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Nursing: Registered Nurse

A degree in Nursing, equipping with the knowledge, skills, and clinical experience to provide competent healthcare to patients in various healthcare settings.

nursing

registered nurse

rn

degree

healthcare

patient care

medical

clinical

hospital

nursing practice

nursing education

nursing skills

professionalism

compassion

critical thinking

leadership

SITUATION: A female client, aged 79 years, is admitted to the hospital with a diagnosis of bacterial pneumonia. She has a temperature of 106°F, is diaphoretic, has a productive cough, and is experiencing moderate shortness of breath A priority nursing diagnosis for this hospitalized client with bacterial pneumonia and shortness of breath would be:

  • Altered cardiopulmonary tissue perfusion related to myocardial damage
  • Potential self-care deficit related to fatigue
  • Fluid volume deficit related to nausea and vomiting
  • Altered thought processes related to inadequate pain relief

Blood in the urine, also known as _____, or pink or red coloured urine may be due to taking what drug?

  • hematuria, anticoagulants
  • hematuria, anticoagulants
  • hematuria anticoagulants

An antiparkinson drug and injectable iron compounds can turn urine into which two colours?

  • brown and black
  • brown and black
  • black and brown
  • brown black
  • black brown
  • brown, black

Caffeine-containing beverages, such as soda, coffee, and tea, have a ____ effect

  • diuretic
  • diuretic
  • diuretics

What type of medication can lighten the color of urine to pale yellow?

  • diuretics

Provides care and comfort for person together with preserving the dignity of human being

  • Communicator
  • Care Provider
  • Change agent
  • Manager
  • Leader

An involuntary loss of urine related to an incrase in intra-abdominal pressure is called ______ incontinence.

  • stress incontinence
  • stress incontinence
  • stress

Give the two names of the catheter used to drain the bladder for short periods of time (5 to 10 minutes)

  • intermittent catheter, straight catheter
  • intermittent catheter, straight catheter
  • straight, intermittent
  • straight catheter, intermittent catheter
  • intermittent, straight
  • intermittent straight

The device used to create an image of the patient's bladder and calculate urine volume present in the bladder is called a _____ scanner.

  • bedside

SITUATION: Anemia may be due to acute or chronic blood loss. Increased destruction of RBCs can result from extrinsic sources, antibodies as in transfusion mismatch or from infectious agents and toxins Four days after receiving 2 units of whole blood the patient exhibits anemia, and yellowish skin and sclera. Coomb's test was positive. Fluid support was the management given to this patient. What type of blood transfusion reaction transpired?

  • Acute hemolytic reaction
  • Septic reaction
  • Delayed hemolytic reaction
  • Simple allergic reaction

A client who visitsthe clinic 2 months after having a Pap smear and beginning oral contraceptivestells the nurse that her menstrual flow has decreased since taking the oralcontraceptives. The nurse should instruct the client that she most likely needswhich of the following?

  • Another Pap smear.
  • Thorough endocrine workup.
  • Continuation of the oral contraceptives.
  • Lower dosage of oral contraceptives.

Voiding is largely a(n) voluntary/involuntary reflex?

  • Voluntary
  • Instinctive
  • Involuntary
  • None of the above

SITUATION: Anemia may be due to acute or chronic blood loss. Increased destruction of RBCs can result from extrinsic sources, antibodies as in transfusion mismatch or from infectious agents and toxins If a client who is receiving a blood transfusion experiences an acute hemolytic reaction, which nursing intervention is the most important?

  • Immediately stop the transfusion, infuse dextrose 5% in water, and call the physician
  • Slow the transfusion and monitor the client closely
  • Stop the infusion, notify the blood bank, and administer antihistamines
  • Immediately stop the transfusion, infuse normal saline solution, notify the blood bank, and call the physician

SITUATION: As health care providers, nurses deal with allergic conditions far more than might be suspected. Allergic rhinitis, asthma, and dermatitis are just a few examples of these immunologic diseases The nurse is aware that nutritional support of a client's natural defense mechanisms would indicate the need for a diet high in:

  • The essential fatty acids
  • Dietary cellulose and fiber
  • The amino acid, tryptophan
  • Vitamins A, C, E and selenium

SITUATION: Mrs. Romero, an elderly tube-fed resident from a nursing home is admitted with recent changes in level of consciousness. Her skin and mouth are very dry, and her urine is scant and dark yellow. Laboratory assessment reveals sodium, 150 mEq/dl; chloride, 106 mEq/dl; BUN, 25 mg/dl; and creatinine, 1.2 One of nurse Julie's diagnosis of the patient is altered oral mucous membranes related to lack of body water secondary to hypernatremia. Which of the following outcomes is the most appropriate?

