Question1: Jane Love, a 35-year old gravida III para II at 23 weeks gestation, is seen in the Emergency Department with painless, bright red vaginal bleeding. Jane reports that she has been feeling tired and has noticed ankle swelling in the evening. Laboratory tests reveal a hemoglobin level of 11.5 g/dL. After evaluating the situation, the nurse determines that Jane is at risk for placenta previa, based on which of the following data?
Question2: Which of the following is an inappropriate item to include in planning care for a severely neutropenic client?
Question3: A legal right to confidentiality of client information is waived when:
Question4: A physician orders a serum creatinine for a hospitalized client. The nurse should explain to the client and his family that this test:
Question5: When a middle-age woman says to the nurse, "I'm really worried about menopause. When my mom went through it, she got really depressed." The nurse's best response is:
Question6: 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?
Question7: A client goes to the mental health center for difficulty concentrating, insomnia, and nightmares. The client reports being raped as a child. The nurse should assess the client for further signs of:
Question8: A woman asks, "How much alcohol can I safely drink while pregnant?" The nurse's best response is:
Question9: A nurse is teaching a group of clients with a diagnosis of Schizophrenia who are nearing discharge from a residential care facility. An essential topic to include is:
Question10: The focus of a nurse case manager is:
Question11: All of the following are causes of vaginal bleeding in late pregnancy except:
Question12: The nurse should make which of the following responses when questioned by a client about the role of leptin in the body?
Question13: What significant event occurs in the orientation phase of a nurse-client relationship?
Question14: A 55 year-old female asks a nurse the following, "Which mineral/vitamin is the most important to prevent progression of osteoporosis. The nurse should state:
Question15: A newborn has been delivered. An Apgar score is given. What does this scoring system indicate?
Question16: A nurse is caring for a client with an elevated cortisol level. The nurse can expect the client to exhibit symptoms of:
Question17: A nurse is assessing a patient that has undergone a recent CABG. The nurse notices a mole with irregular edges with a bluish color. The nurse should:
Question18: The nurse who was not promoted tells another friend, "I knew I'd never get the job. The hospital administrator hates me." If she actually believes this of the administrator, who, in reality, knows little of her, she is demonstrating:
Question19: Which of the following is a predisposing factor for cancer of the tongue?
Question20: Distraction therapy is:
Question21: Which of the following represents a normal serum potassium level?
Question22: A middle-aged woman tells the nurse that she has been experiencing irregular menses for the past six months. The nurse should assess the woman for other symptoms of:
Question23: Which of the following developmental milestones for a 6-month-old child should be screened by the nurse during a routine office visit?
Question24: The goals of palliative care include all of the following except:
Question25: A paraplegic client is in the hospital to be treated for an electrolyte imbalance. Which level of care is the client currently receiving?
Question26: Which of the following clients require airborne precautions?
Question27: A nurse discharge planner is preparing a client for discharge from an acute care setting. The nurse assesses that skilled home care services are clinically indicated. This assessment is based on all of the following indicators except:
Question28: Melissa Smith came to the Emergency Department in the last week before her estimated date of confinement complaining of headaches, blurred vision, and vomiting. Suspecting PIH, the nurse should best respond to Melissa's complaints with which of the following statements?
Question29: Accurate documentation of assessment findings regarding pressure ulcers is very important because:
Question30: The mother of a newborn child is very upset. The child has a cleft lip and palate. The type of crisis this mother is experiencing is:
Question31: Which of the following injuries, if demonstrated by a client entering the Emergency Department, is the highest priority?
Question32: The nurse assesses a client for physiological risk factors for falls. The nurse should conclude that the client is not at risk if which of the following is discovered?
Question33: Which of the following microorganisms are considered normal body flora?
Question34: Which of the following should be included in a diet rich in iron?
Question35: The mother of a newborn child is very upset. The child has a cleft lip and palate. The type of crisis this mother is experiencing is:
Question36: Legal protection of confidentiality:
Question37: A nurse is performing a screening on a patient that has been casted recently on the left lower extremity.
Which of the following statements should the nurse be most concerned about?
Question38: Which of the following is likely to increase the risk of sexually transmitted disease?
Question39: An elevation in which of the following enzymes is indicative of pancreatitis?
Question40: The intent of the Patient Self Determination Act (PSDA) of 1990 is to:
Question41: The nurse is caring for a client who is dying. While assessing the client for signs of impending death, the nurse observes the client for:
Question42: A newborn baby exhibits a reflex that includes: hand opening, abducted and extended extremities following a jarring motion. Which of the following correctly identifies the reflex?
Question43: A client tells the nurse that his wife's nagging really gets on his nerves. He asks the nurse to talk with her about her nagging during their family session tomorrow afternoon. Which of the following responses is the most therapeutic for the client?
Question44: In managing nausea related to Morphine epidural analgesia, the nurse should administer:
Question45: One day postoperative, the client complains of dyspnea, and his respiratory rate (RR) is 35, slightly labored, and there are no breath sounds in the lower-right base. The nurse should suspect:
Question46: Which of the following statements by a client indicates adequate preparation for magnetic resonance imaging?
Question47: The major electrolytes in the extracellular fluid are:
Question48: A nurse is working in an outpatient orthopedic clinic. During the patient's history the patient reports, "I tore
3 of my 4 Rotator cuff muscles in the past." Which of the following muscles cannot be considered as possibly being torn?
Question49: A patient is currently having a petit mal seizure in the clinic on the floor. Which of the following criteria has the highest priority in this situation?
Question50: A mother that has never breast-feed a child before is having trouble getting the baby to latch on to the breast. The baby has lost 3% of its' birth weight within the first 2 days of life. The best statement is:
Question51: All of the following factors, when identified in the history of a family, are correlated with poverty except:
Question52: At what point in the nurse-client relationship should termination first be addressed?
Question53: A batterer is usually someone who:
Question54: A client is complaining of difficulty walking secondary to a mass in the foot. The nurse should document this finding as:
Question55: When medications have an additive, synergistic, or antagonistic effect on a tissue, a ________ reaction has occurred.
Question56: An Asian family has an elderly member with latestage Alzheimer's disease. The physician has recommended placement in a long-term care facility, but the family refuses. Which of the following is an appropriate response to the family by the nurse?
Question57: Which of the following indicates a hazard for a client on oxygen therapy?
Question58: A client with a pleural drainage system to suction has gentle bubbling of the water seal. What should the nurse do?
Question59: A nurse has been ordered to set-up Buck's traction on a patient's lower extremity due to a femur fracture.
Which of the following applies to Buck's traction?
Question60: One drug can alter the absorption of another drug. One drug increases intestinal motility. Which effect does this have on the second drug?
Question61: Which of the following statements by a client with spinal cord injury indicates a need for further teaching by the nurse regarding bowel management?
Question62: When caring for a client with a possible diagnosis of placenta previa, which of the following admission procedures should the nurse omit?
Question63: An assessment of the skull of a normal 10-monthold baby should identify which of the following?
Question64: 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?
Question65: A client expresses anxiety about having magnetic resonance imaging performed. Which of the following is an appropriate response by the nurse?
Question66: A nurse is assessing a 18 year-old female who has recently suffered a TBI. The nurse notes a slower pulse and impaired respiration. The nurse should report these findings immediately to the physician, due to the possibility the patient is experiencing which of the following conditions?
Question67: Which type of hepatitis is transmitted via the fecal-oral route?
Question68: When administering intravenous electrolyte solution, the nurse should take which of the following precautions?
Question69: An 80-year-old aphasic CVA client had abdominal surgery 2 days ago. Which of the following puts this client at the highest risk for inadequate pain management?
Question70: A client with Kawasaki disease has bilateral congestion of the conjunctivae, dry cracked lips, a strawberry tongue, and edema of the hands and feet followed by desquamation of fingers and toes. Which of the following nursing measures is most appropriate to meet the expected outcome of positive body image?
Question71: A serious complication of a total hip replacement is displacement of the prosthesis. What is the primary sign of displacement?
Question72: Which of the following diseases places a client at risk for developing cirrhosis?
Question73: Why is it often necessary to draw a complete blood count and differential (CBC/differential) when a client is being treated with an antiepileptic drug (AED)?
Question74: Which of the following blood pressure parameters indicates PIH? Elevation over a baseline of:
Question75: A person using over-the-counter nasal decongestant drops who reports unrelieved and worsening nasal congestion should be instructed to:
Question76: The tendency of a drug to combine with its receptor is called:
Question77: A woman is in the active phase of labor. An external monitor has been applied, and a fetal heart deceleration of uniform shape is observed, beginning just as the contraction is under way and returning to the baseline at the end of the contraction. Which of the following nursing actions is most appropriate?
Question78: People-related supervisory tasks include all of the following except:
Question79: Which of the following statements describes the purpose of client restraint?
Question80: The emergency triage nurse should perform which action upon receiving the history that a client has a severe cough, fever, night sweats, and body wasting?
Question81: When a client with a major burn experiences body image disturbance, which of the following is an appropriate nursing intervention classification?
Question82: The sexually transmitted disease, sometimes referred to as the silent STD, that is more common than gonorrhea and a leading cause of PID is:
Question83: 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:
Question84: Which of the following individuals may legally give informed consent?
Question85: A patient has fallen off a bicycle and fractured the head of the proximal fibula. A cast was placed on the patient's lower extremity. Which of the following is the most probable result of the fall?
