What is the sing most important means of controlling and preventing the spread of infections?
A. Wearing goggles
B. Hand washing
C. Wearing gloves
D. wearing gown
B. hand washing
What observation should you report to the register nurse when caring for a patient with peritoneal dialysis catheter?
A. purulent drainage
B. Tubing visible under skin
C. Absorbent gauze over site
D. Clamped catheter
A. Purulent drainage
Which of the following is the route of administration of a drug that is placed under the tongue?
A. Buccal
B. Transdermal
C. Topical
D. Sublingual
D. Sublingual
What communication technique would you attempt when asking hard of hearing patient to write their pain score on paper and you still don’t understand what it says?
A. Confirm what was written with the family member at the bedside
B. Request a medical interpreter
C. Document the last recorded pain number
D. Ask the patient to point to their pain level on a scale
D. Ask the patient to point to their pain level on a scale
For a patient with acute pancreatitis who is experiencing abdominal pain , what diet orders do you expect to be in the plan of care?
A. Nasogastric tube flushes
B. Clear liquid diet
C. Nothing by mouth
D. Out of bed to chair with meals
C. Nothing by mouth
The CNA tells you that a patient who is nonverbal has grimacing look on their face. What is the first thing that you should do?
A. Tell the CNA to make sure the patient is repositioned and brief is dry
B. Tell the CNA is just how the patient loo
C. Immediately go check on the patient
D. Wait for your next med pas to check the patient
C. Immediately go check on the patient
What is the most common sign of hypoxia?
A. Elevated blood pressure
B. Low blood glucose
C. Cyanotic lips and fingernails
D. Increased shivering
C. Cyanotic lips and fingernails
Your patient has suddenly developed slurred speech and ride side weakness, what should you do FIRST?
A. Call for help
B. Sit their head of bed upright
C. Contact their family
D. Request order soft diet
A. Call for help
You are performing a routine follow up visit on an elderly patient and observe he is exhibiting symptoms of dehydration and complaints of persistent fatigue. The patient reports that his care-taker only feeds him once per day and limits his fluid intake. You suspect the patient is?
A. Neglect
B. Sexual abuse
C. Abandonment
D. Physical abuse
A. Neglect
A65- year old smoker with a history of high blood pressure present to an ambulatory setting with eye complaints and facial paralysis. Which of the following vital signs would you find MOST alarming?
A. Oxygen saturation of 94%
B. temperature of 99. 6F
C. Blood pressure of 200/100
D. Resting heart rate of 95 bpm
C. Blood pressure of 200/100
Older patients are at risk for which of the following condition?
A. Increased gastric motility
B. Increased pain treshold
C. Increased skin elastisity
D. Increased cardiact output
B. Increased pain treshold
A middle aged patient is very irritable and moody with staff during medication pass. What can you do to decrease the mood swings and make medication pass go smoothly?
A. Instruct the patient to calm down and raise voice if necessary
B. Tell the patient to have better attitue with the nurse
C. Smile and introduce yourself when entering the room
D. Document refusal without attempting to administer medication
C. Smile and introduce yourself when entering the room
You are carying a patient who is at risk of skin breakdown. What intervention do you expect will be aprt of care/
A. Placement of foam pillow under hips 8 hours a day
B. turn and position frequently
C. Frequent baths
D. strict bed rest with frequent gressing changes
B. turn and position frequently
What can help prevent delirium and functional decline in a patient with dementia?
A. Offering water
B. Ambulation
C. Pain medication
D. One to one sitter
Either B or C
What is test is used to evaluate long-term glucose control for patients with diabetes?
A. Hemoglobin A1C
b. Cholesterole
C. Glucose tolerance test
D. fasting glucose
A. Hemoglobin A1C
A 40-year-old female who had hip surgery with complications 24 hours ago wnats to use the restrrom in her briefs. her order are to return to doing ADLsindependently as soon as possible. What is the mostapropriate response?
A. Encourage her to use the beside cammode
B. Call the CNA to clean her up
C. Toss her a roll of tissue and walk out of the room
D. Tell her its Ok to continue to use her brief
A. Encourage her to use the beside cammode
which normal findings are present in a healthy neonate?
A. sucking and grasping
B. Projectile vommiting and diarrhea
C. letahrgy and pallor
D. Cooing and talking
A. sucking and grasping
Which of the following can be a complication of untreated hypertension?
A. hair loss
B. Stroke
C. hearing loss
D. Bowel blockage
B. Stroke
A 70-year-old patient that knows very little English was admitted to along term care facility. What is best way to communicate what you are about to do during your med pass/
A. tell her what you are doing and hopse she understands
B. Contact appropriate interpreter services to explian the process
C. Place medication on bedside table and walk away
D. use hand gesture to mimic what you are going to do
B. Contact appropriate interpreter services to explian the process
Which aeptic technique would be used when perfroming a standard daily task?
A. Surgical
B. Sterile
C. Medical
D. Clean
C. Medical
When dicontinuing an indwelling urinary catheter, how should you deflate the balloon?
A. Keep the syringe connected while withdrawing the catheter
B. Keep the syrine connected until stop filling
C. Fill the syringe with exactly 10 mL then remove it
D. Remove the syrine once it reaches 8ml
B. Keep the syrine connected until stop filling
You have just administered furosemide (Lasix) to an older, confused patient. What intervention is MOST important to keep the patient safe?
A. Observe the patient’s skin
B. Adhere to fall precatution
C. Sit with the patient for 15 minutes
D. Administer supplemental potassium
B. Adhere to fall precatution
How should you stabilize a mechanichal lift before using it?
A. Secure the strap to the lift
B. Move the lift next to the patient
C. Open the lift legs fully
D. Brace the handle with two hands
C. Open the lift legs fully
You habe been asked to take a specimen immediately to the lab. What must you do FISRT?
A. Confirm the specimen label and patient name
B. Insert the specimen in biohazard bag
C. Place the specimen in a bag with ice
D. Confirm the use of specimen fixative
A. Confirm the specimen label and patient name
During the evaluation of a 2 year old you can expect to observe which of the following?
A. Uses a cup to drink
B. uses a knife to cut food
C. Pours ghis own milk in a cup
D. Ties his shoes
A or D?
What should you tell a visitor who is coughing, and has a fever who would like to visit a patient on the oncology?
A. Ask them to couch into their arm and wash their hands
B. Ask them if they have visited their provider
C. Inform them that they should visit when they feel better
D. Inform them that they need to wear N-95 mask yo enter the room
C. Inform them that they should visit when they feel better