While the nurse is administering medications to a client, the client states 'I do not want to take that medicine today.' Which of the following responses by the nurse would be best?
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Question 2 of 90
The nurse is assessing a client in the emergency room. Which statement suggests that the problem is acute angina?
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Question 3 of 90
According to Maslow, Oxygen, water, and food are:
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Question 4 of 90
Which one of the following will not block communication with the resident?
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Question 5 of 90
A client is receiving digitalis. The nurse should instruct the client to report which of the following side effects?
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Question 6 of 90
Postoperative orders for a client undergoing a mitral valve replacement include monitoring pulmonary artery pressure together with pulmonary capillary wedge pressure with a pulmonary artery catheter. The purpose of these actions by the nurse is to assess
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Question 7 of 90
A client was admitted with a diagnosis of pneumonia. When auscultating the client's breath sounds, the nurse hears inspiratory crackles in the right base. Temperature is 102.3 degrees Fahrenheit orally. What other finding would the nurse expect?
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Question 8 of 90
Injuring a person's name by making false statements to a third party refers to:
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Question 9 of 90
Mrs. Smith is positioned in chair. Which one of the following is false?
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Question 10 of 90
A client with moderate persistent asthma is admitted for a minor surgical procedure. On admission the peak flow meter is measured at 480 liters/minute. Post-operatively the client is complaining of chest tightness. The peak flow has dropped to 200 liters/minute. What should the nurse do first?
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Question 11 of 90
Becky, RN, works as a staff nurse in mental health; Sharon works as a data entry clerk in Admissions; Sarah is an emergency room physician; and Donna is a housekeeper in geriatrics. Which of these four is most at risk for violence and aggression?
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Question 12 of 90
A nurse has asked a second staff nurse to sign for a wasted narcotic, which was not witnessed by another person. This seems to be a recent pattern of behavior. What is the appropriate initial action?
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Question 13 of 90
Constipation is one of the most frequent complaints of elders. When assessing this problem, which action should be the nurse's priority?
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Question 14 of 90
The nurse is assigned to a client with Parkinson's disease. Which findings would the nurse anticipate?
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Question 15 of 90
The nurse notes that a 2 year-old child recovering from a tonsillectomy has an temperature of 98.2 degrees Fahrenheit at 8:00 AM. At 10:00 AM the child's parent reports that the child 'feels very warm' to touch. The first action by the nurse should be to
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Question 16 of 90
The nurse has been teaching a client with congestive heart failure about proper nutrition. Which of these lunch selections indicates the client has learned about sodium restriction?
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Question 17 of 90
The nurse is preparing a handout on infant feeding to be distributed to families visiting the clinic. Which notation should be included in the teaching materials?
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Question 18 of 90
Upholding and promoting 'the resident's bill of rights' for residents of long-term care facilities is the responsibility of:
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Question 19 of 90
A client is admitted to the emergency room following an acute asthma attack. Which of the following assessments would be expected by the nurse?
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Question 20 of 90
At a nursing staff meeting, there is discussion of perceived inequities in weekend staff assignments. As a follow-up, the nurse manager should initially
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Question 21 of 90
Which of the following is not part of the support workers responsibilities?
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Question 22 of 90
Which one of the following is considered a more accurate reflection of a person's feelings?
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Question 23 of 90
How can a nurse assist a patient with impaired mobility to maintain proper oral hygiene?
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Question 24 of 90
A client comes into the community health center upset and crying stating 'I will die of cancer now that I have this disease.' And then the client hands the nurse a paper with one word written on it: 'Pheochromocytoma.' Which response should the nurse state initially?
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Question 25 of 90
The spouse of a client who has just been diagnosed with lung cancer says to the nurse, 'I guess all those years of smoking have come back to haunt us.' Which response by the nurse would be most therapeutic?
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Question 26 of 90
When assisting a patient with range-of-motion exercises, what should the nurse aim to prevent?
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Question 27 of 90
Your client complains that their skin is dry. This condition can be relieved by:
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Question 28 of 90
Respiratory disease can result in:
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Question 29 of 90
The nurse and a student nurse are discussing the specific points about infants born to HBsAg-positive mothers. Which of these comments by the student indicates a need for clarification of information?