  • Moist oral mucous membrane maintained
  • No occurrence of further deterioration of the oral mucous membranes and moist oral mucous membranes maintained
  • Oral fluid intake initiated every hour
  • Decreased thirst

Difficulty during urination is known as____; while scanty or diminshed amount urine is known as _____

  • Dysuria; Anuria
  • Anuria; Oliguria
  • Dysuria; Oliguria
  • Oliguria; Pyuria
  • Pyuria; Dysuria

Which of the following does not affect urination in older adults?

  • Medications
  • Decreased bladder contractility
  • Extent of ability in the kidneys
  • Motility problems
  • None of the above

Which of the followinginstructions should the nurse include in the teaching plan about skin care forthe mother of a child with atopic dermatitis?

  • Soaking the child in a tub for 30 minutes to soften the skin.
  • Using an antibacterial soap two times a week.
  • Using a mild soap followed by patting the skin to dry it.
  • Washing clothes in a strong detergent to prevent infections.

This type of catheter is used for long-term use and is surgically inserted through a small incision above the pubic area; it is often used due to urethra injury or blockage occurs.

  • suprapubic
  • suprapubic
  • suprapubic catheter

Involves "planning, giving directions, developing staff, monitoring operations, giving reward fairly, and representing both staff members and administrations as needed.

  • Manager
  • Leader
  • Care Provider
  • Teacher
  • Change agent

SITUATION: As health care providers, nurses deal with allergic conditions far more than might be suspected. Allergic rhinitis, asthma, and dermatitis are just a few examples of these immunologic diseases Mrs. Macaroon came in to the out-patient department complaining about runny nose, tearing of the eyes, and sneezing episodes. She reported that she has been busy supervising the renovation of their house. Loratadine (Claritin) was prescribed for her allergic rhinitis. Which statement when made by the client indicates understanding of the teaching regarding this medication?

  • “This is an antihistamine, that’s why I’ll expect drowsiness with this medication”
  • “This steroid nasal spray would be very useful in treating my allergy, it does not evoke a lot of side effects”
  • “This Aerosol medication should have been started a week before the renovation to make it more effective, so I should expect immediate relief of my allergy”
  • “This antihistamine, will not cause drowsiness. I’m happy I could still supervise the carpenters”

What type of catheter is used for continuous drainage through the urethra?

  • Indwelling urethral catheter
  • Retention catheter
  • Foley catheter
  • All of the above
  • None of the above

Continuous and unpredicaable loss of urine, resulting from surger, physical malformation, or trauma is known as what type of incontience?

  • total
  • total
  • total incontience

_____ are infections acquired in the hospital. The most common cause of which is ______

  • nosocomial infections, catheterization
  • nosocomial infections, catheterization
  • nosocomial infections catheters
  • nosocomial infections catheter
  • nosocomial infections catheterization
  • nosocomial infection catheters

Urine that appears cloudy or urine that has pus in it is called

  • pyuria

SITUATION: A female client, aged 79 years, is admitted to the hospital with a diagnosis of bacterial pneumonia. She has a temperature of 106°F, is diaphoretic, has a productive cough, and is experiencing moderate shortness of breath A client with bacterial pneumonia is coughing up tenacious, purulent sputum. Which of the following measures would most likely help liquefy these viscous secretions?

  • Performing postural drainage
  • Breathing humidified air
  • Clapping and percussing over the affected lung
  • Performing coughing and deep-breathing exercises

Is it normal for mucus to appear in the urine of a patient with an ileal conduit?

  • yes

An indwelling catheter is usually preferred over suprapubic catheters for long-term continous drainage.

  • True
  • False

A mother brings herchild to the emergency department after the child has taken “some white pillsjust a short while ago.” What should lead the nurse to determine that the pillstaken were most probably acetaminophen?

  • Nausea and vomiting.
  • Nosebleed.
  • Seizure activity.
  • Deep, rapid respirations.

