A patient requires assistance with eating. What principle should the nurse follow when feeding the patient?
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Question 2 of 89
A Hispanic client confides in the nurse that she is concerned that staff may give her newborn the 'evil eye.' The nurse should communicate to other personnel that the appropriate approach is to
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Question 3 of 89
The nurse sees a substance abusing client occasionally in the outpatient clinic. In evaluating the client's progress, the nurse recognizes that the most revealing resistant behavior is
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Question 4 of 89
A client is placed on sulfamethoxazole-trimethoprim (Bactrim) for a recurrent urinary tract infection. Which of the following is appropriate reinforcement of information by the nurse?
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Question 5 of 89
The nurse practicing in a long term care facility recognizes that elderly clients are at greater risk for drug toxicity than younger adults because of which of the following physiological changes of advancing age?
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Question 6 of 89
A charge nurse working in a long term care facility is making out assignments. Which assignment made by a registered nurse to an unlicensed assistive personnel (UAP) requires intervention by the supervisor?
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Question 7 of 89
A 15 year-old client with a lengthy confining illness is most at risk for altered psycho-emotional growth and development due to
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Question 8 of 89
The nurse is teaching a 27 year-old client with asthma about their therapeutic regime. Which statement would indicate the need for additional instruction?
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Question 9 of 89
The nurse is assessing a client with a deep vein thrombosis. Which of the following signs and/or symptoms would the nurse anticipate finding?
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Question 10 of 89
What must the nurse emphasize when teaching a client with depression about a new prescription for nortriptyline (Pamelor)?
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Question 11 of 89
Family and friends help meet the need for:
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Question 12 of 89
Neglect can take the form of:
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Question 13 of 89
A client who had a laparoscopic appendectomy 2 days ago reports pain at a level of 8 out of 10 at the incision site. Which action should the nurse take first?
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Question 14 of 89
The nurse is assessing a young child at a clinic visit for a mild respiratory infection. Koplik spots are noted on the oral mucous membranes. The nurse should then assess which area of the body?
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Question 15 of 89
The PSW should report which one of the following immediately?
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Question 16 of 89
The nurse is caring for a client with cirrhosis of the liver with ascites. When instructing nursing assistants in the care of the client, the nurse should emphasize that the client
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Question 17 of 89
A client with a central venous catheter reports pain at the insertion site. Which action should the nurse take first?
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Question 18 of 89
The primary teaching for a client following an extracorporeal shock-wave lithotripsy (ESWL) procedure is
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Question 19 of 89
A postpartum client admits to alcohol use throughout the pregnancy. Which of the following newborn findings suggests to the nurse that the infant has fetal alcohol syndrome?
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Question 20 of 89
The nurse is planning care for an 18 month-old child. Which action should be included in the child's care?
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Question 21 of 89
A client with chronic congestive heart failure should be instructed to contact the home health nurse if which finding occurs?
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Question 22 of 89
During the initial home visit, a nurse is discussing the care of a client newly diagnosed with Alzheimer's disease with family members. Which of these interventions would be most helpful at this time?
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Question 23 of 89
Brain injuries can be caused by all of the following except:
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Question 24 of 89
A home health nurse is at the home of a client with diabetes and arthritis. The client has difficulty drawing up insulin. It would be most appropriate for the nurse to refer the client to
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Question 25 of 89
The nurse is planning care for a 2 year-old hospitalized child. Which of the following will produces the most stress at this age?
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Question 26 of 89
A nurse who is assigned to the emergency department needs to understand that gastric lavage is a priority in which situation?
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Question 27 of 89
What is the appropriate way for a nurse to communicate with a patient who is hearing impaired?
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Question 28 of 89
The nurse is caring for a newborn with tracheoesophageal fistula. Which nursing diagnosis is a priority?
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Question 29 of 89
All clients will be offered 3 meals and two snacks in a 24hour period' is an example of what?
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Question 30 of 89
The parents of a 2 year-old child report that he has been holding his breath whenever he has temper tantrums. What is the best action by the nurse?
