Question

490. The mother of a child with chickenpox asks the physician’s office nurse why her child will not come down with chickenpox again if exposed to the virus at

school at a later date. The nurse’s responses should be based on the information that

A.

Natural passive immunity occurs because the child receives antibodies from outside the body.

B.

Artificial active immunity occurs because the child receives specific antigens against the chicken pox virus

C.

Natural active immunity occurs because the child’s body actively makes antibodies against chicken pox virus

D.

Artificial passive immunity occurs because of the inflammatory process of chickenpox.

491. A toddler with lead poisoning is admitted to the pediatric unit. There is an

order to encourage fluids. Which of the following fluids would be the best for the

nurse to offer to the child?

A.

Milk

B.

Water

C.

Orange juice

D.

Fruit punch

492. The nurse is leading an in service education class on legal issues. Which of the following acts constitutes battery?

A.

The nurse restrains an agitated, confusion patient in the Emergency Roomwith a physician’s order

B.

The nurse chases a patient who tries to run away while outside for a walk.

C.

The nurse holds the arm of a manic patient who struck her while calling forassistance

D.

The nurse administers an injection to a schizophrenic patient who refuses to take the medication by mouth because he believes it is poison

493. In caring for a client with a nursing diagnosis of rape trauma syndrome, acute phase, the nurse should consider the MOST important initial goal to be that

A.

Within three to five months , the client will state that the memory of the event is less vivid and distressing

B.

The client will indicate a willingness to keep to a followup appointment with a rape crisis counselor

C.

The client will be able to describe the results of the physical examination that was completed in the emergency room

D.

The client will begin to express her reactions and feelings about the assault before leaving the emergency room

494. Which of the following symptoms are MOST likely to be observed by the nurse when the client is withdrawing from heroin?

A.

Severe cravings, depression, fatigue, hypersomina

B.

Depression, disturbed, sleep, restlessness, disorientation

C.

Nausea and vomiting tachycardia, coarse tremors, seizures

D.

Runny nose, yawning, fever,muscle and joint pain, diarrhea

495The nurse is caring for client in the Emergency Department of an acute facility.

Four clients have been admitted in the last 10 minutes. Which of the following

admissions should the nurse see FIRST?

A.

Performing activities one at a time

B.

Documentation at the end of the workday

C.

Addressing all nonessential activities as they are

D.

Deciding on the most important tasks to complete first

497. The nurse is using concepts of time management to organize the workday.

Which action will assist the nurse to effectively implement time management

strategies?

A.

Complete nonessential activities

first

to reduce interruptions

B.

Plan the day so that all time is accounted for in task completion

C.

Identify tasks that must be completed within a specific time frame

D.

Assist others in the completion of their assigned tasks when asked

498. The nurse is taking a course on ethics as part of continuing e

ducation requirements in the state in which the nurse is employed. The nurse understands

that respect for an individual’s right to self determination is identified by which term?

A.

Justice

B.

Fidelity

C.

Veracity

D.

Autonomy

499. The nurse understands that an ethical dilemma exists in which scenario?

A.

No correct decision exists

B.

A satisfactory alternative is present

C.

The right answer is always obvious

D.

One ethical principal takes procedure over others

500. Which are example(s) of a negligent act? Select all that

apply.

A.

Medication errors resulting in inquiry

B.

Failure to monitor an intravenous flow rate resulting in injury

C.

A decline in client’s condition resulting in a longer hospital stay

D.

A fall that occurs as a result of failure to provide safety measures to a client

E.

Failure to report a change in a client’s condition to the health care provider

(HCP)

Answer 1

490. Answer ; C). Natural active immunity because the child body actively make antibody against the chicken pox.
Rationale; Here the child had encountered an kind of infection, So it would be considered as the Natural Active and the
the nurse may say to the mother.

491. Answer ; C). Orange juice
Rationale ; It is easy to digest than milk, Also it contain vitamin like vitamin C and calcium . It will be much more helpful f
for this toddler condition.

492. Answer ; D). The nurse administer the injection to the schizophrenic patient who refuses to take the medication because
he believe it is poison.
Rationale ; Here the patient had a right to deny what the nurse do, But even though he refused, the nurse had still
administered. So it would be the correct option.

493. Answer ; A). within 3-5 months, the client will say that the memory of the event is less vivid and distressing.

494. Answer ; D) Running nose, yawning, fever, Muscle and joint pain, diarrhea