A 46-year-old female with chronic constipation is assessed by the nurse for a bowel training regimen. Which factor indicates further information is needed by the nurse?
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Question 2 of 89
A client has been on antibiotics for 72 hours for cystitis. Which report from the client requires priority attention by the nurse?
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Question 3 of 89
A client continuously calls out to the nursing staff when anyone passes the client's door and asks them to do something in the room. The best response by the charge nurse would be to
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Question 4 of 89
A staff nurse complains to the nurse manager that an unlicensed assistive personnel (UAP) consistently leaves the work area untidy and does not restock supplies. The best initial response by the nurse manager is which of these statements?
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Question 5 of 89
Which action is important when applying a sterile dressing to a wound?
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Question 6 of 89
How can a nurse ensure proper hygiene for a patient with a urinary catheter?
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Question 7 of 89
The nurse is teaching parents about the appropriate diet for a 4 month-old infant with gastroenteritis and mild dehydration. In addition to oral rehydration fluids, the diet should include
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Question 8 of 89
The nurse is teaching a client about the healthy use of ego defense mechanisms. An appropriate goal for this client would be
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Question 9 of 89
You have been assigned to a client who lives alone in a house in the community. On arrival and ringing the door bell and knocking several times, there is no answer. What should the Personal Support Worker do?
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Question 10 of 89
The home care nurse has been managing a client for 6 weeks. What is the best method to determine the quality of care provided by a home health care aide assigned to assist with the care of this client?
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Question 11 of 89
Which action promotes safety when using a cane for ambulation?
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Question 12 of 89
Geriatric chairs can be a form of:
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Question 13 of 89
A client is receiving an intravenous (IV) infusion for pain control. When caring for this client, which one of these actions can the RN safely assign to an unlicensed assistive personnel (UAP)?
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Question 14 of 89
A client was re-admitted to the hospital following a recent skull fracture. Which finding requires the nurse's immediate attention?
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Question 15 of 89
A client was just taken off the ventilator after surgery and has a nasogastric tube draining bile-colored liquids. Which nursing measure will provide the most comfort to the client?
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Question 16 of 89
Expecting people to act in a characteristic fashion without regard for individual characteristics is:
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Question 17 of 89
A nurse manager is using the technique of brainstorming to help solve a problem. One nurse criticizes another nurse's contribution and begins to find objections to the suggestion. The nurse manager's best response is:
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Question 18 of 89
Which of the following is the control centre of the cell?
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Question 19 of 89
Upon examining the mouth of a 3 year-old child, the nurse discovers that the teeth have chalky white-to-yellowish staining with pitting of the enamel. Which of the following conditions would most likely explain these findings?
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Question 20 of 89
A client with a history of atrial fibrillation is receiving warfarin (Coumadin). Which statement by the client indicates the need for further teaching by the nurse?
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Question 21 of 89
Which action is important when applying a restraint to a patient?
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Question 22 of 89
A mother brings her 26 month-old to the well-child clinic. She expresses frustration and anger due to her child's constantly saying 'no' and his refusal to follow her directions. The nurse explains this is normal for his age, as negativism is attempting to meet which developmental need?
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Question 23 of 89
Mrs. Smith has made a plan to evaluate all aspects of her life and make changes that are good for her overall health. She will be looking at herself based on:
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Question 24 of 89
The nurse is discussing negativity with the parents of a 30 month-old child. How should the nurse tell the parents to best respond to this behavior?
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Question 25 of 89
A nurse aide is taking care of a 2 year-old child with Wilm's tumor. The nurse aide asks the nurse why there is a sign above the bed that says DO NOT PALPATE THE ABDOMEN? The best response by the nurse would be made to the statements:
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Question 26 of 89
The nurse is assessing a child with suspected lead poisoning. Which of the following assessments is the nurse most likely to find?
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Question 27 of 89
The nurse is administering an intravenous vesicant chemotherapeutic agent to a client. Which assessment would require the nurse's immediate action?
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Question 28 of 89
Which one of the following terms refers to no control of bladder and bowels?