Nursing role that has mastery in a certain practice of nursing. e.g. medical-surgical nursing, pediatric-geriatric nursing, college health nursing, etc.

  • Care Provider
  • Nurse Practitioner
  • Change agent
  • Nurse Clinician
  • Nurse Generalist

_____ is the amount of urine rematining in the bladder immediately after voiding, which can be measured by catheterization or use of portable ultrasound device.

  • postvoid residual
  • postvoid residual
  • PVR

In a Mitrofanoff procedure the bladder neck is closed and one end of the _____ is brought to the skin surface and is used as a stoma; the other end is tunneled into the bladder.

  • Appendix
  • Ileum
  • Stomach
  • Large intestine
  • None of the above

SITUATION: A female client, aged 79 years, is admitted to the hospital with a diagnosis of bacterial pneumonia. She has a temperature of 106°F, is diaphoretic, has a productive cough, and is experiencing moderate shortness of breath When obtaining the client's health history, the nurse learns that she has long-standing osteoarthritis, follows a vegetarian diet, has never been seriously ill, and is very concerned with cleanliness. The client says, "I hope I can take a bath each day. I feel so dirty if I don't bathe every day." Which of the following factors would add most to the danger posed by her illness?

  • The client’s age
  • History of osteoarthritis
  • Following a vegetarian diet
  • Bathing daily in cold water

SITUATION: Half of all leukemias are classified as acute. The rapid onset and progression of disease result in 100% mortality within days to months without appropriate therapy A nurse is reviewing the laboratory report of a client who underwent a bone marrow biopsy. The finding that would most strongly support the diagnosis of acute leukemia is the existence of a large number of immature:

  • Lymphocytes
  • Thrombocytes
  • Reticulocytes
  • Leukocytes

SITUATION: Anemia may be due to acute or chronic blood loss. Increased destruction of RBCs can result from extrinsic sources, antibodies as in transfusion mismatch or from infectious agents and toxins A 70 year old client's hematocrit and hemoglobin were 32.1% and 11.5% respectively. Based on these results, the most appropriate nursing intervention should be to:

  • Conduct a complete nutritional assessment of the client
  • Advise the client to have the test repeated in three months
  • Nothing because these are expected values for this age
  • Understand that mild anemia is an expected response to the aging process

The involuntary losso fo urine that occurs soon after feeling an urgent need to void is called:

  • Mixed incontience
  • Stress incontinence
  • Over-flow incontience
  • Urge incontinence
  • None of the above

The higher the number on the urometer the lower the urine concentration and specific gravity.

  • True
  • False

Weakening of which muscles is a common cause of urinary incontinence.

  • pelvic floor
  • pelvic floor
  • pelvic
  • pelvic floor muscles

SITUATION: A female client, aged 79 years, is admitted to the hospital with a diagnosis of bacterial pneumonia. She has a temperature of 106°F, is diaphoretic, has a productive cough, and is experiencing moderate shortness of breath Considering the client's symptoms and condition, the nurse should include which of the following measures in the plan of care?

  • Position changes every 4 hours
  • Nasotracheal suctioning to clear secretions
  • Frequent linen changes
  • Frequent offering of a bedpan

SITUATION: As health care providers, nurses deal with allergic conditions far more than might be suspected. Allergic rhinitis, asthma, and dermatitis are just a few examples of these immunologic diseases A nurse does a PPD on a client suspected with pulmonary tuberculosis. After 5 to 8 minutes the nurse interprets the test results. Erythema with wheal formation less than 3 mm appeared. She documented this as a negative result. Did the nurse observe the correct steps and interpretation of the skin test?

  • Yes, the procedure was done properly and the result is accurate
  • No, the result must be read 48 to 72 hours after the skin test to obtain an accurate result
  • No, erythema with wheal formation less than 3 mm denotes a positive result
  • No, the result is inconclusive

A clean-catch specimen of urine is collected during _____

  • midstream

Those who urinate frequently/infrequently usually have more/less urinary tract infections and kidney disorders.

  • frequently less
  • frequently less
  • frequently, less
  • infrequently, more
  • infrequently more

A Nursing role which Assesses the clients motivations and capacity for change, Identifies the problem, determines alternatives, explores possible outcomes of the alternative, etc.

