Which of the following should the nurse teach the client to avoid when taking chlorpromazine HCL (Thorazine)?
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Question 2 of 89
Giving responsibility of non-controlled acts refers to:
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Question 3 of 89
The nurse is preparing to administer heparin to a client with a deep vein thrombosis. Which laboratory value should the nurse check before administering the dose?
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Question 4 of 89
An unlicensed assistive staff member asks the nurse manager to explain the beliefs of a Christian Scientist who refuses admission to the hospital after a motor vehicle accident. The best response of the nurse would be which of these statements?
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Question 5 of 89
The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which nursing intervention is appropriate for this child?
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Question 6 of 89
Which statement best describes the purpose of a nasogastric (NG) tube?
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Question 7 of 89
A client is receiving erythromycin 500mg IV every 6 hours to treat a pneumonia. Which of the following is the most common side effect of the medication?
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Question 8 of 89
The nurse is providing education for a client with newly diagnosed tuberculosis. Which statement should be included in the information that is given to the client?
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Question 9 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 10 of 89
A client with an aplastic sickle cell crisis is receiving a blood transfusion and begins to complain of 'feeling hot.' Almost immediately, the client begins to wheeze. What is the nurse's first action?
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Question 11 of 89
A resident, Martha, fears bathing and especially, perineal care. This could be caused by having experienced which of the following?
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Question 12 of 89
The nurse is responsible for several elderly clients, including a client on bed rest with a skin tear and hematoma from a fall 2 days ago. What is the best care assignment for this client?
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Question 13 of 89
Which behavioral characteristic describes the domestic abuser?
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Question 14 of 89
After the shift report in a labor and delivery unit which of these clients would the nurse check first?
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Question 15 of 89
A hospitalized child suddenly has a seizure while his family is visiting. The nurse notes whole body rigidity followed by general jerking movements. The child vomits immediately after the seizure. A priority nursing diagnosis for the child is
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Question 16 of 89
How can a nurse promote comfort and safety for a patient with impaired vision?
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Question 17 of 89
The nurse is caring for several 70 to 80 year-old clients on bed rest. What is the most important measure to prevent skin breakdown?
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Question 18 of 89
Profound truths of nutrition at end of life includes:
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Question 19 of 89
An 85 year-old client complains of generalized muscle aches and pains. The first action by the nurse should be
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Question 20 of 89
By encouraging their clients to carry out the activities of daily living that they are able to do on their own, the PSW is helping to meet the client's need for:
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Question 21 of 89
Drainage is another term for:
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Question 22 of 89
A child is admitted to the pediatric unit with a diagnosis of suspected meningococcal meningitis. Which admission orders should the nurse implement first?
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Question 23 of 89
According to Abraham Maslow, physiological needs are necessary for:
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Question 24 of 89
Insulin is a:
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Question 25 of 89
The nurse auscultates bibasilar inspiratory crackles in a newly admitted 68 year-old client with a diagnosis of congestive heart disease. Which other finding is most likely to occur?
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Question 26 of 89
Contractures are serious. A PSW can assist with preventing them by:
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Question 27 of 89
You note that Unit 64 has had a high turnover rate of staff during the past year. In addressing the staff turnover rate, you are:
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Question 28 of 89
Which statement by the nurse is appropriate when giving an assignment to an unlicensed assistive personnel (UAP) to help a client ambulate for the first time after a colon resection?
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Question 29 of 89
Three year old Vicki is having a hard time with her new baby brother. She cries whenever he is awake, wets the bed every night and insists on having her juice in a bottle like his. These are signs of:
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Question 30 of 89
In addition to disturbances in mental awareness and orientation, a client with cognitive impairment is also likely to show loss of ability in
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Question 31 of 89
The nurse is teaching childbirth preparation classes. One woman asks about her rights to develop a birthing plan. Which response made by the nurse would be best?
