Louisiana Notary Exam Sample

Questions and Answers 2024 UPDATE

A client with acute osteomyelitis has undergone surgical debridement of the diseased bone

and asks the nurse how long will antibiotics have to be administered. Which information

should the nurse communicate?

A. Oral antibiotics for 2 to 4 months, then for dental procedure prophylaxis.

B. Parenteral antibiotics for 4 to 6 weeks, then oral antibiotics for up to 1 year.

C. Parenteral antibiotics for 4 to 8 weeks, then oral antibiotics for 4 to 8 weeks.

Parenteral antibiotics for 2 to 3 weeks, then oral antibiotics for 4 weeks

C

Treatment of acute osteomyelitis requires the administration of high doses of parenteral

antibiotics for 4 to 8 weeks, followed by oral antibiotics for another 4 to 8 weeks

In planning care for a client with an acute stroke resulting in right-sided hemiplegia, which

positioning should the nurse should use to maintain optimal functioning?

A. Mid-Fowlers with knees supported.

B. Supine with trochanter rolls to the hips.

C. Sim's position alternated with right lateral position q2 hours.

Left lateral, supine, brief periods on the right side, and prone

D

Rationale

After an acute stroke, a positioning and turning schedule that minimizes lying on the

affected side, which can impair circulation and cause pain, and includes the prone position

to help prevent flexion contractures of the hips, prepares the client for optimal functioning

and ambulation.

Which preexisting diagnosis places a client at the greatest risk of developing superior vena

cava syndrome?

A. Carotid stenosis.

B. Steatosis hepatitis.

C. Metastatic cancer.

D. Clavicular fracture.

C

Rationale

Superior vena cava syndrome occurs when the superior vena cava (SVC) is compressed by

outside structures, such as a growing tumor that impedes the return blood flow to the

heart. Superior vena cava syndrome is likely to occur with metastatic cancer from a

primary tumor in the upper lobe of the right lung that compresses the superior vena cava.

The nurse is giving discharge instructions to a client with chronic prostatitis. What

instruction should the nurse provide the client to reduce the risk of spreading the infection

to other areas of the client's urinary tract?

A. Wear a condom when having sexual intercourse.

B. Avoid consuming alcohol and caffeinated beverages.

C. Empty the bladder completely with each voiding.

D. Have intercourse or masturbate at least twice a week.

D

Rationale

The prostate is not easily penetrated by antibiotics and can serve as a reservoir for

microorganisms, which can infect other areas of the genitourinary tract. Draining the

prostate regularly through intercourse or masturbation decreases the number of

microorganisms present and reduces the risk for further infection from stored

contaminated seminal fluids