A client had 20 mg of Lasix (furosemide) PO at 10 AM. Which would be essential for the nurse to include at the change of shift report?
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Question 2 of 90
What is the primary purpose of a sitz bath for a patient?
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Question 3 of 90
A female client diagnosed with genital herpes simplex virus 2 (HSV 2) complains of dysuria, dyspareunia, leukorrhea and lesions on the labia and perianal skin. A primary nursing action with the focus of comfort should be to
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Question 4 of 90
What do you think is the most important nursing order in a client with major head trauma who is about to receive bolus enteral feeding?
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Question 5 of 90
Which factor should a nurse prioritize when choosing a suitable patient gown?
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Question 6 of 90
While assessing an Rh positive newborn whose mother is Rh negative, the nurse recognizes the risk for hyperbilirubinemia. Which of the following should be reported immediately?
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Question 7 of 90
Which action is important when collecting a urine specimen for analysis?
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Question 8 of 90
A client is admitted with a distended bladder due to the inability to void. The nurse obtains an order to catheterize the client, and is aware that gradual emptying is preferred over complete emptying because it reduces the
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Question 9 of 90
The nurse is caring for a client undergoing the placement of a central venous catheter line. Which of the following would require the nurse's immediate attention?
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Question 10 of 90
Which action should a nurse take when a patient is experiencing dyspnea?
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Question 11 of 90
The inability to control the elimination of urine/feces is called:
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Question 12 of 90
To make an unfair or preferred choice or distinction refers to:
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Question 13 of 90
To find out the resident's type of isolation, the PSW should ask the:
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Question 14 of 90
The nurse is teaching a mother who will breast feed for the first time. Which of the following is a priority?
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Question 15 of 90
What is the purpose of using a walker with wheels for a patient?
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Question 16 of 90
The parents of a child who has suddenly been hospitalized for an acute illness state that they should have taken the child to the pediatrician earlier. Which approach by the nurse is best when dealing with the parents' comments?
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Question 17 of 90
How can a nurse promote comfort and safety for a patient with a new cast on their arm?
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Question 18 of 90
Which one of these tasks can be safely delegated to a practical nurse (PN)?
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Question 19 of 90
A caregiver is responsible for the moral and legal requirements of proper patient care. This means that the caregiver is:
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Question 20 of 90
The structure of the body refers to:
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Question 21 of 90
While caring for a toddler with croup, which initial sign of croup requires the nurse's immediate attention?
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Question 22 of 90
Which one of the following is not a form in which medications are supplied?
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Question 23 of 90
Which action can a nurse take to promote patient comfort during a bed bath?
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Question 24 of 90
How can a nurse promote safety when assisting a patient with a walker on a wet surface?
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Question 25 of 90
On admission to the hospital a client with an acute asthma episode has intermittent nonproductive coughing and a pulse oximeter reading of 88%. The client states, 'I feel like this is going to be a bad time this admission. I wish I would not have gone into that bar with all those people who smoke last night.' Which nursing diagnoses would be most important for this client?
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Question 26 of 90
Life-long learning refers to:
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Question 27 of 90
The substance that promotes effective bowel elimination is:
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Question 28 of 90
Parents are concerned that their 11 year-old child is a very picky eater. The nurse suggests which of the following as the best initial approach?
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Question 29 of 90
The nurse is caring for a woman 2 hours after a vaginal delivery. Documentation indicates that the membranes were ruptured for 36 hours prior to delivery. What is the priority nursing diagnoses at this time?
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Question 30 of 90
If a very active two year-old client pulls his tunneled central venous catheter out, what initial nursing action is appropriate?
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Question 31 of 90
The RN delegates the task of taking vital signs of all the clients on the medical-surgical unit to an unlicensed assistive personnel (UAP). Specific written and verbal instructions are given to not take a post-mastectomy client's blood pressure on the left arm. Which of these statements is most immediately accurate?
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Question 32 of 90
One of the differences between a RN and a PSW is that only RNs can:
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Question 33 of 90
A client has been admitted with a fractured femur and has been placed in skeletal traction. Which of the following nursing interventions should receive priority?
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Question 34 of 90
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 35 of 90
Which task could be safely delegated by the nurse to an unlicensed assistive personnel (UAP)?
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Question 36 of 90
What is the purpose of using a splint for a patient's injured limb?
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Question 37 of 90
When assisting a disabled resident with personal care, the PSW should:
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Question 38 of 90
The nurse planning care for a 12 year-old child with sickle cell disease in a vaso-occlusive crisis of the elbow should include which one of the following as a priority?
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Question 39 of 90
A client with a fracture of the radius had a plaster cast applied 2 days ago. The client complains of constant pain and swelling of the fingers. The first action of the nurse should be
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Question 40 of 90
A nurse admits a 3 week-old infant to the special care nursery with a diagnosis of bronchopulmonary dysplasia. As the nurse reviews the birth history, which data would be most consistent with this diagnosis?
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Question 41 of 90
A client with Asthma may:
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Question 42 of 90
When providing nursing measures to relieve a 102-degree Fahrenheit fever in a toddler with an infection, what is the most effective intervention?
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Question 43 of 90
A 2 month-old infant has both a cleft lip and palate which will be repaired in stages. In the immediate postoperative period for a cleft lip repair, which nursing approach should be the priority?
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Question 44 of 90
The nurse is evaluating the growth and development of a toddler with AIDS. The nurse would anticipate finding that the child has
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Question 45 of 90
A client is diagnosed with methicillin resistant staphylococcus aureus pneumonia (MRSA). What type of isolation is most appropriate for this client?
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Question 46 of 90
A mother calls the clinic, concerned that her 5 week-old infant is 'sleeping more than her brother did.' What is the best initial response?
