3 Months Free Update
3 Months Free Update
3 Months Free Update
Which of the following clients should refrain from therapy with the thiazide diuretic hydrochlorothiazide (HCTZ)?
The intravenous route is potentially the most dangerous route of drug administration because:
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:
Which of the following methods of contraception is able to reduce the transmission of HIV and other STDs?
All of the following should be performed when fetal heart monitoring indicates fetal distress except:
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?
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?
Which of the following is the primary force in sex education in a child’s life?
A client turns her ankle. She is diagnosed as having a Pulled Ligament. This should be documented as a:
A successful resolution of the nursing diagnosis Negative Self-Concept (related to unrealistic selfexpectations) is when the client can:
Which of the following viruses is most likely to be acquired through casual contact with an infected individual?
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?
Which type of exercises might be prescribed to strengthen the pelvic floor muscles of a client with urinary incontinence?
The teaching plan for a postpartum client who is about to be discharged should include which of the following instructions?
Which of the following nursing diagnoses is most appropriate for the client experiencing acute pancreatitis?
Levothyroxine (Synthroid) is the drug of choice for thyroid replacement therapy in clients with hypothyroidism because:
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?
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?
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:
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:
Local anesthetics block the conduction of pain impulses to the spinal cord. Their duration of action:
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?
Kleinman’s Explanatory Model of Health and Illness is significant because:
The physician’s role in case management includes all of the following except:
During a routine health screening, the nurse should talk to the parents of a 1-year-old child about which of the following?
The physician orders the antibiotics ampicillin (Omnipen) and gentamicin (Garamycin) for a newly admitted client with an infection. The nurse should:
Several passengers aboard an airliner suddenly become weak and suffer breathing difficulty. The diagnosis is likely to be:
According to the ANA Code of Ethics for Nurses, professional nurses have an ethical obligation to:
The chemotherapeutic DNA alkylating agents such as nitrogen mustards are effective because they:
The greatest time savers when planning client care include all of the following except:
A client with massive chest and head injuries is admitted to the ICU from the Emergency Department. All of the following are true except:
Which is the best way to position a client’s neck for palpation of the thyroid?
The family carries out its health care functions in which of the following ways?
The most effective nursing strategy to assist a client in recognizing and using personal strength includes:
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?
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?
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:
In a disaster situation, the nurse assessing a diabetic client on insulin assesses for all of the following except:
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:
A contraindication for topical corticosteroid use in a client with atopic dermatitis (eczema) is:
An effective intervention for a client diagnosed with Obsessive-Compulsive Disorder is:
Which of the following describes the stages of domestic violence in an intimate relationship?
When a client with a major burn experiences body image disturbance, which of the following is an appropriate nursing intervention classification?
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?
When the nurse is determining the appropriate size of a nasopharyngeal airway to insert, which body part should be measured on the client?
An elevation in which of the following enzymes is indicative of pancreatitis?
Which of the following foods present a problem for a client diagnosed with Celiac Disease?
The nurse who was not promoted then went to the utility room and slammed several cupboard doors while looking for Kleenex. This behavior exemplifies:
A man reports his wife is constantly cleaning. The activity has interfered with the family life. Friends have stopped visiting because she makes them uncomfortable. He states he has awakened in the middle of the night and found her cleaning. The nurse should consult with the couple and recommend the husband help with therapy by:
A client had a colostomy done one day ago. Which of the following is an abnormal finding when assessing the stoma?
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?
The nurse should consider which of the following as a possible cause for the symptoms experienced by the client in Question 28?
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?
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:
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?
Which of the following statements indicates adequate dietary understanding in a client with constipation?
Which of the following blood pressure parameters indicates PIH? Elevation over a baseline of:
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:
What do the following ABG values indicate: pH 7.38, PO2 78 mmHg, PCO2 36mmHg, and HCO3 24 mEq/L?
For which of the following conditions might blood be drawn for uric acid level?
Teaching about the need to avoid foods high in potassium is most important for which client?
A health care worker is concerned about a new mother being overwhelmed by caring for her infant. The health care worker should:
Which of the following is likely to increase the risk of sexually transmitted disease?
A client with dumping syndrome should ___________ while a client with GERD should ___________.
The nurse is assessing the dental status of an 18-month-old child. How many teeth should the nurse expect to examine?
A client is complaining of difficulty walking secondary to a mass in the foot. The nurse should document this finding as:
A patient has just been prescribed Minipress to control hypertension. The nurse should instruct the patient to be observant of the following:
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
A newborn has been delivered. An Apgar score is given. What does this scoring system indicate?
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:
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?
If Ms. Barrett’s distance vision is 20/30, which of the following statements is true?
Which of the following substances need to be assessed when completing a family health assessment?
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?
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?
When giving an intramuscular injection to an infant. Which of the following sites is preferred?
Which of the following is responsible for laws mandating the reporting of certain infections and diseases?