Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A charge nurse receives a call from the house supervisor requesting room assignments for four new clients.
Based on the admission diagnoses, which of the following clients requires a private room?
A. A client who has diabetes mellitus and is presenting with acute ketoacidosis.
A client with diabetes mellitus and acute ketoacidosis does not require a private room based on their diagnosis.
B. A client who reports having fever, night sweats, and cough for 2 days.
A client reports having a fever, night sweats, and cough for 2 days. These symptoms are associated with infectious diseases such as tuberculosis. In order to prevent the spread of infection to other patients, this client would require a private room.
C. A client who has a compound fracture of the right femur.
A client with a compound fracture of the right femur does not require a private room based on their diagnosis.
D. An older adult client who was admitted with aspiration pneumonia.
An older adult client with aspiration pneumonia does not require a private room based on their diagnosis.
This question is an excerpt from Nurse Dive's nursing test bank - ATI Adult Medical Surgical 2019 Proctored Exam. Take the full exam now
Full Explanation
A client reports having a fever, night sweats, and cough for 2 days.
These symptoms are associated with infectious diseases such as tuberculosis.
In order to prevent the spread of infection to other patients, this client would require a private room.
A client with diabetes mellitus and acute ketoacidosis does not require a private room based on their diagnosis.
C)A client with a compound fracture of the right femur does not require a private room based on their diagnosis.
D)An older adult client with aspiration pneumonia does not require a private room based on their diagnosis.
Similar Questions
A nurse is reviewing the medical record of a client who is to undergo open heart surgery.
Which of the following findings should the nurse report to the provider as a contraindication to receiving heparin?
A. Thrombocytopenia.
Thrombocytopenia, or low platelet count, is a contraindication to receiving heparin.
B. Rheumatoid arthritis.
Rheumatoid arthritis is not a contraindication to receiving heparin.
C. Thalassemia.
Thalassemia is not a contraindication to receiving heparin.
D. COPD.
COPD is not a contraindication to receiving heparin.
Full Explanation
Thrombocytopenia, or low platelet count, is a contraindication to receiving heparin.
Rheumatoid arthritis is not a contraindication to receiving heparin.
Thalassemia is not a contraindication to receiving heparin.
COPD is not a contraindication to receiving heparin.
A nurse is caring for a client who has a traumatic brain injury. The client, who has been quiet and cooperative, becomes agitated and restless.
Which of the following assessments should the nurse perform first?
A. Motor responses.
Motor responses are not the first assessment that should be performed.
B. Blood glucose.
Blood glucose is not the first assessment that should be performed.
C. Urinary output.
Urinary output is not the first assessment that should be performed.
D. Blood pressure.
A change in behavior such as agitation and restlessness in a client with a traumatic brain injury can be a sign of increased intracranial pressure. The nurse should first assess the client’s blood pressure as an increase in blood pressure can be an indicator of increased intracranial pressure.
Full Explanation
A change in behavior such as agitation and restlessness in a client with a traumatic brain injury can be a sign of increased intracranial pressure.
The nurse should first assess the client’s blood pressure as an increase in blood pressure can be an indicator of increased intracranial pressure.
Motor responses are not the first assessment that should be performed.
Blood glucose is not the first assessment that should be performed.
Urinary output is not the first assessment that should be performed.
A nurse is providing discharge teaching for a client who is receiving treatment for genital herpes.
Which of the following statements by the client indicates the effectiveness of the teaching?
A. "I should apply antibiotic ointment to the lesions.".
Choice A is incorrect because antibiotic ointment is not used to treat genital herpes lesions. Antiviral medication is used to manage symptoms and prevent outbreaks.
B. "I should expect my lesions to resolve in 6 weeks.".
This statement indicates that the client understands that genital herpes lesions can take time to heal and that they may not resolve immediately.
C. "I should use natural skin condoms during sexual intercourse.".
Choice C is incorrect because natural skin condoms are not effective in preventing the spread of genital herpes. Latex condoms should be used during sexual intercourse to reduce the risk of transmission.
D. "I should expect to take my medication for 3 weeks.".
Choice D is incorrect because the duration of antiviral medication treatment for genital herpes varies and may be longer than 3 weeks. It’s important for the client to follow their healthcare provider’s instructions for taking medication.
E. "I should expect to take my medication for 3 weeks.".
Full Explanation
This statement indicates that the client understands that genital herpes lesions can take time to heal and that they may not resolve immediately.
Choice A is incorrect because antibiotic ointment is not used to treat genital herpes lesions.
Antiviral medication is used to manage symptoms and prevent outbreaks.
Choice C is incorrect because natural skin condoms are not effective in preventing the spread of genital herpes.
Latex condoms should be used during sexual intercourse to reduce the risk of transmission.
Choice D is incorrect because the duration of antiviral medication treatment for genital herpes varies and may be longer than 3 weeks.
It’s important for the client to follow their healthcare provider’s instructions for taking medication.