EX106B2

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Author:
ndarlenebeck
ID:
295991
Filename:
EX106B2
Updated:
2015-02-17 10:59:58
Tags:
Excelsior
Folders:
Excelsior
Description:
Excelsior Form B
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  1. For which condition should the nurse expect to apply cold compresses?
    A) conjunctivities
    B) keratitis
    C) retinitis
    D) iritis
    A) conjunctivities
    (this multiple choice question has been scrambled)
  2. The nurse is providing postoperative teaching for a patient who has had middle-ear surgery. Which response by the patient indicates that the patient understands the instructions?
    A) "I should report abnormal popping and crackling in my ear."
    B) "I may blow my nose with my mouth closed two to three days after surgery."
    C) "I should avoid lifting straining, and bending over the three weeks."
    D) "I may change the packing after 24 hours."
    C) "I should avoid lifting straining and bending over the three weeks.
    (this multiple choice question has been scrambled)
  3. What is the expected effect of administering a miotic medication to a patient with chronic glaucoma?
    A) to increase the outflow of aqueous humor
    B) to increase intraocular pressure
    C) to promote healing of the iris
    D) to promote dilation of the pupil
    A) to increase the outflow of aqueous humor
    (this multiple choice question has been scrambled)
  4. What is the expected goal for a patient with glaucoma who is being treated with a beta-adrenergic agonist?
    A) decreased intraocular pressure
    B) absence of scar tissue
    C) thickening of the lenses
    D) improved retinal blood flow
    A) decreased intraocular pressure
    (this multiple choice question has been scrambled)
  5. Which nursing action is assistive to the care of a patient who has advanced glaucoma?
    A) encourages the patient to use magnifying devices
    B) minimizes the glare from bright lights
    C) places objects directly in front of the patient
    D) assists the patient to self-administer eye lubricants.
    C) places objects directly in front of the patient
    (this multiple choice question has been scrambled)
  6. Which part of the brain is the major receiving area for sensory nerves?
    A) cerebrum
    B) thalamus
    C) cerebellum
    D) pons
    B) thalamus
    (this multiple choice question has been scrambled)
  7. Which statement made by a patient being discharged following treatment for a corneal abrasion of the right eye indicates that the nurse's teaching has been successful?
    A) "I should leave the patch in place until I return to see the doctor in two weeks."
    B) "I should remove the patch and irrigate my eye with a saline solution every two hours.?
    C) "I should not drive the car or truck while wearing the patch."
    D) "The patch eliminates the potential for developing an eye infection."
    C) "I should not drive the care or truck while wearing the patch."
    (this multiple choice question has been scrambled)
  8. Which criterion must be met for a patient to be considered legally blind?
    A) corrective lenses do not improve the vision deficit.
    B) the corrected vision in the better eye is 20/200 or worse.
    C) the patient cannot read normal size print
    D) the patient is unable to distinguish shapes
    B)the corrected vision in the better eye is 20/200 or worse
    (this multiple choice question has been scrambled)
  9. Which is a clinical manifestation of a cataract?
    A) blurring of vision
    B) dry scratchy eye
    C) reduced near-vision acuity
    D) flashes of bright light
    A) blurring of vision
    (this multiple choice question has been scrambled)
  10. Which nursing action should be included in the plan of care for a patient with left homonymous hemianopsia?
    A) Apply a patch over the patient's right eye before sleep.
    B) Place all personal items on the right side of the patient's bedside table.
    C) Approach the patient from the left side.
    D) Inform the patient of where items are located, using a clock face as a frame of reference.
    B) Place all personal items on the right side of the patient's bedside table.
    (this multiple choice question has been scrambled)
  11. Which is the best action to recommend to a grade school teacher who is working with a child who has a significant hearing impairment?
    A) place the child where group discussion occurs
    B) take advantage of audiovisual resources
    C) discourage the student from lip-reading
    D) seat the child in the center of a semicircle
    D) seat the child in the center of a semicircle
    (this multiple choice question has been scrambled)
  12. The nurse is teaching a patient about the use of pilocarpine (Pilocar) eye drops. What should the nurse explain to the patient about the desired effect of this medication?
