To prepare a patient on the unit for a bronchoscopic procedure, the medical-surgical nurse administers an IV sedative. The nurse then instructs the licensed practical nurse to:
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Question 2 of 35
The nurse explains to a client the action of a hydroxymethylglutaryl-coenzyme A (HMG-CoA) reductase inhibitor. What enzyme does the nurse state this drug inhibits?
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Question 3 of 35
The following qualifications reflect possible delivery in the Rural Health Unit, except for one:
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Question 4 of 35
What is the FIRST STEP for thermal protection of newborn?
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Question 5 of 35
Which of the following is NOT a part of the community assessment process?
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Question 6 of 35
An indicator for evaluating the organizational effectiveness of a program of nursing from a structural perspective includes:
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Question 7 of 35
You are called to the scene where a 36-year-old male was shot in the back while running away from an assailant. While treating and attempting to stabilize the patient, what should be done with the clothing he was wearing?
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Question 8 of 35
You are intubating a 26-year-old who is apneic. Once the endotracheal tube passes through the vocal cords, how much farther should the endotracheal tube be advanced before inflating the cuff and confirming proper placement?
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Question 9 of 35
You suspect your adult chest pain patient may be experiencing the onset of a myocardial infarction. Which of the following medical conditions may mask the severity of the infarction by suppressing the normal ST elevation often seen in onset myocardial infarctions?
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Question 10 of 35
A newly hired nurse faculty member states that in his previous position high fidelity simulation was used effectively and he cannot believe they use standardized patients here. The best way to approach this is to tell the newly hired nurse educator that:
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Question 11 of 35
The classic definition of public health, defines as:
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Question 12 of 35
Your adult status asthmaticus patient requires rapid sequence intubation due to rapidly increasing airway constriction. Which of the following would be most appropriate following tube placement confirmation?
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Question 13 of 35
When conducting a 12-lead electrocardiogram on a patient, which lead is located on the right side of the body and does not view a specific area of the heart?
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Question 14 of 35
While conducting an EKG on your post-myocardial infarction patient, you note the presence of consistently wide QRS complexes greater than 120 ms in duration. What does this most likely indicate?
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Question 15 of 35
The nurse should consider the following assessing the child for chest indrawing EXCEPT:
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Question 16 of 35
What should you look for in assessing the child's condition?
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Question 17 of 35
A client is being discharged home on warfarin. The discharge teaching by the nurse should include a warning to avoid what?
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Question 18 of 35
The nurse educator is preparing a formative evaluation of clinical performance for the learner; this should include which of the following?
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Question 19 of 35
You are on-scene with a 40-year-old patient with an extensive cardiac history for his age. Today, he is complaining of chest pain that radiates to his jaw and left arm. His vital signs are stable; however, once on the cardiac monitor, he exhibits ST elevation in leads II, III, and aVf. With the EKG finding, which of the following should you suspect?
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Question 20 of 35
Which of the following is used to monitor particular groups that are qualified as eligible to a certain program of the DOH?
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Question 21 of 35
The main goal of treatment for acute glomerulonephritis is to:
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Question 22 of 35
The nursing diagnosis for a patient with a myocardial infarction is activity intolerance. The plan of care includes the patient outcome criterion of:
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Question 23 of 35
After assisting a full-term pregnant patient in the delivery of her newborn, the newborn remains bradycardic with a heart rate of 50 beats per minute and exhibits cyanosis around his mouth, nose, fingers, and toes. He is not responding well and appears lethargic following the five-minute APGAR assessment. What would be the best initial intervention at this point to increase his heart rate?
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Question 24 of 35
The client receives a prescription for niacin, and the nurse is providing education about the medication. What should the nurse teach the client about possible adverse effects of the medication?
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Question 25 of 35
A 2-year-old child weighing 32 lb is to take ferrous sulfate 6 mg/kg/d PO. How many milligrams should the child receive per dose?
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Question 26 of 35
A 49-year-old female client has been receiving hormone replacement therapy (HRT) for the past 4 years. The nurse should identify what relationship between HRT and coronary artery disease (CAD)?
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Question 27 of 35
A client who has anemia and a severe GI absorption disorder has been ordered iron dextran (INFeD). What is the most appropriate nursing diagnosis for the client related to the administration of this drug?
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Question 28 of 35
Rural sanitary inspector is under what level of primary health care workers?
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Question 29 of 35
Scarlet fever is a febrile contagious condition. Which laboratory procedure is not included in confirming scarlet fever?
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Question 30 of 35
You are preparing to perform fluid replacement on an adult trauma patient who lost a significant amount of his circulating blood volume when you note the presence of a drastic systolic blood pressure decline from 100 mmHg to 86 mmHg systolic after the patient's bleeding is controlled. The patient has no obvious new bleeding, but his abdomen is distended and is painful on palpation. There are no obvious masses, bruises, or deformity, and he has active bowel sounds over the epigastric region. Which of the following intravenous fluids would be most appropriate in this situation if the medical command physician recommends a fluid challenge?
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Question 31 of 35
It includes stressful occurrences called as:
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Question 32 of 35
An unresponsive adult trauma patient exhibits pale, cold, and clammy skin that appears ashen/cyanotic. He is breathing less than eight times a minute, has a heart rate of 32 beats a minute, and shows an irregular bradyarrhythmia on the monitor in lead II. He is experiencing frank hypotension that is barely palpable. Which of the following stages of shock is most likely causing his presentation?
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Question 33 of 35
The nurse is caring for a patient who is taking warfarin. The nurse notes the presence of gross hematuria and large areas of bruising on the patient's body. The nurse notifies the health care prescriber and anticipates what medication will be ordered?
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Question 34 of 35
Your adult patient called for help after he began to vomit bright red blood. On arrival, the patient is found to be tachycardic and bleeding freely from his mouth. His respirations are shallow, and his skin is cool with a blood pressure is 68 systolic. His only history involves liver disease from chronic alcoholism. He denies drinking recently. What should be the goal of your pre-hospital intervention with this patient after ensuring his airway and applying oxygen therapy?
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Question 35 of 35
The major risk factors common to the four major NCDs (CVDs, cancer, COPD, diabetes) are:
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