Fundamentals Of Nursing NCLEX Quiz 33
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.While working in a pediatric clinic. you receive a telephone call from the parent of a 10-year-old who is receiving chemotherapy for leukemia. The client’s sibling has chickenpox. Which of these actions will you anticipate taking next?
- A.
Teach the parents regarding contact and airborne precaution.
- B.
Administer varicella-zoster immune globulin to the client.
- C.
Prepare the client for admission to a private room in the hospital.
- D.
Educate the parent about the correct use of acyclovir (Zovirax).
- 2.Which action will you take to most effectively reduce the incidence of hospital-associated urinary tract infections?
- A.
Teach assistive personnel how to provide good perineal hygiene.
- B.
Ensure that clients have enough adequate fluid intake.
- C.
Limit the use of indwelling foley catheter (IFC).
- D.
Perform dipstick urinalysis for clients with risk factors for UTI.
- 3.You are caring for a client who has been admitted to the hospital with a leg ulcer that is infected with vancomycin-resistant S. aureus (VRSA). Which of these nursing actions can you delegate to an LPN/LVN?
- A.
Obtain wound cultures during dressing changes.
- B.
Plan ways to improve the client’s oral protein intake.
- C.
Assess risk for further skin breakdown.
- D.
Educate the client about home care of the leg ulcer.
- 4.You are the pediatric unit charge nurse today and is working with a new RN. Which action by the new RN requires the most immediate action on your part?
- A.
The new RN tells the nursing assistant to use an N95 respirator mask when caring for a child who has pertussis.
- B.
The new RN places a child who has chemotherapy-induced neutropenia into a negative-pressure room.
- C.
The new RN admits a new client with respiratory syncytial virus (RSV) infection to a room with another child who has RSV.
- D.
The new RN wears goggles to change linens of a client who has diarrhea caused by C. difficile.
- 5.A client comes to the outpatient clinic where you work complaining of abdominal pain. diarrhea. shortness of breath and epistaxis. Which of the following actions would you take first?
- A.
Ask the client about any recent travel to Asia or the Middle East.
- B.
Screening clients for upper respiratory tract symptoms.
- C.
Determine whether the client has had recommended immunizations.
- D.
Call an ambulance to take the client immediately to the hospital.
- 6.A client who has recently traveled to China comes to the emergency department (ED) with increasing shortness of breath and is strongly suspected of having a severe acute respiratory syndrome (SARS). Which of these prescribed actions will you take first?
- A.
Place the client on contact and airborne precautions.
- B.
Obtain blood. urine. and sputum for cultures.
- C.
Administer methylprednisolone (Solu-Medrol) 1 gram/IV.
- D.
Infuse normal saline at 100ml/hr.
- 7.Four clients with infections arrive at the emergency department with some existing infection. however. only one private room is available. Which of the following client is the most appropriate to assign to the private room?
- A.
A client with toxic shock syndrome and a temperature of 102.4°F (39.1°C).
- B.
A client with diarrhea caused by C. difficile.
- C.
A client with a wound infected with VRE.
- D.
A client with a cough who may have Koch disease.
- 8.You are caring for four clients who are receiving IV infusions of normal saline. Which client is at highest risk for bloodstream infections?
- A.
A client who has a midline IV catheter in the left antecubital fossa.
- B.
A client with a peripherally inserted central catheter (PICC) line in the right upper arm.
- C.
A client with an implanted port in the right subclavian vein.
- D.
A client who has nontunneled central line in the left internal jugular vein.
- 9.A client who has frequent watery stools and a possible Clostridium difficile infection is hospitalized with dehydration. Which nursing action should the charge nurse delegated to an LPN/LVN?
- A.
Explaining the purpose of ordered stool cultures to the client and family.
- B.
Administering the ordered metronidazole (Flagyl) 500 mg PO to the client.
- C.
Reviewing the client’s medical history for any risk factors for diarrhea.
- D.
Performing ongoing assessments to determine the client’s hydration.
- 10.You are a school nurse. Which action will you take to have the most impact on the incidence of infectious disease in the school?
- A.
Ensure that students are immunized according to national guidelines.
- B.
Provide written information about infection control to all patients.
- C.
Make soap and water readily available in the classrooms.
- D.
Teach students how to cover their mouths when coughing.
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