  • Manager
  • Change Agent
  • Nurse Clinician
  • Nurse Generalist
  • Care Provider

The surgical creation of an alternate route for excretion of urine is called

  • urinary diversion

Surgery is the first line of therapy for urinary incontience

  • True
  • False

The technique that requires a sampe obtained by catheterizing the patient's bladder or by use of an foley catheter is a:

  • Sterile specimen
  • Routine uralysis specimen
  • Clean-catch specimen
  • Midstream specimen
  • Catheter specimen

What type of incontience is it when a patient has a broken leg which prevents them from getting to the bathroom.

  • functional
  • functional
  • functional incontinence

Defends the client's right to be treated equally without any harm intentionally or unintentionally.

  • Teacher
  • Manager
  • Client Advocate
  • Change Agent
  • Researcher

What is it called when urine is produced normally but is not excreted completely from the bladder?

  • urinary retention

SITUATION: Half of all leukemias are classified as acute. The rapid onset and progression of disease result in 100% mortality within days to months without appropriate therapy The nurse is teaching a client about risk factors associated with leukemia. The client needs further teaching if he states:

  • “History of leukemia within our family increases my risk of having leukemia”
  • “When I’m exposed to too much radiation leukemia could develop”
  • “Down’s syndrome, Fanconi’s aplastic anemia, Bloom’s syndrome are some of congenital abnormalities that increases my risk of developing leukemia”
  • “Leukemia is triggered by toxic substances that stimulate enhanced cell mediated immune process”

Helps the client learn the state of their well-being and the therapies that will be done to them to alleviate their health conditions.

  • Teacher
  • Manager
  • Client Advocate
  • Change Agent
  • Care Provider

Which of the following is synonymous with a 24-hour output of less than 50 mL of urine?

  • Renal failure
  • Kidney shutdown
  • Anuria
  • All of the above
  • None of the above

SITUATION: A female client, aged 79 years, is admitted to the hospital with a diagnosis of bacterial pneumonia. She has a temperature of 106°F, is diaphoretic, has a productive cough, and is experiencing moderate shortness of breath For the client with a productive cough and difficulty breathing, the nurse should obtain the body temperature at what site?

  • Mouth
  • Groin fold
  • Rectum
  • Axillae

The first voided urine of the day is usually ____ concentrated than other urine excreted during the day.

  • More
  • Less
  • Equally
  • None of the above

Phenazopyridine (Pyridium), a urinary tract analgesic, often used to treat UTIs, can cause urine to turn what colour?

  • orange
  • orange
  • orange-red

What is the most common organismal cause of urinary tract infections?

  • Staphylococcus aureus
  • Being sexually active
  • Diabetes mellitus
  • Escherichia coli
  • A and C

How many nephrons are in each kidney?

  • 1,000
  • 100,000
  • 1 million
  • 1 billion
  • None of the above

A 30 year oldmultiparous client has been prescribed oral contraceptives as a method of birthcontrol. The nurse instructs the client that decreased effectiveness may occurif the client is prescribed which drug?

  • Indomethacin (Indocin).
  • Amitriptyline (Elavil).
  • Omeprazole (Prilosec).
  • Ampicillin.

Diuresis is also known as

  • Glycosuria
  • Pyuria
  • Anuria
  • Oliguria
  • Polyuria

SITUATION: Half of all leukemias are classified as acute. The rapid onset and progression of disease result in 100% mortality within days to months without appropriate therapy The nurse caring for the post bone marrow transplant understands that she should be alert for which signs and symptoms of graft-versus-host disease?

  • Difficulty of breathing, cyanosis, increase in body temperature
  • Erythematosus rash on palms, soles, ears and trunk
  • Bulimia, severe abdominal pain, constipation
  • Sudden drop of vital signs and loss of consciousness

A bladder irrigationi (through the catheter) rinses out the bladder and can also instill medication that acts directly on the _____ ____.

  • bladder wall

True or False:Urinary incontinence is untreatable.

  • false

Anuria is a 24-hour urine output that is less than ____ mL

  • 50

Any involuntary loss of urine is known as

  • urinary incontinence

Pain during urination

  • dysuria

SITUATION: Anemia may be due to acute or chronic blood loss. Increased destruction of RBCs can result from extrinsic sources, antibodies as in transfusion mismatch or from infectious agents and toxins Which step should be done first when administering a blood transfusion?