    A) constrict the pupil
    B) reduce the production of aqueous humor
    C) decrease inflammation of the eye
    D) cleanse the corneal lens
    A) constrict the pupil
    (this multiple choice question has been scrambled)
  13. Which is the most appropriate toy for a five-year-old child who is blind?
    A) a small stuffed animal
    B) a doll house with small pieces
    C) a storybook written in braille
    D) a large bail with a bell inside it
    D) a large bail with a bell inside it
    (this multiple choice question has been scrambled)
  14. What would the nurse teach the adolescent who swims three times a week to reduce the incidence of otitis externa?
    A) wear well-fitting earplugs
    B) take a mild, low-dose antibiotic
    C) wash the ears well with antiseptic
    D) apply warm, moist packs frequently
    A) wear well-fitting earplugs
    (this multiple choice question has been scrambled)
  15. Which procedure best promotes the sense of taste in older adults?
    A) selecting foods in varying textures
    B) seasoning foods with mild spices
    C) mixing foods together on the plate
    D) cooking foods by steaming
    B) seasoning foods with mild spices
    (this multiple choice question has been scrambled)
  16. An older adult patient has a new hearing aid. Which intervention by the older adult's caregiver is correct?
    A) lubricates the patient's hearing aid with petroleum jelly
    B) removes cerumen daily
    C) cleanses the patient's hearing aid with isopropyl alcohol
    D) assesses the patient's external auditory canal for pressure ulcers
    D) assesses the patient's external auditory canal for pressure ulcers
    (this multiple choice question has been scrambled)
  17. Which subjective response to a Weber test indicates a conductive hearing loss in the right ear?
    A) stronger
    B) pulsated
    C) equal
    D) fainter
    A) stronger
    (this multiple choice question has been scrambled)
  18. A patient with a painful object in the eye is seen by the occupational health nurse. Which action should be implemented prior to transporting the patient to the emergency department?
    A) Irrigate the injured eye with tap water.
    B) Secure a pressure dressing over the injured eye.
    C) Place warm, moist compress over the injured eye.
    D) Protect the injured eye with an eye patch
    D) Protect the injured eye with an eye patch.
    (this multiple choice question has been scrambled)
  19. The nurse stresses the importance of asepsis when teaching a parent how to instill ointment into his child's eye. Which parent behavior indicates that teaching has been effective?
    A) discards the first bead of ointment before instilling the medication.
    B) wipes the applicator tip with a tissue when finished.
    C) washes the eye area from outer canthus to inter canthus before instilling the medication.
    D) gently touches the eyelid with the applicator tip when instilling the medication.
    A) discards the first bead of ointment before instilling the medication.
    (this multiple choice question has been scrambled)
  20. Which medication places an individual at risk for hearing loss?
    A) disopyramide phosphate (Norpace)
    B) digoxin (Lanoxin)
    C) phenytoin sodium (Dilantin)
    D) furosemide (Lasix)
    D) furosemide (Lasix)
    (this multiple choice question has been scrambled)
  21. Which instruction is most important for a nurse to give to a toddler's parents about creating a safe home environment?
    A) "Place hot pots on back burners."
    B) "Keep cleaning solutions and medicines in one area."
    C) "Make sure your child wears a protective helmet while riding a bicycle."
    D) "Apply sunscreen hourly to the child when he plays outside."
    A) "Place hot pots on back burners."
    (this multiple choice question has been scrambled)
  22. An 89 year old patient states, "I live alone and I have little money. On sunny days, I don't use my air conditioner, I don't like to get a flu shot." What nursing diagnosis would be a priority when using Maslow's hierarchy of needs?
    A) risk for infection
    B) confusion
    C) ineffective thermoregulation
    D) powerlessness
    C) ineffective thermoregulation
    (this multiple choice question has been scrambled)
  23. An older adult's strong preference for sweet and salty foods most likely reflects which normal change associated with aging?
    A) decreased peristaltic activity
    B) atrophy of the taste buds
    C) lowering of the blood osmotic pressure
    D) reduction in the renal reabsorption of sodium
    B) atrophy of the taste buds
    (this multiple choice question has been scrambled)
  24. A nurse is doing functional assessment at a community center. A patient uses the arems of friends for support to walk, has a very unsteady gait and sits all morning. When asked she says, "I could walk till I got the flu a month ago." Which nursing actions would be most appropriate?
    A) Refer the patient to the physical therapist.
    B) Assure the patient that her strength will return soon.
    C) Refer the patient to the community center exercise classes.
    D) Teach the patient home mobility safety
    A) Refer the patient to the physical therapist.
    (this multiple choice question has been scrambled)
  25. Which motor skill would a six month old infant usually be striving to accomplish?
    A) sitting steadily without support
    B) pulling self to a standing position
    C) achieving head control
    D) picking up tiny objects
    A) sitting steadily without support
    (this multiple choice question has been scrambled)
  26. Which behavior is appropriate for a three year old child?
    A) Ties shoes with a bow.
