For which condition should the nurse expect to apply cold compresses?
A) conjunctivities
The nurse is providing postoperative teaching for a patient who has had middle-ear surgery. Which response by the patient indicates that the patient understands the instructions?
C) "I should avoid lifting straining and bending over the three weeks.
What is the expected effect of administering a miotic medication to a patient with chronic glaucoma?
B) to increase the outflow of aqueous humor
What is the expected goal for a patient with glaucoma who is being treated with a beta-adrenergic agonist?
A) decreased intraocular pressure
Which nursing action is assistive to the care of a patient who has advanced glaucoma?
A) places objects directly in front of the patient
Which part of the brain is the major receiving area for sensory nerves?
C) thalamus
Which statement made by a patient being discharged following treatment for a corneal abrasion of the right eye indicates that the nurse's teaching has been successful?
D) "I should not drive the care or truck while wearing the patch."
Which criterion must be met for a patient to be considered legally blind?
A) the corrected vision in the better eye is 20/200 or worse
Which is a clinical manifestation of a cataract?
D) blurring of vision
Which nursing action should be included in the plan of care for a patient with left homonymous hemianopsia?
C) Place all personal items on the right side of the patient's bedside table.
Which is the best action to recommend to a grade school teacher who is working with a child who has a significant hearing impairment?
D) seat the child in the center of a semicircle
The nurse is teaching a patient about the use of pilocarpine (Pilocar) eye drops. What should the nurse explain to the patient about the desired effect of this medication?
A) constrict the pupil
Which is the most appropriate toy for a five-year-old child who is blind?
B) a large bail with a bell inside it
What would the nurse teach the adolescent who swims three times a week to reduce the incidence of otitis externa?
D) wear well-fitting earplugs
Which procedure best promotes the sense of taste in older adults?
A) seasoning foods with mild spices
An older adult patient has a new hearing aid. Which intervention by the older adult's caregiver is correct?
B) assesses the patient's external auditory canal for pressure ulcers
Which subjective response to a Weber test indicates a conductive hearing loss in the right ear?
D) stronger
A patient with a painful object in the eye is seen by the occupational health nurse. Which action should be implemented prior to transporting the patient to the emergency department?
B) Protect the injured eye with an eye patch.
The nurse stresses the importance of asepsis when teaching a parent how to instill ointment into his child's eye. Which parent behavior indicates that teaching has been effective?
C) discards the first bead of ointment before instilling the medication.
Which medication places an individual at risk for hearing loss?
D) furosemide (Lasix)
Which instruction is most important for a nurse to give to a toddler's parents about creating a safe home environment?
C) "Place hot pots on back burners."
An 89 year old patient states, "I live alone and I have little money. On sunny days, I don't use my air conditioner, I don't like to get a flu shot." What nursing diagnosis would be a priority when using Maslow's hierarchy of needs?
A) ineffective thermoregulation
An older adult's strong preference for sweet and salty foods most likely reflects which normal change associated with aging?
D) atrophy of the taste buds
A nurse is doing functional assessment at a community center. A patient uses the arems of friends for support to walk, has a very unsteady gait and sits all morning. When asked she says, "I could walk till I got the flu a month ago." Which nursing actions would be most appropriate?
B) Refer the patient to the physical therapist.
Which motor skill would a six month old infant usually be striving to accomplish?
A) sitting steadily without support
Which behavior is appropriate for a three year old child?
B) feeds self completely
A nurse is preforming health screens on middle-aged adults. Which statement made by a middle-aged male indicates further follow-up is needed?
A) "I have physical examination every other year."
Which information obtaining during a patient's history is a normal finding for a healthy 80 year old?
B) decreased sense of taste
A nurse is teaching an older adult health promotion behaviors for urinary changes related to aging. Which behavior documented by the nurse indicates that the teaching was effective?
C) drinks fluids even when not thirsty
A nurse is screening healthy young adults. Which area is included in the health risk screen?
A) eating disorders
The nurse at a community college is developing a program to educate students about sexually transmitted diseases. What would be the nurse's first step in developing the educational program?
D) Assess the students' learning needs.
The community health nurse is working with a group of older adults. Which teaching would be most important for the nurse to include?
B) getting immunized for influenze and pneumonia.
What is the most effective way that a school nurse could promote health services, health education, and healthy environment?
A) Manage immunization programs and provide health education in the classroom.
Which observation made during a home visit indicates that family members caring for a patient are in need of additional instructions on home care practices?
C) place medications on the table next to the patient's bed.
What immunization information is important for the community health nurse to gather from a patient born after 1956?
B) titers for measles, mumps, and rebella
A community health nurse has made several visits to the family of a patient with Alzheimer's disease. A family member states. "I have no time for myself." Which intervention is most appropriate?
C) Instruct the family member to perform errands when the patient is sleeping.
What is the most important criterion to consider when home care is the proposed care setting?
A) The medical condition of the patient is predictable.
During a follow-up visit with a family, the nurse discovers that the family has not followed any of the nurse's suggestions for patient care. What should the nurse do next?
C) Reassess the situation and revise the plan.
Which federal program has had the most influence on the nutritional status of children and women who are pregnant?
C) Special Supplemental Food Program for Women, Infants, and Children (WIC)
Which describes morbidity?
B) the incidence of a specific illness in the population at a particular time
The nurse is evaluation a patient's response to pain management strategies. Which patient behavior indicates the need to reassess the plan of care?
A) speaks slowly and in a monotone
Which pain-relief measure for a woman in labor is an example of a nursing intervention based on the gate control theory?
A) massages the woman's back during contractions.
What is the benefit of adding a nonsteroidal anti-inflammatory drug (NSAID) to an opioid regimen?
B) decreases the amount of opioids needed.
During which stage of growth and development can the nurse begin it use the FACES Rating Scale in assessing pain in children?
C) 3 to 5 years old
What statement made by a patient with a transcutaneous electrical nerve stimulation (TENS) unit indicates that the nurse's instructions have been effective?
B) "I can expect to experience tingling at the site where the electrodes are placed."
A patient is receiving morphine sulfate by a continuous infusion pump. Which assessment finding is most important for the nurse to report?
B) shallow respirations
What is a common adverse effect of opiates?
B) constipation
Which goal is appropriate for a patient with chronic leg pain?
A) report adequate sleep each night.
Which statement best describes pain threshold?
D) least intense stimulus that will cause pain in the patient.
What effect does the release of endorphins generally have on a patient who is experiencing pain?
