Fundamentals Of Nursing NCLEX Quiz 31
All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.
- 1.A child is admitted to the pediatric unit with a diagnosis of suspected meningococcal meningitis. Which of the following nursing measures should the nurse do FIRST?
- A.
Institute seizure precautions
- B.
Assess neurologic status
- C.
Place in respiratory isolation
- D.
Assess vital signs
- 2.A client is diagnosed with methicillin-resistant staphylococcus aureus pneumonia. What type of isolation is MOST appropriate for this client?
- A.
Reverse isolation
- B.
Respiratory isolation
- C.
Standard precautions
- D.
Contact isolation
- 3.Several clients are admitted to an adult medical unit. The nurse would ensure airborne precautions for a client with which of the following medical conditions?
- A.
A diagnosis of AIDS and cytomegalovirus
- B.
A positive PPD with an abnormal chest x-ray
- C.
A tentative diagnosis of viral pneumonia
- D.
Advanced carcinoma of the lung
- 4.Which of the following is the FIRST priority in preventing infections when providing care for a client?
- A.
Handwashing
- B.
Wearing gloves
- C.
Using a barrier between client’s furniture and nurse’s bag
- D.
Wearing gowns and goggles
- 5.An adult woman is admitted to an isolation unit in the hospital after tuberculosis was detected during a pre-employment physical. Although frightened about her diagnosis. she is anxious to cooperate with the therapeutic regimen. The teaching plan includes information regarding the most common means of transmitting the tubercle bacillus from one individual to another. Which contamination is usually responsible?
- A.
Hands.
- B.
Droplet nuclei.
- C.
Milk products.
- D.
Eating utensils.
- 6.A 2-year-old is to be admitted in the pediatric unit. He is diagnosed with febrile seizures. In preparing for his admission. which of the following is the most important nursing action?
- A.
Order a stat admission CBC.
- B.
Place a urine collection bag and specimen cup at the bedside.
- C.
Place a cooling mattress on his bed.
- D.
Pad the side rails of his bed.
- 7.A young adult is being treated for second and third-degree burns over 25% of his body and is now ready for discharge. The nurse evaluates his understanding of discharge instructions relating to wound care and is satisfied that he is prepared for home care when he makes which statement?
- A.
“I will need to take sponge baths at home to avoid exposing the wounds to unsterile bath water.”
- B.
“If any healed areas break open I should first cover them with a sterile dressing and then report it.”
- C.
“I must wear my Jobst elastic garment all day and can only remove it when I’m going to bed.”
- D.
“I can expect occasional periods of low-grade fever and can take Tylenol every 4 hours.”
- 8.An eighty five year old man was admitted for surgery for benign prostatic hypertrophy. Preoperatively he was alert. oriented. cooperative. and knowledgeable about his surgery. Several hours after surgery. the evening nurse found him acutely confused. agitated. and trying to climb over the protective side rails on his bed. The most appropriate nursing intervention that will calm an agitated client is:
- A.
Limit visits by staff.
- B.
Encourage family phone calls.
- C.
Position in a bright. busy area.
- D.
Speak soothingly and provide quiet music.
- 9.Ms. Smith is admitted for internal radiation for cancer of the cervix. The nurse knows the client understands the procedure when she makes which of the following remarks the night before the procedure?
- A.
She says to her husband. “Please bring me a hamburger and french fries tomorrow when you come. I hate hospital food.”
- B.
“I told my daughter who is pregnant to either come to see me tonight or wait until I go home from the hospital.”
- C.
“I understand it will be several weeks before all the radiation leaves my body.”
- D.
“I brought several craft projects to do while the radium is inserted.”
- 10.The nurse in charge is evaluating the infection control procedures on the unit. Which finding indicates a break in technique and the need for education of staff?
- A.
The nurse aide is not wearing gloves when feeding an elderly client.
- B.
A client with active tuberculosis is asked to wear a mask when he leaves his room to go to another department for testing.
- C.
A nurse with open. weeping lesions of the hands puts on gloves before giving direct client care.
- D.
The nurse puts on a mask. a gown. and gloves before entering the room of a client on strict isolation.
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