The nurse has performed the initial assessments of 4 clients admitted with an acute episode of asthma. Which assessment finding would cause the nurse to call the provider immediately?
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Question 2 of 90
Someone who relies on another person(s) for support and assistance is:
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Question 3 of 90
A client with anemia has a new prescription for ferrous sulfate. In teaching the client about diet and iron supplements, the nurse should emphasize that absorption of iron is enhanced if taken with which substance?
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Question 4 of 90
A client is waiting to have an intravenous pyelogram (IVP). The most important information to be obtained by the nurse prior to the procedure is
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Question 5 of 90
What is the primary purpose of using a water-based moisturizer on a patient's skin?
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Question 6 of 90
A client's call bell goes unanswered, and the client's son finds the client lying on sheets soaked with urine. This is an example of which of the following:
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Question 7 of 90
The nurse is caring for a client with a chest tube. On the second postoperative day, the chest tube accidentally disconnects from the drainage tube. The first action the nurse should take is
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Question 8 of 90
A nurse is assessing several clients in a long term health care facility. Which client is at highest risk for development of decubitus ulcers?
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Question 9 of 90
The amount a client voids in a 24 hour period is recorded on the:
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Question 10 of 90
How can a nurse promote comfort for a patient who is experiencing dyspnea?
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Question 11 of 90
A client is scheduled for an Intravenous Pyelogram (IVP). In order to prepare the client for this test, the nurse would
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Question 12 of 90
Which action is appropriate when performing perineal care for an incontinent patient?
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Question 13 of 90
Which of the following interventions will help lessen the effect of GERD (acid reflux)?
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Question 14 of 90
A client is receiving dexamethasone (Decadron) therapy. What should the nurse plan to monitor in this client?
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Question 15 of 90
A health care aide may be able to work in all the following facilities except:
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Question 16 of 90
The nurse is caring for a client with left ventricular heart failure. Which one of the following assessments is an early indication of inadequate oxygen transport?
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Question 17 of 90
Which statement by the nurse is appropriate when directing an unlicensed assistive personnel (UAP) to assist a 69 year-old surgical client to ambulate for the first time?
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Question 18 of 90
The nurse notes an abrupt onset of confusion in an elderly patient. Which of the following recently-ordered medications would most likely contribute to this change?
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Question 19 of 90
What is the primary purpose of applying a cooling blanket to a febrile patient?
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Question 20 of 90
What is the purpose of performing passive range-of-motion exercises on a bedridden patient?
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Question 21 of 90
Mr. Morgan sits up all day in his wheelchair. What might you do to help prevent skin breakdown?
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Question 22 of 90
Which statement best describes the effects of immobility in children?
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Question 23 of 90
A client is admitted with the diagnosis of myocardial infarction (MI). Which of the following lab values would be consistent with this diagnosis
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Question 24 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 25 of 90
Communication systems and devices give residents a feeling of:
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Question 26 of 90
Alcohol and drug abuse impairs judgment and increases risk taking behavior. What nursing diagnosis best applies?
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Question 27 of 90
During the admission assessment on a client with chronic bilateral glaucoma, which statement by the client would the nurse anticipate since it is associated with this problem?
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Question 28 of 90
What finding of the nursing assessment of a paralyzed client would indicate the probable presence of a fecal impaction?
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Question 29 of 90
Which playroom activities should the nurse organize for a small group of 7 year-old hospitalized children?
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Question 30 of 90
The nurse is caring for a 4 year-old child with a greenstick fracture. In explaining this type of fracture to the parents, the best statement by the nurse should be that,
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Question 31 of 90
When recording care-related data, all of the following are correct except:
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Question 32 of 90
During an exchange of information, a message is sent:
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Question 33 of 90
When holding a newborn infant you should:
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Question 34 of 90
While planning care for a 2 year-old hospitalized child, which situation would the nurse expect to most likely affect the behavior?