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Question 29 of 89
The nurse is speaking to a group of parents and elementary school teachers about care for children with rheumatic fever. It is a priority to emphasize that
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Question 30 of 89
A client with atrial fibrillation is receiving digoxin (Lanoxin). Which of these assessments is most important for the nurse to perform?
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Question 31 of 89
A client who had a transurethral resection of the prostate yesterday has a three-way indwelling catheter system with continuous irrigation. Which assessment finding warrants immediate action by the nurse?
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Question 32 of 89
Which response by the nurse would best assist the chemically impaired client to deal with issues of guilt?
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Question 33 of 89
A client is ordered atropine to be administered preoperatively. Which physiological effect should the nurse monitor for?
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Question 34 of 89
A client with a history of heart disease takes prophylactic aspirin daily. The nurse should monitor which of the following to prevent aspirin toxicity?
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Question 35 of 89
Respecting and guarding personal and private information about another person refers to:
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Question 36 of 89
The term that refers to every resident's right to receive health care with similar terms and conditions is:
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Question 37 of 89
What is the purpose of providing back massages to bedridden patients?
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Question 38 of 89
The nurse is performing a pre-kindergarten physical on a 5 year-old. The last series of vaccines will be administered. What is the preferred site for injection by the nurse?
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Question 39 of 89
Normal hormonal changes during adolescence may cause:
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Question 40 of 89
The process of ingestion, digestion, absorption, and the use of food by the body is called:
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Question 41 of 89
A symptom of arthritis is:
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Question 42 of 89
All of the following are functions of the skin except:
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Question 43 of 89
A 4 year-old child is admitted with burns on his legs and lower abdomen. When assessing the child's hydration status, which of the following indicates a less than adequate fluid replacement?
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Question 44 of 89
A 4 month-old child taking digoxin (Lanoxin) has a blood pressure of 92/78; resting pulse of 78 BPM; respirations 28 and a potassium level of 4.8 mEq/L. The client is irritable and has vomited twice since the morning dose of digoxin. Which finding is most indicative of digoxin toxicity?
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Question 45 of 89
A client has a chest tube inserted following a left lower lobectomy required by a stab wound to the chest. While repositioning the client, the nurse notices 200 cc of dark, red fluid flows into the collection chamber of the chest drain. What is the most appropriate nursing action?
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Question 46 of 89
A nurse who is evaluating a developmentally challenged 2 year-old should stress which goal when talking to the child's mother?
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Question 47 of 89
When caring for a client with advanced cirrhosis of the liver, which nursing diagnosis should take priority?
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Question 48 of 89
The nurse is preparing to discharge a client who has had outpatient surgery. Which statement by the client indicates the need for further discharge teaching by the nurse?
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Question 49 of 89
Pain tolerance in an elderly patient with cancer would:
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Question 50 of 89
A resident is very angry. The PSW should:
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Question 51 of 89
The nurse is assessing a newborn the day after birth. A high pitched cry, irritability and lack of interest in feeding are noted. The mother signed her own discharge against medical advice. What intervention is appropriate nursing care?
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Question 52 of 89
The nurse is caring for a client admitted to the hospital with right lower lobe (RLL) pneumonia. On assessment, the nurse notes crackles over the RLL. The client has significant pleuritic pain and is unable to take in a deep breath in order to cough effectively. Which nursing diagnosis would be most appropriate for this client based on this assessment data?
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Question 53 of 89
A nurse who is a native English speaker admits an elderly Mexican-American migrant worker after an accident that occurred during work. To facilitate communication the nurse should initially
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Question 54 of 89
When counseling a 6 year-old who is experiencing enuresis, what must the nurse understand about the pathophysiological basis of this disorder?
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Question 55 of 89
The registered nurse (RN) is making decisions regarding client room assignments on a pediatric unit. Which possible roommate would be most appropriate for a 3 year-old child with minimal change nephrotic syndrome?
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Question 56 of 89
A victim of domestic violence states, 'If I were better, I would not have been beat.' Which feeling best describes what the victim may be experiencing?
