Omnium Optime
See correct answers immediately with detailed explanations after each question.
Answer all questions, then review your results with feedback at the end.
Timed simulation that mimics real exam conditions. No feedback until completion.
Below are sample questions from this exam to help you understand the content and format.
Q1: A nurse is teaching a client who has constipation. Which of the following statements should the nurse include?
Answer Choices:
💧 Increase your daily fluid intake — This is correct because dehydration contributes to constipation, and adequate fluids help soften stool and promote bowel movements.
💧 Try to defecate at different times of the day — This is incorrect because establishing a regular bowel routine, often after meals, is more effective.
💧 Consume a low-fiber diet — This is incorrect because constipation is best managed with a high-fiber diet (fruits, vegetables, whole grains).
💧 Reduce your daily activity — This is incorrect because increasing physical activity stimulates peristalsis and helps relieve constipation.
Q2: A nurse is providing education to a client who needs a cholecystectomy due to a build-up of calculi or gallstones. Which of the following is the best response from the nurse to explain what caused this problem?
Answer Choices:
🩺 The gallbladder has become inflamed due to a build-up of gallstones that are blocking the common bile duct — This is correct because gallstones (cholelithiasis) can obstruct the cystic duct or common bile duct, leading to inflammation (cholecystitis), pain, and need for surgical removal.
🩺 The gallbladder has become blocked by a tumor and is no longer working — This is incorrect because the cause here is gallstones, not a tumor.
🩺 The gallbladder has become inflamed due to the cholesterol in the gallstones — This is partly true since gallstones are often cholesterol-based, but the inflammation results from obstruction, not the cholesterol itself.
🩺 The gallbladder became infected by a virus and needs to be removed — This is incorrect because gallbladder issues are not caused by viruses.
Q3: A nurse is caring for a hospitalized client at risk for complications of immobility. Which of the following interventions should the nurse include to prevent complications?
Answer Choices:
💊 Encourage the client to sit in the chair for all meals — This is correct because getting out of bed promotes mobility, circulation, lung expansion, digestion, and helps prevent complications such as pressure injuries, pneumonia, and venous thromboembolism.
💊 Instruct the client to wear a hospital gown every day, even when out of bed — This is incorrect because clothing choice does not affect immobility complications.
💊 Have the client remain in bed for self-care activities — This is incorrect because prolonged bed rest increases the risk of immobility complications.
💊 Elevate the head of the bed to 30° to 45° for medication administration — This helps with aspiration prevention during meds, but it does not address overall immobility complications.
Q4: A nurse is teaching a newly licensed nurse about wearing medical masks. Which of the following statements should the nurse include?
Answer Choices:
✔ “Discard your mask after each use.” — This is correct because medical masks are single-use and should be disposed of after each patient encounter to prevent cross-contamination.
✔ “Remove your mask prior to removing your gloves.” — This is incorrect; gloves should be removed first, then the mask, to reduce contamination risk.
✔ “Position the mask on your face with the flexible metal piece at the bottom.” — This is incorrect; the metal strip should be at the top so it can be molded over the bridge of the nose for a proper fit.
✔ “Touch the front of your mask while wearing it.” — This is incorrect because the front of the mask is contaminated; touching it increases infection risk.
Q5: A nurse is preparing to admit a client who has a new diagnosis of methicillin-resistant Staphylococcus aureus (MRSA). The nurse should plan to place the client in which of the following types of transmission-based precautions?
Answer Choices:
Contact — This is correct because MRSA is transmitted primarily through direct contact with contaminated surfaces, wounds, or hands. Contact precautions require gloves, gown, and dedicated equipment to prevent spread.
🦠 Protective — This is incorrect because protective (reverse) isolation is for immunocompromised patients to protect them from outside infections, not for MRSA carriers.
🦠 Airborne — This is incorrect because MRSA does not spread through small airborne particles like tuberculosis or measles.
🦠 Droplet — This is incorrect because droplet precautions are for large-particle respiratory infections (e.g., influenza, meningitis), not MRSA.
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