Dual diagnosis indicates that there is a substance abuse problem as well as a
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Question 2 of 90
A 74 year-old male is admitted due to inability to void. He has a history of an enlarged prostate and has not voided in 14 hours. When assessing for bladder distention, the best method for the nurse to use is to assess for
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Question 3 of 90
Which one of the following is not a stage in critical thinking?
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Question 4 of 90
The nurse is caring for a client with trigeminal neuralgia (tic douloureux). To assist the client with nutrition needs, the nurse should
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Question 5 of 90
H.S. care is performed:
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Question 6 of 90
Which one of the following is not considered a physiological need?
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Question 7 of 90
A couple asks the nurse about risks of several birth control methods. What is the most appropriate response by the nurse?
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Question 8 of 90
During the initial physical assessment on a client who is a Vietnamese immigrant, the nurse notices small, circular, ecchymotic areas on the client's knees. The best action for the nurse to take is to
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Question 9 of 90
A client calls the evening health clinic to state “I know I have a severely low sugar since the Lantus insulin was given 3 hours ago and it peaks in 2 hours.†What should be the nurse's initial response to the client?
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Question 10 of 90
Passive range of motion exercises primarily prevent:
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Question 11 of 90
The nurse is caring for a 13 year-old following spinal fusion for scoliosis. Which of the following interventions is appropriate in the immediate post-operative period?
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Question 12 of 90
Which one of the following will help to prevent decubitus ulcers?
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Question 13 of 90
How can a nurse assist a patient with dysphagia during mealtime?
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Question 14 of 90
The nurse is assessing a 2 year-old client with a possible diagnosis of congenital heart disease. Which of these is most likely to be seen with this diagnosis?
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Question 15 of 90
How can a nurse help a patient maintain personal hygiene while adhering to cultural preferences?
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Question 16 of 90
A client is being maintained on heparin therapy for deep vein thrombosis (DVT). The nurse must closely monitor which of the following laboratory values?
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Question 17 of 90
Mrs. Hillside is discharged from the long-term healthcare facility. Her medical record is:
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Question 18 of 90
An infant has just returned from surgery for placement of a gastrostomy tube as an initial treatment for tracheoesophageal fistula. The mother asks: 'When can the tube can be used for feeding?' The nurse's best response would be which of these comments?
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Question 19 of 90
When a client is in late stage dementia:
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Question 20 of 90
The nurse is caring for a client with a history of falls. Which intervention should the nurse implement to promote safety?
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Question 21 of 90
In what order would you clean a bathroom?
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Question 22 of 90
Dirt in the living space and unattended or unsafe property may be indicators of:
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Question 23 of 90
The nurse has just received report on a group of clients and plans the order in which they will be seen. List the order in which the nurse should see the following clients: 1) A client admitted 2 days ago with dehydration who reports vomiting x2 this morning; 2) A client admitted yesterday with 70% blockage of the left coronary artery and an episode of chest pain during the night; 3) A client with pneumonia who is receiving oxygen via nasal cannula with vital signs due in 15 minutes; 4) A client with small bowel obstruction whose nasogastric tube needs to be repositioned.
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Question 24 of 90
Viruses, bacteria, fungi, and protozoa are all forms of:
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Question 25 of 90
A Medical Doctor who prescribes medications and leads the health care team is a:
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Question 26 of 90
Someone who develops menus and special diets is a:
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Question 27 of 90
A 15 month-old child comes to the clinic for a follow-up visit after hospitalization for treatment of Kawasaki Disease. The nurse recognizes that which of the following scheduled immunizations will be delayed?
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Question 28 of 90
A client being treated for hypertension returns to the community clinic for follow up. The client says, 'I know these pills are important, but I just can't take these water pills anymore. I drive a truck for a living, and I can't be stopping every 20 minutes to go to the bathroom.' Which of these is the best nursing diagnosis?
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Question 29 of 90
Subjective symptoms are:
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Question 30 of 90
In assessing a post partum client, the nurse palpates a firm fundus and observes a constant trickle of bright red blood from the vagina. What is the most likely cause of these findings?