Question86: A client has experienced a CVA with right hemiparesis and is ready for discharge from the hospital to a long-term care facility for rehab. To provide optimal continuity of care, the nurse should do all of the following except:
Question87: High uric acid levels can develop in clients who are receiving chemotherapy. This can be caused by:
Question88: A client is taking hydrocodone (Vicodin) for chronic back pain. The client has required an increase in the dose and asks whether this means he is addicted to Vicodin. The nurse should base her reply on the knowledge that:
Question89: The ethical principle of keeping professional promises or obligations is:
Question90: Which of the following is true concerning human immunodeficiency virus (HIV)?
Question91: Which of the following lab values would indicate symptomatic AIDS in the medical chart? (T4 cell count per deciliter)
Question92: As a type of quality indicator, an example of a structure standard is:
Question93: Which of the following lab values is associated with a decreased risk of cardiovascular disease?
Question94: Which medication might the physician order if the client expresses discomfort with being in the enclosed space of a CT scanner?
Question95: Client self-determination is the primary focus of:
Question96: When assessing a client with amytrophic lateral sclerosis (ALS), the nurse should expect which of the following findings?
Question97: As part of the teaching plan for a client with type I diabetes mellitus, the nurse should include that carbohydrate needs might increase when:
Question98: A patient has been ordered to get Klonapin for the first time. Which of the following side effects is not associated with Klonapin?
Question99: An effective intervention for a client diagnosed with Obsessive-Compulsive Disorder is:
Question100: A client with which of the following conditions is at risk for developing a high ammonia level?
Question101: A central venous pressure reading of 11cm/H(2)0 of an IV of normal saline is determined by the nurse caring for the patient. The patient has a diagnosis of pericarditis. Which of the following is the most applicable:
Question102: A female having her first child is experiencing which type of crisis event?
Question103: A patient asks a nurse the following question. Exposure to TB can be identified best with which of the following procedures? Which of the following tests is the most definitive of TB?
Question104: Chemotherapeutic agents often produce a degree of myelosuppression including leukopenia. Leukopenia does not present immediately but is delayed several days or weeks because:
Question105: A 35-year-old Latin-American client wishes to lose weight to reduce her chances of developing heart disease and diabetes. The client states, "I do not know how to make my diet work with the kind of foods that my family eats." What should the nurse do first to help the client determine a suitable diet for disease prevention?
Question106: The nurse supporting a family who has just experienced a sudden and unexpected death needs to know:
Question107: The nurse should teach a client in the Emergency Department, who has suffered an ankle sprain, to:
Question108: 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?
Question109: The nurse working with elderly clients should keep in mind that falls are most likely to happen to elderly who are:
Question110: Following an automobile accident that caused a head injury to an adult client, the nurse observes that the client sleeps for long periods of time. The nurse determines that the client has experienced injury to the:
Question111: Which of the following microorganisms is easily transmitted from client to client on the hands of health care workers?
Question112: A patient has a history of cardiac arrhythmia. A nurse has been ordered to give 2 units of blood to this patient. The nurse should take which of the following actions?
Question113: The nurse seeks to assess the renal function of an elderly client who is about to receive a nephrotoxic medication. Which of the following labs provides the best indicator for renal function?
Question114: Regardless of their practice area, nurses should be concerned with:
Question115: Nail and foot care are essential in meeting basic hygiene needs of clients. Important assessments by the nurse in this area include:
Question116: During the health screening of an adolescent, which finding by the nurse requires further teaching?
Question117: Central venous access devices (CVADs) are frequently utilized to administer chemotherapy. What is an advantage of using CVADs for chemotherapeutic agent administration?
Question118: The vast majority of deaths resulting from unintentional poisoning occur in:
Question119: Which of the following medications should be held 24-48 hours prior to an electroencephalogram (EEG)?
Question120: Which of the following is one of the main goals for Healthy People 2010?
Question121: Which of the following factors can impact an individual's ability to give informed consent?
Question122: A client is having problems with her ankles. To assess her ankles' ROM, which ROM exercises should the nurse have her perform?
Question123: The role of the incident report in risk management is:
Question124: A nurse is reviewing a patient's ECG report. The patient exhibits a flat T wave, depressed ST segment and short QT interval. Which of the following medications can cause all of the above effects?
Question125: The best nursing diagnosis for a client with newly diagnosed Diabetes Mellitus is:
Question126: A client taking isotretinoin (Accutane) tells the nurse that she is pregnant. What should the nurse teach this client?
Question127: A client states, "I eat a well-balanced diet. I do not smoke. I exercise regularly, and I have a yearly checkup with my physician. What else can I do to help prevent cancer?" The nurse should respond with which of the following statements?
Question128: The difference between spirituality and religion is that spirituality is:
Question129: Which of the following medications might cause upper-gastrointestinal (UGI) bleeding?
Question130: A primigravida begins labor when her family is unavailable and she is alone. She is very upset that her family is not with her. Which approach can the nurse take to meet the client's needs at this time?
Question131: Fat emulsions are frequently administered as a part of total parenteral nutrition. Which statement is true regarding fat emulsions?
Question132: Which of the following statements by a client indicates adequate understanding of preparation for a lipoprotein fractionation test?
Question133: 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:
Question134: Which of the following instructions should a nurse give a client who is about to undergo pelvic ultrasonography?
Question135: A client receiving drug therapy with furosemide and digitalis requires careful observation and care. In planning care for this client, the nurse should recognize that which of the following electrolyte imbalances is most likely to occur?
Question136: A client with cirrhosis of the liver presents with ascites. The physician is to perform a parancentesis. For safety, the nurse should ask the client to:
Question137: A client asks the nurse what risk factors increase the changes of getting skin cancer. The risk factors include all except:
Question138: Which of the following isoenzymes is elevated in a client who has had a myocardial infarction?
Question139: A client is told that his test is positive, but in fact, the client does not have the disease tested for. Which type of false report is this an example of?
Question140: A 13 year old girl is admitted to the ER with lower right abdominal discomfort. The admitting nursing should take which the following measures first?
Question141: Which of the following describes the stages of domestic violence in an intimate relationship?
Question142: Which of the following viruses is most likely to be acquired through casual contact with an infected individual?
Question143: A client is assessed by the nurse as experiencing a crisis. The nurse plans to:
Question144: Which of the following syndromes associated with incomplete lesions of the spinal cord is a result of damage to one-half of the spinal cord?
Question145: A client with an ileus is placed on intestinal tube suction. Which of the following electrolytes is lost with intestinal suction?
Question146: There are many types of torts that can be committed against clients. They include all of the following except:
Question147: When a drug is listed as Category X and prescribed to women of child-bearing age/capacity, the nurse and the interdisciplinary team should counsel the client that:
Question148: During the work phase of the nurse-client relationship, the client says to her primary nurse, "You think that I could walk if I wanted to, don't you?" What is the best response by the nurse?
Question149: Signs of internal bleeding include all of the following except:
Question150: The physician's role in case management includes all of the following except:
Question151: How does the ANA define the psychiatric nursing role?
Question152: A nurse is caring for a client with an elevated urine osmolarity. The nurse should assess the client for:
Question153: When helping a client gain insight into anxiety, the nurse should:
Question154: Which of the following home-care strategies is most likely to negatively impact the body image of a client with Cushing's syndrome?
Question155: A client with stress incontinence should be advised:
Question156: 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?
Question157: American families are having difficulty adequately performing their vital health care function. What are the basic reasons for this difficulty?
Question158: A complication of total parenteral nutrition (TPN) is the development of cholestasis. What is this condition?
Question159: With a breech presentation, the nurse must be particularly alert for which of the following?
Question160: Nursing considerations when caring for African- American clients include that:
Question161: A nurse is instructing a patient about the warning signs of (Digitalis) side effects. Which of the following side effects should the nurse tell the patient are sometimes associated with excessive levels of Digitalis?
Question162: What is the primary goal of family education?
Question163: Which of the following procedures describes an opening between the colon and abdominal wall?
Question164: Acute hyphema is associated with what type of injury?
Question165: A nurse is trying to motivate a client toward more effective management of a therapeutic regimen. Which of the following actions by the nurse is most likely to be effective in increasing the client's motivation?
Question166: A mother of a newborn notices a nurse placing liquid in her baby's eyes. Which of the following is an inaccurate statement about the need for eyedrops following birth?
Question167: What is the appropriate ratio of cardiac compressions to ventilations in an adult client for one-person CPR?
Question168: A client turns her ankle. She is diagnosed as having a Pulled Ligament. This should be documented as a:
Question169: A client diagnosed with Borderline Personality Disorder frequently attempts to burn herself. The best intervention to facilitate behavior change is:
Question170: The nurse is teaching a client about sleep and gives background information on normal sleep patterns.
Which of the following substances promotes sleep?
Question171: The orientation nurse educator reviewing the biohazard legend with a class of new employees states that the emblem is affixed to containers whenever:
Question172: A client asks a nurse working in a dental office what type of drug the dentist uses to provide anesthesia during the extraction of the client's wisdom teeth. The dentist uses an anesthetic gas, also known as laughing gas. This agent is:
Question173: 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:
Question174: A nurse notes that an elderly client suddenly does not keep appointments and is not wearing appropriate clothing. Which statement by the client raises the suspicion of financial abuse?
Question175: Which of the following symptoms is not indicative of autonomic dysreflexia in the client with a spinal cord injury?
Question176: How many feet should separate the nurse and the source when extinguishing a small, wastebasket fire with an appropriate extinguisher?
Question177: The nurse is teaching a client about communicable diseases and explains that a portal of entry is:
Question178: Which of the following conditions has a severe complication of respiratory failure?
