Exam 10: How to Take and Pass Tests

Select the instructions given by the nurse that are most accurate for a woman who is HIV positive and 3 months pregnant who comes to the prenatal clinic for care.

Select the recommendation by the nurse that is most helpful in restoring a normal sleep pattern to a 58-year-old man who has chronic insomnia.

Select the statement by the nurse that is most accurate when instructing a client with a newly formed permanent colostomy on how to use the irrigation set to prevent constipation.

A 48-year-old woman had become increasingly depressed since her youngest son left for college 4 months ago. She has been a stay-at-home mother who has focused most of her time and energy on her children and now has little to do. Identify the response by the nurse that best helps the client deal with the spiritual aspects of her concerns.

Identify the instructions by the nurse to a client with a history of pancreatitis that best aids in the prevention of discomfort associated with diet.

A client with myeloid metaplasia is experiencing joint pain, guiac-positive stools, and a platelet count of 31,000 per mm³. If a PRN dose of meperidine (Demerol) is ordered by all of the following routes, choose the route the nurse should avoid using to give the medication.

A 32-year-old man who is HIV positive and in the later stages of AIDS is hospitalized for treatment of Pneumoncystis carinii pneumonia. While the nurse is administering the IV medication, the client begins to cry and states: "None of my friends and relatives visit or call me anymore because of this disease." Select the response by the nurse that best promotes a positive self-concept for this client.

A 34-year-old mother of three young children who works as an administrative assistant at a university comes to the crisis center due to the inability to sleep, increasing disorganization at her job, and feelings of guilt about her ability to care for her children and house. She tells the nurse that her husband used to help with the children and house a lot, but because of a recent job promotion and additional work hours required, he can no longer do this. The client feels that they cannot afford a full-time housekeeper and has become overwhelmed and depressed over the condition of her house. Select the therapeutic technique to be used by the nurse that best helps this client deal with her altered role performance.

After her first week on a busy medical surgical unit, the new charge nurse notes that the individual nurses are highly competent but seem to be unable to function productively as a team. Select the action by the charge nurse that would best facilitate team building among the staff.

After a bicycle accident that caused a fractured tibia, a client has a fiberglass cast applied and is discharged to home with crutches. Select the instructions by the nurse about climbing stairs with crutches that would best prevent an additional injury.

An otherwise healthy 40-year-old woman who is brought into the emergency room (ER) with an overdose is declared brain dead and evaluated for organ donation. On her driver's license, the "Organ Donor" box is checked and there is a legal witness signature present. Identify the action to be taken next by the ER nurse.

A client infected with hepatitis C becomes confused, pulls out his IV catheter, and bleeds profusely on the bed rail and floor. Select the instructions by the nurse to the housekeeper that would best prevent the spread of the infection.

Select the instructions given by the nurse to a preoperative client going for a hiatal hernia repair about the use of an incentive spirometer that best describes its use postoperatively.

Select the instruction by the nurse that is most helpful in relieving the pain from an episiotomy in a 1-day postpartum client.

Identify the nursing action that best prevents autonomic dysreflexia in a client with a spinal cord injury.

The hospital administration has just notified all the unit managers that the care delivery model is to be changed from team nursing to modular nursing because of budget restraints. Identify the action by the unit managers that is essential to the successful implementation of the modular nursing care model.

During the assessment of a 35-week gestation client admitted to the obstetrics unit in active labor, the nurse notes the following: estimated fetal weight less than 2500 grams; membranes ruptured 12 hours ago; blood type AB negative; positive rubella titer; positive vaginal culture for Group B streptococcus; current vital signs: T 99.2°F, P 104, R 26, B/P 128/88. Identify the most appropriate action by the nurse at this time.

Identify the initial intervention by the nurse that is most effective in treating a 23-year-old woman who is diagnosed with a dependent personality disorder.

A client with an antisocial personality disorder is caught shoplifting and as part of his probation agreement is required to spend 1 month at a psychiatric facility for treatment. Select the intervention by the nurse that has the highest probability of success in treating this disorder.

A 14-year-old girl is admitted to the ER with a suspected overdose of an unknown drug. Arterial blood gasses (ABG) are drawn with the following results: pH 7.31, PO₂ 88, PCO₂ 59, HCO₃ 22. Identify the initial action to be taken by the nurse.