Question

1) A nurse initiated contact preacautions for a hospital acquired infection caused by Methicillin resistant Staphyloccurs aureus (MRSA). The nurse us assessing a pateints oozing pressure ulcer , which protectice items should you obtain.

A) gloves and goggles

B) gloves goggles , shoe protectors

C) gloces , gown, mask and goggles

D) gloves and gown .

2) the nurse knows that the patient requires further education about safety precautions for using oxygen at home when he stares the following:

A) smoking is permitted when oxyfen is in use

B) fine extinguishers need to be stored in the home .

C) oxygen is combustible yse wjth caution

D) Dont bring oxygen tank whike cooking at the stove .

3) A Pt with a history of recent seizure activity is being discharged home. the famiky is asking what the fiest thing theh should do if their famiky memeber were ti have seizure again. what intervention would yky need to be done first by the family ?

A) turn to the side

B) remive tighr clothing

C) suppirt and protect the head

D) ease the oatient to the floor if sitting

4) which assessment of immobilized client would promot the nurse to take further action ?

A) client report fatigue

B) urinary output of 50ml/hr

C) white blood cell count of 9.5

D) diminished bowel sounds

5) The nurse determines the patient is at risk for falls implement falls precautions which of the following axtiins woukd indicare the nurse requires further teaching regarding falls preacuations ?

A) place the patient personal slippers on the feet before ambulation

B) Place the bed in the lowest position before ambulation

C ) place a falls precaution sign on tbe door outside the room

D ) place the yellow falls precaution wrist band on the patient .

6) A 75 years old man client is beinf disxharged on anticoagulant therapy. The nurse is providing discharged instructions. Which of the following statements indicate effective patient teaching regarding activites of daily living .

A) " i will need to shave once a week, and brush my testh with a soft bristle toothbrush to prevent bleeding "

B) i will weae shoes when walking around the house to prevent injury and use a firm bristle toothbrush to prevent bleeding.

C) i will usw an eletric shaver when shaving to prevent bleeding and brush my teeth with a soft bristle toothbrush to prevent bleeding .

7) A nurse is going to administer Toradol 25mg IV prn pain. What would be the most appropriate action when admininistering the medication ?

A) Give the patient toradol, as it was meant to be written .

B) Administer the medication and monitor the patient frequently .

C) Refuse to gice the medication and notify the nurse supervisor.

D) call the health care provider to clarify the order.

8) The nurse is preparing to administer an injection into the deltoid muscle of an average sized adult partient . Which needs suze and length will the nurse choose ?

A) 16 gauge x 1 1/1 inch

B) 23g x 1/2 inch

C) 25g x 1 inch

D) 27g x 5/8 inch

9) The nurse is evaluating the care of her patient utilizing crutches for the first time which finiding indicates proper use/fit ?

A) The too of the crutch is two to three 2(in) finger widths the armpit

B) The elbows are slightly flexed at 35-45 degrees when the patient us standing

C) The tip of the crutch is 6-12 inches anterior to the front of the patients shoes

D) the position of the handgrips allows the axilla to support the patient body weight

10) Musculoskeletal disorder are the mosr prevalent and debilitating occupational health hazards for nurses. To reduce the risk of these injuries the american nurses association advocates which of the following ?

A) mandate the physical therpaists do all patients transfers

B) require adequare staffing levels in healthcare organization

C) requirw the use of assistive devices

D) require an adequate number of staff to be involved in all patient transfers.

11) Musculoskeletal disorder are the most prevalent and debilitating occupational health hazards for nurses. To reduce the risk of these injuries, the american nurses association advocated which of the following ?

A) mandate the physicak therapist so all parient transfers

B) require adequate staffing levels in healthxare organization

C) Require the use of assistife devices

D) require an adequate number of staff to be involved in all patient transfers.

12) which medication order is complete and doesnt require further clarification ?

A) Morphine 2mg injection every 4hrs pain

B) Demerol 25mg IM prn pain

C) Toradol 50mg IM very 6hr for pain

D) Tylenol 100mg every 6hr for pain

13) the infectiin control nurse observes the unit and identifies the break in the chain of infection is directly related to the knowledge gaps of preventing infection ar the mode of transmission. which of the followinf actuins will assist in breaking the chain of infection related to the mode of transmission ? Select all that apply ?

A) Maintainung abdominal dressing for a patient that iust had surgery today .

B) after administering an injectiin to a patient recap the used needle befoee discarding

C) wearing clean gloves when placing a pt used tissues into the garbage in the room

D) washing your hands with alchohol based hand sanitizer after carjng fir a patient with C diff

E) wearing a gown and gloves when caring for a pateint thar was diagnosed with shigella.

