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Which of the following statements, if made by the parents of a newborn, does not indicate a need for further teaching about cord care?
Which of the following indicates a hazard for a client on oxygen therapy?
A young boy is recently diagnosed with a seizure disorder. Which of the following statements by the boy’s mother indicates a need for further teaching by the nurse?
Which of the following diseases or conditions is least likely to be associated with increased potential for bleeding?
A 10-month-old child is brought to the Emergency Department because he is difficult to awaken. The nurse notes bruises on both upper arms. These findings are most consistent with:
Assessment of the client with an arteriovenous fistula for hemodialysis should include:
Which of the following foods is a complete protein?
Broccoli, oranges, dark greens, and dark yellow vegetables can be eaten to:
A 20-year-old obese female client is preparing to have gastric bypass surgery for weight loss. She says to the nurse, “I need this surgery because nothing else I have done has helped me to lose weight.” Which response by the nurse is most appropriate?
Which of the following is most likely to impact the body image of an infant newly diagnosed with Hemophilia?
How often should the nurse change the intravenous tubing on total parenteral nutrition solutions?
A client has been diagnosed with Disseminated Intravascular Coagulation (DIC) and transferred to the medical intensive care unit (ICU) subsequent to an acute bleeding episode. In the ICU, continuous Heparin drip therapy is initiated. Which of the following assessment findings indicates a positive response to Heparin therapy?
A safety measure to implement when transferring a client with hemiparesis from a bed to a wheelchair is:
When obtaining a health history on a menopausal woman, which information should a nurse recognize as a contraindication for hormone replacement therapy?
Teaching the client with gonorrhea how to prevent reinfection and further spread is an example of:
When the nurse is determining the appropriate size of an oropharyngeal airway to insert, what part of a client’s body should she measure?
A client has been taking alprazolam (Xanax) for four years to manage anxiety. The client reports taking 0.5 mg four times a day. Which statement indicates that the client understands the nurse’s teaching about discontinuing the medication?
The goals of palliative care include all of the following except:
The nurse provides a postoperative client with an analgesic medication and darkens the room before the client goes to sleep for the night. The nurse’s actions:
The nurse should perform which intervention when a client is restrained?
A nurse taking a patient’s history realizes the patient is complaining of SOB and weakness in the lower extremities. The patient has a history of hyperlipidemia, and hypertension. Which of the following may be occurring?
A nurse is reviewing a patient’s medical record. The record indicates the patient has limited shoulder flexion on the left. Which plane of movement is limited?
When planning care of a client who has a been diagnosed with Amphetamine Abuse, the nurse should use the knowledge that:
A fifty-five year-old man suffered a left frontal lobe CVA. The patient’s family is not present in the room. Which of the following should the nurse watch most closely for?
A patient has been ordered to get Tegretol for the first time. Which of the following side effects is not associated with Tegretol?
Which of the following microorganisms are considered normal body flora?
A client needs to rapidly achieve a therapeutic plasma drug concentration of a medication. Rather than wait for steady state to be achieved, the physician might order:
A nurse is setting up a vision-screening program for a new school. At what age will vision be 20/20 in children?
A 27 year-old woman has delivered twins in the OB unit. The patient develops a condition of 5 centimeter diastasis recti abdominis. Which of the following statements is the most accurate when instructing the patient?
If Ms. Barrett’s distance vision is 20/30, which of the following statements is true?
A nurse is caring for a patient who has recently been diagnosed with fibromyalgia and COPD. Which of the following tasks should the nurse delegate to a nursing assistant?
Which of the following is responsible for laws mandating the reporting of certain infections and diseases?
A month after receiving a blood transfusion, an immunocompromised client develops fever, liver abnormalities, a rash, and diarrhea. The nurse should suspect this client has:
A person using over-the-counter nasal decongestant drops who reports unrelieved and worsening nasal congestion should be instructed to:
A nurse suspects a patient is developing Bell’s Palsy. The nurse wants to test the function of cranial nerve VII. Which of the following would be the most appropriate testing procedures?
A nurse is caring for a patient who has experienced burns to the right lower extremity. According to the Rule of Nines which of the following percents most accurately describes the severity of the injury?
Which of the following tests is commonly performed on newborns with jaundice?
Which of the following conditions has a severe complication of respiratory failure?
Which of the following describes the stages of domestic violence in an intimate relationship?
When a client who is having trouble conceiving says to the nurse, “I have started taking ginseng,” the best response by the nurse is:
Which of the following coping mechanisms protects an individual from anxiety?
A Roman Catholic client is preparing to have magnetic resonance imaging. He wants to wear his metal crucifix pendant while he is receiving the test. Which of the following is an appropriate response by the nurse?
A client’s postoperative pain seems to be getting worse instead of better. When the nurse asks the client, “Why do you think it’s getting worse?” the client replies, “My wife died last month. It’s all I can think about.” The nurse must now consider:
Which of the following lab values is elevated first after a client has a myocardial infarction?
The nurse who was not promoted then went to the utility room and slammed several cupboard doors while looking for Kleenex. This behavior exemplifies:
Client education by the nurse entails:
Appropriate nursing strategies to assist a client in maintaining a sense of self include:
A client with a nasogastric (NG) tube begins vomiting. What action should the nurse take?
Which of the following NSAIDS is most commonly used for a brief time for acute pain?
When caring for a client with a possible diagnosis of placenta previa, which of the following admission procedures should the nurse omit?
While performing a physical assessment on a 6-month-old infant, the nurse observes head lag. Which of the following nursing actions should the nurse perform first?