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Question 35 of 90
During the interview of a prospective employee who just completed the agency orientation, which approach would be the best for the nurse manager to use to assess competence?
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Question 36 of 90
Sarah is involved in intervening when a patient attempts to harm herself on the unit. During the interaction, the patient slaps Sarah across the face. As a head nurse, it is important that you:
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Question 37 of 90
A client has been admitted for meningitis. In reviewing the laboratory analysis of cerebrospinal fluid (CSF), the nurse would expect to note
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Question 38 of 90
A nurse is eating in the hospital cafeteria when a toddler at a nearby table chokes on a piece of food and appears slightly blue. The appropriate initial action should be to
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Question 39 of 90
When caring for a resident who is dying, the PSW must:
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Question 40 of 90
The nurse is caring for a client with a history of chronic obstructive pulmonary disease (COPD) who is beginning oxygen therapy at 2 L/min via nasal cannula. Which finding would be of most concern to the nurse?
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Question 41 of 90
The nurse is teaching parents about the treatment plan for a 2 weeks-old infant with Tetralogy of Fallot. While awaiting future surgery, the nurse instructs the parents to immediately report
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Question 42 of 90
The nasogastric tube of a post-op gastrectomy client has stopped draining greenish liquid. The nurse should
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Question 43 of 90
The nurse is reviewing a depressed client's history from an earlier admission. Documentation of anhedonia is noted. The nurse understands that this finding refers to
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Question 44 of 90
How can a nurse promote safety during ambulation with a patient using a walker?
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Question 45 of 90
Which statement is false?
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Question 46 of 90
A client with Parkinson's disease may need assistance with:
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Question 47 of 90
Which of the following would be the best strategy for the nurse to use when teaching insulin injection techniques to a newly diagnosed client with diabetes?
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Question 48 of 90
During the beginning shift assessment of a client with asthma who is receiving oxygen per nasal cannula at 2 liters per minute, the nurse would be most concerned about which unreported finding?
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Question 49 of 90
The nurse is planning care for a client during the acute phase of a sickle cell vaso-occlusive crisis. Which of the following actions would be most appropriate?
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Question 50 of 90
The nurse is providing diet instruction to the parents of a child with cystic fibrosis. The nurse would emphasize that the diet should be high
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Question 51 of 90
The nurse is teaching a parent how to administer oral iron supplements to a 2 year-old child. Which of the following interventions should be included in the teaching?
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Question 52 of 90
A client has a nasogastric tube after colon surgery. Which one of these tasks can be safely delegated to an unlicensed assistive personnel (UAP)?
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Question 53 of 90
When assisting a patient with bathing, which water temperature is ideal?
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Question 54 of 90
The pituitary gland, the thyroid gland, the pancreas are all part of the:
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Question 55 of 90
The school nurse is called to the playground for an episode of mouth trauma. The nurse finds that the front tooth of a 9 year old child has been avulsed ('knocked out'). After recovering the tooth, the initial response should be to
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Question 56 of 90
A 64 year-old client scheduled for surgery with a general anesthetic refuses to remove a set of dentures prior to leaving the unit for the operating room. What would be the most appropriate intervention by the nurse?
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Question 57 of 90
A 72 year-old client with osteomyelitis requires a 6 week course of intravenous antibiotics. In planning for home care, what is the most important action by the nurse?
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Question 58 of 90
The nurse has identified what appears to be ventricular tachycardia on the cardiac monitor of a client being evaluated for possible myocardial infarction. The first action the nurse would perform is to
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Question 59 of 90
In order to be effective in administering cardiopulmonary resuscitation to a 5 year-old, the nurse must
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Question 60 of 90
Carbohydrates provide the body with energy and help provide fibre for bowel elimination. Carbohydrates are broken down into sugars during digestion and may be stored in the liver, or as body fat. Identify which one of the following are high in carbohydrates.
