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3 Months Free Update
3 Months Free Update
3 Months Free Update
Which of the following medications is a serotonin antagonist that might be used to relieve nausea and vomiting?
For which of the following conditions might blood be drawn for uric acid level?
Nurses caring for clients who have cancer and are taking opioids need to assess for all of the following except:
A client with an ileus is placed on intestinal tube suction. Which of the following electrolytes is lost with intestinal suction?
To remove a client’s gown when she has an intravenous line, the nurse should:
Which of the following is the primary force in sex education in a child’s life?
Which of the following organs of the digestive system has a primary function of absorption?
Which of the following is an appropriate nursing goal for a client at risk for nutritional problems?
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:
How often should the nurse change the intravenous tubing on total parenteral nutrition solutions?
When a client informs the nurse that he is experiencing hypoglycemia, the nurse provides immediate intervention by providing:
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?
A client is having a seizure; his blood oxygen saturation drops from 92% to 82%. What should the nurse do first?
A client is complaining of difficulty walking secondary to a mass in the foot. The nurse should document this finding as:
The nurse is teaching parents of a newborn about feeding their infant. Which of the following instructions should the nurse include?
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?
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:
Which of the following solutions is routinely used to flush an IV device before and after the administration of blood to a client?
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?
In a disaster situation, the nurse assessing a diabetic client on insulin assesses for all of the following except:
Nursing considerations when caring for African- American clients include that:
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?
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:
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:
In an obstetrical emergency, which of the following actions should the nurse perform first after the
baby delivers?
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?
A couple from the Philippines living in the United States is expecting their first child. In providing culturally competent care, the nurse must first:
The vast majority of deaths resulting from unintentional poisoning occur in:
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?
The nurse is teaching a teenage female about preventing the transmission of genital herpes. Which of the following statements should the nurse include?
Signs of impaired breathing in infants and children 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:
In performing a psychosocial assessment, the nurse begins by asking questions that encourage the client to describe problematic behaviors and situations. The next step is to elicit the client’s:
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.
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?
Which of the following observations is most important when assessing a client’s breathing?
As part of a routine health screening, the nurse notes the play of a 2-year-old child. Which of the following is an example of age-appropriate play at this age?
A 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?
The family carries out its health care functions in which of the following ways?
What is the primary theory that explains a family’s concept of health and illness?
All of the following are common reasons that nurses are reluctant to delegate except:
A 65-year-old female client is experiencing postmenopausal bleeding. Which type of physician should this client be encouraged to see?
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:
All of the following tasks could be delegated to a nursing assistant or unlicensed assistive personnel (UAP) except:
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:
Which of the following symptoms is most characteristic of a client with cancer of the lungs?
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?
During surgery, it is found that a client with adenocarcinoma of the rectum has positive peritoneal lymph nodes. What is the next most likely site of metastasis?
A day care center has asked the nurse to provide education for parents regarding safety in the home. What type of preventive care does this represent?
Which of the following needs immediate medical attention and emergency intervention? The client who:
A client asks the nurse what risk factors increase the changes of getting skin cancer. The risk factors include all except:
The nurse can best communicate to a client that he or she has been listening by:
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:
A client’s central venous access device (CVAD) becomes infected. Why might the physician order antibiotics to be given through the line rather than through a peripheral IV line?
A risk management program within a hospital is responsible for all of the following except:
When caring for a Native-American family, the nurse needs to consider which of the following?
The physician’s role in case management includes all of the following except:
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:
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?
Activities of effective supervisors can be taskrelated or people-related activities. An example of a task-related supervisory activity is:
A visitor accidentally knocks over a plastic pleural drainage system connected to a client, and it cracks. What should the nurse do first?
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:
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:
The nurse acts as an advocate for the nursing profession by performing all of the following activities except:
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?
The orientation nurse educator reviewing the biohazard legend with a class of new employees states that the emblem is affixed to containers whenever:
Levothyroxine (Synthroid) is the drug of choice for thyroid replacement therapy in clients with hypothyroidism because:
When assessing a client with early impairment of oxygen perfusion, such as pulmonary embolus, the nurse should expect to find restlessness and which of the following symptoms?
A client 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?
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:
Which of the following vaccines are not part of the regular schedule of immunizations for children?
Hearing screening of prematurely born infants is an effective means of identifying disease and is an example of:
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?
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:
While walking in the hallway of an acute care unit of the hospital, the nurse overhears the change of shift report. The nurse should:
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?
Broccoli, oranges, dark greens, and dark yellow vegetables can be eaten to:
When the nurse is determining the appropriate size of an oropharyngeal airway to insert, what part of a client’s body should she measure?
Which of the following methods of contraception is able to reduce the transmission of HIV and other STDs?
Which of the following indicates a hazard for a client on oxygen therapy?
A woman asks, “How much alcohol can I safely drink while pregnant?” The nurse’s best response is:
A client turns her ankle. She is diagnosed as having a Pulled Ligament. This should be documented as a:
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?
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:
Diagnostic genetic counseling, for procedures such as amniocentesis and chorionic villus sampling, allows clients to make all of the following choices except:
The best lab test to diagnose disseminated intravascular coagulation (DIC) is:
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?
When a client who is having trouble conceiving says to the nurse, “I have started taking ginseng,” the best response by the nurse is:
Which physiologic mechanism best describes the function of the sodium-potassium pump?