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Question 31 of 90
The nurse is discussing dietary intake with an adolescent who has acne. The most appropriate statement for the nurse is
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Question 32 of 90
A client's admission urinalysis shows the specific gravity value of 1.039. Which of the following assessment data would the nurse expect to find when assessing this client?
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Question 33 of 90
The nurse is caring for a client suspected to have Tuberculosis (TB). Which of the following diagnostic tests is essential for determining the presence of active TB?
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Question 34 of 90
As a nurse manager, you realize that your unit has become a toxic environment in which horizontal violence and incivility has become common. In addressing the problem, you decide to implement which of the following?
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Question 35 of 90
The nurse is caring for a client on mechanical ventilation. When performing endotracheal suctioning, the nurse will avoid hypoxia by
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Question 36 of 90
The parents of a toddler who is being treated for pesticide poisoning ask: 'Why is activated charcoal used? What does it do?' What is the nurse's best response?
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Question 37 of 90
When caring for a client with a post-right thoracotomy who has undergone an upper lobectomy, the nurse focuses on pain management to promote
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Question 38 of 90
The nurse is instructing a woman in a low-fat, high-fiber diet. Which of the following food choices, if selected by the client, indicate an understanding of a low-fat, high-fiber diet?
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Question 39 of 90
The amount of fluid a resident may have will be recorded over which period of time?
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Question 40 of 90
The health care team is managing the care of a client with terminal cancer. The client's spouse says, 'I don't want him to suffer anymore.' Which member of the team should develop a plan to provide optimal comfort?
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Question 41 of 90
Diabetes is a condition that results when:
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Question 42 of 90
Conversation will be stimulated by questions that are:
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Question 43 of 90
The nurse instructs the client taking dexamethasone (Decadron) to take it with food or milk. The physiological basis for this instruction is that the medication
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Question 44 of 90
When screening children for scoliosis, at what time of development would the nurse expect early signs to appear?
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Question 45 of 90
A Hispanic client refuses emergency room treatment until a curandero is called. The nurse understands that this person brings what to situations of illness?
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Question 46 of 90
What is the primary purpose of using an overhead trapeze bar for a bedridden patient?
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Question 47 of 90
A nurse is working with one licensed practical nurse (PN), a student nurse and an unlicensed assistive personnel (UAP). Which newly admitted clients would be most appropriate to assign to the UAP?
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Question 48 of 90
In providing care for a client with pain from a sickle cell crisis, which one of the following medication orders for pain control should be questioned by the nurse?
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Question 49 of 90
When assessing a client, it is important for the nurse to be informed about cultural issues related to the client's background because
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Question 50 of 90
You note that Unit 64 has had a high turnover rate of staff during the past year. In investigating this situation, an important source of data might include:
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Question 51 of 90
An 80 year-old client admitted with a diagnosis of possible cerebral vascular accident has had a blood pressure from 160/100 to 180/110 over the past 2 hours. The nurse has also noted increased lethargy. Which assessment finding should the nurse report immediately to the provider?
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Question 52 of 90
The nurse is teaching a client with metastatic bone disease about measures to prevent hypercalcemia. It would be important for the nurse to emphasize
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Question 53 of 90
A client has been admitted with complaints of lower abdominal pain, difficulty swallowing, nausea, dizziness, headaches and fatigue. The client is agitated, fearful, tachycardia and complains of being 'too sick to return to work.' The client is diagnosed as having somatoform disorder. In formulating a plan of care, the nurse must consider that the client's behavior
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Question 54 of 90
A client was admitted to the psychiatric unit after complaining to her friends and family that neighbors have bugged her home in order to hear all of her business. She remains aloof from other clients, paces the floor and believes that the hospital is a house of torture. Nursing interventions for the client should appropriately focus on efforts to
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Question 55 of 90
Which of the following is not included in the MDS assessment?
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Question 56 of 90
How can a nurse encourage a bedridden patient to cough effectively?
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Question 57 of 90
If a newborn infant will be breastfed, the mother should:
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Question 58 of 90
How can a nurse ensure the proper use of restraints for a patient?
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Question 59 of 90
A registered nurse with advanced education and who can prescribe medication is:
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Question 60 of 90
The nurse is assessing the mental status of a client admitted with possible organic brain disorder. Which of these questions will best assess the functioning of the client's recent memory?