    B) Feeds self completely.
    C) Balances on alternate feet with eyes closed.
    D) Follows three command, "go to toilet, use it and wash your hands."
    B) feeds self completely
    (this multiple choice question has been scrambled)
  27. A nurse is preforming health screens on middle-aged adults. Which statement made by a middle-aged male indicates further follow-up is needed?
    A) "I have a physical examination every other year."
    B) "I get my eyes examined every other year."
    C) "I am screened for tuberculosis every other year."
    D) "I have a testicular examination by my health care provider yearly."
    A) "I have physical examination every other year."
    (this multiple choice question has been scrambled)
  28. Which information obtaining during a patient's history is a normal finding for a healthy 80 year old?
    A) frequent diarrhea
    B) decreased blood pressure
    C) frequent erections
    D) decreased sense of taste
    D) decreased sense of taste
    (this multiple choice question has been scrambled)
  29. A nurse is teaching an older adult health promotion behaviors for urinary changes related to aging. Which behavior documented by the nurse indicates that the teaching was effective?
    A) uses artificial sweeteners
    B) practices pelvic muscle exercises weekly
    C) drinks fluids even when not thirsty
    D) drinks six glasses of fluid each day
    C) drinks fluids even when not thirsty
    (this multiple choice question has been scrambled)
  30. A nurse is screening healthy young adults. Which area is included in the health risk screen?
    A) eating disorders
    B) communicable diseases
    C) dental caries
    D) vision changes
    A) eating disorders
    (this multiple choice question has been scrambled)
  31. The nurse at a community college is developing a program to educate students about sexually transmitted diseases. What would be the nurse's first step in developing the educational program?
    A) Assess the students' learning needs.
    B) Gather information about sexually transmitted diseases.
    C) Develop a teaching plan with identified goals for the students.
    D) Consult with a resource person in the community.
    A) Assess the students' learning needs.
    (this multiple choice question has been scrambled)
  32. The community health nurse is working with a group of older adults.  Which teaching would be most important for the nurse to include?
    A) getting immunized for influenze and pneumonia.
    B) increasing rest periods while decreasing exercise.
    C) eating a diet high in proteins and low in complex carbohydrates.
    D) having cancer screening every five years
    A) getting immunized for influenze and pneumonia.
    (this multiple choice question has been scrambled)
  33. What is the most effective way that a school nurse could promote health services, health education, and healthy environment?
    A) Manage immunization programs and provide health education in the classroom.
    B) Lobby at the congressional level for the development of programs to remedy unhealthy situations.
    C) Research the effectiveness of community treatment programs
    D) Evaluate the effectiveness of health promotion activities at the state and national levels.
    A) Manage immunization programs and provide health education in the classroom.
    (this multiple choice question has been scrambled)
  34. Which observation made during a home visit indicates that family members caring for a patient are in need of additional instructions on home care practices?
    A) use a secured coffee can for disposal of needles and syringes.
    B) place medications on the table next to the patient's bed.
    C) wash hands before and after patient care.
    D) contact the electric company to place their home on a priority list.
    B) place medications on the table next to the patient's bed.
    (this multiple choice question has been scrambled)
  35. What immunization information is important for the community health nurse to gather from a patient born after 1956?
    A) previous immunization for influenza
    B) history of infectious disease
    C) titers for measles, mumps, and rubella
    D) risk factors for hepatitis C
    C) titers for measles, mumps, and rebella
    (this multiple choice question has been scrambled)
  36. A community health nurse has made several visits to the family of a patient with Alzheimer's disease. A family member states. "I have no time for myself." Which intervention is most appropriate?
    A) Assist the family member in considering alternative care options.
    B) Instruct the family member to perform errands when the patient is sleeping.
    C) Teach the adolescent grandchildren to care for the patient.
    D) Recommend hiring as aide to cover the late evening hours.
    B) Instruct the family member to perform errands when the patient is sleeping.
    (this multiple choice question has been scrambled)
  37. What is the most important criterion to consider when home care is the proposed care setting?
    A) The medical condition of the patient is predictable.
    B) Home care workers are available 24 hours a day.
    C) The health insurance reimburses the home care costs.
    D) The caregivers are skilled in giving care to the patient.
    A) The medical condition of the patient is predictable.
    (this multiple choice question has been scrambled)
  38. During a follow-up visit with a family, the nurse discovers that the family has not followed any of the nurse's suggestions for patient care. What should the nurse do next?