Question179: Spirituality affects a client's life in all of the following areas except:
Question180: The nurse should utilize data about which of the following to provide information about the nutritional status of a client being evaluated for malnutrition?
Question181: A 57-year-old woman is recently widowed. She states, "I will never be able to learn how to manage the finances. My husband did all of that." Select the nurse's response that could help raise the client's self- esteem.
Question182: 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?
Question183: The nurse is developing a care plan for a client with severe anxiety. An appropriate outcome for the client is that within 4 days the client should:
Question184: The nurse is caring for a dying client who has persistently requested that the nurse "help her to die and be in peace." According to the Code of Ethics for Nurses, the nurse should:
Question185: Which of the following client groups should the nurse recognize as the fastest-growing segment of the homeless population?
Question186: When teaching parents how their children learn sex role identification, the nurse should include which of the following statements?
Question187: A nurse is instructing a person who had a left CVA and right lower extremity hemiparesis to use a quad cane. Which of the following is the most appropriate gait sequence?
Question188: A nurse working in a pediatric clinic and observes the following situations. Which of the following may indicate a delayed child to the nurse?
Question189: 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?
Question190: Which fetal heart monitor pattern can indicate cord compression?
Question191: A nurse is covering a pediatric unit and is responsible for a 15 year-old male patient on the floor. The mother of the child states, "I think my son is sexually interested in girls." The most appropriate course of action of the nurse is to respond by stating:
Question192: A client, age 28, is 8 1⁄2 months pregnant. She is most likely to display which normal skin-color variation?
Question193: A nursing advocate is one who:
Question194: After the client discusses her relationship with her father, the nurse says, "Tell me whether I am understanding your relationship with your father. You feel dominated and controlled by him?" This is an example of:
Question195: In conducting a health screening for 12-month-old children, the nurse expects them to have been immunized against which of the following diseases?
Question196: A nurse reviewed the arterial blood gas reading of a 25 year-old male. The nurse should be able to conclude the patient is experiencing which of the following conditions?
Bicarbonate ion-25 mEq/l
PH-7.41
PaCO2-29 mmHg
PaO2-54 mmHg
(FiO2)-.22
Question197: A nurse doing a home health visit consults with a male patient that has a diagnosis of CAD and COPD.
The patient is currently taking Ventolin, Azmacort, Aspirin, and Theophylline. The patient complains of upset stomach, nausea and feeling uncomfortable. The nurse should:
Question198: The family carries out its health care functions in which of the following ways?
Question199: Distribution of a drug to various tissues is dependent on the amount of cardiac output to each type of tissue. Which tissue would receive the highest amount of cardiac output and thus the highest amount of a drug?
Question200: The physician orders the antibiotics ampicillin (Omnipen) and gentamicin (Garamycin) for a newly admitted client with an infection. The nurse should:
Question201: A nurse has just started on the 7PM surgical unit shift. Which of the following patients should the nurse check on first?
Question202: A 24 year-old man has been admitted to the hospital due to work-related back injury. The patient's wife would like to see the patient's chart. The nurse should:
Question203: To ensure proper immobilization and increase client comfort when using a rigid splint:
Question204: The mother of a newborn child is very upset. The child has a cleft lip and palate. The type of crisis this mother is experiencing is:
Question205: A spinal change occurring with pregnancy that alters mobility is:
Question206: An appraisal of self-care practices involves an assessment of:
Question207: A syringe pump is a type of electronic infusion pump used to infuse fluids or medications directly from a syringe. This device is commonly used for:
Question208: Support systems during the grieving process include all of the following except:
Question209: When suctioning a client, what is the usual amount of time the nurse should spend for each suction pass?
Question210: One of the major functions of the kidneys in maintaining normal fluid balance is:
Question211: A safety measure to implement when transferring a client with hemiparesis from a bed to a wheelchair is:
Question212: A client who is experiencing infertility says to the nurse, "I feel I will be incomplete as a man/woman if I cannot have a child." Which of the following nursing diagnoses is likely to be appropriate for this client?
Question213: A client goes to the Emergency Department with acute respiratory distress and the following arterial blood gases (ABGs): pH 7.35, PCO2 40 mmHg, PO2 63mmHg, HCO3 23, and oxygenation saturation ( SaO2)
93%. Which of the following represents the best analysis of the etiology of these ABGs?
Question214: In a disaster, triage situation, the nurse should be least concerned with which of the following regarding a client in crisis?
Question215: The mother of a newborn child is very upset. The child has a cleft lip and palate. The type of crisis this mother is experiencing is:
Question216: A client with a spinal cord injury is preparing to return home from the rehabilitation unit. Which of the following statements by a family member indicates a need for further teaching regarding autonomic dysreflexia?
Question217: 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?
Question218: Erythropoietin used to treat anemia in clients with renal failure should be given in conjunction with:
Question219: When working with multicultural populations, the nurse should consider all of the following when planning care for a client with an altered sexuality pattern except:
Question220: A 17-year-old female was raped by a young man in her neighborhood. She is in the Emergency Department for evaluation and tests. After the procedure is completed, a rape crisis counselor (nurse specialist) talks to the client in a conference room regarding the rape. Implementing counseling by the nurse specialist for the raped victim represents:
Question221: Which of the following is an indication for electroencephalography?
Question222: A violation of a patient's confidentiality occurs if two nurses are discussing client information in which of the following scenarios?
Question223: A man expresses surprise that his wife has become very withdrawn during hospitalization for pneumonia.
Which response helps the husband understand how some people cope with hospitalization?
Question224: Client education by the nurse entails:
Question225: The nurse can promote relief of muscle pain, spasms, and tension by:
Question226: For a client requiring total oral care, it is important for the nurse to:
Question227: A nurse is returning phone calls in a pediatric clinic. Which of the following reports most requires the nurse's immediate attention and phone call?
Question228: A client is diagnosed with HIV. Which of the following are antiviral drug classes used in the treatment of HIV/AIDS?
Question229: Which is an appropriate outcome for the nursing diagnosis of Body Image Disturbance for a client with anorexia nervosa?
Question230: A nurse runs into the significant other of a patient with end stage AIDS crying during her smoke break.
Which of the following is most appropriate action for the nurse to take?
Question231: When the nurse is determining the appropriate size of an oropharyngeal airway to insert, what part of a client's body should she measure?
Question232: A 20-year-old male client had a diving accident with subsequent paraplegia. He says to the nurse, "No woman will ever want to marry me now." Which of the following responses by the nurse is most therapeutic?
Question233: A nurse is reviewing a patient's serum glucose levels. Which of the following scenarios would indicate abnormal serum glucose values for a 30 year-old male.
Question234: Kleinman's Explanatory Model of Health and Illness is significant because:
Question235: Which sign might the nurse see in a client with a high ammonia level?
Question236: A patient is scheduled for electro-convulsive therapy treatment scheduled in the morning. What must the evening nurse do to provide the client ECT treatment possible?
Question237: Paula is a 32-year-old woman seeking evaluation and treatment of major depressive symptoms. A major nursing priority during the assessment process includes which of the following?
Question238: A nurse is caring for a patient in the step down unit. The patient has signs of increased intracranial pressure. Which of the following is not a sign of increased intracranial pressure?
Question239: The best lab test to diagnose disseminated intravascular coagulation (DIC) is:
Question240: A patient has recently been diagnosed with symptomatic bradycardia. Which of the following medications is the most recognized for treatment of symptomatic bradycardia?
Question241: A successful resolution of the nursing diagnosis Negative Self-Concept (related to unrealistic selfexpectations) is when the client can:
Question242: Which of the following methods of contraception is able to reduce the transmission of HIV and other STDs?
Question243: If your patient is acutely psychotic, which of the following independent nursing interventions would not be appropriate?
Question244: A teenage client is admitted to the hospital because of acetaminophen (Tylenol) overdose. Overdoses of acetaminophen can precipitate life-threatening abnormalities in which of the following organs?
Question245: A client can receive the mumps, measles, rubella (MMR) vaccine if he or she:
Question246: A 2-year-old child diagnosed with HIV comes to a clinic for immunizations. Which of the following vaccines should the nurse expect to administer in addition to the scheduled vaccines?
Question247: The acts enacted by states to provide immunity from liability to persons who provide emergency care at an accident scene are called:
Question248: A client newly diagnosed with Diabetes Mellitus needs education. Which of the following statements should the nurse include in this education?
Question249: After group therapy, the female victim of intimatepartner violence confides to the nurse that she does not feel in any immediate danger. Which of the following statements about victims of domestic violence is true?
Question250: Which is the best way to position a client's neck for palpation of the thyroid?
Question251: Which of the following actions should a nurse take first for a client who has just vomited 300 cc of bright red blood?
Question252: The nurse should consider which of the following as a possible cause for the symptoms experienced by the client in Question 28?
Question253: Which of the following is most likely to impact the body image of an infant newly diagnosed with Hemophilia?
Question254: A client recently lost a child due to poisoning. The client tells the nurse, "I don't want to make any new friends right now." This is an example of which of the following indicators of stress?
Question255: To remove a client's gown when she has an intravenous line, the nurse should:
Question256: A nurse is reviewing a patient's current Lithium levels. Which of the following values is outside the therapeutic range?
Question257: Activities of effective supervisors can be taskrelated or people-related activities. An example of a task- related supervisory activity is:
Question258: Two staff nurses were considered for promotion to head nurse. The promotion is announced via a memo on the unit bulletin board. When the nurse who was not promoted first read the memo and learned that the other nurse had received the promotion, she left the room in tears. This behavior is an example of:
Question259: A 32 year-old male with a complaint of dizziness has an order for Morphine via. IV. The nurse should do which of the following first?
