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Question 1 of 5

A public health nurse works with a specific population. Many of the clients use herbal remedies at home. The nurse would express concern if which of the following clients reported using herbal remedies?

Correct Answer: E

Rationale: Herbal remedies may pose risks in children (
A) due to dosing concerns, but none of the conditions listed raise specific red flags. The question may lack context for a definitive answer.

Question 2 of 5

A client diagnosed with gout 10 years ago admits she has never treated her gout and hoped it would just go away. The nurse knows all of the following are potential complications from untreated gout EXCEPT

Correct Answer: D

Rationale: Untreated gout can lead to kidney stones, tophi (uric acid nodules), and joint deformities due to chronic urate deposition. Peripheral neuropathy is not a typical complication.

Question 3 of 5

A 25-year-old client with a goiter is admitted to the unit. What would the nurse expect the admitting assessment to reveal?

Correct Answer: C

Rationale: A goiter associated with hyperthyroidism may cause exophthalmos (bulging eyes) due to increased thyroid hormone levels.

Question 4 of 5

A client has an open draining wound infected with MRSA and is on contact precautions. If the nurse is entering the room to care for the client, when are gloving and gowning necessary?

Correct Answer: C

Rationale: Contact precautions for MRSA require gloving and gowning upon entering the room (
C) for any patient or environmental contact to prevent transmission. Limited contact (A,
B) or uncontained drainage (
D) does not override the need for full precautions.

Question 5 of 5

A 15-year-old client took a full bottle of extra-strength acetaminophen in a suicide attempt 5 hours prior to admission to the emergency department for treatment, and the serum level of the drug is 180 mcg/mL. Which of the following interventions does the nurse anticipate? Select all that apply.

Correct Answer: A,B,C,D,E

Rationale: Acetaminophen overdose requires NAC (
A), supportive care (
B), charcoal if within 4-8 hours (
C), hepatic monitoring (
D), and psychiatric consultation (E) for suicide attempt.

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