  • Verify the blood product and client identity
  • Verify the physician’s order
  • Verify the client identity and blood product with another nurse
  • Assess the IV site

After teaching themother about the neonate’s positive Babinski’s reflex, the nurse determinesthat the mother understands the instructions when she says that a positiveBabinski’s reflex indicates which of the following?

  • Possible spinal cord defect.
  • Immaturity of the central nervous system.
  • Possible partial paralysis.
  • Injury to the nerves innervating the legs.

When assessing a patient's urine, check all of the following, but do not note:

  • Colour of urine
  • Odour of urine
  • Sugar in urine
  • Clarity of urine
  • Sediment in urine

When a patient leaks a bit of urine while laughing, it is called what kind of incontience?

  • stress
  • stress
  • stress incontinence

When assessing an 18year old primipara who delivered a viable neonate under epidural anesthesia 24hours ago, the nurse determines that the fundus is firm but to the right ofmidline. Based on this finding the nurse further assesses for which of thefollowing?

  • Uterine inversion.
  • Paralyctic ileus.
  • Urinary retention.
  • Perineal hematoma.

Which of the followingfamilies should the nurse determine as most in need of follow-up?

  • A single mother with a 7-month-old child whose immunizations are delayed.
  • A two-parent family whose 3-year-old has a fractured leg from an automobile accident.
  • A single parent with a toddler who has third-degree burns over 20% of the body.
  • A two-parent family with a foster child who has a history of caustic liquid ingestion.

For long-term use in an adult, a ___F to ___F catheter is commonly used

  • 12, 14
  • 12, 14
  • 12 14
  • 12F 14F
  • 12F, 14F

Awakening at night to urinate

  • nocturia

Pee is also known as

  • Micturation
  • Urination
  • Voiding
  • All of the above
  • None of the above

SITUATION: Mrs. Romero, an elderly tube-fed resident from a nursing home is admitted with recent changes in level of consciousness. Her skin and mouth are very dry, and her urine is scant and dark yellow. Laboratory assessment reveals sodium, 150 mEq/dl; chloride, 106 mEq/dl; BUN, 25 mg/dl; and creatinine, 1.2 What precautions will be needed to prevent further fluid and electrolyte shifts? Select all that apply:1. Monitor client for response to IV fluid replacement of hypoosmolar electrolyte solutions;2. Monitor patient for absence of clinical manifestations of hypernatremia and return to normal sodium levels;3. Prevent osmotic dieresis from D5W by maintaining the prescribed rate;4. Use IV pumps in high risk patients;5. Initiate safety and seizure precautions if the patient manifests weakness or cerebral changes;6. Offer water and fluids every 2 to 3 hours

  • All except 4
  • All except 1
  • All except 6
  • All of the above

Which of the followingnursing interventions is most important postoperatively for an infant who hasreceived a ventriculoperitoneal shunt?

  • Initiating oral feedings.
  • Monitoring intake and output.
  • Allowing the infant to rest undisturbed.
  • Providing age-appropriate diversionary activities.

The basic structural and functional unit of the kidney is

  • Mitochondria
  • Neuron
  • Nephron
  • Ribosome

When micturation is initiated the ______ contracts, the _____ relaxes, and urine enters the posterior urethra. The muscles of the perineum and the _______ relax, the ______ contracts slightly, the _____ lowers, and micturation occurs.

  • Internal sphincter, detrusor muscle, external sphincter, abdominal muscles, diaphragm
  • Detrusor muscle, external sphincter, internal sphincter, abdominal muscles, diaphragm
  • Internal sphincter, detrusor muscle, external sphincter, diaphragm, abdominal muscles
  • Detrusor muscle, diaphragm, internal sphincter, abdominal muscles, external sphincter
  • Detrusor muscle, internal sphincter, external sphincter, abdominal muscles, diaphragm

The Process of Influencing helps the client in making decisions to establish and achieve their goals towards alleviating their conditions.

  • Researcher
  • Care Provider
  • Communicator
  • Counselor
  • Leader

Twenty four hoursafter delivery, the nurse documents that involution is progressing normallyafter palpating the client’s fundus at which of the following locations?

  • Slightly below the level of the umbilicus.
  • Midway between the umbilicus and the symphysis pubis.
  • Barely above the upper margain of the symphysis pubis.
  • Slightly above the level of the umbilicus.