    A) Document the problem.
    B) Refer the family to the social worker.
    C) Share this information with the physician.
    D) Reassess the situation and revise the plan.
    D) Reassess the situation and revise the plan.
    (this multiple choice question has been scrambled)
  39. Which federal program has had the most influence on the nutritional status of children and women who are pregnant?
    A) Aid to Families with Dependent Children (AFDC)
    B) Maternal and Child Health
    C) Special Supplemental Food Program for Women, Infants, and Children (WIC)
    D) Family and Medical Leave Act (FMLA)
    C) Special Supplemental Food Program for Women, Infants, and Children (WIC)
    (this multiple choice question has been scrambled)
  40. Which describes morbidity?
    A) the incidence of a specific illness in the population at a particular time
    B) the number of deaths per 1000 live births during the first year of life
    C) the number of individuals who have died over a specific time period
    D) the number of pregnancies per 1000 women of childbearing years
    A) the incidence of a specific illness in the population at a particular time
    (this multiple choice question has been scrambled)
  41. The nurse is evaluation a patient's response to pain management strategies. Which patient behavior indicates the need to reassess the plan of care?
    A) naps between schedules assessments and activities
    B) speaks slowly and in a monotone
    C) cooperates during rehabilitation exercise session
    D) verbalized increased comfort
    B) speaks slowly and in a monotone
    (this multiple choice question has been scrambled)
  42. Which pain-relief measure for a woman in labor is an example of a nursing intervention based on the gate control theory?
    A) gives the prescribed pain medication.
    B) changes the woman's position in bed.
    C) massages the woman's back during contractions.
    D) instructs the woman to breathe during contractions.
    C) massages the woman's back during contractions.
    (this multiple choice question has been scrambled)
  43. What is the benefit of adding a nonsteroidal anti-inflammatory drug (NSAID) to an opioid regimen?
    A) prevents drug tolerance.
    B) decreases the patient's adverse reaction to the opioid.
    C) decreases the amount of opioids needed.
    D) prevents withdrawal symptoms.
    C) decreases the amount of opioids needed.
    (this multiple choice question has been scrambled)
  44. During which stage of growth and development can the nurse begin it use the FACES Rating Scale in assessing pain in children?
    A) 6 to 8 years old
    B) 3 to 5 years old
    C) 9 to 11 years old
    D) 1 to 2 years old
    B) 3 to 5 years old
    (this multiple choice question has been scrambled)
  45. What statement made by a patient with a transcutaneous electrical nerve stimulation (TENS) unit indicates that the nurse's instructions have been effective?
    A) "I can expect to experience tingling at the site where the electrodes are placed."
    B) "I will avoid changing the voltage during the course of treatment."
    C) "I should use the unit during the daytime hours."
    D) "I know that pain relief will continue for sixty to ninety minutes after I remove the unit."
    B) "I can expect to experience tingling at the site where the electrodes are placed."
    (this multiple choice question has been scrambled)
  46. A patient is receiving morphine sulfate by a continuous infusion pump. Which assessment finding is most important for the nurse to report?
    A) decreased bowel sounds
    B) urinary output 35 mL per hour
    C) shallow respirations
    D) responds when questioned
    C) shallow respirations
    (this multiple choice question has been scrambled)
  47. What is a common adverse effect of opiates?
    A) urinary incontinence
    B) increased pulse
    C) pupillary dilation
    D) constipation
    D) constipation
    (this multiple choice question has been scrambled)
  48. Which goal is appropriate for a patient with chronic leg pain?
    A) explain the use of a pain scale.
    B) indicate that the pain is no longer present.
    C) report adequate sleep each night.
    D) take medication when the discomfort intensifies.
    C) report adequate sleep each night.
    (this multiple choice question has been scrambled)
  49. Which statement best describes pain threshold?
    A) patient's perception of the intensity of pain.
    B) duration of pain as perceived by the patient.
    C) least intense stimulus that will cause pain in the patient.
    D) number on the pain rating scale given by the patient.
    C) least intense stimulus that will cause pain in the patient.
    (this multiple choice question has been scrambled)
  50. What effect does the release of endorphins generally have on a patient who is experiencing pain?
    A) Pain threshold is lowered.
    B) Blood pressure becomes elevated.
    C) Nerve endings become irritated.
    D) Pain sensations are relieved.
    D) Pain sensations are relieved.
    (this multiple choice question has been scrambled)

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