After breast reconstruction secondary to breast cancer, the nurse should recognize which of the following expected client outcomes as evidence of a favorable response to nursing interventions related to disturbed body image?
A client with sickle cell disease is worried about passing the disease on to children. Which of the following statements by the PN is most appropriate for this client?
Accurate documentation of assessment findings regarding pressure ulcers is very important because:
The client’s lab culture report is negative for a suspected infection. A test that can correctly identify those who do not have a given disease is:
Following the change of shift report, the nurse should analyze the information and set priorities accordingly. When the plan has been formulated, at what point during the shift can or should the nurse’s plan be altered or modified?
Which of the following ethnic groups is at highest risk in the United States for pesticide-related injuries?
A concern regarding maternal and infant mortality and morbidity is that:
Rehabilitation services begin:
As part of a routine health screening, the nurse notes the play of a 2-year-old child. Which of the following is an example of age-appropriate play at this age?
A child comes to the clinic with a skin rash. The maculopapular lesions are distributed around the mouth and have honey-colored drainage. The caregiver states that the rash is getting worse and seems to spread with the child’s scratching. Which of the following advisory comments should be given?
According to the ANA Code of Ethics for Nurses, professional nurses have an ethical obligation to:
The intent of the Patient Self Determination Act (PSDA) of 1990 is to:
A client with asthma develops respiratory acidosis. Based on this diagnosis, what should the nurse expect the client’s serum potassium level to be?
The nurse is teaching a teenage female about preventing the transmission of genital herpes. Which of the following statements should the nurse include?
Someone who has received a recent tattoo should be screened for:
A client with massive chest and head injuries is admitted to the ICU from the Emergency Department. All of the following are true except:
A nurse observes a client sitting alone and talking. When asked, the client reports that he is “talking to the voices.” The nurse’s next action should be:
Client self-determination is the primary focus of:
On first meeting, a new nurse manager makes eye contact, smiles, initiates conversation about the previous work experience of nurses, and encourages active participation by nurses in the dialogue. Her behavior is an example of:
The chemotherapeutic DNA alkylating agents such as nitrogen mustards are effective because they:
A client is given an opiate drug for pain relief following general anesthesia. The client becomes extremely somnolent with respiratory depression. The physician is likely to order the administration of:
Activities of effective supervisors can be taskrelated or people-related activities. An example of a task-related supervisory activity is:
When assessing a client with early impairment of oxygen perfusion, such as pulmonary embolus, the nurse should expect to find restlessness and which of the following symptoms?
A client’s central venous access device (CVAD) becomes infected. Why might the physician order antibiotics to be given through the line rather than through a peripheral IV line?
A day care center has asked the nurse to provide education for parents regarding safety in the home. What type of preventive care does this represent?
The primary organ for drug elimination is the:
The nurse is working with families who have been displaced by a fire in an apartment complex. What is the priority intervention during the initial assessment?
The advanced directive in a client’s chart is dated August 12, 1998.The client’s daughter produces a Power of Attorney for Health Care, dated 2003, which contains different care direction(s). The nurse is supposed to:
Which of the following clients require airborne precautions?
Which of the following clients should refrain from therapy with the thiazide diuretic hydrochlorothiazide (HCTZ)?
A visitor accidentally knocks over a plastic pleural drainage system connected to a client, and it cracks. What should the nurse do first?
Levothyroxine (Synthroid) is the drug of choice for thyroid replacement therapy in clients with hypothyroidism because:
A client has sustained a hyphema. What intervention should the nurse take?
All of the following tasks could be delegated to a nursing assistant or unlicensed assistive personnel (UAP) except:
During a routine health screening, the nurse should talk to the parents of a 1-year-old child about which of the following?
A 50 milliliter (ml) bolus of normal saline fluid is ordered by the physician. The physician wants it to infuse in 30 minutes. The nurse should set the pump rate at:
Mrs. Peterson complains of difficulty falling asleep, awakening earlier than desired, and not feeling rested. She attributes these problems to leg pain that is secondary to her arthritis. What is the most appropriate nursing diagnosis for her?
An example of an extended care facility is a:
Delegation of tasks to appropriate personnel allows the nurse to:
When teaching a woman about possible side effects of hormone replacement therapy, the nurse should include information about all of the following except:
Pain tolerance in an elderly client with cancer should:
In infants and children, the side effects of firstgeneration over-the counter (OTC) antihistamines, such as diphenhydramine (Benedryl) and hydroxyzine (Atarax), can include:
Which of the following diseases places a client at risk for developing cirrhosis?
Which of the following foods can cause diarrhea when eaten by a client with an ileostomy?
The presence of which hormone in the urine is specifically indicative of pregnancy?
Padding on a restraint helps:
The nurse should consider which of the following as a possible cause for the symptoms experienced by the client in Question 28?
The parents of a 2-year-old child ask the nurse how they can teach their child to quit taking toys away from other children. Which of the following statements by the nurse offers the parents the best explanation of their child’s behavior?
All of the following are causes of vaginal bleeding in late pregnancy except:
Nonpharmacological pain management involves all of the following except:
A nurse is caring for a client with an elevated urine osmolarity. The nurse should assess the client for:
When discussing possible complications of pregnancy with a client, the nurse should explain that all of the following are symptoms of urinary tract infection (UTI). Which of the following is least indicative of UTI during pregnancy?
Which cultural group has the highest incidence of inflammatory bowel disease (IBD)?
Which type of exercises might be prescribed to strengthen the pelvic floor muscles of a client with urinary incontinence?
Client room environments should include:
The nurse can promote relief of muscle pain, spasms, and tension by:
Which type of diet should the nurse provide to help a client who has major burns maintain a positive nitrogen balance?