1. The nurse manager in the ED receives information that a local chemical plant has had a
chemical leak. This disaster is assigned a status of level II. What does this classification
A) First responders can manage the situation.
B) Regional effo
1. Which patient should the nurse prioritize as needing emergent treatment, assuming no
other injuries are present except the ones outlined below?
A) A patient with a blunt chest trauma with some difficulty breathing
B) A patient with a sore neck who was
1. A male patient comes to the clinic and is diagnosed with gonorrhea. Which symptom
most likely prompted him to seek medical attention?
A) Rashes on the palms of the hands and soles of the feet
B) Cauliflower-like warts on the penis
C) Painful, red papul
1. A nurse is assessing a patient with an acoustic neuroma who has been recently admitted
to an oncology unit. What symptoms is the nurse likely to find during the initial
A) Loss of hearing, tinnitus, and vertigo
B) Loss of vision, change in
1. A patient with possible bacterial meningitis is admitted to the ICU. What assessment
finding would the nurse expect for a patient with this diagnosis?
A) Pain upon ankle dorsiflexion of the foot
B) Neck flexion produces flexion of knees and hips
1. The ED nurse is caring for a patient who has been brought in by ambulance after
sustaining a fall at home. What physical assessment finding is suggestive of a basilar
B) Periorbital edema
C) Bruising over the mastoid
1. A patient has had an ischemic stroke and has been admitted to the medical unit. What
action should the nurse perform to best prevent joint deformities?
A) Place the patient in the prone position for 30 minutes/day.
B) Assist the patient in acutely flex
1. A patient is being admitted to the neurologic ICU following an acute head injury that
has resulted in cerebral edema. When planning this patient's care, the nurse would
expect to administer what priority medication?
A) Hydrochlorothiazide (HydroDIURIL)
1. A patient is brought to the ER following a motor vehicle accident in which he sustained
head trauma. Preliminary assessment reveals a vision deficit in the patient's left eye.
The nurse should associate this abnormal finding with trauma to which of the
1. The clinic nurse is assessing a child who has been brought to the clinic with signs and
symptoms that are suggestive of otitis externa. What assessment finding is
characteristic of otitis externa?
A) Tophi on the pinna and ear lobe
B) Dark yellow cerum
1. The registered nurse taking shift report learns that an assigned patient is blind. How
should the nurse best communicate with this patient?
A) Provide instructions in simple, clear terms.
B) Introduce herself in a firm, loud voice at the doorway of the
1. A patient is brought to the emergency department from the site of a chemical fire,
where he suffered a burn that involves the epidermis, dermis, and the muscle and bone
of the right arm. On inspection, the skin appears charred. Based on these assessmen
1. A nurse practitioner is seeing a 16-year-old male patient who has come to the
dermatology clinic for treatment of acne. The nurse practitioner would know that the
treatment may consist of which of the following medications?
A) Acyclovir (Zovirax)
1. A nurse is aware that the outer layer of the skin consists of dead cells that contain large
amounts of keratin. The physiologic functions of keratin include which of the
following? Select all that apply.
A) Producing antibodies
B) Absorbing electrolyte
1. An adolescent is identified as having a collection of fluid in the tunica vaginalis of his
testes. The nurse knows that this adolescent will receive what medical diagnosis?
1. A 45-year-old woman comes into the health clinic for her annual check-up. She
mentions to the nurse that she has noticed dimpling of the right breast that has occurred
in a few months. What assessment would be most appropriate for the nurse to make?
1. A school nurse is presenting information on human development and sexuality. When
describing the role of hormones in sexual development, which hormone does the nurse
teach the class is the most important one for developing and maintaining the female
1. While taking a health history on a 20-year-old female patient, the nurse ascertains that
this patient is taking miconazole (Monistat). The nurse is justified in presuming that this
patient has what medical condition?
A) Bacterial vaginosis
B) Human pap
1. A female patient has been experiencing recurrent urinary tract infections. What health
education should the nurse provide to this patient?
A) Bathe daily and keep the perineal region clean.
B) Avoid voiding immediately after sexual intercourse.
1. The nurse is assessing a patient suspected of having developed acute
glomerulonephritis. The nurse should expect to address what clinical manifestation that
is characteristic of this health problem?
B) Precipitous decrease in serum creatin
1. The care team is considering the use of dialysis in a patient whose renal function is
progressively declining. Renal replacement therapy is indicated in which of the
A) When the patient's creatinine level drops below 1.2 mg/dL (11
1. A patient with type 1 diabetes has told the nurse that his most recent urine test for
ketones was positive. What is the nurse's most plausible conclusion based on this
The patient should withhold his next scheduled dose of insuli
1. A nurse is caring for a patient with liver failure and is performing an assessment in the
knowledge of the patient's increased risk of bleeding. The nurse recognizes that this risk
is related to the patient's inability to synthesize prothrombin in the
1. A nurse is working with a patient who has chronic constipation. What should be
included in patient teaching to promote normal bowel function?
A) Use glycerin suppositories on a regular basis.
B) Limit physical activity in order to promote bowel perista
1. A nurse is caring for a patient who just has been diagnosed with a peptic ulcer. When
teaching the patient about his new diagnosis, how should the nurse best describe a
A) Inflammation of the lining of the stomach
B) Erosion of the lining
1. A nurse is providing oral care to a patient who is comatose. What action best addresses
the patient's risk of tooth decay and plaque accumulation?
A) Irrigating the mouth using a syringe filled with a bacteriocidal mouthwash
B) Applying a water-soluble
1. A nurse is preparing to place a patient's ordered nasogastric tube. How should the nurse
best determine the correct length of the nasogastric tube?
A) Place distal tip to nose, then ear tip and end of xiphoid process.
B) Instruct the patient to lie pro
1. A nurse is caring for a patient who is scheduled for a colonoscopy and whose bowel
preparation will include polyethylene glycol electrolyte lavage prior to the procedure.
The presence of what health problem would contraindicate the use of this form of
1. A nurse admits a patient who has a fracture of the nose that has resulted in a skin tear
and involvement of the mucous membranes of the nasal passages. The orthopedic nurse
is aware that this description likely indicates which type of fracture?
1. A nurse is caring for an adult patient diagnosed with a back strain. What health
education should the nurse provide to this patient?
A) Avoid lifting more than one-third of body weight without assistance.
B) Focus on using back muscles efficiently when