Proteinuria is:

  • An indication of kidney disease
  • Defined by the presence of proteinin urine
  • Marked by the presence of sugar in urine
  • B and C
  • A and B

SITUATION: Mrs. Romero, an elderly tube-fed resident from a nursing home is admitted with recent changes in level of consciousness. Her skin and mouth are very dry, and her urine is scant and dark yellow. Laboratory assessment reveals sodium, 150 mEq/dl; chloride, 106 mEq/dl; BUN, 25 mg/dl; and creatinine, 1.2 What do these assessment findings suggest?

  • Hypovolemic hyponatremia
  • Hypovolemic hypernatremia
  • Hypervolemic hypernatremia
  • Hypervolemic hyponatremia

A culture and sensitivity (C&S) is considered positive if it shows at least 10,000 organisms per mL of urine.

  • True
  • False

Catheter lumens are graded on a:

  • Credes (C) scale
  • French (F) scale
  • Kegel (K) scale
  • All of the above
  • None of the above

SITUATION: Half of all leukemias are classified as acute. The rapid onset and progression of disease result in 100% mortality within days to months without appropriate therapy The client with thrombocytopenia secondary to leukemia develops epistaxis. The nurse should instruct the client to:

  • Lie supine with his neck extended
  • Sit upright, leaning slightly forward
  • Blow his nose and then put lateral pressure on his nose
  • Hold his nose while bending forward at the waist

_____ in the bladder are stimulated as the urine collects, eventually causing the desire to void.

  • stretch receptors

SITUATION: Mrs. Romero, an elderly tube-fed resident from a nursing home is admitted with recent changes in level of consciousness. Her skin and mouth are very dry, and her urine is scant and dark yellow. Laboratory assessment reveals sodium, 150 mEq/dl; chloride, 106 mEq/dl; BUN, 25 mg/dl; and creatinine, 1.2 Mrs. Romero's family calls and wants to know "if she will make it?"' How would the nurse respond?

  • “Mrs. Romero has already been stabilized; you might want to come see her”
  • “Mrs. Romero needs you; it is better that you come by”
  • “I am not allowed to provide any information over the phone… it is better for you to visit her”
  • “I am not allowed to discuss this matter with you, please wait while I call the attending physician”

Overflow incontience is:

  • Continuous and unpredicaable loss of urine, resulting from surger, physical malformation, or trauma.
  • The involuntary loss of urine that occurs soon after feeling an urgency to void
  • Urine loss caused by the inability to reach the toilet
  • Experiencing emptying of the bladder without the sensation of the need to void
  • The involunary loss of urine associated with overdistension of the bladder

Drugs known to be ______ are capable of causing kidney damage

  • nephrotoxic

Obtaining a specimen for routine uralysis requires ____ technique

  • Medical aseptic technique
  • Sterile technique
  • Surgical technique

When preparing ateaching plan for a client who is to receive a rubella vaccine during thepostpartum period, the nurse should include which of the following?

  • The vaccine prevents a future fetus from developing congenital anomalies.
  • Pregnancy should be avoided for 3 months after the immunization.
  • The client should avoid contact with children diagnosed with rubella.
  • The injection will provide immunity against the 7-day measles.

A continent ___ is a surgical alternative that uses a section of the intestine to create an internal reservoire that holds urine. It uses an external stoma that must b e catheterized at regular intervals to drain the urine that has collected in the reservoir.

  • urostomy

Requires advanced educational or nursing practice and must be certified by a government body that they may practice so.

  • Nurse Specialist
  • Nurse Clinician
  • Nurse Practitioner
  • Nurse Generalist
  • Change Agent

SITUATION: As health care providers, nurses deal with allergic conditions far more than might be suspected. Allergic rhinitis, asthma, and dermatitis are just a few examples of these immunologic diseases A one year old male was brought to the outpatient department due to red, pruritic rashes on the cheeks and forehead. After consultation with the pediatrician, the nurse makes her home instructions which include all of the following. Select all that apply: 1. Use gentle soaps; 2. Instruct parent to keep fingernails of her child trimmed; 3. Bathe the child in a cool water to soothe itching; 4. Apply petroleum jelly to affected areas after bathing

  • 1 and 4
  • 1, 3 and 4
  • 1, 2 and 4
  • 1, 2, 3, and 4

Which of the followingclient statements indicates that the nurse’s teaching about oral contraceptiveagents has been successful?

