How can a nurse assess a patient's nutritional status?
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Question 2 of 89
The majority of cold germs are spread through:
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Question 3 of 89
A nurse manager considers changing staff assignments from 8 hour shifts to 12 hour shifts. A staff-selected planning committee has approved the change, yet the staff are not receptive to the plan. As a change agent, the nurse manager should first
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Question 4 of 89
An approach to work that demonstrates respect to others, commitment, competence and appropriate behaviour is:
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Question 5 of 89
A client who is receiving IV gentamicin for a wound infection says to the nurse, 'I've been having some trouble hearing lately.' Which action should the nurse take first?
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Question 6 of 89
You are caring for Mr. Clark. You are feeling frustrated by his slow progress. You should:
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Question 7 of 89
A newly appointed nurse manager is having difficulties with time management. Which advice from an experienced manager should the new manager implement initially?
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Question 8 of 89
The recent increase in the reported cases of active tuberculosis (TB) in the United States is attributed to which factor?
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Question 9 of 89
The nurse is performing physical assessments on adolescents. What finding would the nurse anticipate concerning female growth spurts?
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Question 10 of 89
A Registered Nurse with advanced education and who can prescribe medications is a:
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Question 11 of 89
When a client or family ask you how long their loved one has to live, it is best to say:
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Question 12 of 89
The nurse is assessing a client with a suspected bowel obstruction. Which finding should the nurse report immediately to the health care provider?
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Question 13 of 89
A client is admitted to the rehabilitation unit following a cerebral vascular accident (CVA) and mild dysphagia. The most appropriate intervention for this client is to
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Question 14 of 89
The nurse is caring for a 20 lbs (9 kg) 6 month-old with a 3 day history of diarrhea, occasional vomiting and fever. Peripheral intravenous therapy has been initiated, with 5% dextrose in 0.33% normal saline with 20 mEq of potassium per liter infusing at 35 ml/hr. Which finding should be reported to the health care provider immediately?
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Question 15 of 89
The nurse assesses several post partum women in the clinic. Which of the following women is at highest risk for puerperal infection?
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Question 16 of 89
Which action can help reduce the risk of falls in a patient with impaired mobility?
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Question 17 of 89
When teaching new parents prevention of sudden infant death syndrome (SIDS) what is the most important practice the nurse should instruct them to do?
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Question 18 of 89
The nurse is caring for a client who requires a mechanical ventilator for breathing. The high pressure alarm goes off on the ventilator. What is the first action the nurse should perform?
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Question 19 of 89
While caring for the client during the first hour after delivery, the nurse determines that the uterus is boggy and there is vaginal bleeding. What should be the nurse's first action?
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Question 20 of 89
The nurse is caring for an acutely ill 10 year-old client. Which of the following assessment findings would require the nurses immediate attention?
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Question 21 of 89
The mother of a burned child asks the nurse to clarify what is meant by a third degree burn. The best response by the nurse is
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Question 22 of 89
Which one of the following is considered a more accurate reflection of a person's feelings?
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Question 23 of 89
The nurse is caring for a client with schizophrenia who has been treated with quetiapine (Seroquel) for 1 month. Today the client is increasingly agitated and complains of muscle stiffness. Which of these findings should be reported to the health care provider?
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Question 24 of 89
A face mask:
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Question 25 of 89
In planning care for a 6 month-old infant, what must the nurse provide to assist in the development of trust?
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Question 26 of 89
An item commonly found in the home that can be substituted for a non-abrasive cleaner is:
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Question 27 of 89
What is the primary purpose of the Trendelenburg position?
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Question 28 of 89
Which of the following do not demonstrate being a professional?
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Question 29 of 89
A pregnant woman is hospitalized for treatment of pregnancy induced hypertension (PIH) in the third trimester. She is receiving magnesium sulfate intravenously. The nurse understands that this medication is used mainly for what purpose?
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Question 30 of 89
A client on warfarin therapy following coronary artery stent placement calls the clinic to ask if he can take Alka-Seltzer for an upset stomach. What is the best response by the nurse?
