The nurse is performing an initial admission assessment from a client. What subjective data gathered from the client will the nurse document? Select all that apply.
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Question 2 of 73
In relationship to the nurse9s ability to communicate with a client, which type of communication most effectively demonstrates professional competence?
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Question 3 of 73
What is the primary purpose of an incident report?
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Question 4 of 73
A nurse asks a patient to tell him the side effects of a medication. What learning domain is the nurse evaluating?
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Question 5 of 73
What distinguishes BSN-prepared nurses from ADN-prepared nurses?
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Question 6 of 73
What role does the nurse perform when providing health teaching to effect behavior change?
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Question 7 of 73
Why are nursing organizations important for the continued development and improvement of nursing as a whole?
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Question 8 of 73
A male client who has severe burns is receiving H2 receptor antagonist therapy. The nurse In-charge knows the purpose of this therapy is to:
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Question 9 of 73
What should the nurse not do during the removal of an NGT?
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Question 10 of 73
What nursing theory views individuals as open, infinite energy fields that interact with the environment in continuous and evolving patterns?
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Question 11 of 73
The patient has just been told that he has cancer. When the nurse assesses the patient at shift change, his heart rate and respirations are elevated. What type of response is this to stress?
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Question 12 of 73
The ability of an individual to cope with death is dependent upon a number of factors. Which person likely has the most difficulty coping with a death?
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Question 13 of 73
A female client with a fecal impaction frequently exhibits which clinical manifestation?
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Question 14 of 73
Which of the following is a characteristic of primary healthcare? Select all that apply.
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Question 15 of 73
A focus of healthcare today is community-based care. What is community-based care?
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Question 16 of 73
Mr. King is receiving heparin subcutaneously. Which of the following demonstrates correct technique for this procedure?
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Question 17 of 73
Which group of drugs will the nurse plan to include when teaching a patient who has a new diagnosis of peripheral artery disease (PAD)?
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Question 18 of 73
After teaching a client how to perform diaphragmatic breathing, the nurse assesses the client's understanding. Which action demonstrates that the client correctly understands the teaching?
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Question 19 of 73
What nursing organization first legitimized the use of the nursing process?
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Question 20 of 73
When teaching suicide prevention to the parents of a 15 year-old who recently attempted suicide, the nurse describes the following behavioral cue:
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Question 21 of 73
The nurse is administering a thrombolytic agent to a patient with an acute myocardial infarction. What patient data indicates that the nurse should stop the drug infusion?
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Question 22 of 73
A client is 2 days post operative. The vital signs are: BP - 120/70, HR - 110, 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 23 of 73
The nurse is about to obtain the temperature of a four-year-old child through the tympanic route. The nurse should:
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Question 24 of 73
A patient who has atrial fibrillation is taking digoxin the nurse expects which medication to be given concurrently to treat this condition?
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Question 25 of 73
What role is the nurse assuming when assisting a client to cope with emotional problems?
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Question 26 of 73
A nurse is caring for a client who has a nonhealing pressure injury on the right ankle. Which action would the nurse take first?
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Question 27 of 73
What action by a nurse will help a patient meet self-esteem needs?
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Question 28 of 73
The client is scheduled for an intravenous pyelograph (IVP) to determine the location of the renal calculi. Which of the following measures would be most important for the nurse to include in pretest preparation?
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Question 29 of 73
Which assessment finding in a patient admitted with acute decompensated heart failure (ADHF) requires the most immediate action by the nurse?
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Question 30 of 73
In which of the following scenarios would a simultaneous use of apical and radial sites be used to assess the pulse rate?
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Question 31 of 73
What is correct about pulse oximetry measurement?
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Question 32 of 73
What is the ultimate goal of expanding nursing knowledge through nursing research?
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Question 33 of 73
The nurse is caring for a patient with critical limb ischemia who has just arrived on the nursing unit after having percutaneous transluminal balloon angioplasty. Which action should the nurse perform first?
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Question 34 of 73
A nurse in a long-term care facility is planning care for several clients. Which of the following activities should the nurse delegate to the licensed practical nurse (LPN)?
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Question 35 of 73
What is the nurse's first action if a client with leukemia becomes disoriented and complains of frequent headaches?
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Question 36 of 73
A nurse is caring for a 17-year-old female patient whose left leg was amputated after being crushed in a motor vehicle accident. Which of the following interventions might the nurse perform to accommodate the patient's intellectual dimension?
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Question 37 of 73
A nurse assesses clients on a medical-surgical unit. Which client would the nurse identify as having the greatest risk for cardiovascular disease?
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Question 38 of 73
The nurse recognizes the value of hospice care in promoting quality of life at the end of life. Which of the following older adult patients reflects an eligible requirement for hospice care?
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Question 39 of 73
An emergency has occurred on the medical unit. Which is the best leadership style to employ in this circumstance?