  • “Despite their effectiveness, about 25% of women stop taking them after 1 year.”
  • “These agents usually only cause a few minor advrse effects when you take them.”
  • “Oral contraceptives inhibit ovulation and change the consistency of cervical mucus.”
  • “I can make these drugs more effective by monitoring my basal body temperature.”

Experiencing overflow incontiennce and functional incontinence is considere to be what kind of incontience,

  • mixed
  • mixed
  • mixed incontinence

During a home visit onthe fifth postpartum day, the client begins to cry and says that she is worriedabout her ability to care for her baby adequately. She tells the nurse. “I wishI could just get organized…I need 8 hours of sleep!” The nurse determines thatshe is experiencing which of the following?

  • Taking-in phase of childbearing; she is exhibiting typical signs of adaptation.
  • Postpartum blues phase of childbearing; she needs psychological counseling.
  • Letting-go phase of childbearing; she needs help to assume the maternal role.
  • Taking-hold phase of childbearing; she is feeling inadequate about neonatal care.

Some causes of decreased muscles tone does not include which of the following:

  • Muscle atrophy
  • Exercise
  • Trauma
  • Foley catheter
  • Immobility

Facilitates understanding and collaboration of nursing actions with their clients and other member of the health care team.

  • Leader
  • Communicator
  • Teacher
  • Researcher
  • Manager

Normally, the kidneys _____ be palpated, generally requring ______ palpation.

  • Can't; electronic
  • Can; light
  • Can; superficial
  • Can; deep
  • Can; electronic

SITUATION: Anemia may be due to acute or chronic blood loss. Increased destruction of RBCs can result from extrinsic sources, antibodies as in transfusion mismatch or from infectious agents and toxins A physician has ordered a transfusion of whole blood for a client who had repair of a dissecting abdominal aortic aneurysm. What action should the nurse take after the transfusion has been initiated?

  • Check the client’s vital signs every half hour
  • Add the total number of milliliters transfused to the intake and output
  • Discontinue the primary IV of dextrose
  • Stay with the client for 15 minutes to assess for any reactions

Diuretics are commonly used in the treatment of:

  • Low blood pressure
  • High blood pressure
  • Low blood sugar
  • High blood sugar
  • None of the above

Investigates the role of nurses which further improves the nursing practice.

  • Teacher
  • Manager
  • Client Advocate
  • Change Agent
  • Researcher

One should apply lubricant to a catheter before inserting it into a male patient.

  • True
  • False

A _____ _____ is a cutaneous urinary diversion. It involves a surgical resection of the small intestine, with transplantation of the ureters to the isolated segment of small bowel. This separated section of th esmall intestine is then brought to the This diversion requires external appliances to collect the urine.

  • ileal conduit

_____ is a measure of the density of urine compared with the density of water.

  • specific gravity

Which of the followingbehaviors by a neonate attempting an initial feeding should indicate to thenurse that the neonate may have tracheoesophageal fistula?

  • Sucking attempts that are too poorly coordinated to be effective.
  • Projectile vomiting that occurs after drinking 4 oz.
  • Coughing, choking, and cyanosis that occur after several swallows of formula.
  • Sleeping that occurs after taking 10 ml of formula with an inability to be stimulated to take more.

Bacteria in the urine is called

  • bacteriuria

SITUATION: As health care providers, nurses deal with allergic conditions far more than might be suspected. Allergic rhinitis, asthma, and dermatitis are just a few examples of these immunologic diseases The key nursing diagnosis for the client with hypersensitivity disorders is:

  • Altered health maintenance related to lack of knowledge of disease process, treatment regimen and risk control methods
  • Knowledge deficit; health promotion related to lack of informative sources regarding hypersensitivity disorders
  • Risk for illness or injury related to unawareness of risk control methods
  • Impaired psychosocial adjustment related to lack of health promotion behaviors

____ is the intentional or involuntary urination into bed or clothes that occurs after an urge when contience should be prese t,

  • enuresis

When the nurse isteaching a group of parents about common childhood problems, a parent asks,“Why are children more likely to develop ear infections than adults are?” Thenurse bases the response to this question on the understanding that the keyanatomic difference between adults and children is due to which of thefollowing structures?

  • Nasopharynx.
  • Eustachian tubes.
  • Ear canals.
  • Tympanic membranes.