Question260: Pulling is easier than pushing. So pulling a client rather than pushing him or her has which of the following advantages?
Question261: Nurses should understand the chain of infection because it refers to:
Question262: Which of the following should not be included in the teaching for clients who take oral iron preparations?
Question263: What is the primary theory that explains a family's concept of health and illness?
Question264: When a client has a chest drainage system in place, where should the system be placed?
Question265: A pregnant client has congenital heart disease. The nurse should expect to see which alterations in this client's diet during pregnancy?
Question266: Which of the following statements by an adult child of a client with late-stage Alzheimer's disease indicates a need for further teaching by the nurse?
Question267: During a routine health screening, the nurse should talk to the parents of a 1-year-old child about which of the following?
Question268: Which of the following is not considered one of the main mechanisms of Type II Diabetes treatment?
Question269: A thirty-seven year-old female in room 307 has a diagnosis of acquired immune deficiency syndrome (AIDS). Which of the following situations requires nurse intervention?
Question270: Which of the following neurological disorders is characterized by writhing, twisting movements of the face and limbs?
Question271: The nurse belongs to a professional nursing organization that provides social, educational, and political venues for nurses. The nurse has been active in this organization for almost two years, during which time she meets and works with nurses from several different nursing agencies and health care institutions to achieve a variety of goals, including obtaining advice regarding a personal career choice. This is an example of:
Question272: For which condition might a client's antidiuretic hormone (ADH) level be increased?
Question273: The 24-hour day-night cycle is known as:
Question274: If Ms. Barrett's distance vision is 20/30, which of the following statements is true?
Question275: Major competencies for the nurse giving end-oflife care include:
Question276: Light therapy can be effective for:
Question277: The mother of a newborn child is very upset. The child has a cleft lip and palate. The type of crisis this mother is experiencing is:
Question278: During a well-baby check of a 6-month-old infant, the nurse notes abrasions and petechaie of the palate.
The nurse should:
Question279: Which of the following is responsible for laws mandating the reporting of certain infections and diseases?
Question280: The nurse is teaching a client about erythema infectiosum. Which of the following factors are not correct?
Question281: Teaching the client with gonorrhea how to prevent reinfection and further spread is an example of:
Question282: Which isolation procedure will be followed for secretions and blood?
Question283: Which of the following medications is not considered a neuromuscular blocker?
Question284: Which of the following strategies should the nurse include when planning care for children of migrant workers?
Question285: Some drugs are excreted into bile and delivered to the intestines. Prior to elimination from the body, the drug might be absorbed. This process is known as:
Question286: A nurse is screening patients for immunizations. Which of following is not a contraindication for immunization?
Question287: A small amount of bubbling is seen in the water seal of a pleural drainage system when a client coughs.
What should the nurse do?
Question288: Ten-year-old Jackie is admitted to the hospital with a medical diagnosis of Rheumatic Fever. She relates a history of "a sore throat about a month ago." Bed rest with bathroom privileges is prescribed. Which of the following nursing assessments should be given the highest priority when assessing Jackie's condition?
Question289: Laboratory tests reveal the following electrolyte values for Mr. Smith: Na 135 mEq/L, Ca 8.5 mg/dL, Cl 102 mEq/L, and K 2.0 mEq/L. Which of the following values should the nurse report to the physician because of its potential risk to the client?
Question290: The nurse notices that a family is waiting at the nursing station desk for its loved one to be brought to the unit for admission during a change-of-shift report. The nurse should:
Question291: A hospitalized adult client who routinely works from midnight until 8 a.m. has a temperature of 99.1° F at 4 a.m. The nurse determines that this is most likely due to:
Question292: How often must physical restraints be released?
Question293: Appropriate care for a client with neutropenia includes:
Question294: How is the information documented on incident reports used?
Question295: Which physiologic mechanism best describes the function of the sodium-potassium pump?
Question296: A nurse at outpatient clinic is returning phone calls that have been made to the clinic. Which of the following calls should have the highest priority for medical intervention?
Question297: A mother has just given birth to a baby who died soon after. The mother has been crying and states, "I can't believe this has happened to me. I did everything right during this pregnancy." How should the nurse respond to this mother?
Question298: Which of the following vaccines is a live virus?
Question299: A nurse is caring for a 10 year-old boy who has just been diagnosed with a congenital heart defect. Which of the following clinical signs does not indicate CHF?
Question300: In teaching clients with Buck's Traction, the major areas of importance should be:
Question301: All of the following tasks could be delegated to a nursing assistant or unlicensed assistive personnel (UAP) except:
Question302: A nurse walks into a client's room to do an assessment and discovers that the client is unresponsive. The nurse shakes the client and calls his name, but he does not arouse. What should the nurse do next?
Question303: An advance directive is written and notarized according to law in the state of Colorado. This document is legal and binding:
Question304: What is pica?
Question305: Ashley and her boyfriend Chris, both 19 years old, are transported to the Emergency Department after being involved in a motorcycle accident. Chris is badly hurt, but Ashley has no apparent injuries, though she appears confused and has trouble focusing on what is going on around her. She complains of dizziness and nausea. Her pulse is rapid, and she is hyperventilating. The nurse should assess Ashley's level of anxiety as:
Question306: Attaching a restraint to a side rail or other movable part of the bed can:
Question307: A health care worker is concerned about a new mother being overwhelmed by caring for her infant. The health care worker should:
Question308: The only time that an individual may receive medical care without giving informed consent is:
Question309: The gag reflex test assesses which cranial nerves?
Question310: An 8-year-old Asian child is being examined during a school screening. The nurse notices small bruises on the anterior and posterior ribs. The nurse should ask the child:
Question311: A community health nurse is asked to organize a health promotion project that plans to provide glucose screening. This activity is most beneficial within what realm?
Question312: The greatest time savers when planning client care include all of the following except:
Question313: A nurse is implementing a community awareness campaign about accidental poisoning. Which of the following should she teach in the class?
Question314: Neural tube defects in the fetus have been primarily associated with which deficiency in the mother?
Question315: Which of the following foods can cause diarrhea when eaten by a client with an ileostomy?
Question316: When teaching a client about anti-retroviral therapy for human immunodeficiency virus (HIV), the PN should emphasize:
Question317: All of the following clients are in need of an emergency assessment except:
Question318: A 62 year-old female is being seen on a home visit by a nurse. The patient reports she has been taking Premarin for years. Which of the following would indicate an over-dosage?
Question319: A client has been placed in isolation because he is diagnosed with a contagious illness. The nurse should be aware that:
Question320: A client has been admitted in septic shock. Her nursing care plan includes the diagnosis High Risk for Injury (related to clotting disorder). Based on this diagnosis, all the following are appropriate entries in the nursing care plan except:
Question321: A 21-year-old college student has just learned that she contracted genital herpes from her sexual partner.
After completing the initial history and assessment, the nurse has data concerning areas pertinent to the disease. The data is likely to include all but which of the following?
Question322: Tuberculosis (mycobacterium) usually effects which system?
Question323: Which of the following substances need to be assessed when completing a family health assessment?
Question324: Medication bound to protein can have which of the following effects?
Question325: In the process of an annual physical exam, a client is diagnosed with Benign Prostatic Hypertrophy (BPH).
This client is likely to have a consult with which type of physician?
Question326: The nurse teaching about preventable diseases should emphasize the importance of getting the following vaccines:
Question327: Levothyroxine (Synthroid) is the drug of choice for thyroid replacement therapy in clients with hypothyroidism because:
Question328: An adult who had been abused as a child is discussing the group therapy program. Which statement indicates that the client has gained insight?
Question329: Which of the following motions is identified with the corresponding action?
(Action- Turning palm of hand over to face in the anterior direction, dorsum of the hand is pointed downward toward the floor.)
Question330: A stool culture reveals Shigella. What corollary should the nurse recognize regarding this bacterial infection?
Question331: The three major sequential maturational crises for females include:
Question332: A nurse is assessing a patient's breath sounds. The patient has had a pneumonectomy to the right lung performed 48 hours ago. Which of the following conditions most likely exists?
Question333: A hospitalized client has just been informed that he has terminal cancer. He says to the nurse, "There must be some mistake in the diagnosis." The nurse determines that the client is demonstrating which of the following?
Question334: 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?
Question335: A concern regarding maternal and infant mortality and morbidity is that:
Question336: After 12 months of cessation of menses, which of the following assessment findings in a client who is taking hormone replacement therapy should the nurse report to the physician immediately?
Question337: Nonpharmacological pain management involves all of the following except:
Question338: The mother of a newborn child is very upset. The child has a cleft lip and palate. The type of crisis this mother is experiencing is:
Question339: An adolescent female reports being raped at a party where alcohol was served. The client admits to drinking alcohol before being raped by an acquaintance. The nurse should:
Question340: A client who is newly diagnosed with Parkinson's disease and beginning medication therapy asks the nurse, "How soon will I see improvement?" The nurse's best response is:
Question341: A 32-year-old female frequently comes to her primary care provider with vague complaints of headache, abdominal pain, and trouble sleeping. In the past, the physician has dutifully prescribed medication, but little else. Which of the following comments by the nurse to the physician is appropriate?
Question342: The test used to differentiate sickle cell trait from sickle cell disease is:
Question343: A 28 year-old male has a diagnosis of AIDS. The patient has had a two year history of AIDS. The most likely cognitive deficits include which of the following?