14) As a student nurse you are planning to develop a concept map for your patient yoy know that yoy will have to include main 5 componenets of the nursing process to include in your plan for the patient . Select all that apply ?

A ) medical DX

B) Implementation

C) Assessment

D) priority

E) evaluation

15) you need to complete I and O for the following pt from 7am to 12 noon the pt ingested at breakfast 6oz coffee with 2 oz milk. also dranj 236 ML juice . The IV is infusing at 250 ML per hr. She urinated 475 ML at 8 ans 425 at 12 at noon.

A) intajw 1726/ output 900

B) intake 1696/ output 475

C) intake 726/ output 425

D) intaje 1236/ output 875

16) the patient is to receive 8 units of NPH insulin at 730am. In addition the patjent is scheduled to recieve 10 units of NPH at bedtime . The parient also recieves 4 unirs of refular insulin with meals. In addition the parient will recieve regulad insulin based off the sliding with meals

blood sugar value # of units of regular insulin

0-149 0 units

150-200 2 units

201-249. 4 units

250-300. 6 units

301-350. 8 units

Geantee than 300 Call MD

if the 7:30 blood sugar is 202 how many of regular insulin will the patien receieve ?

A) 4 units

B) 2 units

C) 10 units

D) 8 units .

Answer 1

1- CDC currently recommends contact precautions a method to prevent transmissions of MRSA in health care settingings. PPE sucha s gloves and a gown act as barrier between the individual and infectious agents suuch as MRSA.Gloves are to be worn when caring for a patient with an MRSA infection.A gown may also be required depending on the activities to be completed.MRSA usually spread in the community by contact with infected people or things that are carrying the bacteria.This include contact with a contaminated wound or by sharing personal items.

Hense Option D Gloves and Gown is the correct answer.

2- Smoking around oxygen is extremly dangerous and may cause clothing and hair to catch fire and burn much more vigorously than in air.Never smoke or allow someone else to smoke nearby whilst using oxygen equipment.Here the statements by the patients B,C,D staes that he understood the teaching because always keep fire extiguishers at home while using oxygen therpy in home set up .

Hense option A is the answer.

3- The first aid treatment for seizures aimed at keeping the person safe until the seizure stops on its own.This include

• Keep other people out of the way.
• Clear hard or sharp objects away from the person
• Dont't try to hold her down or stop the movements
• Place her on her side to keep the airwau clear.
• look at the watch and count time of duration
• Dont put anything in mouth.

Hense the option A is the correct answer ..Turn to the side to keep the airway open.

4- Diminished bowel sounds is a sign that intestinal activity has slowed.Hypoactive bowel sounds are normal during sleep.

Hense the option D is the answer.

5- There are some strategies to prevent patient from falls include,

• Make it easy to identify high risk patients
• Provide safety companions
• Keep the patient on siderails
• Set bed alarms
• Do safety rounds.

Wear footwera that has a lot of contact with the ground such as shoes with a flat or low wide wheel .The sole of the footwear should have a good grip .Wear shoes with a non slip sole in your home rather than socks or personal slippers.

Hense the option A is the correct answers.

6- While on anticoagulation therapy always take precautions to avoid bleeding risks,It can be prevented by usnig electric razors for shaving and using soft bristle toothbrush to brush the teeeth.

The option C is the correct answer.

7- Some of these medicines are prescribed for the patient by the doctor means medicines that are taken as needed ,so no need to call the doctor that time.Adminster the medicine correctly and observe the patient for its effect and reaction.

Hense the option B is the answer.

8- The deltoid muscle is most often used as the site for IM injections in adults.Needle length is usually 1-1/2 ",22-25 gauge ,but longer or shorter needle may be needed depending on the patients weight.

Hense the option C 25g*1 inch is teh answer.

9-The elbow are slightly flexed at 35-45 degrees when the patient stands .

Answer is option B

10-Mandate physical therapist do all patients trasfer.

11-option A is the answer

12- option C is the answer,in this route ,frequency and dose of the drug is mentioned.

13- Maintainig dressin over the surgical site is the way to prevent infection.Also Wear gloves when disoposing the patients bosy fluids or tissues.For caring a patient with shigella nneds contact precautions,so need to wear gown and gloves.Never recap the needles after use to prevent needle stick injuries.Alcohol based hand rubs are an effective means of decreassing the transmission of bacterial pathogens.Alcohol is not effective againist Clostridium difficille spores.

Hense the options A,C,E are the correct answers.

14-The nursing process have 5 componenets they are Assessment,diagnosis,planning,implementation and evaluation.

Hense the option A,B,C,E are the correct options.

15- answer is option A -1726intake and output 900

16- according to sliding scale 4 units is needed ,option A is the answer.