse receives report on the patient with acute bowel obstruction. The patient’s problem list includes controlled hypertension, uncontrolled diabetes, and presbycusis. Which action by the nurse is appropriate?

The nurse is providing medication teaching to the mother of a 4-year-old patient with recurrent otitis media infections who requires daily instillation of antibiotic drops into the ear. Which action indicates effective teaching?

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 patient has undergone a right myringotomy. Which nursing intervention is appropriate?

The patient has been prescribed amoxicillin for the treatment of sinusitis. The patient states, “I thought I just had a cold. I don’t want to take antibiotics for a cold.” Which response by the nurse is most appropriate?

During a well-child visit for the 4-month-old child, the nurse palpates hard nodules where each rib joins the sternum. The nurse reports this finding to the provider and requests which lab studies for this patient? Select all that apply.

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

The mother of a 1-month-old neonate brings the child to the clinic with concerns that the child’s head seems large. The nurse measures the occipitofrontal circumference (OFC) and notes a 4 cm increase in the OFC since birth. When reporting this information to the provider, the nurse requests which test?

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 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 grown child of an elderly woman with dementia is trying to provide his mother with in-home hospice. The caregiver providing in-home hospice for the elderly patient with dementia reports nearly constant verbal and physical abuse at the hands of the patient including degrading talk, biting, and scratching. How does the nurse manage this situation?

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.

The nurse working in the pediatric unit finds the two-year-old patient crying on the floor near his hospital crib. The child's parents were present for the fall, are visibly upset, and tell the nurse that she crawled over the edge and fell to the floor. Which action by the nurse is appropriate?

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?

Which sport does the nurse recommend to the child with osteogenesis imperfecta who is interested in physical fitness?

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?

Which is the main source of energy and fiber in the human diet?

Linoleic (omega-3) and linolenic (omega-6) acids belong to which macronutrient group?

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?

The nurse is conducting a mental health assessment and plans to begin by taking the patient’s health history. Which behavioral clues does the nurse observe upon entering the room? Select all that apply.

A patient seeing her primary care physician responds “no” to the domestic violence screening question, “Do you feel safe in your home?” Which action does the nurse take next?

The nurse is caring for a patient after abdominal surgery and significant blood loss. A life-saving blood transfusion has been ordered but the patient refuses it. Which action does the nurse take first?

The mother of a six-year-old child brings the child to the pediatrician requesting treatment for nocturnal enuresis. The nurse prepares information for the mother about which treatment?

The nurse is developing a care plan with a nine-year-old girl to end her nocturnal enuresis. The nurse is focused on which goal when communicating with the child?

The parent of the 5-year-old child reports that the child, who was potty trained at 3-years-old, has been stooling in places other than the toilet a couple times per month for 4 months. The nurse uses which term to document this symptom?

The nurse is collecting data from the parents of a seven-year-old boy who often has liquid stool in his underwear. The parents report he developed urinary and stool incontinence at four years of age and this problem started about six months ago. Their son excretes small pellets of stool every night before bed, and the parents wonder if he is soiling his clothing on purpose. Which additional testing does the nurse anticipate at this point?

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?”