Which of the following is used as a manual bladder compression technique?

  • Kegel's maneuver
  • Crede's maneuver
  • Gravity's maneuver
  • All of the above
  • None of the above

Examples of licensed nursing professionals are (SELECT ALL THAT APPLY)

  • registered nurse
  • registered nurse
  • licensed professional nurse

A nurse can test urine for the presence of glucose, blood, protein, bilirubin, and bacteria.

  • True
  • False

Some antidepressants and B-complex vitamins can turn the urine ______

  • green

Patients can be taught to insert and remove intermittent catheterse themselves

  • True
  • False

Parents of a childwith cystic fibrosis demonstrate knowledge of the effects of hot weather ontheir child when they state that hot weather is hazardous because the child haswhich of the following?

  • Poor ability to concentrate urine.
  • Little skin pigment to prevent sunburn.
  • Poorly functioning temperature control center.
  • Abnormally high salt loss through perspiration.

What type of incontinence appears suddenly and lasts for 6 months or less.

  • transient incontinence
  • transient incontinence
  • transient

A client asks, “Can mypartner and I still engage in sexual intercourse while I’m pregnant?” Thenurse’s response is based on which of the following?

  • Although sexual desire may change, intercourse is safe during an uncomplicated pregnancy.
  • Throughout the pregnancy, coitus interruptus is the preferred method for sexual activity.
  • Engaging in intercourse must be avoided until the client is at least 16 weeks pregnant.
  • The couple should refrain from engaging in sexual intercourse during the last trimester.

Can the bladder be palpated when empty? Percussed?

  • no no
  • no no
  • no. no.
  • no, no

Requires one to have master's degree in nursing and must have specialization in a particular field of nursing

  • Change Agent
  • Nurse Generalist
  • Nurse Practitioner
  • Nurse Specialist
  • Nurse Clinician

SITUATION: Half of all leukemias are classified as acute. The rapid onset and progression of disease result in 100% mortality within days to months without appropriate therapy A patient is undergoing bone marrow transplantation of the sternum. How will the nurse position the patient on the operating table?

  • Reverse Trendelenburg
  • Lateral or supine
  • Supine
  • Jack knife

Nurses help the clients to cope with the stress brought about their health conditions, also facilitates the clients growth in all aspect: physical, emotional, psychological and even spiritual.

  • Change Agent
  • Counselor
  • Researcher
  • Teacher
  • Client Advocate

With micturation, the pressure within the bladder is _____ to the the pressure with the bladder is filling.

  • Less than
  • Greater than
  • Equal to
  • None of the above

A 24-hour output of less than _____ mL is called oliguria

  • 400

_____ is a delay or difficulty in initiating voiding.

  • hesitancy
  • hesitancy
  • hesitency

Performs direct nursing actions in specialty areas. They may or may not have advance education preparation as long as they are certified by a government body to perform such duties.

  • Nurse Clinician
  • Care Provider
  • Nurse Generalist
  • Change Agent
  • Nurse Specialist

SITUATION: Mrs. Romero, an elderly tube-fed resident from a nursing home is admitted with recent changes in level of consciousness. Her skin and mouth are very dry, and her urine is scant and dark yellow. Laboratory assessment reveals sodium, 150 mEq/dl; chloride, 106 mEq/dl; BUN, 25 mg/dl; and creatinine, 1.2 The nurse notes that the blood urea nitrogen (BUN) is 25 mg/dl. Which of the following diseases can be a result of increased BUN?

  • Renal insufficiency
  • Rhabdomyolysis
  • End stage renal disease
  • Glomerulonephritis

The presence of sugar in the urine is known as

  • glycosuria

Examples of an unlicensed nursing professional are (SELECT ALL THAT APPLY)

  • home health aide
  • home health aide
  • registered nurse
  • surgical technician

When instructing spregnant client diagnosed with a chlamydial infection at 28 weeks’ gestation,which of the following should the nurse include about this infection duringpregnancy?

  • Possible central nervous systems disorders in the fetus.
  • Cesarean delivery most likely necessary.
  • Usual treatment with a 10-day course of erythromycin.
  • Possible fetal death before delivery.

If a stoma is dark or purple-blue it suggests:

  • Anemia
  • Ischemia
  • Compromised circulation
  • A and C
  • B and C
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