Reduction of Risk Potential – Part 1

1. Which of the following is an example of emotional neglect?

2. A nurse is assessing an African American client for risks of a pressure ulcer. Which of the following best describes what the nurse might find with an early pressure ulcer in this client?

3. A nurse is preparing to irrigate a client’s indwelling catheter through a closed, intermittent system. Which of the following steps must the nurse take as part of this process?

4. Which of the following is a negative outcome associated with impaired mobility?

5. Which of the following statements best describes foot drop?

6. A client is complaining of pain that starts in the shoulder and travels down the length of his arm. This type of pain is referred to as:

7. You have taken the vital signs for your patient. They are normal for the patient. What should you do next?

8. A procedure that examines a portion of the large intestine with an endoscope is called:

9. Which of the following mental health situations is considered a psychiatric emergency?

10. A nurse is reading a rhythm strip from a cardiac monitor. She counts 6 QRS complexes within a 6-second strip. What is the heart rate?

11. All of the following are complications associated with hypothermia during the perioperative period EXCEPT:

12. A nurse is caring for a client who had a bone marrow transplant two weeks ago. Which of the following is most likely to cause an infection during this time period?

13. Which of the following actions is part of suture removal for a client following surgery?

14. Which of the following statements best describes postural drainage as part of chest physiotherapy?

15. Mr. R has come into the emergency room after an injury at work in which his upper body was pinned between two pieces of equipment. The nurse notes bruising in the upper abdomen and chest. He is complaining of sharp chest pain, he has difficulty with breathing, and his trachea is deviated to the left side. Which of the following conditions are these symptoms most closely associated with?

16. The physician has decided to perform a thoracentesis based on Mr. R’s assessment. Which of the following actions from the nurse is most appropriate?

17. A systolic blood pressure of 145 mm Hg is classified as:

18. A patient who refuses to believe a terminal diagnosis is exhibiting:

19. Intermittent fevers are:

20. A patient’s body temperature has varied over the last 24 hours from 97.6 degrees F in the morning to 99 degrees F in the evening. The patient is worried that this change in temperature may indicate the beginning of a fever. Which of the following BEST explains this phenomenon?

21. The most accurate reading for a temperature is done:

22. A patient is in the office for a cyst removal and is very anxious about the procedure. Which of the following descriptions of his respirations would be expected?

23. Rales and rhonchi are frequently noted during an examination of lung sounds. What is the difference between the two?

24. To accurately assess a patient’s respiration rate, which of the following methods would be BEST?

25. A patient is diagnosed with essential hypertension. Which of the following blood pressures would you expect to see in this patient prior to taking medications for his condition?

26. Which of the following is an anthropometric measurement?

27. A nurse is caring for a dying client whose family wants to be with him in the operating suite. The surgeon, however, does not allow families to be present during surgery. The nurse recognizes this as an ethical dilemma. What is the initial step of the nurse when managing this situation?

28. A physician may assess turgor when:

29. When performing an EKG, the patient starts to laugh out of feelings of anxiety. What would you expect the EKG to show? (Choose the BEST answer.)

30. When printing out an EKG, a nurse notices that the QRS complexes are extremely small. What should be the next step?