Question344: Mr. H is upset regarding being in the hospital for another day because he states it costs too much. The rights he is likely to demand include all of the following except:
Question345: When assessing a client in the Emergency Department whose membranes have ruptured, the nurse notes that the fluid is a greenish color. What is the cause of this greenish coloration?
Question346: The drug of choice to decrease uric acid levels is:
Question347: The nurse is teaching a client about the use of Rifampin for prophylaxis after an exposure to meningitis.
What change in bodily functions should the nurse advise the client about?
Question348: A patient has recently been prescribed Albuterol. Which of the following changes are not associated with Albuterol?
Question349: Which intervention should the nurse take first to assist a woman who states that she feels incompetent as the mother of a teenage daughter?
Question350: Which of the following vaccines are not part of the regular schedule of immunizations for children?
Question351: A diet high in fiber content can help an individual to:
Question352: The nurse wishes to decrease a client's use of denial and increase the client's expression of feelings. To do this the nurse should:
Question353: Which of the following services is not part of family consultation?
Question354: A case management clinical pathway for congestive heart failure might include all of the following except:
Question355: An nurse is instructing a patient on the order of sensations with the application of an ice water bath for a swollen right ankle. Which of the following is the correct order of sensations experienced with an ice water bath?
Question356: In infants and children, the side effects of firstgeneration over-the counter (OTC) antihistamines, such as diphenhydramine (Benedryl) and hydroxyzine (Atarax), can include:
Question357: A contraindication for topical corticosteroid use in a client with atopic dermatitis (eczema) is:
Question358: A nursing care plan for a client with sleep problems has been implemented. All of the following should be expected outcomes except:
Question359: The best definition of communication is:
Question360: A client with massive chest and head injuries is admitted to the ICU from the Emergency Department. All of the following are true except:
Question361: When choosing a needle gauge for an intramuscular injection in a 12 year old boy. Which of the following gauges would you choose?
Question362: Which of the following infant behaviors demonstrates the concept of object permanence?
Question363: A client was involved in a motor vehicle accident in which the seat belt was not worn. The client is exhibiting crepitus, decreased breath sounds on the left, complains of shortness of breath, and has a respiratory rate of 34/min. Which of the following assessment findings should concern the nurse the most?
Question364: If a client has chronic renal failure, which of the following sexual complications is the client at risk of developing?
Question365: The nurse is turning a client who has a new prosthetic hip. Which position should be avoided to prevent injury to the new prosthetic hip?
Question366: The nurse teaching an obese client about nutritional needs and weight loss should include all of the following except:
Question367: Health promotion activities are designed to help clients:
Question368: Pain tolerance in an elderly client with cancer should:
Question369: Assessment of the client with an arteriovenous fistula for hemodialysis should include:
Question370: Which is the most common microorganism associated with gastritis?
Question371: A nurse who is assessing the health-related physical fitness of a client as part of a health assessment should focus on which of the following aspects of the assessment?
Question372: Which of the following terms refers to soft-tissue injury caused by blunt force?
Question373: A nurse is planning a brief treatment program for a client who was raped. A realistic, short-term goal is to:
Question374: When a couple experiencing infertility presents for a fertility workup, which of the following procedures should the nurse prepare the couple to have first?
Question375: Two staff nurses were considered for promotion to head nurse. The promotion is announced via a memo on the unit bulletin board. The nurse who was not promoted tells a friend, "Oh, well, I really didn't want the job anyway." This is an example of:
Question376: Which of the following is the most appropriate diet for a client who is unable to swallow?
Question377: The nurse observes bilateral bruises on the arms of an elderly client in a long-term care facility. Which of the following questions should the nurse ask this client?
Question378: A female prostitute enters a clinic for treatment of a sexually transmitted disease. This disease is the most prevalent STD in the United States. The nurse can anticipate that the woman has which of the following?
Question379: A client is going to have an endoscopy performed. Which of the following is not a probable reason for an endoscopy procedure?
Question380: All of the following should be performed when fetal heart monitoring indicates fetal distress except:
Question381: An 85-year-old client is eligible for Medicare reimbursable home care services. Referral is contingent on meeting which of the following criteria?
Question382: A nurse is administering an antibiotic to a 4 year old girl, who does not have an identification bracelet.
What action should the nurse take?
Question383: To remove hard contact lenses from an unresponsive client, the nurse should:
Question384: Delegation of tasks to appropriate personnel allows the nurse to:
Question385: A patient is complaining of severe chest pain during a stress test. Which of the following medications is the most appropriate to relieve this discomfort?
Question386: The home health nurse has made a visit to an 85-year-old female client's home who has recently had surgery to replace her left knee. The client has been discharged from a rehab facility and has been able to walk on her own. The nurse assesses the need for teaching related to fall prevention. What should the nurse include in this teaching plan?
Question387: Rehabilitation services begin:
Question388: A corporate executive works 60-80 hours a week. The client is experiencing some physical signs of stress.
The nurse teaches the client biofeedback techniques. This is an example of which of the following health- promotion interventions?
Question389: 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:
Question390: Why must the nurse be careful not to cut through or disrupt any tears, holes, bloodstains, or dirt present on the clothing of a client who has experienced trauma?
Question391: 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?
Question392: A client with major head trauma is receiving bolus enteral feeding. The most important nursing order for this client is:
Question393: The NSAID that is comparable to morphine in efficacy is:
Question394: The nurse who was not promoted then went to the utility room and slammed several cupboard doors while looking for Kleenex. This behavior exemplifies:
Question395: Which of the following statements by a client with gastroesophageal reflux disease (GERD) indicates adequate understanding?
Question396: A client has been taking a drug (Drug A) that is highly metabolized by the cytochrome p-450 system. He has been on this medication for 6 months. At this time, he is started on a second medication (Drug B) that is an inducer of the cytochrome p-450 system. You should monitor this client for:
Question397: Hearing screening of prematurely born infants is an effective means of identifying disease and is an example of:
Question398: The method of splinting is always dictated by:
Question399: A standard walker is used when clients:
Question400: A Hispanic client brings her father to the clinic because he is becoming more forgetful. He is diagnosed with Alzheimer's disease. The woman tells the nurse that she wants to try ginkgo biloba for her father, before using prescription medications. Which of the following is an appropriate response by the nurse?
Question401: An appropriate intervention for the client with suspected genitourinary trauma and visible blood at the urethral meatus is:
Question402: A nurse working in a pediatric clinic observes bruises on the body of a four year-old boy. The parents report the boy fell riding his bike. The bruises are located on his posterior chest wall and gluteal region.
The nurse should:
Question403: 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?
Question404: A client has sustained a hyphema. What intervention should the nurse take?
Question405: Mr. Lee comes to the clinic with thick green drainage around his eyelids. The nurse examiner takes his history and performs a physical examination, beginning with an eye history. General information the nurse should seek is:
Question406: Priorities to be considered intermediate are:
Question407: A 14 year-old boy has been admitted to a mental health unit for observation and treatment. The boy becomes agitated and starts yelling at nursing staff members. What should the nurse first response be?
Question408: The primary organ for drug elimination is the:
Question409: Which of the following allergies might be a contraindication for a client to receive contrast enhancement for intracranial computed tomography?
Question410: A client with a diagnosis of Schizophrenia has been released from an acute care setting. The client had a prolonged recovery from relapse. One of the parents says to the discharge nurse, "I do not understand what is going on. The hospital said she was better, but all she does is sit around all day and smoke. We cannot get her to go to the vocational training you arranged." The nurse recognizes that more teaching is needed about:
Question411: The nurse explains to a client who underwent gastric resection that which of the following meals is most likely to cause rapid emptying of the stomach?
Question412: A 64 year-old Alzheimer's patient has exhibited excessive cognitive decline resulting in harmful behaviors.
The physician orders restraints to be placed on the patient. Which of the following is the appropriate procedure?
Question413: When planning care of a client who has a been diagnosed with Amphetamine Abuse, the nurse should use the knowledge that:
Question414: A nurse is assessing a patient in the ICU. The patient has the following signs: weak pulse, quick respiration, acetone breath, and nausea. Which of the following conditions is most likely occurring?
Question415: A client begins bleeding from the site of a previous arterial blood gas draw on the right wrist. What should the nurse do first?
Question416: When planning intervention for a client during a crisis, which of the following outcomes is most appropriate?
Question417: A client had a colostomy done one day ago. Which of the following is an abnormal finding when assessing the stoma?
Question418: After securing the client's safety from a faulty electric bed, the nurse should take which action?
Question419: A nurse assesses a 83 year-old female's venous ulcer for the second time that is located near the right medial malleolus. The wound is exhibiting purulent drainage and the patient has limited mobility in her home. Which of the options is the best course of action?
Question420: Which of the following lab values is elevated first after a client has a myocardial infarction?
Question421: Which of the following is most likely to impact the body image of an infant newly diagnosed with Hemophilia?
Question422: Which of the following clients should refrain from therapy with the thiazide diuretic hydrochlorothiazide (HCTZ)?
Question423: A primary belief of psychiatric mental health nursing is:
Question424: When making an occupied bed, it is important for the nurse to:
Question425: What does client and family communication and education concerning restraints do?
Question426: Which instruction should be given in a health education class regarding testicular cancer?
Question427: A client and his family facing the end stage of a terminal illness might be best served by:
Question428: A client comes to the clinic for assessment of his physical status and guidelines for starting a weight- reduction diet. The client's weight is 216 pounds and his height is 66 inches. The nurse identifies the BMI (body mass index) as:
Question429: 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?
Question430: Acyclovir (Zovirax) is the agent of choice for which of the following infections?
