The nurse is helping to give Mantoux tests to children who are being registered for kindergarten in the community. How should the nurse administer this test?
A) Interdermal injection into the inner forearm
B) Intramuscular injection into the vastus lateralis
C) Subcutaneous injection into the umbilical area
D) Insert at a 45-degree angle into the deltoid
Question 2Mr. Q has heart disease, and his wife needs to learn about the cooking methods and recipes she can use to help his condition. Which of the following sources is probably her best source of information?
A) Cardiologist
B) General practitioner
C) Nurse
D) Support group
Question 3A patient is scheduled for a stapedectomy. Appropriate postoperative teaching should include:
a. Hourly changing cotton from external ear canal
b. Gently blowing both nares simultaneously
c. Teaching patient to open mouth when sneezing or coughing
d. Limiting activities for 3 weeks
Question 4An older patient is prescribed a diuretic for the treatment of hypertension. For which health problem should the nurse assess this patient?
A) Constipation
B) Cognitive changes
C) Decreased gastric emptying and nausea
D) Manifestations of fluid and electrolyte imbalances
Question 5The nurse is caring for a patient at risk for atelectasis and chooses to implement a first-line measure to prevent atelectasis development in the patient. What is an example of a first-line measure to minimize atelectasis?
A) Incentive spirometry
B) Intermittent positive pressure-breathing (IPPB)
C) Positive end-expiratory pressure (PEEP)
D) Bronchoscopy
Question 6How can a visiting nurse best ensure proper care for a patient when she is not present but can be reached by a telephone or pager?
A) Instruct that all the family's questions should be filtered through the primary caregiver.
B) Provide detailed written instructions for all procedures.
C) Train the patient carefully in all procedures.
D) Train all caregivers carefully in all procedures.
Question 7An older patient with Alzheimer's disease is experiencing increasing episodes of agitation and wandering. The patient has been prescribed risperidone (Risperdal), an atypical antipsychotic. Why should the nurse question this medication order?
A) Physical restraints should be trialed before using an antipsychotic medication
B) It is inappropriate to use antipsychotics to manage the behavior of patients with dementia
C) The sensory changes that accompany antipsychotic use exacerbate the symptoms of dementia
D) Atypical antipsychotics are preferable to traditional sedatives for the treatment of agitation and delirium
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