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Question 57 of 89
A 35 year-old client with sickle cell crisis is talking on the telephone but stops as the nurse enters the room to request something for pain. The nurse should
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Question 58 of 89
What should a nurse do before assisting a patient to stand up from the bed?
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Question 59 of 89
The nurse has been teaching an apprehensive primipara who has had initial difficulty in nursing the newborn. What observation at the time of discharge suggests that initial breast feeding is effective?
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Question 60 of 89
When providing perineal care for a female patient, what technique should the nurse follow?
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Question 61 of 89
The nurse is preparing a client with a deep vein thrombosis (DVT) for a Venous Doppler evaluation. Which of the following would be necessary for preparing the client for this test?
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Question 62 of 89
A newborn has been diagnosed with hypothyroidism. In discussing the condition and treatment with the family, the nurse should emphasize
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Question 63 of 89
The nurse receives a report on an older adult client with middle stage dementia. What information suggests the nurse should do immediate follow up rather than delegate care to the nursing assistant? The client
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Question 64 of 89
How can a nurse assist a visually impaired patient with ambulation?
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Question 65 of 89
During coffee and other breaks, Rosalie, the new RN, is shut out of conversations with the other staff. When she approaches other staff on the unit to ask questions, they turn and walk off in the other direction. The behavior of the staff is characteristic of:
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Question 66 of 89
What is the correct action to take if you are ill and cannot go to work?
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Question 67 of 89
Following change-of-shift report on an orthopedic unit, which client should the nurse see first?
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Question 68 of 89
A patient who has a history of involvement with drugs and weapons comes up to you in the hallway and asks you a question regarding directions in treatment. When you respond, he moves closer in to you and puts both hands up on either side of your neck. No one else is in the hallway. Your best response at this point is to:
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Question 69 of 89
Mrs. Smith's grocery bill is $38.52. She gives the PSW a $50.00 bill. How much change should she receive?
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Question 70 of 89
The nurse is caring for a client in the coronary care unit. The display on the cardiac monitor indicates ventricular fibrillation. What should the nurse do first?
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Question 71 of 89
Which of these actions is the primary nursing intervention designed to limit transmission of a client's Salmonella infection?
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Question 72 of 89
When assisting with medications the PSW must:
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Question 73 of 89
Gloves should be worn when in contact with:
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Question 74 of 89
Mrs. Jones would like to take a bath. When you say, 'Do you want to take a bath now?', you are:
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Question 75 of 89
The nurse is providing foot care instructions to a client with arterial insufficiency. The nurse would identify the need for additional teaching if the client stated
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Question 76 of 89
The nurse discovers that the parents of a 2 year-old child continue to use an apnea monitor each night. The parents state: 'We are concerned about the possible occurrence of sudden infant death syndrome (SIDS).' In order to take appropriate action, the nurse must understand that
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Question 77 of 89
How can a nurse encourage a patient to use incentive spirometry effectively?
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Question 78 of 89
Subjective symptoms are:
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Question 79 of 89
Which of these clients would the triage nurse request the provider examine immediately?
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Question 80 of 89
An appropriate treatment goal for a client with anxiety would be to
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Question 81 of 89
The state of feeling worthy, valued and respected is:
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Question 82 of 89
Non verbal indicators that a person is experiencing pain include:
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Question 83 of 89
A client asks the nurse about including her 2 and 12 year-old sons in the care of their newborn sister. Which of the following is an appropriate initial statement by the nurse?
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Question 84 of 89
Several clients are admitted to an adult medical unit. For which client condition(s) would the nurse institute airborne precautions?
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Question 85 of 89
Which of the following is not a determinant of health?
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Question 86 of 89
A client who repeats the same question several times within a few minutes may be experiencing:
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Question 87 of 89
A 6 month-old infant who is being treated for developmental dysplasia of the hip has been placed in a hip spica cast. The nurse should teach the parents to
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Question 88 of 89
When reporting abuse include:
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Question 89 of 89
The term are used to measure the body's basic functions:
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