Question431: A nurse is caring for a retired MD. The MD asks the question, "What type of cells secrete insulin?" The correct answer is:
Question432: A nurse is working in a pediatric clinic and a mother brings in her 13 month old child who has Down Syndrome. The mother reports, "My child's muscles feel weak and he isn't moving well. My RN friend check his reflexes and she said they are diminished." Which of the following actions should the nurse take first?
Question433: Which is the proper hand position for performing chest percussion?
Question434: Which of the following is the primary force in sex education in a child's life?
Question435: When the nurse is determining the appropriate size of a nasopharyngeal airway to insert, which body part should be measured on the client?
Question436: 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?
Question437: A client describes her cervical mucus as clear, thin, and elastic. Upon examination, the nurse demonstrates that the cervical mucus can be stretched 8-10 cm. The nurse correctly documents the finding as:
Question438: Referral for client education in the community can be accomplished through all of the following except:
Question439: When a client needs oxygen therapy, what is the highest flow rate that oxygen can be delivered via nasal cannula?
Question440: A 46 year-old has returned from a heart catheterization and wants to get up to start walking 3 hours after the procedure. The nurse should:
Question441: Which of the following statements, if made by the parents of a newborn, does not indicate a need for further teaching about cord care?
Question442: Which of the following nursing diagnoses is most appropriate for the client experiencing acute pancreatitis?
Question443: 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?
Question444: Local anesthetics block the conduction of pain impulses to the spinal cord. Their duration of action:
Question445: The PN is caring for a client with diabetes insipidus. The nurse can expect the lab work to show:
Question446: Which of the following nursing diagnoses is most appropriate for a client with a new colostomy?
Question447: The nurse uses prioritization to determine all the following except:
Question448: A nurse is teaching a client newly diagnosed with Emphysema about the disease process. Which of the following statements best explains the problems associated with emphysema and could be adapted for use in the nurse's discussion with the client?
Question449: In an obstetrical emergency, which of the following actions should the nurse perform first after the baby delivers?
Question450: A visitor accidentally knocks over a plastic pleural drainage system connected to a client, and it cracks.
What should the nurse do first?
Question451: A client receives a cervical intracavity radium implant as part of her therapy. A common side effect of a cervical implant is:
Question452: An example of a process standard on a med-surg unit is:
Question453: An Rh-negative woman with previous sensitization has delivered an Rh-positive fetus. Which of the following nursing actions should be included in the client's care plan?
Question454: While admitting a client to an acute-care psychiatric unit, the nurse asks about substance abuse based on knowledge that:
Question455: Which of the following medications is a serotonin antagonist that might be used to relieve nausea and vomiting?
Question456: People who live in poverty are most likely to obtain health care from:
Question457: Padding on a restraint helps:
Question458: A wrong committed by one person against another (or against the property of another) that might result in a civil trial is:
Question459: Which of the following organs of the digestive system has a primary function of absorption?
Question460: A nurse is setting up a vision-screening program for a new school. At what age will vision be 20/20 in children?
Question461: A client who has a known history of cardiac problems and is still smoking enters the clinic complaining of sudden onset of sharp, stabbing pain that intensifies with a deep breath. The pain is occurring on only one side and can be isolated upon general assessment. The nurse concludes that this description is most likely caused by:
Question462: A woman seeks assistance because she recently remembered childhood sexual abuse. The nurse should include which of the following goals for this client?
Question463: Following a classic cholecystectomy resection for multiple stones, the PACU nurse observes a serosanguious drainage on the dressing. The most appropriate intervention is to:
Question464: The nurse is transferring a client from a wheelchair to the bed. Which is the correct procedure?
Question465: When discussing the patterns of use of alcohol and other drugs, the nurse should include which piece of information?
Question466: A client who is immobilized secondary to traction is complaining of constipation. Which of the following medications should the nurse expect to be ordered?
Question467: A client is having a seizure; his blood oxygen saturation drops from 92% to 82%. What should the nurse do first?
Question468: An example of an extended care facility is a:
Question469: A client has a 10% dextrose in water IV solution running. He is scheduled to receive his antiepileptic drug, phenytoin (Dilantin), at this time. The nurse knows that the phenytoin:
Question470: Broccoli, oranges, dark greens, and dark yellow vegetables can be eaten to:
Question471: Serum Vancomycin levels are taken to measure which of the following?
Question472: Which of the following foods present a problem for a client diagnosed with Celiac Disease?
Question473: Medical records indicate a patient has developed a condition of respiratory alkalosis. Which of the following clinical signs would not apply to a condition of respiratory alkalosis?
Question474: Diagnostic genetic counseling, for procedures such as amniocentesis and chorionic villus sampling, allows clients to make all of the following choices except:
Question475: Metformin (Glucophage) is administered to clients with type II diabetes mellitus. Metformin is an example of:
Question476: The highest incident of child abuse occurs in children in which age group?
Question477: Which condition is associated with inadequate intake of vitamin C?
Question478: A young female teenager describes a brutal assault and rape to the nurse on duty. Which of the following actions should the nurse take first?
Question479: A nurse has been instructed to place an IV line in a patient that has active TB and HIV. The nurse should wear which of the following safety equipment?
Question480: 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?
Question481: A 65-year-old female client is experiencing postmenopausal bleeding. Which type of physician should this client be encouraged to see?
Question482: Why might breast implants interfere with mammography?
Question483: When a client wishes to improve her appearance by removing excess skin from her face and neck, the nurse should provide teaching regarding which of the following procedures?
Question484: Which statement best describes electrolytes in intracellular and extracellular fluid?
Question485: The charge nurse on a cardiac unit tells you a patient is exhibiting signs of right-sided heart failure. Which of the following would not indicate right-sided heart failure?
Question486: A 26-year-old single woman is knocked down and robbed while walking her dog one evening. Three months later, she presents at the crisis clinic, stating that she cannot put this experience out of her mind.
She complains of nightmares, extreme fear of being outside or alone, and difficulty eating and sleeping.
What is the best response by the nurse?
Question487: While repositioning a comatose client, the nurse senses a tingling sensation as she lowers the bed. What action should she take?
Question488: If a client is suffering from thyroid storm, the PN can expect to find on assessment:
Question489: Which of the following is most likely to impact the body image of an infant newly diagnosed with Hemophilia?
Question490: A 64 year-old male who has been diagnosed with COPD, and CHF exhibits an increase in total body weight of 10 lbs. over the last few days. The nurse should:
Question491: A 12-year-old male is brought to his primary care provider to determine whether sexual abuse has occurred. The mother states, "Because there is no permanent physical damage, he does not need any more treatment." The nurse's response should be based on which of the following pieces of information?
Question492: A patient has been admitted to the hospital with a HNP L4-5 segment diagnosis. After 24 hours the patient is able to ambulate with assistance with reduced muscle spasms. Which of the following medications was the most beneficial in changing the patient's mobility status?
Question493: Issues addressed in ethics committees include all of the following except:
Question494: A patient has suffered a left CVA and has developed severe hemiparesis resulting in a loss of mobility. The nurse notices on assessment that an area over the patient's left elbow appears as non-blanchable erythema and the skin is intact. The nurse should score the patient as having which of the following?
Question495: The nurse acts as an advocate for the nursing profession by performing all of the following activities except:
Question496: A nurse gave medications to the wrong client. She stated the client responded to the name called. What is the nurse's appropriate documentation?
Question497: Which of the following statements is correct regarding rape?
Question498: A client admitted to the medical nursing unit has classic symptoms of tuberculosis (TB) and tests positive on the purified protein derivative (PPD) skin test. Several months later, the nurse who cared for the client also tests positive on an annual TB skin test for work. The most likely course of treatment if the chest X-ray (CXR) is negative is to:
Question499: Which of the following foods is a complete protein?
Question500: A patient has just been prescribed Minipress to control hypertension. The nurse should instruct the patient to be observant of the following:
Question501: The presence of which hormone in the urine is specifically indicative of pregnancy?
Question502: Clients who take iron preparations should be warned of the possible side effects, which might include:
Question503: Which of the following might be an appropriate nursing diagnosis for an epileptic client?
Question504: 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?
Question505: Social support systems include of the following except:
Question506: The chemotherapeutic agent 5-fluorourcacil (5-FU) is ordered for a client as an adjunct measure to surgery. Which statement about chemotherapy is true?
Question507: A couple from the Philippines living in the United States is expecting their first child. In providing culturally competent care, the nurse must first:
Question508: A client has just returned from surgery where a femoral-popliteal bypass was performed. The nurse has assessed the client and is unable to feel a pulse at either the dorsalis pedis or the posterior tibial sites of the left foot. The foot feels warm and the color is pink. What action should the nurse perform next to prevent ischemia?
Question509: The school nurse is conducting health screenings on schoolchildren. During the screening, she identifies a child with the behavioral characteristics of attention deficit disorder. Which of the following behaviors is consistent with this disorder?
Question510: Which of the following NSAIDS is most commonly used for a brief time for acute pain?
Question511: A risk management program within a hospital is responsible for all of the following except:
Question512: When a client who is having trouble conceiving says to the nurse, "I have started taking ginseng," the best response by the nurse is:
Question513: The nurse is caring for a postpartum woman who has relinquished her baby for adoption. The care plan for the client should include which of the following priority strategies?
Question514: A nurse is caring for a retired MD. The MD asks the question, "What type of cells create exocrine secretions?" The correct answer is:
Question515: A nurse is assessing a patient in the ICU. The patient has the following signs: weak pulse, quick respiration, acetone breath, and nausea. Which of the following conditions is most likely occurring?
