Free Medical Surgical Certification Practice Questions

ATI RN · Free Medical Surgical Certification Practice Questions

Question 1 of 210

What statement best indicates patient understanding of postural drainage?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 2 of 210

John presents with bronchitis. He thinks that he might have chronic bronchitis and asks you to explain the difference between them. You respond by saying

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 3 of 210

What information should you immediately report to the physician?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 4 of 210

How is the initial information given to the PACU nurses about the surgical patient?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 5 of 210

Tim presents with an acute episode of gout. You expect the physician to prescribe

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 6 of 210

Which societal view of illness and disease identifies a cause-and-effect philosophy of human body functions?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 7 of 210

The nursing assistant reports to you that a client seems very anxious and that vital signs included a respiratory rate of 38 per minute. Which acid-base imbalance should you suspect?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 8 of 210

For the patient described in Question 1, the data will lead the night shift nurse to complete a focused nursing assessment of which body part(s)?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 9 of 210

Which nursing actions are in response to the National Patient Safety Goals (select all that apply)?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 10 of 210

A client who received benzocaine spray before a recent bronchoscopy presents with continuous cyanosis despite oxygen therapy. What action should the nurse take next?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 11 of 210

A client with asthma presents with bilateral wheezing, decreased pulse oxygen saturation, and suprasternal retraction on inhalation. Which actions should the nurse take? (SATA)

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 12 of 210

5. Which statement accurately describes the use of complementary and alternative medicine (CAM)?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 13 of 210

It is estimated that the population of people aged 65 or older in United States will increase to:

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 14 of 210

When teaching a patient to care for himself before discharge, what should the nurse initially do?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 15 of 210

Which energy medicine technique promotes healing using electricity, magnets, or both?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 16 of 210

What are four basic characteristics of culture?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 17 of 210

A client who is interested in smoking cessation receives teaching from a nurse. Which statements should the nurse include in this teaching? (Select ONE that does not apply)

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 18 of 210

A client who had coronary artery bypass grafting yesterday needs care. What actions can the nurse delegate to the unlicensed assistive personnel (UAP)? (SATA)

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 19 of 210

What principle of HIV disease should the nurse keep in mind when planning care for a newborn who was infected in utero?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 20 of 210

What comfort measure may the nurse delegate to unlicensed assistive personnel (UAP) for a client receiving O2 at 4 liters per nasal cannula?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 21 of 210

A father asks you how to prevent another asthmatic attack in his son. You respond by

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 22 of 210

A new medical resident assessed a patient who is starting withdrawal from benzodiazepine. The resident writes orders for Ativan. What is your best response?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 23 of 210

Bob presents with emphysema. He has difficulty breathing and has a barrel chest. He asks why increasing oxygen therapy does not relieve his difficulty breathing. You respond by saying

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 24 of 210

When teaching a client with chronic obstructive pulmonary disease (COPD) about nutrition, what information should be included? (Select all that apply)

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 25 of 210

A client is prescribed albuterol (Proventil) via a metered-dose inhaler. Which action should the nurse take to ensure effective use of this medication?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 26 of 210

What is the first symptom a client with dry macular degeneration may report?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 27 of 210

A healthcare provider assesses a client with pneumonia. Which clinical manifestation should the provider expect to find?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 28 of 210

A patient comes to the clinic with a complaint of a dull pain in the anterior and posterior neck. On examination, the nurse notes that the patient has full range of motion (ROM) of the neck and no throat redness or enlarged head or neck lymph nodes. What will be the nurse's next appropriate assessment indicated by these findings?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 29 of 210

A patient with colorectal cancer has continuous, poorly localized abdominal pain at an intensity of 5 on a scale of 0 to 10. How does the nurse teach the patient to use pain medications?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 30 of 210

Ken Thom needs instruction on the medications he is taking for his hypothyroidism. You would include which of the following in a teaching plan?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 31 of 210

A client with a pleural effusion is being assessed by a nurse. Which clinical manifestation does the nurse expect to find?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 32 of 210