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Question 40 of 73
A patient just had a knee arthroplasty. Which of the following should be examined to assess the peripheral vascular system of the affected extremity? Select one that doesn't apply
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Question 41 of 73
A student nurse is working in the library on her plan of care for a clinical assignment. The patient's name is written at the top of her plan. What ethical responsibility is the student violating?
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Question 42 of 73
To administer a soap-suds enema to an adult before abdominal surgery, the nurse should:
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Question 43 of 73
What nursing intervention best demonstrates a commitment to client autonomy?
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Question 44 of 73
A client has been admitted with left-sided heart failure. When planning care for the client, interventions should be focused around reduction of which specific problem associated with this type of heart failure?
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Question 45 of 73
A client undergoes extracorporeal shock wave lithotripsy. Before discharge, the nurse should provide which instruction?
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Question 46 of 73
While bathing a patient with cancer, the nurse assessed several large new bruises on the patient's upper arms and thighs. An understanding of the possible causes and the correct nurse's actions for these findings are that
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Question 47 of 73
A nurse assesses a client who is admitted for treatment of fluid overload. Which signs and symptoms does the nurse expect to find? (Select the one that does not apply..)
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Question 48 of 73
The nurse cares for a client who takes warfarin for atrial fibrillation (afib). What is the therapeutic INR level?
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Question 49 of 73
The nurse prepares to perform light palpation. How is light palpation performed?
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Question 50 of 73
A nurse explains the informed consent form to a patient who is scheduled for heart bypass surgery. Which of the following are elements of this consent form? Select all that apply.
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Question 51 of 73
When administering oxygen with a partial rebreather mask, which of the following observations is most important to report to the respiratory therapy departments?
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Question 52 of 73
The nurse observes that a patient with respiratory disease experiences a decrease in SpO2 from 93% to 88% while ambulating. What is the priority action of the nurse?
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Question 53 of 73
What breath sounds are commonly auscultated in clients with heart failure?
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Question 54 of 73
Elise is being weaned from parenteral nutrition (PN) and is expected to begin taking solid food today. The ongoing solution rate has been 100 mL/hour. The nurse anticipates that which prescription regarding the PN solution will accompany the diet prescription?
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Question 55 of 73
The nurse is caring for a patient who has just had a thoracentesis. Which assessment information obtained by the nurse is a priority to communicate to the health care provider?
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Question 56 of 73
Where would nurse Kristine place the call light for a male client with a right-sided brain attack and left homonymous hemianopsia?
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Question 57 of 73
Which of the following is an appropriate nursing intervention for a client wearing anti-embolic stockings?
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Question 58 of 73
A patient has just been admitted with probable bacterial pneumonia and sepsis. Which order should the nurse implement first?
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Question 59 of 73
A preoperative nurse is assessing a client prior to surgery. Which information would be most important for the nurse to relay to the surgical team?
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Question 60 of 73
The nurse notes on the admission form that the client has indicated
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Question 61 of 73
A nurse administers medications to a client who has asthma. Which medication classification is paired correctly with its physiologic action?
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Question 62 of 73
Behaviors of active listening. Select one that doesn't apply
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Question 63 of 73
Which of the following nursing groups provides a definition and scope of practice for nursing?
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Question 64 of 73
Which of the following are examples of breaches of patient confidentiality? Select all that apply.
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Question 65 of 73
Nursing interventions are based on a total person approach and designed on three preventive levels, Which nursing model does this sentence most accurately describe?
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Question 66 of 73
Once the client is in position the nurse visualizes the anus and is ready to insert the rectal tip. She is doing the procedure correctly when she directs the rectal tip to the:
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Question 67 of 73
Which is a normal physiologic change related to aging in a 77-year-old male client?
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Question 68 of 73
Although all of the following are nursing responsibilities, which one would be expected of a nurse with a baccalaureate degree?
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Question 69 of 73
The appropriate nursing care delivery model for critically ill patients is:
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Question 70 of 73
A client with chronic renal failure is admitted with a heart rate of 122 beats/minute, a respiratory rate of 32 breaths/minute, a blood pressure of 190/110 mm Hg, neck vein distention, and bibasilar crackles. Which nursing diagnosis takes highest priority for this client?
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Question 71 of 73
The nursing process ensures that nurses are patient centred rather than task cantered. Rather than simply approaching a patient to take vital signs, the nurse thinks 'How is Ms. WK today? Are our nursing actions helping her to achieve her goals? How can we better help her?' This demonstrates which characteristic of the nursing process?
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Question 72 of 73
A document used to manage clients that is guided by nursing assessments, diagnoses, goals, plans for care, specific actions for care implementation and evaluation is known as:
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Question 73 of 73
Lifestyle-related diseases in general share common risk factors. These are the following except:
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