The mother of a 3 month-old infant tells the nurse that she wants to change from formula to whole milk and add cereal and meats to the diet. What should be emphasized as the nurse teaches about infant nutrition?
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Question 2 of 89
How can a nurse promote oral hygiene for a patient who is on a ventilator?
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Question 3 of 89
Which action is important when using a mechanical lift to transfer a patient?
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Question 4 of 89
The nurse is instructing a 65-year-old female client diagnosed with osteoporosis. The most important instruction regarding exercise would be to
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Question 5 of 89
The nurse is caring for an 87 year-old client with urinary retention. Which finding should be reported immediately?
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Question 6 of 89
Someone who develops menus and special diets is a:
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Question 7 of 89
A new nurse manager is seeking a mentor in the administrative realm. Which of these characteristics is a priority for the outcome of a positive experience with a mentor?
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Question 8 of 89
A client calls the nurse with a complaint of sudden deep throbbing leg pain. What is the appropriate first action by the nurse?
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Question 9 of 89
Joe and Carol, two of the RNs on Unit 22, are discussing recent incidents on the unit that have involved patients and visitors uttering threats or making demeaning remarks to staff during evening hours. Joe observes that unless someone shoots at him, he is not concerned because words cant hurt you. Joes remarks:
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Question 10 of 89
The charge nurse is planning assignments on a medical unit. Which client should be assigned to the practical nurse (PN)?
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Question 11 of 89
The nurse is assessing a client who has a long history of smoking and is suspected of having laryngeal cancer. Which symptom would the nurse expect to find during the assessment?
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Question 12 of 89
Mrs. Schmidt is found on the floor beside her night table. Where might the HCA look for information on how to handle this situation?
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Question 13 of 89
When planning care for several residents, the caregiver should first assist the resident who needs to:
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Question 14 of 89
Which one of the following is not considered a physiological need?
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Question 15 of 89
A nurse entering the room of a postpartum mother observes the baby lying at the edge of the bed while the woman sits in a chair. The mother states 'This is not my baby, and I do not want it.' After repositioning the child safely, the nurse's best response is
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Question 16 of 89
A client has a serum glucose of 385 mg/dl. Which of these orders would the nurse question first?
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Question 17 of 89
A child presents to the Emergency Department with documented acetaminophen poisoning. In order to provide counseling and education for the parents, which principle must the nurse understand?
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Question 18 of 89
The nurse is caring for a child who has just returned from surgery following a tonsillectomy and adenoidectomy. Which action by the nurse is appropriate?
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Question 19 of 89
A client with bipolar disorder is reluctant to take lithium (Lithane) as prescribed. The most therapeutic response by the nurse to his refusal is
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Question 20 of 89
Mrs. Ford has a belt restraint. How often should she be checked for the position of the restraint?
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Question 21 of 89
Which one of the following is a subjective symptom?
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Question 22 of 89
Where does an obese resident tend to develop skin breakdown?
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Question 23 of 89
What is the primary purpose of using a soft-bristle toothbrush for oral care?
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Question 24 of 89
When teaching parents about sickle cell disease, the nurse should tell them that their child's anemia is caused by
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Question 25 of 89
Open-ended questions are elements of good communication because they:
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Question 26 of 89
The nurse is to administer a new medication to a client. Which of these actions best demonstrate awareness of safe, proficient nursing practice?
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Question 27 of 89
How can a nurse promote oral care for a patient who is unconscious and intubated?
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Question 28 of 89
To prevent a Valsalva maneuver in a client recovering from an acute myocardial infarction, the nurse would
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Question 29 of 89
When measuring urine output from a drainage bag, the PSW should:
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Question 30 of 89
A clean area:
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Question 31 of 89
A medication that is ordered PRN is taken:
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Question 32 of 89
A nurse is assessing several clients in a long term health care facility. Which client is at highest risk for development of decubitus ulcers?
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Question 33 of 89
The nurse is caring for a client with active tuberculosis who has a history of noncompliance. Which of the following actions by the nurse would represent appropriate care for this client?
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Question 34 of 89
A client is scheduled for a percutaneous transluminal coronary angioplasty (PTCA). The nurse knows that a PTCA is the
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Question 35 of 89
A newborn presents with a pronounced cephalhematoma following a birth in the posterior position. Which nursing diagnosis should guide the plan of care?
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Question 36 of 89
The nurse is assessing a client who had abdominal surgery yesterday. Which finding should be of most concern to the nurse?
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Question 37 of 89
The nurse is performing a physical assessment on a client who just had an endotracheal tube (ET) inserted. Which finding would call for immediate action by the nurse?
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Question 38 of 89
A client who is terminally ill has been receiving high doses of an opioid analgesic for the past month. As death approaches and the client becomes unresponsive to verbal stimuli, what orders would the nurse expect from the health care provider?
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Question 39 of 89
A common barrier to effective communication is:
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Question 40 of 89
When caring for a client with urinary incontinence, which content should be reinforced by the nurse?
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Question 41 of 89
After a client has an enteral feeding tube inserted, the most accurate method for verification of placement is
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Question 42 of 89
When planning the care for a young adult client diagnosed with anorexia nervosa which of these concerns should the nurse determine to be the priority for long term mobility?
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Question 43 of 89
A nurse arranges for a interpreter to facilitate communication between the health care team and a non-English speaking client. To promote therapeutic communication, the appropriate action for the nurse to remember when working with an interpreter is to
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Question 44 of 89
Holistic health care recognizes:
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Question 45 of 89
What is the purpose of using a pressure-reducing mattress for an immobile patient?
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Question 46 of 89
A client is admitted with low T3 and T4 levels and an elevated thyroid stimulating hormone (TSH) level. On initial assessment, the nurse would anticipate which of the following findings?