To clean a wound, it is best to use

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 33 of 210

You are caring for a patient with an infected wound. You would expect

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 34 of 210

A 78-year-old patient is scheduled for transition to home after treatment for heart disease. The patient's spouse, who has chronic obstructive pulmonary disease, plans to care for the patient at home. The spouse says that their grown children, who live nearby, will help. The best approach to discharge planning is to

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 35 of 210

The first step in applying the quality improvement process to an activity in a clinical setting is to

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 36 of 210

The start of the luteal phase of the menstrual cycle is marked by:

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 37 of 210

How many gtts per mL is delivered with microdrip tubing?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 38 of 210

What is the correct sequence of examination techniques that should be used when assessing the patient's abdomen?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 39 of 210

A common reason that a nurse may need extra time when preparing older adults for surgery is their

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 40 of 210

A client has just been admitted with portal hypertension. Which nursing diagnosis would be a priority in planning care?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 41 of 210

A client is wearing a Venturi mask to receive oxygen, and the dinner tray has arrived. What action by the nurse is best?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 42 of 210

Which area of the ED is the most appropriate assignment for this nurse?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 43 of 210

You are reviewing lab findings on an 88-year-old patient and note that her vitamin B12 level is low. A decrease in B12 among older adults frequently results in:

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 44 of 210

A client is prescribed prednisone for asthma management. Which statement by the client indicates a need for further teaching?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 45 of 210

What should the nurse closely monitor for in a client who has undergone surgery for otosclerosis?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 46 of 210

While assessing a client with a tracheostomy, a nurse notes that the tracheostomy tube is pulsing with the heartbeat during a pulse check. No other abnormal findings are noted. What action should the nurse take?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 47 of 210

According to the World Health Organization, identify the specific goals of palliative care (select all that apply).

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 48 of 210

What is the primary advantage of the use of midazolam (Versed) as an adjunct to general anesthesia?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 49 of 210

A student is practicing suctioning a tracheostomy in the skills laboratory. What action by the student demonstrates that more teaching is needed?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 50 of 210

You are teaching prevention of accidental eye injuries in a community health clinic to a church group. What is the most important thing to stress?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 51 of 210

Which category of complementary and alternative medicine involves healing methods focusing on the body's structures and systems?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 52 of 210

Which of the following should be immediately reported to the physician?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 53 of 210

What aspect should a nurse pay particular attention to when assessing a client with a potential or actual infection?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 54 of 210

After a thoracentesis, a healthcare provider assesses a client. Which assessment finding warrants immediate action?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 55 of 210

What factors lead to decreased urine output during shock?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 56 of 210

What nursing order should be included in Mr. Puff's care plan?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 57 of 210

Tom presents with sudden difficulty breathing, tachypnea, tachycardia, and localized chest pain. The physician suspects a pulmonary embolism and would order what test?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 58 of 210

Which BMI is associated with overeating syndromes?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 59 of 210

What is the typical weight gain in the year after smoking cessation?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 60 of 210

On the first encounter with the patient, the nurse will complete a general survey. Which features are included (select all that apply)?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 61 of 210

A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen therapy. Which assessment finding requires the nurse to take immediate action?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 62 of 210

Which intervention can help a visually impaired client achieve independence?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 63 of 210

Mrs. Smith splashed some toilet bowl cleaner into her eye, and now her eye is burning. Mrs. Smith's eye should be irrigated with

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 64 of 210

What high-priority nursing diagnoses and interventions will you implement for a client in a manic phase of bipolar disorder?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 65 of 210

The nurse documents a client's surgical incision as having red granulated tissue. This indicates that the wound is:

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 66 of 210

Which are collaborative problem statements (select all that apply)?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 67 of 210

What is the leading cause of death in the United States?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 68 of 210

A client with chronic obstructive pulmonary disease (COPD) appears thin and disheveled. Which question should the nurse ask first?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 69 of 210

While caring for a client using O2 in the hospital, what assessment finding indicates that goals for a priority diagnosis are being met?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 70 of 210

A client takes atorvastatin (Lipitor), with laboratory results showing a blood urea nitrogen (BUN) of 33 mg/dL and creatinine of 2.8 mg/dL. What action by the nurse is best?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 71 of 210

Joan is a data-entry specialist who types most of the day. She has an increased risk for

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 72 of 210

A client diagnosed with a new onset of diabetes requires instruction on how to use a glucometer and self-administer insulin. What information will you need to gather in the learner assessment?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 73 of 210

This patient should be prioritized into which category?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 74 of 210

A client is receiving oxygen therapy via nasal cannula. Which finding indicates that the therapy is effective?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 75 of 210

In planning Mr. Jones' discharge teaching, what is important to emphasize?