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Question 31 of 89
A program which is made available to patients who are not bedridden is called:
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Question 32 of 89
As a PSW you may have to assist with post-mortem care. You should do all of the following except:
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Question 33 of 89
When teaching a 10 year-old child about their impending heart surgery, which form of explanation meets the developmental needs of this age child?
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Question 34 of 89
Your healthcare organization places a high value on workplace safety and integrates this into all aspects of administrative and patient care processes. As a unit manager, you thoroughly endorse this direction, and during the selection and hiring of new staff, you consistently:
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Question 35 of 89
How often should a nurse reposition an immobile patient to prevent pressure ulcers?
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Question 36 of 89
A parent calls the hospital hot line and is connected to the triage nurse. The caller proclaims: 'I found my child with odd stuff coming from the mouth and an unmarked bottle nearby.' Which of these comments would be the best tool for the nurse to determine if the child has swallowed a corrosive substance?
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Question 37 of 89
While assessing a client with a casted right ankle and foot, the nurse notes the toes are more edematous than they were several hours ago and are cool to touch despite elevation of the foot above the level of the heart. Which action should the nurse take first?
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Question 38 of 89
A client with diarrhea should avoid which of the following?
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Question 39 of 89
The nurse is assigned to care for a client newly diagnosed with angina. As part of discharge teaching, it is important to remind the client to remove the nitroglycerine patch after 12 hours in order to prevent what condition?
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Question 40 of 89
Blood vessels that carry blood away from the heart are:
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Question 41 of 89
The following is true of newborn breastfed babies:
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Question 42 of 89
While caring for a child with Reye's syndrome, the nurse should give which action the highest priority?
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Question 43 of 89
Laws designed to protect employees from injuries and accidents in the workplace are covered under the:
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Question 44 of 89
When applying a transfer belt, it should be:
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Question 45 of 89
What is the main benefit of therapeutic massages is:
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Question 46 of 89
The nurse is caring for a client in the late stages of amyotrophic lateral sclerosis (ALS). Which finding would the nurse expect?
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Question 47 of 89
Care of the aged is called:
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Question 48 of 89
While caring for a client with infective endocarditis, the nurse must be alert for signs of pulmonary embolism. Which of the following assessment findings suggests this complication?
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Question 49 of 89
Which of the following is NOT a factor in patient- and/or family-generated violence in healthcare settings?
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Question 50 of 89
Residents in a new long-term care facility attend a large dining hall for meals. In reviewing reports of aggression and violence, you note that behaviors such as hitting, or attempting, to hit staff are increasing. Further investigation suggests that this behavior occurs most often at mealtimes. A possible intervention would be to:
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Question 51 of 89
A client asks the nurse to call the police and states: 'I need to report that I am being abused by a nurse.' The nurse should first
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Question 52 of 89
A 6 year-old female is diagnosed with recurrent urinary tract infections (UTIs). Which one of the following instructions would be best for the nurse to tell the caregiver?
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Question 53 of 89
Health care and support services provided in the community refers to:
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Question 54 of 89
The nurse is caring for a client with a pressure ulcer on the heel that is covered with black hard tissue. Which would be an appropriate goal in planning care for this client?
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Question 55 of 89
A client with bi-polar disorder is taking lithium (Lithane). What should the nurse emphasize when teaching about this medication?
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Question 56 of 89
The nurse is performing a physical assessment on a client with insulin dependent diabetes mellitus. Which client finding calls for immediate nursing action?
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Question 57 of 89
You have just told your client that you will be back in 15 minutes to take their temperature. Why have you decided to wait?
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Question 58 of 89
The provider order reads 'Aspirate nasogastric (NG) feeding tube every 4 hours and check pH of aspirate.' The pH of the aspirate is 10. Which action should the nurse take?
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Question 59 of 89
Bathing helps:
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Question 60 of 89
Which nursing intervention promotes skin integrity for a bedridden patient?
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Question 61 of 89
How can a nurse promote safety when assisting a patient with a urinary catheter to use the bathroom?