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Question 47 of 89
When caring for a client receiving warfarin sodium (Coumadin), which lab test would the nurse monitor to determine therapeutic response to the drug?
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Question 48 of 89
A 3 year-old had a hip spica cast applied two hours ago. In order to facilitate drying, the nurse should
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Question 49 of 89
How can a nurse ensure proper hygiene for a patient with an indwelling urinary catheter?
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Question 50 of 89
The use of atropine for treatment of symptomatic bradycardia is contraindicated for a client with which of the following conditions?
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Question 51 of 89
A nurse has just received a medication order which is not legible. Which statement best reflects assertive communication?
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Question 52 of 89
Caroline asks family members to leave while she cares for the 16 -year-old victim of a recent car accident. The father screams at her and tells her that she has no right to ask his family to leave, and that if she continues to do so, he will throw her out of the room. Caroline is shaken and tells her head nurse, who tells her that this kind of thing is just part of the job. The guidance of the head nurse:
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Question 53 of 89
An RN from the women's health clinic is temporarily reassigned to a medical-surgical unit. Which of these client assignments would be most appropriate for this nurse?
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Question 54 of 89
When caring for a resident's hair, what should the PSW try first if the hair is very tangled?
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Question 55 of 89
What is the primary purpose of using a bedpan for a patient who cannot get out of bed?
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Question 56 of 89
Which of the following conditions assessed by the nurse would contraindicate the use of benztropine (Cogentin)?
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Question 57 of 89
A client arrives in the emergency department after a radiologic accident at a local factory. The first action of the nurse would be to
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Question 58 of 89
The nurse explains an autograft to a client scheduled for excision of a skin tumor. The nurse knows the client understands the procedure when the client says, 'I will receive tissue from
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Question 59 of 89
The nurse has been teaching adult clients about cardiac risks when they visit the hypertension clinic. Which evaluation data would best measure learning?
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Question 60 of 89
Which of these tests would the nurse expect to monitor for the evaluation of clients aged 18 and older with poor glycemic control?
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Question 61 of 89
If a person is responsible for their actions and bound to give an explanation, they are considered:
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Question 62 of 89
Looking at things from another's point of view is called:
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Question 63 of 89
This type of tissue covers internal and external body surfaces which include: cutaneous, serous and mucous cells:
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Question 64 of 89
The nurse is caring for a 5 year-old child whose left leg is in skeletal traction. Which of the following activities would be an appropriate diversional activity?
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Question 65 of 89
A 24 year-old male is admitted with a diagnosis of testicular cancer. The nurse would expect the client to have
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Question 66 of 89
Which of these statements by the nurse is incorrect if the nurse has the goal to reinforce information about cancers to a group of young adults?
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Question 67 of 89
Accidental poisoning is most common with:
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Question 68 of 89
On initial examination of a 15 month-old child with suspected otitis media, which group of findings would the registered nurse (RN) anticipate?
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Question 69 of 89
The nurse is caring for a 69 year-old client with a diagnosis of hyperglycemia. Which tasks could the nurse delegate to the unlicensed assistive personnel (UAP)?
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Question 70 of 89
The nurse is providing home care for a client with heart failure and pulmonary edema. Which nursing diagnosis should have priority in planning care?
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Question 71 of 89
When assisting a patient with oral hygiene, which action is appropriate?
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Question 72 of 89
A child and his family were exposed to Mycobacterium tuberculosis about 2 months ago, to confirm the presence or absence of an infection, it is most important for all family members to have a
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Question 73 of 89
The care of which of the following clients can the nurse safely delegate to an unlicensed assistive personnel (UAP)?
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Question 74 of 89
When a client with Alzheimer's disease believes that it is 1950 and his mother is still alive, the PSW should:
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Question 75 of 89
While caring for a client, the nurse notes a pulsating mass in the client's periumbilical area. Which of the following assessments is appropriate for the nurse to perform?
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Question 76 of 89
To discuss or record only information essential for treatment and to keep all such information private refers to:
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Question 77 of 89
The nurse is teaching a group of women in a community clinic about prevention of osteoporosis. Which of the following over-the-counter medications should the nurse recognize as having the most elemental calcium per tablet?
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Question 78 of 89
Which one of the following would be substituted for protein in a vegetarian diet?
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Question 79 of 89
A risk factor for heart disease is:
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Question 80 of 89
The new graduate nurse interviews for a position in a nursing department of a large health care agency, described by the interviewer as having shared governance. Which of these statements best illustrates the shared governance model?
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Question 81 of 89
When making an occupied bed, which step is essential to ensure patient safety?
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Question 82 of 89
The nurse is taking a health history from parents of a child admitted with possible Reye's syndrome. Which recent illness would the nurse recognize as increasing the risk to develop Reye's syndrome?
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Question 83 of 89
A 57 year-old male client has a hemoglobin of 10 mg/dl and a hematocrit of 32%. What would be the most appropriate follow-up by the home care nurse?
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Question 84 of 89
Which of the following is not a common reaction to illness and disability?
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Question 85 of 89
The nurse in a well-child clinic examines many children on a daily basis. Which of the following toddlers requires further follow up?
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Question 86 of 89
The registered nurse (RN) is planning care at a team meeting for a 2 month-old child in bilateral leg casts for congenital clubfoot. Which of these outcomes suggested by the practical nurse (PN) should be considered the priority nursing goal following cast application?
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Question 87 of 89
According to Maslow, oxygen, water, and food are:
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Question 88 of 89
When feeding a resident, the PSW:
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Question 89 of 89
A client with a suspected myocardial infarction is receiving thrombolytic therapy. Which finding should the nurse report immediately to the health care provider?
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