In evaluating the lab work of a client in a hepatic coma, which of the following lab tests is most important?
Clients who take iron preparations should be warned of the possible side effects, which might include:
The sexually transmitted disease, sometimes referred to as the silent STD, that is more common than gonorrhea and a leading cause of PID is:
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:
Which of the following allergies might be a contraindication for a client to receive contrast enhancement for intracranial computed tomography?
A client newly diagnosed with Diabetes Mellitus needs education. Which of the following statements should the nurse include in this education?
Appropriate nursing strategies to assist a client in maintaining a sense of self include:
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?
An effective intervention for a client diagnosed with Obsessive-Compulsive Disorder is:
Which of the following should not be included in the teaching for clients who take oral iron preparations?
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:
Pulling is easier than pushing. So pulling a client rather than pushing him or her has which of the following advantages?
A client is admitted with a diagnosis of Multiple Drug Use. The nurse should plan care based on knowledge that:
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?
Which statement best describes electrolytes in intracellular and extracellular fluid?
To ensure proper immobilization and increase client comfort when using a rigid splint:
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?
Which of the following is the most appropriate diet for a client who is unable to swallow?
Which of the following procedures describes an opening between the colon and abdominal wall?
Which of the following is a predisposing factor for cancer of the tongue?
When a client with a major burn experiences body image disturbance, which of the following is an appropriate nursing intervention classification?
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:
Which of the following statements by a client indicates adequate understanding of preparation for a lipoprotein fractionation test?
Which of the following coping mechanisms protects an individual from anxiety?
Which instruction should be given in a health education class regarding testicular cancer?
An elevation in which of the following enzymes is indicative of pancreatitis?
Which of the following medications might cause upper-gastrointestinal (UGI) bleeding?
Which of the following instructions should a nurse give a client who is about to undergo pelvic ultrasonography?
A client has a nasogastric (NG) tube in place following abdominal surgery. The purpose of this tube immediately following surgery is to:
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?
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?
Which cultural group has the highest incidence of inflammatory bowel disease (IBD)?
When teaching a woman about possible side effects of hormone replacement therapy, the nurse should include information about all of the following except:
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?
As part of the teaching plan for a client with type I diabetes mellitus, the nurse should include that carbohydrate needs might increase when:
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:
For which condition might a client’s antidiuretic hormone (ADH) level be increased?
Which of the following statements describes the purpose of client restraint?
Which type of exercises might be prescribed to strengthen the pelvic floor muscles of a client with urinary incontinence?
Which type of diet should the nurse provide to help a client who has major burns maintain a positive nitrogen balance?
Which of the following foods can cause diarrhea when eaten by a client with an ileostomy?
All of the following are clinical manifestations indicating male climacteric except:
Safety measures for using crutches must be taught to clients. Safety measures for the use of crutches include:
The nurse should utilize data about which of the following to provide information about the nutritional status of a client being evaluated for malnutrition?
Which of the following statements indicates adequate dietary understanding in a client with constipation?
Which of the following microorganisms is easily transmitted from client to client on the hands of health care workers?
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:
Which of the following home-care strategies is most likely to negatively impact the body image of a client with Cushing’s syndrome?
Herbal therapy has several indications for use. Primarily, herbal therapy is:
Which of the following viruses is most likely to be acquired through casual contact with an infected individual?
A successful resolution of the nursing diagnosis Negative Self-Concept (related to unrealistic selfexpectations) is when the client can:
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?
Neural tube defects in the fetus have been primarily associated with which deficiency in the mother?
The teaching plan for a postpartum client who is about to be discharged should include which of the following instructions?
All of the following clients are in need of an emergency assessment except:
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?
The chemotherapeutic agent 5-fluorourcacil (5-FU) is ordered for a client as an adjunct measure to surgery. Which statement about chemotherapy is true?
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:
A client with urinary tract calculi needs to avoid which of the following foods?
A client is to have an enema to reduce flatus. The enema tube should be inserted:
Which of the following nursing diagnoses is most appropriate for the client experiencing acute pancreatitis?
Which of the following diseases places a client at risk for developing cirrhosis?
A patient has recently been prescribed Lidocaine Hydrochloride. Which of the following symptoms may occur with over dosage?
Which type of dressing is recommended to place over a site when a chest tube is removed by the physician?
A nurse teaching a patient with COPD pulmonary exercises should do which of the following?
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?
A nurse is screening patients for various vaccines. Which of the following vaccines is contraindicated during pregnancy?
When planning intervention for a client during a crisis, which of the following outcomes is most appropriate?
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:
To manage time most effectively, the nurse responds to which of the following stimuli first:
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?
An advance directive is written and notarized according to law in the state of Colorado. This document is legal and binding:
Which of the following lab values would indicate symptomatic AIDS in the medical chart? (T4 cell count per deciliter)
A patient has been diagnosed with diabetes mellitus. Which of the following is not a clinical sign of diabetes mellitus?
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?
If Ms. Barrett’s distance vision is 20/30, which of the following statements is true?
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?
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?
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?
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:
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?
A client has been placed in isolation because he is diagnosed with a contagious illness. The nurse should be aware that:
Which of the following statements by a client with spinal cord injury indicates a need for further teaching by the nurse regarding bowel management?
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?
A nurse is reviewing a patient’s current Lithium levels. Which of the following values is outside the therapeutic range?
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?
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:
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?
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:
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?
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:
TESTED 13 Sep 2025