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Question 62 of 89
The client's right to decide or choose, or to refuse, in all aspects of their care refers to:
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Question 63 of 89
The nurse is teaching the client to select foods rich in potassium to help prevent digitalis toxicity. Which choice indicates the client understands dietary needs?
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Question 64 of 89
At a routine health assessment, a client tells the nurse that she is planning a pregnancy in the near future. She asks about preconception diet changes. Which of the statements made by the nurse is best?
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Question 65 of 89
Signs and symptoms of dehydration include:
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Question 66 of 89
For a 6 year-old child hospitalized with moderate edema and mild hypertension associated with acute glomerulonephritis (AGN), which one of the following nursing interventions would be appropriate?
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Question 67 of 89
While giving care to a 2 year-old client, the nurse should remember that the toddler's tendency to say 'no' to almost everything is an indication of what psychosocial skill?
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Question 68 of 89
What should a nurse do before assisting a patient with their meals?
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Question 69 of 89
After working with a client, an unlicensed assistive personnel (UAP) tells the nurse, 'I have had it with that demanding client. I just can't do anything that pleases him. I'm not going in there again.' The nurse should respond by saying
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Question 70 of 89
The nurse is teaching a child and the family about the medication phenytoin (Dilantin) prescribed for seizure control. Which of the following side effects is most likely to occur?
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Question 71 of 89
During the two-month well-baby visit, the mother complains that formula seems to stick to her baby's mouth and tongue. Which of the following would provide the most valuable data for nursing assessment?
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Question 72 of 89
Mrs. Kennedy had a CVA (cerebrovascular accident) and has severe right-sided weakness. She has been taught to walk with a cane. The nurse is evaluating her use of the cane prior to discharge. Which of the following reflects correct use of the cane?
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Question 73 of 89
A professional who treats people with speech disorders is a:
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Question 74 of 89
A client experienced the loss of a spouse 12 months ago. Today the client reveals feelings of anger and hopelessness to the nurse. Which initial response by the nurse would be most appropriate?
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Question 75 of 89
The charge nurse on a cardiac step-down unit makes assignments for the team consisting of a registered nurse (RN), a practical nurse (PN), and an unlicensed assistive personnel (UAP). Which client should be assigned to the PN?
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Question 76 of 89
Knocking and requesting to enter a client's room supports the client's right to:
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Question 77 of 89
What is the purpose of using a fracture pan for a bedridden patient?
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Question 78 of 89
The health care provider has written 'Morphine sulfate 2 mgs IV every 3-4 hours prn for pain' on the chart of a child weighing 22 lb. (10 kg). What is the nurse's initial action?
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Question 79 of 89
A nurse administers the influenza vaccine to a client in a clinic. Within 15 minutes after the immunization was given, the client complains of itchy and watery eyes, increased anxiety, and difficulty breathing. The nurse expects that the first action in the sequence of care for this client will be to
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Question 80 of 89
What is the purpose of applying a warm, moist compress to a wound?
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Question 81 of 89
A 2 month-old child has had a cleft lip repair. The selection of which restraint would require no further action by the charge nurse?
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Question 82 of 89
Daily PSW care is recorded in a:
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Question 83 of 89
Rehabilitation helps a client:
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Question 84 of 89
Determining whether the client has coughed at night involves which sense?
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Question 85 of 89
A 19 year-old client is paralyzed in a car accident. Which statement used by the client would indicate to the nurse that the client is using the mechanism of 'suppression'?
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Question 86 of 89
A client arrived in the USA from a developing country 1 week ago. The client is to be admitted to the medical surgical unit with a diagnosis of AIDS. There is a history of these findings: unintended weight loss, drug abuse, night sweats, productive cough and a 'feeling of being hot all the time.' The nurse should assign the client to share a room with a client with the diagnosis of
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Question 87 of 89
The nursing care plan for a client with decreased adrenal function should include
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Question 88 of 89
Upholding and promoting 'The Resident's Bill of Rights' for residents of long-term care facilities is the responsibility of:
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Question 89 of 89
How can a nurse promote patient comfort while managing a wound drainage system?
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