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Question 31 of 89
Parents of a 6 month-old breast fed baby ask the nurse about increasing the baby's diet. Which of the following should be added first?
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Question 32 of 89
A client frequently admitted to the locked psychiatric unit repeatedly compliments and invites one of the nurses to go out on a date. The nurse's response should be to
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Question 33 of 89
Unusual or inappropriate activity in bank accounts, including signatures that do not resemble the account owner's signature, indicate concern of:
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Question 34 of 89
The nurse is caring for a client who is receiving procainamide (Pronestyl) intravenously. It is important for the nurse to monitor which of the following parameters?
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Question 35 of 89
How can a nurse assist a patient with impaired mobility to maintain proper nail hygiene?
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Question 36 of 89
The nurse is assigned to care for a client who had a myocardial infarction (MI) 2 days ago. The client has many questions about this condition. What area is a priority for the nurse to discuss at this time?
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Question 37 of 89
A client states, 'People think I'm no good, you know what I mean?' Which of these responses would be most therapeutic?
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Question 38 of 89
The first step in effective care planning is:
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Question 39 of 89
Which finding would be the most characteristic of an acute episode of reactive airway disease?
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Question 40 of 89
The nurse is performing a physical assessment on a toddler. Which of the following actions should be the first?
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Question 41 of 89
The nurse manager has a nurse employee who is suspected of a problem with chemical dependency. Which intervention would be the best approach by the nurse manager?
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Question 42 of 89
The inability to send or receive verbal or written messages is called:
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Question 43 of 89
As a client is being discharged following resolution of a spontaneous pneumothorax, he tells the nurse that he is now going to Hawaii for a vacation. The nurse would warn him to avoid
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Question 44 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 45 of 89
A safety and security plan is important to a healthcare organization because it:
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Question 46 of 89
Following a diagnosis of acute glomerulonephritis (AGN) in their 6 year-old child, the parents remark: 'We just don't know how he caught the disease!' The nurse's response is based on an understanding that
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Question 47 of 89
Professionalism involves:
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Question 48 of 89
A client with MRSA is placed on contact precautions. Which instruction should the nurse give to the unlicensed assistive personnel (UAP) assisting with care?
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Question 49 of 89
The outer layer of the skin is called the:
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Question 50 of 89
According to Maslow, experiencing one's potential fulfills which need?
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Question 51 of 89
A nurse is reinforcing teaching with a client about compromised host precautions. The client is receiving filgrastim (Neupogen) for neutropenia. Which lunch selection suggests the client has learned about necessary dietary changes?
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Question 52 of 89
A client is 2 days post operative. The vital signs are: BP - 120/70, HR -- 110 BPM, RR - 26, and Temperature - 100.4 degrees Fahrenheit (38 degrees Celsius). The client suddenly becomes profoundly short of breath, skin color is gray. Which assessment would have alerted the nurse first to the client's change in condition?
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Question 53 of 89
As the RN responsible for a client in isolation, which can be delegated to the practical nurse (PN)?
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Question 54 of 89
A client has just returned to the medical-surgical unit following a segmental lung resection. After assessing the client, the first nursing action would be to
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Question 55 of 89
A diabetic client asks the nurse why the provider ordered a glycosylated hemoglobin (HbA) measurement, since a blood glucose reading was just performed. You will explain to the client that the HbA test:
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Question 56 of 89
Critical thinking is best described as:
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Question 57 of 89
The nurse would expect which eating disorder to cause the greatest fluctuations in potassium?
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Question 58 of 89
The nurse observes a staff member caring for a client with a left unilateral mastectomy. The nurse would intervene if she notices the staff member is
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Question 59 of 89
If a client is having difficulty swallowing a pill the PSW should:
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Question 60 of 89
When bottle feeding a newborn you should:
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Question 61 of 89
The resident's food selection will be influenced by:
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Question 62 of 89
The nurse is assessing a pregnant client in her third trimester. The parents are informed that the ultrasound suggests that the baby is small for gestational age (SGA). An earlier ultrasound indicated normal growth. The nurse understands that this change is most likely due to what factor?