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Question 61 of 90
The nurse is assessing a 7 year-old after several days of treatment for a documented strep throat. Which of the following statements suggests that further teaching is needed?
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Question 62 of 90
Which nursing action is recommended to promote comfort for a post-operative patient?
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Question 63 of 90
The nurse is assessing a newborn infant and observes low set ears, short palpebral fissures, flat nasal bridge and indistinct philtrum. A priority maternal assessment by the nurse should be to ask about
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Question 64 of 90
How can a nurse promote comfort for a patient who is experiencing anxiety?
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Question 65 of 90
The nurse is developing a meal plan that would provide the maximum possible amount of iron for a child with anemia. Which dinner menu would be best?
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Question 66 of 90
Before administering a feeding through a gastrostomy tube, what is the priority nursing assessment?
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Question 67 of 90
While explaining an illness to a 10 year-old, what should the nurse keep in mind about the cognitive development at this age?
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Question 68 of 90
A client who repeats everything you say has:
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Question 69 of 90
The nurse uses the DRG (Diagnosis Related Group) manual to
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Question 70 of 90
A nurse is teaching the parent of a nine month-old infant about diaper dermatitis. Which of the following measures would be appropriate for the nurse to include?
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Question 71 of 90
What should a nurse do before assisting a patient to stand up from the bed?
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Question 72 of 90
A newly admitted client has a diagnosis of depression. She complains of “twitching muscles†and a “racing heartâ€Â, and states she stopped taking Zoloft a few days ago because it was not helping her depression. Instead, she began to take her partner's Parnate. The nurse should immediately assess for which of these adverse reactions?
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Question 73 of 90
The measurement and documentation of vital signs is expected for clients in a long term facility. Which staff type would it be a priority to delegate these tasks to?
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Question 74 of 90
A PSW breaks a resident's glasses because of carelessness. What specific term applies to this action?
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Question 75 of 90
When administering enteral feeding to a client via a jejunostomy tube, the nurse should administer the formula
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Question 76 of 90
The nurse is monitoring a client receiving a thrombolytic agent, alteplase (Activase tissue plasminogen activator), for treatment of a myocardial infarction. What outcome indicates the client is receiving adequate therapy within the first hours of treatment?
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Question 77 of 90
You need to terminate Gregory, who has had a long-standing history of conflict with you and the staff, and who recently was charged with theft of patient belongings. You consult Human Resources, and together, you develop a plan, which includes:
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Question 78 of 90
The nurse is assessing a client with a chest tube attached to a water seal drainage system. Which finding requires immediate action by the nurse?
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Question 79 of 90
A PSW's work is concerned primarily with:
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Question 80 of 90
A 70 year-old post-operative client has elevated serum BUN, HCT, Cl, and Na+. Creatinine and K+ are within normal limits. The nurse should perform additional assessments to confirm that an actual problem is:
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Question 81 of 90
What is the primary purpose of using a urinal for a male patient who cannot get out of bed?
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Question 82 of 90
While performing an initial assessment on a newborn following a breech delivery, the nurse suspects hip dislocation. Which of the following is most suggestive of the abnormality?
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Question 83 of 90
The most common reason for an Apgar score of 8 and 9 in a newborn is an abnormality of what parameter?
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Question 84 of 90
Which of the following foods should be avoided by clients who are prone to develop heartburn as a result of gastroesophageal reflux disease (GERD)?
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Question 85 of 90
A 67 year-old client is admitted with substernal chest pain with that radiates to the jaw. The admitting diagnosis is acute myocardial infarction (MI). The priority nursing diagnosis for this client during the first 24 hours is
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Question 86 of 90
Which of these clients would be most appropriate to assign to a practical nurse (PN)?
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Question 87 of 90
Bed cradles are used to:
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Question 88 of 90
A nursing student asks the nurse manager to explain the forces that drive health care reform. The appropriate response by the nurse manager should include
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Question 89 of 90
Which of these clients would the nurse recommend keeping in the hospital during an internal disaster at that facility?
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Question 90 of 90
Which has oxygen deprived blood?
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