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Question 76 of 210

While assessing a patient in the PACU, the nurse finds that the patient's blood pressure is below the preoperative baseline. The nurse determines that the patient has residual vasodilating effects of anesthesia when what is assessed?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 77 of 210

What medication would be expected for Mrs. West's pain relief?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 78 of 210

In which circumstance should a nurse avoid using midline and midclavicular sites for IV therapy?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 79 of 210

Bernadette's morning laboratory results have just come in. Her serum potassium level is currently 5.4 mEq/L. The physician recognizes this as:

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 80 of 210

Why should a nurse use affective touching cautiously?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 81 of 210

A client with chronic obstructive pulmonary disease (COPD) is being assessed by a nurse. Which finding does the nurse expect?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 82 of 210

A client is prescribed nicotine replacement therapy. Which statement should the nurse include in this client's teaching?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 83 of 210

An 83-year-old woman is being discharged from the hospital following stabilization of her international normalized ratio (INR) levels (used to assess effectiveness of warfarin therapy). She has chronic atrial fibrillation and has been on warfarin (Coumadin) for several years. Discharge instructions include returning to the clinic weekly for INR testing. Which statement by the patient indicates that she may be unable to have the testing done?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 84 of 210

What is the most common cause of acute angle-closure glaucoma?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 85 of 210

Because of Mrs. West's age, what should be given particular attention during assessment?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 86 of 210

How does client and family care differ for a client with an acute terminal illness versus a chronic terminal illness?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 87 of 210

In addition to ambulation, which nursing intervention could be implemented to prevent or treat the postoperative complication of syncope?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 88 of 210

A nurse assesses a client who has a mediastinal chest tube. Which symptoms require the nurse's immediate intervention? (Select ONE that does not apply)

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 89 of 210

A client has a mediastinal chest tube. Which symptom requires the nurse's immediate intervention?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 90 of 210

During an acute asthma attack, a healthcare provider assesses a client. Which assessment finding indicates that the client's condition is worsening?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 91 of 210

Why should a nurse practice caution when changing the wound dressings of a client who underwent surgery?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 92 of 210

You are reviewing a client's morning laboratory results. Which of these results is of most concern?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 93 of 210

When assessing a client with pneumonia, which clinical manifestation should the nurse expect to find?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 94 of 210

What can be a cause of hyperkalemia?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 95 of 210

What is your primary responsibility in preparing for disaster management that includes natural disasters or bioterrorism incidents?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 96 of 210

Which is a symptom of mental disorders?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 97 of 210

Chronic hepatitis C may be treated with

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Question 98 of 210

What is the best example of documentation of patient teaching regarding wound care?

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Question 99 of 210

A patient with lung cancer develops syndrome of inappropriate antidiuretic hormone secretion (SIADH). After reporting symptoms of weight gain, weakness, and nausea and vomiting to the physician, you would anticipate which initial order for the treatment of this patient?

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Question 100 of 210

The disease progress of cancers, such as cervical or Hodgkin's, can be classified according to a clinical staging system. Place the description of stages 0-IV in the correct order.

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Question 101 of 210

How are pulse rate, volume, and rhythm used to identify the severity of shock and estimate the approximate reduction in blood volume?

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Question 102 of 210

A very obese female client returns to her room after abdominal surgery. The client is drowsy, but oriented; her abdominal dressing is dry and intact; and her vital signs are T 98.4, P 87, R 18, and BP 146/72. An appropriate postoperative nursing diagnosis would be:

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Question 103 of 210

A client with a new tracheostomy is being seen in the oncology clinic. What finding by the nurse best indicates that goals for the nursing diagnosis Impaired Self-Esteem are being met?

