Kaplan Q Bank Test Study Questions and Answers

Kaplan Q Bank Test Study Questions and Answers A client's adult child greets the home care nurse at the entrance of the client's home. The adult child asks the nurse about the mother's condition. What should the nurse ...

Kaplan Q Bank Test Study Questions and Answers A client's adult child greets the home care nurse at the entrance of the client's home. The adult child asks the nurse about the mother's condition. What should the nurse reply? "I'll need to get your mother's permission before I can share information with you." The nurse provides care for a client in an outpatient clinic who reports vaginal itching. What recommendation to the pt by the nurse is appropriate? "Wear underwear that is lined with a cotton crotch." 00:0301:27 The circulating nurse assesses a pt's care during the peri-operative period. What surgery staff action, observed by the nurse, requires follow up? (Select all) Surgical nurse #1 removes their hair cap Surgical nurse #2 shaved the pt's hair at the operative site (Pt's hair should be clipped, shaving increases the risk of infection) The surgical assistant's shirt is outside the pants Surgical nurse #3 reports a cough Surgical nurse #4 has acrylic nails What task does the nurse properly delegate to the UAP? (Select all) *Determine whether pain med is effective *Measure the diameter of the pt's calf *Obtain midstream urine specimen *Cleanse a superficial wound with an antiseptic solution *Measure a pt's rectal temp *Provide d/c paperwork to a pt prior to d/c Measure the diameter of the pt's calf Obtain a midstream urine specimen Cleanse a superficial wound with an antiseptic solution Measure a pt's rectal temp The ED triage nurse has a limited number of open beds. What pt does the nurse place in the emergency bed? (Select all) * 17 y.o who intentionally ingested 15 acetaminophen tabs prior to arrival * 24 y.o pt who reports dental pain, rating pain 10/10 on pain scale * 63 y.o pt who reports severe, localized H/A with no history of H/A * 77 y.o pt who has generalized weakness for the past day * 88 y.o pt who has a rash, and whose spouse is being treated with permethrin cream. * 92 y.o pt who is requesting suture removal, with dehiscence noted at site. 17 y.o who ingested acetaminophen (pt requires activated charcoal and possible administration of acetylcysteine) 63 y.o reporting H/A without history (Requires head CT to rule out hemorrhage) 77 y.o who has generalized weakness for the past day (Requires assessment and diagnostic work-up to exclude MI, electrolyte imbalance, and stroke) A pt with history of diabetes mellitus and asthma takes high-dose corticosteroids. What dermatologic complications will the nurse assess in this pt? (Select all) * Delayed wound healing * Skin pigmentation changes * Alopecia * Erythematous plaques on legs * Decreased subcutaneous fat over extremities Delayed wound healing (Corticosteroids won't delay wound healing) Erythematous plaques on legs (Erythematous plaques on the legs is related to diabetes) Decreased subcutaneous fat over extremities (Decreased subcutaneous fat in the extremities is related to both diabetes and corticosteroids) (Corticosteroids and diabetes do not cause skin pigmentation; Corticosteroids, diabetes, or asthma do not cause alopecia). The nurse provides care to an adult pt with newly-diagnosed rheumatoid arthritis (RA). What information would the nurse include in the pt's discharge instructions? "Move your joints as much as you can each day." The nurse provides care for an infant immediately after a surgical procedure. What nursing action is most important? Encourage the parents to stroke the infant (Tactile stimulation is imperative for an infant's emotional development and provides essential comfort). The nurse provides care to a school-aged pt diagnosed with terminal cancer. What nurse action offers support to the family during the terminal stages of the illness? Assure the family that they will receive support after discharge. The nurse provides care for a pt who just returned from surgery after a right total knee replacement. It is important for the nurse to take what action? Apply sequential compression devices to the lower extremities. The parish nurse knows that it is most important to encourage which parishioner to obtain screening for prostate cancer? An African-American middle-aged adult factory worker in automobile tire manufacturing. (Prostate cancer is most commonly found in men 50+. African Americans are affecte more than other ethnic groups. Occupation and environment are other definite risk factors, particularly exposure to carcinogens found in urban areas and in occupations such as fertilizer, rubber, and textile industries) The nurse conducts a grief support group at the community mental health center. What pt will the nurse identify as needing additional assistance before participating in this group? Middle-aged female who started drinking after the sudden death of her spouse 6 months ago. 00:0301:27 The nurse in the emergency department provides care for a pt admitted with a possible cervical spinal cord injury (SCI). What action would the nurse perform first? Auscultate respirations