Question516: Which of the following is an appropriate nursing goal for a client at risk for nutritional problems?
Question517: A patient has been diagnosed with diabetes mellitus. Which of the following is not a clinical sign of diabetes mellitus?
Question518: Which of the following values should the nurse monitor closely while a client is on total parenteral nutrition?
Question519: While undergoing fetal heart monitoring, a pregnant Native-American woman requests that a medicine woman be present in the examination room. Which of the following is an appropriate response by the nurse?
Question520: When a woman is receiving postpartum epidural morphine, the nurse should plan to observe for which of the following side effects to occur within the first 3 hours?
Question521: In a disaster situation, the nurse assessing a diabetic client on insulin assesses for all of the following except:
Question522: Which of the following coping mechanisms protects an individual from anxiety?
Question523: Support-system enhancement includes all of the following except:
Question524: The nurse has completed client teaching about introducing solid foods to an infant. To evaluate teaching, the nurse asks the mother to identify an appropriate first solid food. Which of the following is an appropriate response?
Question525: When a client describes their family as having multiple wives, all of whom are sisters, married to one man, the nurse documents the family structure as?
Question526: Which of the following is most likely to impact the body image of an infant newly diagnosed with Hemophilia?
Question527: Which of the following foods might a client with a hypercholesterolemia need to decrease his or her intake of?
Question528: The nurse is teaching parents of a newborn about feeding their infant. Which of the following instructions should the nurse include?
Question529: The death of a beloved spouse places the surviving partner in which type of crisis?
Question530: All of the following are clinical manifestations indicating male climacteric except:
Question531: A client with asthma develops respiratory acidosis. Based on this diagnosis, what should the nurse expect the client's serum potassium level to be?
Question532: Appropriate nursing strategies to assist a client in maintaining a sense of self include:
Question533: Which of the following foods should be avoided by clients who are prone to develop heartburn as a result of gastroesophgeal reflux disease (GERD)?
Question534: In administering NSAID adjunctive therapy to an elderly client with cancer, the nurse must monitor:
Question535: A client is to have an enema to reduce flatus. The enema tube should be inserted:
Question536: Which type of exercises might be prescribed to strengthen the pelvic floor muscles of a client with urinary incontinence?
Question537: The nurse can best communicate to a client that he or she has been listening by:
Question538: Which of the following is not a function of parathyroid hormone?
Question539: The nurse sustains a needle puncture that requires HIV prophylaxis. Which of the following medication regimens should be used?
Question540: Quality is defined as a combination of all of the following except:
Question541: 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?
Question542: A 45-year-old client with type I diabetes is in need of support services upon discharge from a skilled rehabilitation unit. Which of the following services is an example of a skilled support service?
Question543: For which of the following conditions might blood be drawn for uric acid level?
Question544: An elderly client denies that abuse is occurring. Which of the following factors could be a barrier for the client to admit being a victim?
Question545: Which type of dressing is recommended to place over a site when a chest tube is removed by the physician?
Question546: A client with dumping syndrome should ___________ while a client with GERD should ___________.
Question547: A client is taking the fluoroquinolone Ciprofloxin for acute prostatitis. After a few doses of the agent, he develops severe muscle pain. The most likely cause of the adverse reaction is:
Question548: Mrs. Owens is the 81-year-old mother of Jonathan, who is 54 years old. Jonathan has had schizophrenia since he was 16 years old. Which of Mrs. Owens's concerns is likely to predominate?
Question549: 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:
Question550: A nurse working a surgical unit, notices a patient is experiencing SOB, calf pain, and warmth over the posterior calf. All of these may indicate which of the following medical conditions?
Question551: Who should receive the hepatitis A vaccine?
Question552: While walking in the hallway of an acute care unit of the hospital, the nurse overhears the change of shift report. The nurse should:
Question553: A hospital discharge planning nurse is making arrangements for a client who has an epidural catheter for continuous infusion of opioids to be placed in a long-term care facility. The family prefers a facility in its neighborhood to facilitate visiting. The neighborhood facility has never cared for a client with this type of need. What is the most appropriate action by the discharge planning nurse?
Question554: The hydraulic lift (Hoyer lift) is:
Question555: In evaluating the lab work of a client in a hepatic coma, which of the following lab tests is most important?
Question556: The physician wants to know if a client is tolerating his total parenteral nutrition. Which of the following laboratory tests is likely to be ordered?
Question557: The nurse teaching a client about hepatitis and its transmission should explain that one type of hepatitis does not produce a carrier state after its acute phase. Which type is it?
Question558: A mother brings her 1-year-old child to the clinic. The child has no record of previous immunizations, and the mother confirms the child has not been immunized. Teaching by the nurse should include which of the following?
Question559: A mother has come to the pediatric clinic concerned about the recent outbreak of West Nile Virus. The ages of her children are 5, 7, and 10. The mother has asked the nurse what she can do to prevent her children from contracting this illness. Which piece of information is best to provide the mother with?
Question560: 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?
Question561: 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?
Question562: Using clichés in therapeutic communication leads the client toward:
Question563: Someone who has received a recent tattoo should be screened for:
Question564: A client begins a regimen of chemotherapy. Her platelet counts falls to 98,000. Which action is least likely to increase the risk of hemorrhage?
Question565: The ICU nurse caring for a client who has just been declared brain dead can expect to find evidence of the client's wishes regarding organ donation:
Question566: A patient that has TB can be taken off restrictions after which of the following parameters have been met?
Question567: A nurse is screening patients for various vaccines. Which of the following vaccines is contraindicated during pregnancy?
Question568: A female client complains to the nurse at the health department that she has fatigue, shortness of breath, and lightheadedness. Her history reveals no significant medical problems. She states that she is always on a fad diet without any vitamin supplements. Which tests should the nurse expect the client to have first?
Question569: Milieu therapy is best employed to perform which activity?
Question570: Which of the following tests is commonly performed on newborns with jaundice?
Question571: Safety measures for using crutches must be taught to clients. Safety measures for the use of crutches include:
Question572: In the United States, several definitions of death are currently being used. The definition that uses apnea testing and pupillary responses to light is termed:
Question573: A nurse is assessing a patient in the ICU. The patient has the following signs: weak pulse, quick respiration, acetone breath, and nausea. Which of the following conditions is most likely occurring?
Question574: Which of the following attitudes is essential in a nurse who assists clients during crises?
Question575: Signs of impaired breathing in infants and children include all of the following except:
Question576: The nurse and a colleague are on the elevator after their shift, and they hear a group of health caregivers discussing a recent client scenario. Which client right might be breached?
Question577: Which of the following physical findings indicates that an 11-12-month-old child is at risk for developmental dysplasia of the hip?
Question578: The teaching plan for gay or lesbian parents who want to disclose their homosexuality to their children should include all of the following instructions except:
Question579: When a client informs the nurse that he is experiencing hypoglycemia, the nurse provides immediate intervention by providing:
Question580: A client receiving preoperative instructions asks questions repeatedly about when to stop eating the night before the procedure. The nurse tries to refocus the client. The nurse notes that the client is frequently startled by noises in the hall. Assessment reveals rapid speech, trembling hands, tachypnea, tachycardia, and elevated blood pressure. The client admits to feeling nervous and having trouble sleeping. Based on the assessment, the nurse documents that the client has:
Question581: Which of the following statements by a client indicates adequate understanding of preparation for electroencephalography?
Question582: 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?
Question583: Acyclovir is the drug of choice for:
Question584: A client with jaundice has which skin color?
Question585: A client who recently lost 50 pounds just received news that she is pregnant. A possible nursing diagnosis is:
Question586: A client has chronic respiratory acidosis caused by end-stage chronic obstructive pulmonary disease (COPD). Oxygen is delivered at 1 L/min per nasal cannula. The nurse teaches the family that the reason for this is to avoid respiratory depression, based on which of the following explanations?
Question587: A 22 year-old patient in a mental health lock-down unit under suicide watch appears happy about being discharged. Which of the following is probably happening?
Question588: All of the following are common reasons that nurses are reluctant to delegate except:
Question589: The nurse suspects an elderly client has been the victim of abuse. The client denies abuse and declines assistance. The nurse's next action should be to:
Question590: A 15 year-old high school wrestler has been taking diuretics to loose weight to compete in a lower weight class. Which of the following medical tests is most like to be given?
Question591: The nurse is assessing the dental status of an 18-month-old child. How many teeth should the nurse expect to examine?
Question592: A gastroenterologist should be consulted for clients suffering from:
Question593: Incidences of child abuse apperar to be higher in the African-American community and might be explained by:
Question594: A patient has recently been prescribed Lidocaine Hydrochloride. Which of the following symptoms may occur with over dosage?
Question595: Which of the following nursing diagnoses might be appropriate as Parkinson's disease progresses and complications develop?
Question596: Ms. Petty is having difficulty falling asleep. Which of the following measures promote sleep?
Question597: Common problems for supervisors include all of the following except:
Question598: When caring for a Native-American family, the nurse needs to consider which of the following?
Question599: Which of the following diseases or conditions is least likely to be associated with increased potential for bleeding?
Question600: The power a nurse exerts when he or she works to accomplish goals and effect change in an agency or in policy is considered what type of power?
Question601: When questioning an elder about suspected abuse, the nurse should keep the questions:
Question602: Which of the following conditions is mammography used to detect?
Question603: An infection in a central venous access device is not eliminated by giving antibiotics through the catheter.
How might bacterial glycocalyx contribute to this?