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Question 104 of 210

When caring for a client exposed to cyanide, which antidote is an inhalant to convert cyanide into a nontoxic substance?

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Question 105 of 210

Write a learning goal for the patient taking potassium-wasting diuretics who does not know what foods are high in potassium.

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Question 106 of 210

A nursing student is providing tracheostomy care. What action by the student requires intervention by the instructor?

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Question 107 of 210

During a preoperative physical examination, the nurse is alerted to the possibility of compromised respiratory function during or after surgery in a patient with which problem?

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Question 108 of 210

Mr. Woodring has had a stapedectomy. On his first postoperative day, he tells the nurse he is dizzy and has ringing in his ears. Your assessment would be that these symptoms are

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Question 109 of 210

The nurse is caring for a post-op colostomy client. The client begins to cry saying, 'I'll never be attractive again with this ugly red thing.' What should be the first action by the nurse?

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Question 110 of 210

Anne returned from carpal tunnel surgery. Her hand and arm must remain elevated above the heart after the surgery. She asks you why. You respond by saying

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Question 111 of 210

What educational information related to nutrition would you provide to a client with anxiety?

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Question 112 of 210

A deathly ill patient from a culture different than the nurse's is admitted. Which question is appropriate to help the nurse provide culturally competent care?

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Question 113 of 210

17. Which spice may be used to treat the nausea and vomiting related to pregnancy?

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Question 114 of 210

A client with chronic obstructive pulmonary disease (COPD) receives oxygen therapy. Which finding requires immediate intervention by the nurse?

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ATI RN · Free Medical Surgical Certification Practice Questions

Question 115 of 210

What is the most common cause of optic neuritis?

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Question 116 of 210

A cheerful, elderly widow comes to the community clinic for her annual check-up. She is in reasonably good health, but she has a hearing loss of 40 dB. She confides, 'I don't get out much. I used to be really active, but the older I get, the more trouble I have hearing. It can be really embarrassing.' What is the priority nursing diagnosis?

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Question 117 of 210

A terminally ill man tells the nurse, "I have never believed there is a God or an afterlife, but now it is too terrible to imagine that I will not exist. Why was I here in the first place?" What does this comment help the nurse recognize about the patient's needs?

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Question 118 of 210

A healthcare professional assesses a client who is experiencing an acute asthma attack. Which assessment finding requires immediate intervention?

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Question 119 of 210

The patient is complaining of insomnia. Which bedtime snack would be the best option for this patient?

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Question 120 of 210

The charge nurse on the eating disorder unit instructs a new staff member to weigh each client in his or her hospital gown only. What is the rationale for this nursing intervention?

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Question 121 of 210

What instruction should be included when teaching a client with asthma about using a metered-dose inhaler (MDI)?

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Question 122 of 210

It is important to teach a patient who is receiving immunosuppressive therapy for a bone marrow transplant to

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Question 123 of 210

A client with asthma is assessed by a nurse and presents with bilateral wheezing, decreased pulse oxygen saturation, and suprasternal retraction on inhalation. Which actions should the nurse take? (Select all that apply)

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Question 124 of 210

What activity would the nurse have to help Mr. Singer modify?

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Question 125 of 210

What is the first action that you should direct the caller to perform?

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Question 126 of 210

The nursing diagnosis for a patient with a myocardial infarction is activity intolerance. The plan of care includes the patient outcome criterion of

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Question 127 of 210

A client had a bronchoscopy 2 hours ago and asks for a drink of water. Which action should the nurse take next?

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Question 128 of 210

What nursing action takes priority for Mr. Alexander intubated for pneumonia?

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Question 129 of 210

What is the technique called that manages tremors caused by Parkinson's disease?

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Question 130 of 210

What controls the cyclic changes between waking and sleep?