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Question 30 of 90
The provider has ordered daily high doses of aspirin for a client with rheumatoid arthritis. The nurse instructs the client to discontinue the medication and contact the provider if which of the following symptoms occur?
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Question 31 of 90
The five senses are:
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Question 32 of 90
Which one of the following is an example of non-verbal communication?
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Question 33 of 90
The nurse is caring for an elderly woman who has had a fractured hip repaired. In the first few days following the surgical repair, which of the following nursing measures will best facilitate the resumption of activities for this client?
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Question 34 of 90
A client returns from the operating room after a right orchiectomy. For the immediate post-operative period the nursing priority would be to
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Question 35 of 90
A 36 year-old female client has a hemoglobin level of 14 g/dl and a hematocrit of 42% following a D&C. Which of the following would the nurse expect to find when assessing this client?
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Question 36 of 90
A nurse is caring for a 2 year-old child after corrective surgery for Tetralogy of Fallot. The mother reports that the child has suddenly begun seizing. The nurse recognizes this problem is probably due to
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Question 37 of 90
When the number of calories ingested is insufficient for the client's basal metabolic rate, the client will:
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Question 38 of 90
The nurse is caring for a client with end-stage heart failure. The family members are distressed about the client's impending death. What action should the nurse do first?
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Question 39 of 90
The nurse is caring for a client on complete bed rest. Which action by the nurse is most important in preventing the formation of deep vein thrombosis?
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Question 40 of 90
The role of the coroner is to:
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Question 41 of 90
A client has been taking alprazolam (Xanax) for 3 days. Nursing assessment should reveal which expected effect of the drug?
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Question 42 of 90
Residents have the right to:
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Question 43 of 90
A practical nurse (PN) from the pediatric unit is assigned to work in a critical care unit. Which client assignment would be appropriate?
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Question 44 of 90
You are part of a multidisciplinary team that is charged with designing a workplace safety plan for your healthcare organization. This team has been established in response to increases in reports of violence and aggression. You begin by:
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Question 45 of 90
The nurse is assessing a newborn delivered at home by a client addicted to heroin. Which of the following would the nurse expect to observe?
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Question 46 of 90
The abbreviation q.i.d. on a medication label means the medication should be taken:
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Question 47 of 90
Delivering health care services to aboriginal people on reservations, military persons and veterans is the responsibility of the:
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Question 48 of 90
A nurse from the maternity unit is floated to the critical care unit because of staff shortage on the evening shift. Which client would be appropriate to assign to this nurse? A client with
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Question 49 of 90
When Rose asks her client about whether there is a special place she likes to go for worship, Rose is showing an interest in her client's:
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Question 50 of 90
A nurse caring for premature newborns in an intensive care setting carefully monitors oxygen concentration. What is the most common complication of this therapy?
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Question 51 of 90
An adolescent client is admitted in respiratory alkalosis following aspirin overdose. The nurse recognizes that this imbalance was caused by
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Question 52 of 90
The nurse is preparing a client for a colonoscopy. Which instruction should the nurse include to reduce the risk of complications?
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Question 53 of 90
A resident's vital signs are:
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Question 54 of 90
Consideration of physical, psychological, social and spiritual needs refers to health care that is:
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Question 55 of 90
The nurse is assessing a client who states her last menstrual period was March 16, and she has missed one period. She reports episodes of nausea and vomiting. Pregnancy is confirmed by a urine test. What will the nurse calculate as the estimated date of delivery (EDD)?
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Question 56 of 90
A client in a long term care facility complains of pain. The nurse collects data about the client's pain. The first step in pain assessment is for the nurse to
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Question 57 of 90
A client experiences post partum hemorrhage eight hours after the birth of twins. Following administration of IV fluids and 500 ml of whole blood, her hemoglobin and hematocrit are within normal limits. She asks the nurse whether she should continue to breast feed the infants. Which of the following is based on sound rationale?
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Question 58 of 90
What is the primary purpose of using a drawsheet when repositioning a patient in bed?
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Question 59 of 90
An unlicensed assistive personnel (UAP), who usually works on a surgical unit is assigned to float to a pediatric unit. Which question by the charge nurse would be most appropriate when making delegation decisions?
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Question 60 of 90
The nurse will administer liquid medicine to a 9 month-old child. Which of the following methods is appropriate?