Question604: A nurse has been ordered to administer Morphine to a patient. Which of the following effects is unrelated to Morphine's effects on the patient?
Question605: Teaching about the need to avoid foods high in potassium is most important for which client?
Question606: A patient that has delivered a 8.2 lb. baby boy 3 days ago via c-section, reports white patches on her breast that aren't going away. Which of the following medications may be necessary?
Question607: Ethical and moral issues concerning restraints include all of the following except:
Question608: A client, age 28, was recently diagnosed with Hodgkin's disease. After staging, therapy is planned to include combination radiation therapy and systemic chemotherapy with MOPP - nitrogen mustard, vincristine (Onconvin), prednisone, and procarbazine. In planning care for this client, the nurse should anticipate which of the following side effects to contribute to a sense of altered body image?
Question609: The most effective nursing strategy to assist a client in recognizing and using personal strength includes:
Question610: A 93 year-old female with a history of Alzheimer's Disease gets admitted to an Alzheimer's unit. The patient has exhibited signs of increased confusion and limited stability with gait. Moreover, the patient is refusing to use a w/c. Which of the following is the most appropriate course of action for the nurse?
Question611: Which of the following symptoms is most characteristic of a client with cancer of the lungs?
Question612: A client reports that someone is in the room and trying to kill him. The nurse's best response is:
Question613: Which type of diet should the nurse provide to help a client who has major burns maintain a positive nitrogen balance?
Question614: According to the ANA Code of Ethics for Nurses, professional nurses have an ethical obligation to:
Question615: The nurse's first action upon discovery of an electrical fire should be which of the following?
Question616: Elderly persons with pernicious anemia should be instructed:
Question617: How many temporary teeth should the nurse expect to find in a 5-year-old client's mouth?
Question618: 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:
Question619: Increased cortisol levels might be found in a client with which condition?
Question620: A nurse is assigned to do pre-operative teaching on a blind patient who is scheduled for surgery the following morning. What teaching strategy would best fit the situation?
Question621: When giving an intramuscular injection to an infant. Which of the following sites is preferred?
Question622: A client is 36 hours post-op a TKR surgery. 270 cc's of sero-sanguinous accumulates in the surgical drains. What action should the nurse take?
Question623: A twenty-one year old man suffered a concussion and the MD ordered a MRI. The patient asks, "Will they allow me to sit up during the MRI?" The correct response by the nurse should be.
Question624: A nurse has been assigned a patient who has recently been diagnosed with Guillain-Barre' Syndrome.
Which of the following statements is the most applicable when discussing the impairments with Guillain- Barre' Syndrome with the patient?
Question625: Which is the proper hand position for performing chest vibration?
Question626: How often should the nurse change the intravenous tubing on total parenteral nutrition solutions?
Question627: The Token Economy is a type of therapy that focuses on:
Question628: 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:
Question629: An appropriate question when assessing a client's self-expectations about weight loss is:
Question630: A client asks the nurse if all donor blood products are cross-matched with the recipient to prevent a transfusion reaction. Which of the following always requires cross-matching?
Question631: The kind of man who beats a woman is:
Question632: Which of the following is most likely to impact the body image of an infant newly diagnosed with Hemophilia?
Question633: What is the primary nutritional deficiency of concern for a strict vegetarian?
Question634: Client room environments should include:
Question635: Which direction given to the nursing assistant is most likely to accomplish the task of getting a urine specimen delivered to the lab immediately after collection?
Question636: A 60-year-old widower is hospitalized after complaining of difficulty sleeping, extreme apprehension, shortness of breath, and a sense of impending doom. What is the best response by the nurse?
Question637: Which of the following is not considered one of the five rights of medication administration?
Question638: Which of the following is not a primary function of the kidneys?
Question639: The nurse is assessing an elder who the nurse suspects is being physically abused. The most important question for nurse to ask is:
Question640: Which of the following statements should the nurse use to best describe a very low-calorie diet (VLCD) to a client?
Question641: In alcoholics with anemia:
Question642: Narrow therapeutic index medications:
Question643: A nurse is assessing a patient in the ICU. The patient has the following signs: weak pulse, quick respiration, acetone breath, and nausea. Which of the following conditions is most likely occurring?
Question644: When obtaining a health history on a menopausal woman, which information should a nurse recognize as a contraindication for hormone replacement therapy?
Question645: A nurse is reviewing a patient's arterial blood gas values. Which of the following conditions apply under the following values?
pH- 7.49
Bicarbonate ion 24 mEq/dl
PaCO2 - 31 mmHg
PaO2 - 52 mmHg
FiO2 - .22
Question646: Which of the following observations is most important when assessing a client's breathing?
Question647: Nursing care for a client undergoing chemotherapy includes assessment for signs of bone marrow depression. Which finding accounts for some of the symptoms related to bone marrow depression?
Question648: A high school nurse observes a 14 year-old female rubbing her scalp excessively in the gym. The most appropriate course of action for the nurse to do is:
Question649: A client is admitted with a diagnosis of Multiple Drug Use. The nurse should plan care based on knowledge that:
Question650: 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:
Question651: The anemias most often associated with pregnancy are:
Question652: When an elder client asks the nurse whether he will be capable of sexual activity in old age, the best response by the nurse is:
Question653: A patient has recently been prescribed Zidovudine (Retrovir). The patient has AIDS. Which of the following side effects should the patient specifically watch out for?
Question654: Which of the following solutions is routinely used to flush an IV device before and after the administration of blood to a client?
Question655: A neighbor telephones the nurse to tell her that her child has erythema infectiosum and asks for information. The nurse knows that another name for the disorder is:
Question656: Which of the following instructions should the nurse give a client who will be undergoing mammography?
Question657: In teaching bleeding precautions to a client with leukemia, the PN should include which of the following instructions?
Question658: Which of the following ethnic groups is at highest risk in the United States for pesticide-related injuries?
Question659: The nurse is preparing to administer IV Vancomycin to a client. Which of the following nursing actions should be taken first?
Question660: A two-year old has been in the hospital for 3 weeks and seldom seen family members due to isolation precautions. Which of the following hospitalization changes is most like to be occurring?
Question661: 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?
Question662: Which of the following needs immediate medical attention and emergency intervention? The client who:
Question663: Which of the following is most likely to impact the body image of an infant newly diagnosed with Hemophilia?
Question664: The chemotherapeutic DNA alkylating agents such as nitrogen mustards are effective because they:
Question665: A nurse is assessing a patient in the rehab unit at shift change. The patient has suffered a TBI 3 weeks ago. Which of the following is the most distinguishing characteristic of a neurological disturbance?
Question666: In hanging a parenteral IV fluid that is to be infused by gravity, rather than with an infusion pump, the nurse notes that the IV tubing is available in different drop factors. Which tubing is a microdrop set?
Question667: Perineal care to a female client by the nurse can be performed:
Question668: A client is having psychological counseling for problems communicating with his mother. Which model of stress is the most useful in reference to this stressor?
Question669: A nurse teaching a patient with COPD pulmonary exercises should do which of the following?
Question670: A client has a nasogastric (NG) tube in place following abdominal surgery. The purpose of this tube immediately following surgery is to:
Question671: Which of the following is not a reason for pelvic ultrasonography?
Question672: Physical examination of a client regarding mobility status should:
Question673: The most common cause of injury from a house fire is:
Question674: What happens if folic acid is given to treat anemia without determining its underlying cause?
Question675: A 4-year-old client is unable to go to sleep at night in the hospital. Which nursing intervention best promotes sleep for the child?
Question676: Which cultural group has the highest incidence of inflammatory bowel disease (IBD)?
Question677: When a client who is 25 years of age asks the nurse when she should seek fertility counseling, the best response by the nurse is:
Question678: A nurse is teaching a client about self-administration of Haldol 15 mg po hs. For which side effect/s must the client seek medical attention?
Question679: A patient has experienced a severe third degree burn to the trunk in the last 36 hours. Which phase of burn management is the patient in?
Question680: A client with Parkinson's disease has difficulty performing voluntary movements. This is known as:
Question681: Herbal therapy has several indications for use. Primarily, herbal therapy is:
Question682: 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?
Question683: Tricyclics (Antidepressants) sometimes have which of the following adverse affects on patients that have a diagnosis of depression?
Question684: Which of the following arterial blood gas values indicates a patient may be experiencing a condition of metabolic acidosis?
Question685: Assessment of a client with a cast should include:
Question686: A patient 3 hours post-op from a hysterectomy is complaining of intense pain at the incision site. When assessing the patient the nurse notes a BP of 169/93, pulse 145 bpm and regular. What action should the nurse take?
Question687: The factor that most determines drug distribution is:
Question688: A client with a nasogastric (NG) tube begins vomiting. What action should the nurse take?
Question689: Vaccines provide what type of immunity?
Question690: Nurses caring for clients who have cancer and are taking opioids need to assess for all of the following except:
Question691: What interpersonal relief behavior is Ashley using?
Question692: The nurse should perform which intervention when a client is restrained?
Question693: Pressure ulcers usually occur:
Question694: To manage time most effectively, the nurse responds to which of the following stimuli first:
Question695: A chemical reaction between drugs prior to their administration or absorption is known as:
Question696: A patient has been ordered to get Tegretol for the first time. Which of the following side effects is not associated with Tegretol?
Question697: For a client with suspected appendicitis, the nurse should expect to find abdominal tenderness in which quadrant?
Question698: To improve overall health, the nurse should place highest priority on assisting a client to make lifestyle changes for which of the following habits?
Question699: 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:
Question700: The nurse should teach parents of small children that the most common type of first-degree burn is: