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Blood-borne pathogens are:


A) Disease-producing organisms.
B) Often found in blood and body fluids of infected patients.
C) Organisms that can be spread by sharps injuries.
D) All of the above

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A woman in labor is administered with methylergonovine (Methergine) IV. The occurrence of which adverse side effect necessitates immediate intervention?


A) Headache
B) Hypotension
C) Hypertension
D) Tachycardia

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The nurse is aware that their hospital has a policy that allows nursing aides to remove intravenous lines while on the surgical unit. The nurse delegates this task to the aide and the intravenous catheter is removed incorrectly. Who is responsible for this mistake?


A) The hospital, because the policy allowed the procedure.
B) The nurse, because they supervised the procedure.
C) The aide, because they performed the procedure.
D) Both B and C

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Is a splash-proof face shield necessary to enter a contact isolation room?

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A central venous pressure catheter directly measures the pressure of which portion of the heart?


A) Right atrium
B) Right ventricle
C) Left atrium
D) Left ventricle

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A nurse has prepared a client for an elective surgical procedure. After administering a pre-op sedative, the nurse notices the consent form was not signed. She asks the client to sign it before going to surgery. Is this the appropriate action? If not, why?


A) No, this is not appropriate or necessary because the client willingly came to the facility for an elective procedure, which implies consent.
B) No, this is not appropriate because the client has received a mind-altering medication (sedative) and is unable to give informed consent.
C) Yes, the consent must be signed before the procedure can begin.

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A patient is admitted with severe burns over 50 percent of their body. The nurse inserts an IV to begin fluid administration and for medications. What is the typical process of fluid shift for this type of patient within the first 48 hours?


A) Fluid is pulled out of the blood vessels and into the tissues.
B) Fluid is pulled out of the tissues and into the blood vessels.
C) Fluid maintains equilibrium between the blood vessels and the tissues.
D) Fluid movement depends on the type of burn and the patient's electrolyte status.

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A nurse notes that the site of the client's intravenous catheter is edematous and cool. Which of the following nursing actions is not appropriate for this client?


A) Removing the intravenous catheter immediately
B) Rubbing or massaging the infiltrated area
C) Elevating the affected extremity
D) Application of warm or cool compresses over the site

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A patient is receiving thrombolytic therapy to treat a large clot that has formed as a pulmonary embolism while on the post-surgical unit. The patient begins to bleed profusely from the nose and the intravenous line. What is the nurse's response?


A) Apply direct pressure to major sites of bleeding to induce clotting.
B) Increase the rate of fluid and electrolytes while decreasing the thrombolytic therapy.
C) Apply cold compresses to bleeding sites and assess respiratory function.
D) Stop the thrombolytic therapy completely and notify the physician.

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What is the difference between serum and plasma?


A) There is not a difference.
B) Serum contains proteins and no clotting factors; plasma contains serum and clotting factors.
C) Serum contains clotting factors; plasma contains serum and proteins.
D) Serum and plasma contain clotting factors. Serum also contains proteins; plasma also contains lymph fluid.

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What is the maximum size of a lancet intended for use on an infant?


A) .5 mm
B) 1.0 mm
C) 2.0 mm
D) 2.4 mm

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Standard Precautions are:


A) Guidelines designed to prevent transmission of infection from any source of body fluid, except sweat, in healthcare settings.
B) Guidelines designed to prevent transmission of infection by blood and body fluids in healthcare settings.
C) Guidelines designed to prevent transmission of infection by a known source of infection.

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The nurse is in a patients' room, about to collect a blood specimen. During her examination of the patient's arm for a potential site, she observes areas of pinpoint, red dots scattered over both of the patient's arms. What is the clinical name for this phenomenon, and what does the presence of pinpoint red dots indicate?


A) It is known as petechiae, indicating possible excessive bleeding after blood collection.
B) It is known as measles, indicating possible infectious disease exposure.
C) It is known as psoriasis, indicating a possible skin disorder and should be avoided as a potential venipuncture site.

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Which of the following maybe found on equipment check forms?


A) Tachometer readings and lot expiration dates.
B) Daily refrigerator temperatures.
C) Vacuum strengths.
D) All of the above.

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Which of the following is considered to be a disadvantage of using intravenous anesthesia?


A) Increased risk of nausea and vomiting
B) Laryngospasm may occur with use
C) Dizziness typically occurs during onset
D) Both A and C

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Where is a bevel of the needle located?


A) The point of the needle.
B) The inside of the needle.
C) The end of the needle that attaches to the hub of a syringe.

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The nurse is gathering equipment for an arterial puncture. She has gathered the following equipment: heparin solution of 1,000 IU per ml, sterile gauze, betadine wipes, sterile needle, and syringe. What has the nurse forgotten?


A) Container of ice water.
B) Alcohol wipes.
C) Tourniquet.
D) Requisition form.

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What does respondeat superior mean, and what is the purpose?


A) It means "let the master answer," and holds the employer responsible for the actions of the employees.
B) It means "first, do no harm," and holds the healthcare worker responsible for the safety and wellbeing of the patient.
C) It means "responsibility of the individual," and holds the patient responsible for his own safety within reasonable measure.

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What is the difference between fainting and hypovolemic shock?


A) Hypovolemic shock is a medical emergency.
B) Fainting is a medical emergency.
C) Fainting may be caused by an emotional reaction or pain.
D) A and C

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In which of the following situations can the nurse release client information without obtaining the client's consent first?


A) A member of the research team is inquiring about a client who is a subject of a clinical trial.
B) A documentary film is doing a story on the client.
C) The client has a communicable and infectious respiratory disease.
D) The client's relative who is a physician in the same hospital asks for information.

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