Bring Me Up

Question 1

What should be immediately available when administering the COVID-19 vaccine to a 65-year-old client?

Answer 1

Epinephrine

Question 2

Which information is NOT necessary to document when administering a vaccine?

Answer 2

Color of vaccine

Question 3

Which of the following is NOT a sign or symptom of anaphylaxis?

Answer 3

Crackles

Question 4

Which order should the nurse implement last for a client with a wound infection?

Answer 4

Administer the antibiotic

Question 5

What is the most appropriate response by the nurse when a client states he is allergic to penicillin?

Answer 5

“What happens when you take the medication?”

Question 6

What is the priority nursing diagnosis for a client exhibiting signs of angioedema?

Answer 6

Impaired gas exchange r/t laryngeal edema

Question 7

What blood type is known as the universal donor?

Answer 7

O

Question 8

What blood type is known as the universal recipient?

Answer 8

AB

Question 9

What statement by a client indicates understanding of teaching about antiretroviral medication?

Answer 9

“I should set an alarm so I remember to take my pills.”

Question 10

What is a sign of kidney organ transplant rejection?

Answer 10

Elevated BUN

Question 11

What should the nurse educate the client on after an organ transplant?

Answer 11

The need for lifelong immunosuppressive therapy

Question 12

What is pernicious anemia characterized by?

Answer 12

Low absorption of B12

Question 13

Which food is most appropriate for a client with goiter?

Answer 13

Mashed potatoes

Question 14

What lab results are expected in the initial stage of Hashimoto’s thyroiditis?

Answer 14

Elevated TSH and Decreased T3 and T4

Question 15

What are symptoms of Lupus erythematosus?

Answer 15

• Sun-sensitive butterfly rash
• Hair loss
• Fatigue

Question 16

What statement indicates understanding of corticosteroid teaching?

Answer 16

“I will not stop taking the medication suddenly”

Question 17

What statement by a health care worker indicates effective teaching of standard precautions for a client with HIV and active genital herpes?

Answer 17

“Washing my hands and putting on gloves is what I must do before starting care.”

Question 18

How should the healthcare provider interpret findings of fever, nonproductive cough, fatigue, and a CD4 count of 148 cells in a client who tested positive for HIV?

Answer 18

The patient is diagnosed with acquired immunodeficiency syndrome (AIDS)

Question 19

What action should a health care worker take after exposure to blood from a patient who has HIV?

Answer 19

Cleanse the site with soap and water

Question 22

What indicates effective teaching of standard precautions by a health care worker?

Answer 22

“Washing my hands and putting on gloves is what I must do before starting care.”

Question 23

How should the healthcare provider interpret a CD4 count of 148 cells/mcL in a client with HIV?

Answer 23

The patient is diagnosed with acquired immunodeficiency syndrome (AIDS).

Question 24

What action should a health care worker take after exposure to blood from a patient with HIV?

Answer 24

Cleanse the site with soap and water.

Question 25

Which client with AIDS should be seen first by the nurse?

Answer 25

The client with Pneumocystis pneumonia.

Question 26

What complication is a neutropenic client at risk for after chemotherapy and radiation therapy?

Answer 26

Sepsis.

Question 27

When should the nurse wash their hands with soap and water instead of using alcohol-based hand rub?

Answer 27

Cleaning stool off a patient with Clostridium difficile.

Question 28

What is the best way to stop the spread of infection?

Answer 28

Wash your hands.

Question 29

When should blood cultures be drawn?

Answer 29

Before the first dose of antibiotics.

Question 30

How is innate immunity obtained?

Answer 30

Genetically.

Question 31

What is the most effective method of preventing C. difficile infection?

Answer 31

Frequent hand washing.

Question 32

What is an exception to nursing care for safe administration of anti-infective medication?

Answer 32

Obtain cultures after giving anti-infective.

Question 33

Which patient is at highest risk for developing a latex allergy?

Answer 33

A nurse.

Question 34

What should clients with allergies to foods or insect stings carry?

Answer 34

Epinephrine Autoinjector.

Question 35

How can an allergy develop to a medication that has been taken before without problems?

Answer 35

Viral illnesses, exposure to various chemicals, and environmental substances can alter the immune system and its response to previously benign stimuli.

Question 36

What is ankylosing spondylitis?

Answer 36

"It is a chronic progressive inflammatory disease of the spine and large limb joints."

Question 37

What does autoimmune mean?

Answer 37

"Immune cells are unable to distinguish between 'self' and 'not self'."

Question 39

What can alter the immune system's response?

Answer 39

Viral illnesses, exposure to various chemicals, and environmental substances.

Question 40

What is ankylosing spondylitis?

Answer 40

It is a chronic progressive inflammatory disease of the spine and large limb joints.

Question 41

What does autoimmune mean?

Answer 41

Immune cells are unable to distinguish between 'self' and 'not self'.

Question 42

What type of immunity does a vaccine provide?

Answer 42

Artificially acquired active immunity.

Question 43

What do redness, tenderness, and swelling usually indicate?

Answer 43

Infection.

Question 44

Which temperature reading should be reported for a patient with neutropenia?

Answer 44

Temperature 99.6 F.

Question 45

What is the most important action to prevent a healthcare-associated urinary tract infection?

Answer 45

Maintain a closed urinary drainage system.

Question 46

What indicates understanding of appropriate antibiotic use?

Answer 46

I will take the antibiotic until the medication is finished as directed on the medication label.

Question 47

What is the number one cause of death in clients with anaphylaxis?

Answer 47

Delay in epinephrine treatment.

Question 48

What precautions are taken for a client with a WBC count of 8000?

Answer 48

Standard.

Question 49

What is the most useful data for indicating the type of infection present?

Answer 49

Gram stain.

Question 50

What are signs/symptoms of localized infection?

Answer 50

Swelling, Warmth, Redness.

Question 51

What are links in the chain of infection?

Answer 51

Reservoir, Portal of Entry, Causative Agents.

Question 52

What requires the use of airborne precautions?

Answer 52

Measles, Tuberculosis, Chicken pox.

Question 53

Which organizations work closely to control communicable diseases?

Answer 53

World Health Organization, Local Health Organization, Home Health Nurse, Center for Disease Control and Prevention.

Question 55

Which organizations work closely to control communicable diseases?

Answer 55

World Health Organization, Local Health Organization, Center for Disease Control and Prevention ## Footnote Includes Measles, Tuberculosis, Chicken pox.

Question 56

What vaccine is recommended to be given annually to older patients?

Answer 56

Influenza

Question 57

How many tablets of diphenhydramine (Benadryl) will the nurse administer if the order is 25 mg and the dose on hand is 12.5 mg tablets?

Answer 57

2 tablets

Question 58

How many mL of Solumedrol must the nurse administer for a child weighing 33 lb at a dose of 1.5 mg/kg, with Solumedrol available as 75 mg/1 mL?

Answer 58

1.0 mL

Question 59

How many mL of Tylenol will you administer per dose if the order is 160 mg by mouth every 6 hours and pharmacy dispenses 80 mg per mL?

Answer 59

2 mL

Question 60

How many tablets will the nurse administer for chloroguine 500 mg po x 1 if the dose on hand is 500 mg/tablet?

Answer 60

1 tablet

Question 61

How many mL will the nurse administer for enfuvirtide (Fuzeon) 45 mg SC BID if the dose on hand is 90 mg/mL?

Answer 61

0.5 mL