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Question 47 of 90
The provider has ordered transdermal nitroglycerin patches for a client. Which of these instructions should be included when teaching a client about how to use the patches?
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Question 48 of 90
Laws that deal with relationships between people are:
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Question 49 of 90
A mother telephones the clinic and says 'I am worried because my breast-fed 1 month-old infant has soft, yellow stools after each feeding.' The nurse's best response would be which of these?
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Question 50 of 90
A client is receiving oxygen therapy via a nasal cannula. When providing nursing care, which of the following interventions would be appropriate?
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Question 51 of 90
When choosing a comfort measure to decrease pain, remember that it is always helpful to:
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Question 52 of 90
Which of the following healthcare employees is MOST at risk for violence?
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Question 53 of 90
The nurse is assessing a client with portal hypertension. Which of the following findings would the nurse expect?
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Question 54 of 90
In the Emergency Department waiting room, you notice a patient sitting, with his head in his hands, who has been waiting for about 5 hours for relief of his headache. When you approach him to ask him how he is doing, he says, I cant believe that I have to wait this long for help! Do you know what it is like to be in pain for 10 hours? Your response to him would be:
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Question 55 of 90
A term applied to staff that support nurses and other health professionals in providing care and meeting client needs is:
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Question 56 of 90
The nurse is applying silver sulfadiazine (Silvadene) to a child with severe burns to arms and legs. Which side effect should the nurse be monitoring for?
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Question 57 of 90
A client with a diagnosis of bipolar disorder has been referred to a local boarding home for consideration for placement. The social worker telephoned the hospital unit for information about the client's mental status and adjustment. The appropriate response of the nurse should be which of these statements?
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Question 58 of 90
The nurse is teaching the parents of a 3 month-old infant about nutrition. What is the main source of fluids for an infant until about 12 months of age?
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Question 59 of 90
A client who is receiving a whole blood transfusion suddenly reports low back pain and dyspnea. Which action should the nurse take first?
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Question 60 of 90
Which of these variations in the newborn results from the presence of maternal hormones?
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Question 61 of 90
The nurse is assessing a client with a history of heart failure who reports gaining 3 pounds since yesterday. Which additional finding would be of most concern to the nurse?
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Question 62 of 90
A post-operative client has a prescription for acetaminophen with codeine. What should the nurse recognizes as a primary effect of this combination?
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Question 63 of 90
Which approach is the best way to prevent infections when providing care to clients in the home setting?
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Question 64 of 90
Loss of memory, shortened attention span, impaired judgement are symptoms of:
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Question 65 of 90
A client with asthma has low pitched wheezes present on the final half of exhalation. One hour later the client has high pitched wheezes extending throughout exhalation. This change in assessment indicates to the nurse that the client
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Question 66 of 90
A 5 year-old has been rushed to the emergency room several hours after acetaminophen poisoning. Which laboratory result should receive attention by the nurse?
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Question 67 of 90
Body fluids include:
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Question 68 of 90
A nurse is working with a client in an extended care facility. Which bed position is preferred for a client, who is at risk for falls, as part of a prevention protocol?
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Question 69 of 90
To maintain normal fluid balance, how much fluid should a person receive in 24 hours?
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Question 70 of 90
The nurse is caring for a client who was successfully resuscitated from a pulseless dysrhythmia. Which of the following assessments is critical for the nurse to include in the plan of care?
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Question 71 of 90
When the care providers meet to plan a client's progress, medical condition, placement or other care related details, it is called:
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Question 72 of 90
During the care of a client with Legionnaire's disease, which finding would require the nurse's immediate attention?
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Question 73 of 90
When using an interpreter to teach a client about a procedure to do in the home, the nurse should take which approach?
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Question 74 of 90
A client has just been admitted with portal hypertension. Which nursing diagnosis would be a priority in planning care?
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Question 75 of 90
A child is diagnosed with poison ivy. The mother tells the nurse that she does not know how her child contracted the rash since he had not been playing in wooded areas. As the nurse asks questions about possible contact, which of the following would the nurse recognize as highest risk for exposure?
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Question 76 of 90
A client treated for depression tells the nurse at the mental health clinic that he recently purchased a handgun because he is thinking about suicide. The first nursing action should be to
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Question 77 of 90
According to Maslow the mind and body at peak performance refers to:
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Question 78 of 90
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 79 of 90
A woman who delivered 5 days ago and had been diagnosed with pregnancy induced hypertension (PIH) calls the hospital triage nurse hotline to ask for advice. She states, 'I have had the worst headache for the past 2 days. It pounds and by the middle of the afternoon everything I look at looks wavy. Nothing I have taken helps.' What should the nurse do next?
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Question 80 of 90
Which statement best describes the effects of immobility in children?
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Question 81 of 90
Messages are sent through:
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Question 82 of 90
A nurse is teaching a class for new parents at a local community center. The nurse would stress that _______ is most hazardous for an 8 month-old child.
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Question 83 of 90
The best method to identify a Resident in a long term care facility is to:
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Question 84 of 90
Which action is most likely to ensure the safety of the nurse while making a home visit?
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Question 85 of 90
Which of the following demonstrates professionalism?
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Question 86 of 90
The nurse is caring for a 7 year-old with acute glomerulonephritis (AGN). Findings include moderate edema and oliguria. Serum blood urea nitrogen and creatinine are elevated. What dietary modifications are most appropriate?
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Question 87 of 90
On admission to the psychiatric unit, the client is trembling and appears fearful. The nurse's initial response should be to
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Question 88 of 90
The nurse is caring for a client with tuberculosis in an airborne isolation room. Which action by the nurse indicates a break in infection control precautions?
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Question 89 of 90
Aging begins at:
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Question 90 of 90
While working with an obese adolescent, it is important for the nurse to recognize that obesity in adolescence is most often associated with what other finding?
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