Online Practice Test 32

Your Results for: "NCLEX® Review"

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Site Title: Kozier & Erb's Fundamentals of Nursing Book Title: Kozier & Erb's Fundamentals of Nursing Location on Site: Chapter 32 > NCLEX® Review Date/Time Submitted: July 19, 2012 at 5:12 AM (UTC/GMT)

Summary of Results 80% Correct of 10 Scored items: 8 Correct:  80% 2 Incorrect:  20% More information about scoring

1.		The nurse is preparing a presentation at a senior citizens center on the leading cause of accidents in older adults. What topic should the nurse concentrate on presenting? Your Answer: Falls
		Objective: Discuss factors that affect people's ability to protect themselves from injury. Rationale: Falls are the leading cause of accidents in older adults. The other answers are not leading causes in the older adult. Nursing Process: Assessment Client Need: Safe, Effective Care Environment Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
2.		An elderly client, hospitalized with a cerebral vascular accident, is unable to ambulate without help. This client becomes disoriented and tries to get out of bed. What safety measure is most appropriate for this client? Your Answer: Use a bed exit safety monitoring device
		Objective: Plan strategies to maintain safety in the health care setting, home, and community, including prevention strategies across the life span for thermal injury, falls, seizures, poisoning, suffocation or choking, excessive noise, electric hazards, firearms, radiation, and bioterrorism. Rationale: This device will alert the caregiver that the client is out of bed. It is the most appropriate measure for this client, allows freedom within safety guidelines, and doesn't restrain. Nursing Process: Planning Client Need: Safe, Effective Care Environment Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection
3.		The nurse assesses a cyanotic appearance and cool temperature in the hand of a client wearing a wrist restraint. The client complains of numbness and tingling in the hand. What should the nurse do first? Your Answer: Loosen the restraint and exercise the limb.
		Objective: Describe alternatives to restraints. Rationale: The assessment indicates a compromise in the circulation of the hand. Loosening the restraint and exercising the limb will reestablish circulation. Removing the restraint and leaving is not safe. Reapplying to a different area of the wrist will not increase circulation right away. Leaving the restraint in place while notifying the physician will cause continued circulatory compromise. Nursing Process: Implementation Client Need: Physiologic Integrity Cognitive Level: Application Strategy: Decide what is the best action for client and situation.
4.		Which statement by a father indicates understanding of safety measures for his 3-year-old son? Your Answer: "I shouldn't give him ice cream bars on a stick."
		Objective: Physiologic needs come first then safety. Psychosocial needs are addressed after physiologic and safety. Rationale: Preschool-age children are active and clumsy. The stick in an ice cream bar could injure the child if he fell. Parents should always have their eyes on a child in a swimming pool. A child should never be left alone, even when asleep. The child should be helped to cross the street. Nursing Process: Evaluation Client Need: Safe, Effective Care Environment Cognitive Level: Analysis Strategy: Decide what is the best action for client and situation
5.		Which adolescent would be at the highest risk for committing suicide or homicide? Your Answer: An African-American male
		Objective: List desired outcomes to use in evaluating the selected strategies for injury prevention. Rationale: Suicide and homicide are leading causes of death among teenagers. Adolescent males commit suicide at a higher rate than do adolescent females, and African-Americans commit homicide at a higher rate than do European-Americans. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection
6.		When planning a safety seminar in the workplace for a group of middle-aged adults, what should be a primary focus? Your Answer: Occupational accidents
		Objective: Plan strategies to maintain safety in the health care setting, home, and community, including prevention strategies across the life span for thermal injury, falls, seizures, poisoning, suffocation or choking, excessive noise, electric hazards, firearms, radiation, and bioterrorism. Rationale: Occupational hazards are significant safety hazards during the middle years, due to decreased reactions time and visual acuity. The other areas are concerns, but not necessarily in the workplace, where this seminar is focused. Nursing Process: Planning Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection
7.		According to the 2000 Institute of Medicine report, To Err is Human: Building a Safer Health System, more people die from __________than from motor vehicle accidents, breast cancer, or AIDS.  Your Answer: suicide Correct Answer: Medical Errors
		Objective: Describe methods to assess clients at risk for injury. Rationale: The IOM (2000) reports that 44,000-98,000 people die in the U.S. in a given year as a result of medical errors. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Use nursing knowledge and the knowledge of safety procedures.
8.		What statement by a nurse to a new nurse, orienting to the unit, is correct regarding seizure precautions? Your Answer: Do not force a tongue depressor between the teeth.
		Objective: Discuss implementation of seizure precautions. Rationale: A prolonged, continuous seizure is called status epilepticus. Oxygen should be applied in all cases of a seizure. Forcing a tongue depressor between the teeth can damage teeth. Administering anticonvulsant medication if ordered is appropriate. Nursing Process: Implementation Client Need: Physiologic Integrity Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection
9.		The CDC (2001) defined three categories of biological pathogens that can be used in terrorism. The pathogens of highest concern are (select all that apply): Your Answer: Anthrax botulism Plague
		Objective: Plan strategies to maintain safety in the health care setting, health care setting, home, and community, including prevention strategies across the life span for thermal injury, falls, seizures, poisoning, suffocation or choking, excessive noise, electric hazards, firearms, radiation, and bioterrorism. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge and CDC recommendations.
10.		A nurse applies restraints to a client who is combative. The nurse informs the physician and knows that the physician must see the client within what time frame for evaluation? Your Answer: 24 hours Correct Answer: 1 hour
		Objective: Identify common potential hazards throughout the life span. Rationale: The physician must see the client within 1 hour for evaluation. A written restraint order is valid for only four hours. All orders must be renewed daily. Nursing Process: Evaluation Client Need: Physiologic Integrity Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.