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Question 32 of 89
The PSW may assist a client with medications by:
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Question 33 of 89
A client with considerable pain asks, 'What is your opinion regarding acupuncture as a drug-free method for alleviating pain?' The nurse responds, 'I'd forget about it as those weird non-Western treatments can be scary.' The nurse's response is an example of
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Question 34 of 89
The nurse is taking a health history from a Native American client. It is critical that the nurse must remember that eye contact with such clients is considered
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Question 35 of 89
The parents of a newborn male with hypospadias want their child circumcised. The best response by the nurse would be to inform them that
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Question 36 of 89
Which one of the following is responsible for the developing and the administration of their own health care insurance plan?
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Question 37 of 89
How can a nurse assist a patient with impaired mobility to perform range-of-motion exercises independently?
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Question 38 of 89
When assisting a patient with a bedpan, which action is crucial to maintaining the patient's dignity?
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Question 39 of 89
Which one of the following is spelled correctly?
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Question 40 of 89
A client with hepatitis A (HAV) is newly admitted to the unit. Which action would be the priority to include in this client's plan of care within the initial 24 hours?
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Question 41 of 89
The registered nurse has just admitted a client with severe depression. What domain should be the priority focus as the nurse identifies the nursing diagnoses?
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Question 42 of 89
Hydrocephalus often occurs with:
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Question 43 of 89
The PSW's role when family disputes occur is to:
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Question 44 of 89
Which one of the following statements, if made by the client, indicates teaching about Inderal (propranolol) has been effective?
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Question 45 of 89
A client returned from surgery for a perforated appendix with localized peritonitis. In view of this diagnosis, how would the nurse position the client?
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Question 46 of 89
How can a nurse prevent aspiration during feeding an unconscious patient?
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Question 47 of 89
Two people call in sick on the medical-surgical unit and no additional help is available. The team consists of an RN, an LPN and an unlicensed assistive personnel (UAP). Which of these activities should the nurse assign to the UAP?
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Question 48 of 89
What should a nurse consider when assisting a patient with Parkinson's disease during feeding?
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Question 49 of 89
The nurse is reviewing with a client how to collect a clean catch urine specimen. What is the appropriate sequence to teach the client?
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Question 50 of 89
Which statement by a parent would alert the nurse to assess for iron deficiency anemia in a 14 month-old child?
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Question 51 of 89
Makeup is applied to a consenting female client who cannot apply her own to:
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Question 52 of 89
When walking past a client's room, the nurse hears 1 unlicensed assistive personnel (UAP) talking to another UAP. Which statement requires follow-up intervention?
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Question 53 of 89
The spinal cord is about:
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Question 54 of 89
The nurse is assessing an infant with developmental dysplasia of the hip. Which finding would the nurse anticipate?
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Question 55 of 89
Maslow's Hierarchy of Needs suggest that lower-level needs must be met before higher level of needs. The basic needs are, from the lowest level to the highest level:
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Question 56 of 89
The nurse is working with parents to plan home care for a 2 year-old with a heart problem. A priority nursing intervention would be to
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Question 57 of 89
When a resident regularly stays up very late reading, what should the PSW do?
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Question 58 of 89
An ambulatory client reports edema during the day in his feet and ankles that disappears while sleeping at night. What is the most appropriate follow-up question for the nurse to ask?
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Question 59 of 89
The nurse reviews an order to administer Rh immune globulin to an Rh negative woman following the birth of an Rh positive baby. Which assessment is a priority before the nurse gives the injection?
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Question 60 of 89
The pericardium is the of the heart:
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Question 61 of 89
Which tasks, if delegated by the new charge nurse to a unlicensed assistive personnel (UAP), would require intervention by the nurse manager?
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Question 62 of 89
The diabetic diet controls the amount of:
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Question 63 of 89
Which of the following should be included in a plan of care for a client who is lactose intolerant?
