Nursing Process Test Questions

Nursing Process Test Questions Related

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Which of the ff nursing interventions ensure that a client with Hodgkin’s disease remains free of infection? Choose all that apply

  • A. Apply ice to the skin for brief periods
  • B. Provide cool sponge baths
  • C. Practice conscientious hand washing
  • D. Use cotton gloves Restrict visitors or personnel with infections from contact with the client
Correct Answer: C

Rationale: Rationale:

C: Practice conscientious hand washing is correct as it helps prevent the spread of infection. Proper hand hygiene is essential in reducing the risk of infection transmission to the client with Hodgkin's disease.

A: Apply ice to the skin for brief periods is incorrect as it does not directly relate to preventing infection in the client.

B: Provide cool sponge baths is incorrect as it mainly addresses comfort and hygiene but does not specifically target infection prevention.

D: Use cotton gloves Restrict visitors or personnel with infections from contact with the client is incorrect because while using gloves can help prevent the spread of infection, restricting visitors with infections is not under the direct control of the nurse.

Summary:
Practicing conscientious hand washing is crucial in preventing infection in a client with Hodgkin's disease, while the other choices do not directly address infection control in this context.

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What equipment should the nurse prepare for the primary care provider when a woman says she is concerned about possible Chlamydia infection?

  • A. Chlamydia slide
  • B. Chlamydia collection kit
  • C. Chlamydia swab
  • D. Chlamydia wet mount
Correct Answer: B

Rationale: The correct answer is B: Chlamydia collection kit. The primary care provider will need the collection kit to gather a sample for testing. A Chlamydia slide (A) is not necessary as the provider needs to collect a sample first. A Chlamydia swab (C) is used to collect the sample, not to provide to the provider. A Chlamydia wet mount (D) is not appropriate for Chlamydia testing, as it is typically used for other types of infections.

. Which of the following instructions should be included in the teaching plan for a client requiring insulin?

  • A. Administer insulin after the first meal of the day.
  • B. Administer insulin at a 45-degree angle into the deltoid muscle.
  • C. Shake the vial of insulin vigorously before withdrawing the medication.
  • D. Draw up clear insulin first when mixing two type of insulin in one syringe.
Correct Answer: D

Rationale: The correct answer is D: Draw up clear insulin first when mixing two types of insulin in one syringe. This is important because mixing insulin requires drawing up the clear (short-acting) insulin first to prevent contamination. This ensures accurate dosing and prevents clouding of the insulin. Drawing up cloudy insulin first can lead to inaccurate dosing and potential mixing errors. Administering insulin after the first meal (choice A) is not the focus of this question. Administering insulin at a 45-degree angle into the deltoid muscle (choice B) is not recommended for insulin injections. Vigorously shaking the vial of insulin before withdrawal (choice C) can cause bubbles and affect the accuracy of the dose.

Which of the following dietary interventions prevents the precipitation of calcium renal stones?

  • A. High fiber diet
  • B. Increased protein intake
  • C. High fluid intake
  • D. Intake of zinc
Correct Answer: C

Rationale: The correct answer is C: High fluid intake. Adequate hydration helps prevent calcium from becoming concentrated in the urine, reducing the risk of calcium stone formation. Increased fiber intake (choice A) may help prevent other types of stones but not specifically calcium stones. Increased protein intake (choice B) can actually increase calcium excretion, potentially increasing the risk of calcium stone formation. Zinc intake (choice D) does not directly impact calcium stone formation. In summary, high fluid intake is crucial for preventing the precipitation of calcium renal stones due to its role in diluting urine and preventing calcium concentration.

Patients with lymphoma are at risk for infection. Which of the ff. activities increases this risk?

  • A. Going to church
  • B. Cleaning the house
  • C. Taking a walk outside
  • D. Watching television
Correct Answer: C

Rationale: The correct answer is C: Taking a walk outside. Patients with lymphoma have weakened immune systems, making them more susceptible to infections. Walking outside exposes them to various environmental pathogens, increasing the risk of infection. Going to church (A) and cleaning the house (B) can be done in controlled environments, while watching television (D) does not involve exposure to external pathogens like going for a walk outside does. Therefore, taking a walk outside poses the highest risk for infection among the given activities.

Which of the following illustrates a common error when writing client outcomes?

  • A. Client will drink 100 mL of fluid every 2 hours from 6 a.m. to 9 p.m.
  • B. Client will demonstrate correct sequence of exercises by next office visit.
  • C. Client will be less anxious and fearful before and after surgery.
  • D. On discharge, client will list five symptoms of infection to report.
Correct Answer: C

Rationale: The correct answer is C because it does not provide a specific, measurable outcome. It is vague and subjective, making it difficult to assess and track progress. In contrast, choices A, B, and D are all specific, measurable, and time-bound goals, making them more effective for evaluating client outcomes. Choice A specifies the amount of fluid intake and the time frame, choice B sets a clear deadline for demonstrating a skill, and choice D outlines a specific task to be completed upon discharge. Therefore, C is the correct answer as it lacks the clear criteria needed for effective outcome evaluation.

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