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Question 61 of 90
What is the major developmental task that the mother must accomplish during the first trimester of pregnancy?
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Question 62 of 90
A medication that reduces fever is called:
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Question 63 of 90
Linda, a staff nurse on nights, yells at Ali, another RN, and tells Ali that she is stupid and cant get anything right. In responding to this situation as head nurse, it is critical that you:
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Question 64 of 90
A school nurse has a 10 year-old child with a history of epilepsy with tonic-clonic seizures attending classes regularly. The school nurse should inform the teacher that if the child experiences a seizure in the classroom, the most important action to take during the seizure would be to
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Question 65 of 90
Detailed rules that describe how requirements are met under legislations are:
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Question 66 of 90
In a community setting, who usually assesses, monitors, and evaluates the client's needs and coordinates the services of the health care team?
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Question 67 of 90
A client refuses to take the medication prescribed because the client prefers to take self-prescribed herbal preparations. What is the initial action the nurse should take?
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Question 68 of 90
Mrs. Jones asks you to perform a function which extends beyond the scope of your responsibility and training. You should:
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Question 69 of 90
The nurse is assigned to a client newly diagnosed with active tuberculosis. Which of these interventions would be a priority for the nurse to implement?
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Question 70 of 90
Which one of the following is not a mode of bacterial transmission?
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Question 71 of 90
A parent tells the nurse that their 6 year-old child who normally enjoys school, has not been doing well since the grandmother died 2 months ago. Which statement most accurately describes thoughts on death and dying at this age?
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Question 72 of 90
The nurse is preparing to administer a medication via intramuscular injection. Which action should the nurse take to ensure client safety?
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Question 73 of 90
Fowler's position is:
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Question 74 of 90
How can a nurse promote effective communication with a patient who has hearing impairment?
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Question 75 of 90
A client tells the nurse he is fearful of planned surgery because of evil thoughts about a family member. What is the best initial response by the nurse?
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Question 76 of 90
The nurse has just received a client from the emergency department who experienced blunt chest trauma in a motor vehicle crash. Which assessment finding requires immediate intervention by the nurse?
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Question 77 of 90
When teaching effective stress management techniques to a client 1 hour before surgery, which of the following should the nurse recommend?
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Question 78 of 90
Temporary care of a person with a serious illness or disability that gives the regular care-giver a break from their duties is:
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Question 79 of 90
An 80 year-old nursing home resident has a temperature of 101.6 degrees Fahrenheit rectally. This is a sudden change in an otherwise healthy client. Which should the nurse assess first?
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Question 80 of 90
When providing discharge teaching to a client with asthma, the nurse will warn against the use of which of the following over-the-counter medications?
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Question 81 of 90
A 25 year-old client, unresponsive after a motor vehicle accident, is being transferred from the hospital to a long term care facility. To which staff member should the charge nurse assign the client?
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Question 82 of 90
What finding signifies that children have attained the stage of concrete operations (Piaget)?
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Question 83 of 90
Oral hygiene should be given to an unconscious person:
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Question 84 of 90
The nurse is planning care for a client with increased intracranial pressure. The best position for this client is
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Question 85 of 90
Which one of the following is true about depression?
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Question 86 of 90
A 3 year-old child is brought to the clinic by his grandmother to be seen for 'scratching his bottom and wetting the bed at night.' Based on these complaints, the nurse would initially assess for which problem?
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Question 87 of 90
Which one of the following correctly completes this statement? Two types of observations are:
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Question 88 of 90
Which action promotes comfort and pain relief for a patient with back pain?
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Question 89 of 90
The nurse is caring for a client with a deep vein thrombosis. Which finding would require the nurse's immediate attention?
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Question 90 of 90
A 60 year-old male client had a hernia repair in an outpatient surgery clinic. He is awake and alert, but has not been able to void since he returned from surgery 6 hours ago. He received 1000 mL of IV fluid. Which action would be most likely to help him void?
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