Exam 2 Quiz Bowl

Question 1

A male patient has a sucking stab wound to the chest. Which action should the nurse take first?

Answer 1

Applying a dressing over the wound and taping it on three sides

Question 2

Clinical manifestations related to pneumothorax include all of the following except:

Answer 2

Angina pectoris

Question 3

While conversing with a patient who had a stroke six months ago, you note their speech is hard to understand and slurred. This is known as:

Answer 3

Dysarthria

Question 4

A hospitalized patient has become unresponsive. The left side of the body is flaccid. The attending physician believes the patient may have had a stroke (CVA). What is the nurse’s priority intervention?

Answer 4

Assess the airway and breathing.

Question 5

An elderly adult patient fell in the bathtub three days ago. Now she is exhibiting decreased level of consciousness and difficulty with speaking and walking. Which of the following injuries is most likely?

Answer 5

Subdural hematoma

Question 6

Which is the priority assessment for a newly admitted patient with a traumatic brain injury?

Answer 6

Monitor level of consciousness

Question 7

You’re providing discharge teaching to a female patient on how to prevent urinary tract infections. Which statement is INCORRECT?

Answer 7

“Use scented sanitary napkins or tampons during menstruation.”

Question 8

Which of the following symptoms do you expect to see in a patient diagnosed with acute pyelonephritis?

Answer 8

Flank or groin pain and chills

Question 9

A patient diagnosed with active tuberculosis is in a negative pressure room for respiratory airborne isolation. How long should the nurse maintain this type of isolation?

Answer 9

Until three consecutive sputum specimens for acid fast bacilli are negative

Question 10

The nurse is caring for a client with pneumonia. Which nursing observations would indicate that the client is responding well to the treatments for the infection?

Answer 10

Respiratory rate 20, with no complaints of dyspnea, small amount of white sputum

Question 11

A patient diagnosed with HIV has an HIV viral load test of 102,000 copies/mL. Which of the following does this test’s result suggest to the nurse?

Answer 11

The current prescribed medication therapy is not effective.

Question 12

Which is anticipated that will happen to CD4 cells infected by the HIV virus?

Answer 12

CD4 cell death

Question 13

The nurse is assessing the client diagnosed with bacterial meningitis. Which clinical manifestations would support the diagnosis of bacterial meningitis?

Answer 13

Positive Kernig’s sign and nuchal rigidity.

Question 14

Nursing management of a client experiencing a seizure includes all of the following except:

Answer 14

Push a padded tongue blade into the mouth to prevent biting of the tongue

Question 15

Due to the interruption in skin integrity, patients with burn injuries are at a high risk for:

Answer 15

Infection and hypothermia

Question 16

A client is admitted to the ICU with a cervical spinal cord injury from a motor vehicle crash. Which shock state is this client most at risk for developing?

Answer 16

Neurogenic

Question 17

An 11-year-old boy with skin lesions on his trunk characteristic of ringworm has been brought to the family’s primary care provider by his mother. Which of the following aspects of the clinician’s assessment relates most directly to the suspected diagnosis?

Answer 17

Potential contact with the fungus from pets or other children

Question 18

A patient has manifestations of autonomic dysreflexia. Which of these assessments would indicate a possible cause for this condition? (Select all that apply)

Answer 18

1. Kinked catheter tubing

2. Fecal impaction