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Nursing 130 - Practice Test 2 Questions With Correct Detailed Answers.
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Nursing 130 - Practice Test 2 Questions With Correct Detailed Answers.
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Nursing 130 - Practice Test 2 QuestionsWith Correct Detailed Answers.
C - ANSWER- The nurse's first action after discovering an electrical fire in a patient's
room is to:
a. Activate the fire alarm
b. Confine the fire by closing all doors and windows.
c. Remove all patients in immediate danger.
d. Extinguish the fire by using the nearest fire extinguisher.
C - ANSWER- The parent calls the pediatrician's office frantic about the bottle of cleaner
that her 2-year-old son drank. Which of the following is the most important instruction
the nurse gives to this parent?
a. Give the child milk.
b. Give the child syrup of ipecac.
c. Call the poison control center.
d. Take the child to the emergency department.
D - ANSWER- The nursing assessment on a 78-year-old woman reveals shuffling gait,
decreased balance, and instability. On the basis of the patient's data, which one of the
following nursing diagnoses indicates an understanding of the assessment findings?
a. Activity to intolerance
b. Impaired bed mobility
c. Acute pain
d. Risk for falls
D - ANSWER- A couple is with their adolescent daughter for a school physical and state
they are worried about all the safety risks affecting this age. What is the greatest risk for
injury for an adolescent?
a. Home accidents
b. Physiological changes of aging
c. Poisoning and child abduction
d. Automobile accidents, suicide, and substance abuse
B F G - ANSWER- The nurse found a 68-year-old female patient wandering in the hall.
The patient says she is looking for the bathroom. Which interventions are appropriate to
ensure the safety of the patient? (Select all that apply)
a. Insert a urinary catheter.
,b. Leave a night light on in the bathroom.
c. Ask the physician to order a restraint.
d. Keep the bed in low position with upper and lower side rails up.
e. Assign a staff member to stay with the patient.
f. Provide scheduled toileting during the night shift.
g. Keep the pathway from the bed to the bathroom clear.
C D F - ANSWER- The family of a patient who is confused and ambulatory insists that
all four side rails be up when the patient is alone. What is the best action to take in this
situation? (Select 3)
a. Contact the nursing supervisor.
b. Restrict the family's visiting privileges.
c. Ask the family to stay with the patient if possible.
d. Inform the family of the risks associated with side-rail use.
e. Thank the family for being conscientious and put the four rails up.
f. Discuss alternatives with the family that are appropriate for this patient.
D - ANSWER- A child in the hospital starts to have a grand mal seizure while playing in
the playroom. What is your most important nursing intervention during this situation?
a. Being cardiopulmonary respiration.
b. Restrain the child to prevent injury.
c. Place a tongue blade over the tongue to prevent aspiration.
d. Clear the area around the child to protect the child from injury.
A - ANSWER- A 62-year-old woman is being discharged to home with her husband
after surgery for a hip fracture from a fall at home. When providing discharge teaching
about home safety to this patient and her husband, the nurse knows that:
a. A safe environment promotes patient activity.
b. Assessment focuses on environmental factors only.
c. Teaching home safety is difficult to do in the hospital setting.
d. Most accidents in the older adult are caused by lifestyle factors.
A - ANSWER- The nursing assessment of an 80-year-old patient who demonstrates
some confusion but no anxiety reveals that the patient is a fall risk because she
continues to get out of bed without help despite frequent reminders. The initial nursing
intervention to prevent falls for this patient is to:
a. Place a bed alarm device on the bed.
b. Place the patient in a belt restraint.
c. Provide one-on-one observation of the patient.
d. Apply wrist restraints.
,A C D - ANSWER- To ensure the safe use of oxygen in the home by a patient, which of
the following teaching points does the nurse include? (Select 3)
a. Smoking is prohibited around oxygen.
b. Demonstrate how to adjust the oxygen flow rate based on patient symptoms.
c. Do not use electrical equipment around oxygen.
d. Special precautions may be required when traveling with oxygen.
A B C - ANSWER- How does the nurse support a culture of safety? (Select 3)
a. Completing incident reports when appropriate.
b. Completing incident reports for a near miss.
c. Communicating product concerns to an immediate supervisor.
d. Identifying the person responsible for an incident.
A - ANSWER- At 3am, the emergency department nurse hears that a tornado hit the
east side of town. What action does the nurse take first?
a. Prepare for an influx of patients.
b. Contract the American Red Cross.
c. Determine how to restore essential services.
d. Evacuate patients per the disaster plan.
C - ANSWER- The nurse is providing education on sexually transmitted infections
(STIs) to a group of adolescents. The nurse knows that further teaching is needed when
one of the adolescents states:
a. "A vaccine is available to reduce infection from certain types of human
papillomavirus."
b. "I should be screened for an STI after I am with a new partner."
c. "I know I'm not infected if I don't have any symptoms such as discharge or sores."
d. "A viral infection such as herpes or human papillomavirus cannot be treated with
antibiotics."
B - ANSWER- A 25-year-old patient is in the emergency department and states that she
has had a cough and fever for the past 3 days. While performing a physical
assessment, the nurse finds several bruises that are in various stages of healing and
suspects that the patient possible is a victim of sexual abuse. Which of the following is
the nurse's first action?
a. Refer the patient to a sexual counselor..
b. Tell the patient about the safe house for women.
c. Ask the patient to describe how she got the bruises.
d. Report the abuse immediately to the proper authorities.
, B - ANSWER- A 26-year-old married woman recently discovered that she is pregnant
and is at her first prenatal visit. While assessing the patient, the woman's health nurse
practitioner discovers that she has purulent vaginal discharge. The patient states, "It
burns when I urinate, and I seem to have to go to the bathroom frequently." Based on
these symptoms, the nurse practitioner determines that further follow-up is needed
because the patient:
a. Should be tested for human immunodeficiency virus (HIV).
b. May have a sexually transmitted infection (STI) such as chlamydia.
c. Is experiencing normal signs of pregnancy.
d. Needs education on proper perineal hygiene.
A B C - ANSWER- A new graduate nurse is working in a rehabilitation center that
specializes in the care of patients with spinal cord injuries (SCIs). The new graduate
knows that sexual issues are common among patients with SCIs. Which of the following
actions enhances the nurse's comfort in discussing sexual issues with the patients?
(Select 3)
a. Clarifying personal values related to sexuality.
b. Role playing discussion of sexual concerns with another nurse.
c. Attending a conference to enhance knowledge about sexuality.
d. Avoiding a discussion of sexual concerns until after completing new nurse orientation.
B - ANSWER- The nurse is gathering a sexual history from a 68-year-old man in a
nursing home. It is important for the nurse to keep in mind that:
a. Older adults are usually not part of a sexual minority group.
b. Older adults sometimes do not reveal intimate details.
c. Older men and women lose their interest in sex.
d. Older adults in nursing homes do not usually participate in sexual activity.
A D - ANSWER- Certain cultural groups in the United States are disproportionately
affected by diseases such as HIV and AIDS. The nurse understands that this is most
likely caused by: (Select 2)
a. Expectations about behavior by men or women in the culture.
b. Higher percentages of lesbian, gay, bisexual, or transgender individuals in the
culture.
c. Genetic predisposition to the disease in the culture.
d. Communication patterns and language practiced by the culture.
A - ANSWER- Since the majority of sexually transmitted infections (STIs) have few if
any symptoms, it is important for the nurse to:
a. Encourage regular screenings in all sexually active individuals.
b. Provide information about contraception options.
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