Question 1 of 9
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Which statement made by the nurse during shift report describes subjective data obtained from the patient?
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- “The patient’s last blood pressure reading was 135/76.”Vital signs are considered objective data the nurse obtains during the assessment.
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- “The patient was bitten by a tick a week ago.”This is a form of subjective data that could be obtained by asking the patient to describe symptoms and time of onset.
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- “The patient has been running a low-grade temperature today.”Vital sign trends are objective data obtained during the assessment.
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- “The patient last voided at 1700.”Intake and output are considered objective data, unless the patient “stated” they last voided at a particular time.
Question 2 of 9
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Which depressed laboratory value would cause the nurse to suspect an infectious process?
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- White blood cell (WBC) countAn elevated WBC count is indicative of an active infection.
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- Platelet countPlatelet levels are generally depressed during an infection.
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- C-reactive protein (CRP)Inflammatory markers are generally elevated during an infection.
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- CreatinineKidney function is generally elevated during an infection.
Question 3 of 9
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Which problem statement would be made by the nurse caring for a patient with urinary incontinence because of urinary tract infection (UTI)?
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- Potential for infectionPotential for infection is not appropriate because it is confirmed that the patient does have a UTI.
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- Insufficient knowledgeGiven the information provided about the patient, this cannot be determined. If it was found that UTIs were recurrent because of inappropriate care of the genital area, then this would be an appropriate problem statement.
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- Altered ability for self-careThere is no information to suggest that the patient has an altered ability to care for themselves, so this would be an inappropriate problem statement.
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- Altered urinary functionUrinary incontinence is a form of altered functioning. As such, it would be appropriate to note a problem statement of altered urinary function.
Question 4 of 9
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Which phase of the nursing process involves providing a calm and quiet environment with uninterrupted rest breaks?
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- PlanningThe planning phase of the nursing process involves developing goals and outcomes that directly impact patient care.
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- EvaluationEvaluation is the final step of the nursing process and involves reassessing the patient to evaluate if their goals have been met.
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- ImplementationImplementation involves carrying out nursing interventions as outlined in the planning phase. Providing a calm and quiet environment would be considered a nursing intervention.
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- AssessmentAssessment is the first step in the nursing process and involves data collection, both subjective and objective.
Question 5 of 9
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Which general side effect is common for a patient receiving an antimicrobial drug? Select all that apply. Some, one, or all of the responses may be correct.
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- DiarrheaDiarrhea is a common side effect of antimicrobial drugs.
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- RashA rash is a common side effect of antimicrobial drugs.
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- PhotosensitivityPhotosensitivity is a common side effect of antimicrobial drugs.
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- PalpitationsPalpitations are not a common side effect of antimicrobial drugs.
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- AnaphylaxisAnaphylaxis is a life-threatening reaction to drugs that should be monitored for; however, it is not a common side effect of antimicrobial drugs.
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- Weight gainAnorexia, not weight gain, is a common side effect of antimicrobial drugs.
Question 6 of 9
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Which classification of antimicrobial agents does intravenous acyclovir fall under?
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- Broad spectrum antibacterialPenicillins, cephalosporins, and tetracyclines are examples of broad-spectrum antibacterial agents.
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- AnthelminticPyrantel is considered an anthelmintic agent.
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- AntifungalAmphotericin B and ketoconazole are considered antifungal agents.
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- AntiviralAcyclovir is a common antiviral agent.
Question 7 of 9
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Which action taken by the community health nurse helps achieve goals of infectious disease control in the community?
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- Arranging immunization programs for children entering schoolImmunization programs will protect people in the community against certain communicable disease. This is a way to prevent the spread of infectious disease in a community.
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- Creating training for student nurses on health care–associated infectionsThis training would be more appropriate for facility-based nursing. Community interventions focus on ways to prevent spread of disease in public settings.
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- Promoting hand hygiene initiatives among unlicensed assistive personnelPromoting sanitary methods among health care professionals is important to prevent the spread of infection in health care settings; however, it would not be considered a way to control infectious disease in the community.
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- Identifying persons who are minimally susceptible to infectionIdentifying people who are highly susceptible to infection can help the nurse to reduce the chances of developing an infectious disease.
Question 8 of 9
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Which organism is being treated when the nurse administers an anthelmintic agent to a patient?
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- Fungal infectionAntifungal agents are used to treat fungal infections.
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- Worm infestationAnthelmintic agents cause the paralysis of invading parasites.
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- Staphylococcus aureusStaphylococcus aureus and Pseudomonas aeruginosa are bacteria and would be treated with antibacterial medications.
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- Pseudomonas aeruginosaStaphylococcus aureus and Pseudomonas aeruginosa are bacteria and would be treated with antibacterial medications.
Question 9 of 9
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In which order would the nurse implement the health care provider’s prescriptions during the admission process for a patient with a urinary tract infection?
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- Administer antibiotics; then collect the urine sample per policy.The antibiotics would not be administered before collecting the urine sample.
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- Collect the urine sample per policy; then administer prescribed antibiotics.After collecting the urine sample, the antibiotic most likely to kill the organism will be administered while waiting for identification of the organism.
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- After the patient urinates/defecates via a bedpan, pour the urine into a sterile container; then empty all feces in the toilet.The stool in the bedpan would contaminate the urine sample, so this is not an appropriate way to obtain a sample.
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- Remove a urine sample from the patient’s catheter bag when the bag contains at least 500 mL of urine; then immediately send the sample to the laboratory.The urine sample should be a fresh sample and would not be taken from the urinary catheter bag (unless it is the initial sample after insertion).