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Question 63 of 89
This type of tissue anchors, connects and supports other body tissues:
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Question 64 of 89
The emergency room nurse admits a child who experienced a seizure at school. The parent comments that this is the first occurrence and denies any family history of epilepsy. What is the best response by the nurse?
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Question 65 of 89
What is the primary purpose of using a warm compress for a patient with muscle stiffness?
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Question 66 of 89
After a myocardial infarction, a client is placed on a sodium restricted diet. When the nurse is teaching the client about the diet, which meal plan would be the most appropriate to suggest?
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Question 67 of 89
The unlicensed assistive personnel (UAP) reports a sudden increase in temperature to 101 degrees Fahrenheit for a post surgical client. The nurse checks on the client's condition and observes a cup of steaming coffee at the bedside. What instructions are appropriate to give to the UAP?
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Question 68 of 89
The nurse is assessing a 12 year-old who has hemophilia A. Which finding would the nurse anticipate?
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Question 69 of 89
What is the primary purpose of a sitz bath for a patient with hemorrhoids?
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Question 70 of 89
A client has been tentatively diagnosed with Graves' disease (hyperthyroidism). Which of these findings noted on the initial nursing assessment requires quick intervention by the nurse?
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Question 71 of 89
A nurse is caring for a client who is receiving methyldopa hydrochloride (Aldomet) intravenously. Which of the following assessment findings would indicate to the nurse that the client may be having an adverse reaction to the medication?
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Question 72 of 89
When observing 4 year-old children playing in the hospital playroom, what activity would the nurse expect to see the children participating in?
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Question 73 of 89
The nurse is providing instructions for a client with asthma who is sensitive to house dust-mites. Which information about prevention of asthma episodes would be the most helpful to include during the teaching?
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Question 74 of 89
How can a nurse prevent complications while providing oxygen therapy to a patient?
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Question 75 of 89
A patient has limited mobility due to a recent surgery. What intervention can help prevent complications related to immobility?
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Question 76 of 89
A newly admitted adult client has a diagnosis of hepatitis A. The charge nurse should reinforce to the staff members that the most significant routine infection control strategy, in addition to handwashing, is which of these?
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Question 77 of 89
The nurse is assessing a healthy child at the 2 year check up. Which of the following should the nurse report immediately to the health care provider?
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Question 78 of 89
A 23 year-old single client is in the 33rd week of her first pregnancy. She tells the nurse that she has everything ready for the baby and has made plans for the first weeks together at home. Which normal emotional reaction does the nurse recognize?
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Question 79 of 89
A registered nurse (RN) is assigned to work at the Poison Control Center telephone hotline. In which of these cases of childhood poisoning would the nurse suggest that parents have the child drink orange juice?
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Question 80 of 89
Parkinson's disease is a condition of the:
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Question 81 of 89
The pathological process causing esophageal varices is:
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Question 82 of 89
A traumatic brain injury can cause:
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Question 83 of 89
The purpose of a care plan is to ensure:
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Question 84 of 89
At 3 AM, a man walks into your emergency department. He paces back and forth in the waiting area before he approaches staff to ask if he can see his wife, who is a patient on another floor. He speaks rapidly, his face is flushed, he glances around often, and he keeps his hand in his jacket pocket. A best initial response would be to:
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Question 85 of 89
A young adult male has been diagnosed with testicular cancer. Which of these statements by this client would need to be explored by the nurse to clarify his understanding?
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Question 86 of 89
How can a nurse help prevent urinary tract infections in a female patient?
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Question 87 of 89
The nurse is teaching an 87 year-old client methods for maintaining regular bowel movements. The nurse would caution the client to avoid
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Question 88 of 89
Sofia has no blood relatives but has a large group of friends, one of whom is her legal guardian. Sofia is part of a
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Question 89 of 89
An unlicensed assistive personnel (UAP), who usually works in pediatrics is assigned to work on a medical-surgical unit. Which one of the questions by the charge nurse would be most appropriate prior to making delegation decisions?
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