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Question 61 of 90
What is the primary purpose of using a draw sheet when repositioning a patient in bed?
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Question 62 of 90
The nurse in a same-day surgery unit assigns the unlicensed assistive personnel (UAP) to provide a hernia patient with a lunch tray. Which statement by the nurse is most appropriate?
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Question 63 of 90
The nurse is planning care for a client with pneumococcal pneumonia. Which of the following would be most effective in removing respiratory secretions?
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Question 64 of 90
The nurse is caring for a child with cystic fibrosis. The nurse would anticipate that the child would be deficient in which vitamins?
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Question 65 of 90
The school nurse is teaching the faculty the most effective methods to prevent the spread of lice (Pediculus Humanus Capitis) in the school. The information that would be most important to include is reflected in which of these statements?
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Question 66 of 90
A child is sent to the school nurse by a teacher who has a written note that fifth disease is suspected. Which characteristic would the nurse expect to find?
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Question 67 of 90
What should a nurse consider when assisting a patient with dementia during bathing?
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Question 68 of 90
While assessing a client in an outpatient facility with a panic disorder, the nurse completes a thorough health history and physical exam. Which finding is most significant for this client?
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Question 69 of 90
The nurse is caring for a client with acute pancreatitis. After pain management, which intervention should be included in the plan of care?
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Question 70 of 90
The nurse is caring for a client who is receiving a blood transfusion. Fifteen minutes after the transfusion is started, the client reports itching over the trunk and arms. Which action should the nurse take first?
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Question 71 of 90
The study of the aging process is called:
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Question 72 of 90
The health care provider orders an IV aminophylline infusion at 30 mg/hr. The pharmacy sends a 1,000 ml bag of D5W containing 500 mg of aminophylline. In order to administer 30 mg per hour, the RN will set the infusion rate at:
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Question 73 of 90
Delirium tremens could best be described as
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Question 74 of 90
When should a nurse provide mouth care for an unconscious patient?
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Question 75 of 90
Hospital staff requests that the parents with a Greek heritage of a hospitalized infant remove the amulet from around the child's neck. The parents refuse. The nurse understands that the parents may be concerned about
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Question 76 of 90
A client is restless and wanders at night this is called:
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Question 77 of 90
After an explosion at a factory one of the employees approaches the nurse and says 'I am an unlicensed assistive personnel (UAP) at the local hospital.' Which of these tasks should the nurse assign first to this worker who wants to help care for the wounded workers?
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Question 78 of 90
In a long term rehabilitation care unit, a client with spinal cord injury complains of a pounding headache. The client is sitting in a wheelchair watching television. Further assessment by the nurse reveals excessive sweating, a splotchy rash, pilomotor erection, facial flushing, congested nasal passages and a heart rate of 50. The nurse should perform which action next?
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Question 79 of 90
When preparing to change a wound dressing, what should the nurse do first?
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Question 80 of 90
Fever, nausea, vomiting, rash or sores, pain or tenderness, and redness may indicate the resident has:
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Question 81 of 90
A 16 year-old client is admitted to a psychiatric unit with a diagnosis of attempted suicide. The nurse is aware that the most frequent cause for suicide in adolescents is
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Question 82 of 90
The nurse is teaching a group of adults about modifiable cardiac risk factors. Which of the following should the nurse focus on first?
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Question 83 of 90
The nurse is assigned to a newly delivered woman with HIV/AIDS. The student asks the nurse about how it is determined that a person has AIDS other than a positive HIV test. The nurse responds:
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Question 84 of 90
How can a nurse assist a patient with limited mobility to maintain proper hair hygiene?
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Question 85 of 90
Prior to any personal care procedure being completed, the PSW should always:
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Question 86 of 90
What is the primary purpose of using a trochanter roll for a patient?
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Question 87 of 90
Nutrients used primarily to build and repair body tissues are:
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Question 88 of 90
The nurse is reviewing laboratory results on a client with acute renal failure. Which one of the following should be reported immediately?
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Question 89 of 90
The nurse performs an assessment during a fluid exchange for the client who is 48 hours post-insertion of an abdominal Tenckhoff catheter for peritoneal dialysis. The nurse knows that the appearance of which of the following needs to be reported to the provider immediately?
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Question 90 of 90
The primary health risk of a mild skin injury is:
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