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Question 64 of 89
A partner is concerned because the client frequently daydreams about moving to Arizona to get away from the pollution and crowding in southern California. The nurse explains that
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Question 65 of 89
To obtain data for the nursing assessment, the nurse should:
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Question 66 of 89
Which technique promotes proper body mechanics when lifting a heavy object?
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Question 67 of 89
Which of these clients is the priority for the nurse to report to the public health department within the next 24 hours?
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Question 68 of 89
A two year-old child is brought to the provider's office with a chief complaint of mild diarrhea for two days. Nutritional counseling by the nurse should include which statement?
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Question 69 of 89
If you make a mistake when caring for a resident, you should:
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Question 70 of 89
A person who fills medication prescriptions, monitors and evaluates drug interactions, drug actions and reactions is a:
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Question 71 of 89
A client says to the nurse, 'My doctor says my heart beat isn't regular, but he doesn't want me to worry about it.' Which response by the nurse is most appropriate?
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Question 72 of 89
The nurse is caring for a client several days following a cerebral vascular accident. Coumadin (warfarin) has been prescribed. Today's prothrombin level is 40 seconds (normal range 10-14 seconds). Which of the following findings requires priority follow-up?
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Question 73 of 89
Which vital sign is an essential measurement to assess a patient's basic physiological functioning?
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Question 74 of 89
The nurse is assessing a client who is on long term glucocorticoid therapy. Which of the following findings would the nurse expect?
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Question 75 of 89
Which blood serum finding in a client with diabetic ketoacidosis alerts the nurse that immediate action is required?
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Question 76 of 89
The time is 2:40 in the afternoon. Using a 24 hour clock, this would be recorded as:
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Question 77 of 89
The nurse is preparing to transfer a client from the bed to a wheelchair. Which action should the nurse take to prevent injury?
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Question 78 of 89
The nurse is assessing a 4 month-old infant. Which motor skill would the nurse anticipate finding?
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Question 79 of 89
Delaney, one of your staff nurses, confides that Marjorie, another nurse, has been actively telling others that you are incompetent and do not know what you are doing in relation to patient care, and that you lie to the staff about attempts to get more staffing. Delaney says that Marjorie is derogatory towards her in front of others and tells her that she better shape up. Through telephone calls and conversations during breaks, she is recruiting other staff to her position. Delaney confides that most of the staff find you fair, honest, and knowledgeable. Marjories behavior can best be characterized as:
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Question 80 of 89
What is the purpose of using soft restraints for a patient?
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Question 81 of 89
The nurse enters the room as a 3 year-old is having a generalized seizure. Which intervention should the nurse perform first?
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Question 82 of 89
A client who has been diagnosed with angina has been placed on the beta blocker atenolol (Tenormin). Later in the day the client says to the nurse, 'I don't understand why I have to take this pill when my chest doesn't hurt now.' Which reply by the nurse would be most appropriate?
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Question 83 of 89
An eleven-month-old infant is brought to the pediatric clinic. The nurse suspects that the child has iron deficiency anemia. Because iron deficiency anemia is suspected, which of the following is the most important information to obtain from the infant's parents?
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Question 84 of 89
The nurse is caring for a client with Parkinson's disease. The client spends over 1 hour to dress for scheduled therapies. What is the most appropriate action for the nurse to take in this situation?
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Question 85 of 89
A confused client has been placed in physical restraints by order of the provider. Which task could be assigned to an unlicensed assistive personnel (UAP)?
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Question 86 of 89
The nurse is teaching a client with atrial fibrillation about the use of Coumadin (warfarin) at home. The need to avoid which of these should be emphasized to the client?
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Question 87 of 89
To prevent unnecessary hypoxia during suctioning of a tracheostomy, the nurse must
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Question 88 of 89
A client complained of nausea, a metallic taste in her mouth, and fine hand tremors 2 hours after her first dose of lithium carbonate (Lithane). What is the nurse's best explanation of these findings?
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Question 89 of 89
How can a nurse promote comfort and sleep for a hospitalized patient?
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