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Question 131 of 210

A healthcare provider collaborates with a respiratory therapist to complete pulmonary function tests (PFTs) for a client. Which statements should the healthcare provider include in communications with the respiratory therapist prior to the tests? (Select ONE that does not apply)

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Question 132 of 210

A client is having a left pneumonectomy. In planning this client's postoperative care, nursing interventions for a postoperative left pneumonectomy would include:

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Question 133 of 210

Describe the physiologic stress response.

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Question 134 of 210

A client with a mediastinal chest tube is being assessed by a nurse. Which symptoms require the nurse's immediate intervention? (SATA)

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Question 135 of 210

Proper body alignment of the hemiplegic patient with the use of a footboard, trochanter rolls, and pillows will minimize the development of

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Question 136 of 210

What is your evaluation of the nursing action regarding continuous bubbling in the water-seal chamber?

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Question 137 of 210

The role of the nurse on a multidisciplinary team is to

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Question 138 of 210

Which nursing intervention can help a client avoid dealing simultaneously with multiple stimuli?

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Question 139 of 210

While discussing factors causing emphysema with Mr. Puff, what major factor is he already aware of?

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Question 140 of 210

What is the initial management for a foreign body in the eye?

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Question 141 of 210

A client with chronic obstructive pulmonary disease (COPD) is being taught by a nurse. What nutrition information should the nurse include in the teaching?

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Question 142 of 210

A client is interested in smoking cessation. Which statements should the nurse include in this client's teaching? (Select ONE that does not apply)

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Question 143 of 210

Which set of classification values indicates the most extensive and progressed cancer?

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Question 144 of 210

Which procedures are done for curative purposes (select all that apply)?

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Question 145 of 210

A client with asthma is being taught about peak flow meter use. Which statement by the client indicates understanding of the teaching?

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Question 146 of 210

A nurse is evaluating a 3-day diet history with a client who has an elevated lipid panel. What meal selection indicates the client is managing this condition well with diet?

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Question 147 of 210

Suzette is having a minor surgical procedure performed in same-day surgical setting. Which type of anesthesia is most likely to be used?

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Question 148 of 210

Alex is a 78-year-old married man with sudden onset of confusion and disorientation; he is exhibiting combative behavior. He has no previous psychiatric history. A psychiatric consultation has been called. You suspect Alex has

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Question 149 of 210

Gregory has gastrointestinal bleeding and is experiencing hematochezia. You recognize this as

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Question 150 of 210

Ramona Gunther, 18, was diagnosed with Stage II Hodgkins disease and is preparing to receive external radiation therapy. She tells the nurse she is scared 'about having to get radiation treatments all over my body.' Which of the following is the most appropriate response?

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Question 151 of 210

A client with chronic obstructive pulmonary disease (COPD) is receiving nutrition education. Which nutrition information should the nurse include in this client's teaching? (Select ONE that does not apply)

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Question 152 of 210

A nursing student asks what essential hypertension is. What response by the registered nurse is best?

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Question 153 of 210

When staging a pressure ulcer, you correctly recognize a stage II ulcer as

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Question 154 of 210

What is your evaluation of Mr. Jackson's situation with continuing dyspnea, chest pain, and low-grade fever?

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Question 155 of 210

A healthcare professional auscultates a harsh hollow sound over a client's trachea & larynx. Which action should the healthcare professional take first?

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Question 156 of 210

A nurse teaches a client with tuberculosis (TB) who is being discharged. Which statement by the client indicates a need for further teaching?

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Question 157 of 210

A client with a tracheostomy experienced a coughing spell during a meal that was being fed by an unlicensed assistive personnel (UAP). What action by the nurse takes priority?

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Question 158 of 210

When the nurse takes a surgical consent form to an Asian woman for a signature after the surgeon has provided the information about the recommended surgery, the patient refuses to sign the consent form. What is the best response by the nurse?

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Question 159 of 210

A 29-year-old client is scheduled for an arthrotomy of the right knee following a football injury. The client describes his state of health as excellent and states that he does not use any medication. In providing psychological support for the client during the preoperative period, the nurse should:

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Question 160 of 210

What would be most helpful for the nurse to discuss with Mr. Singer before his total laryngectomy?

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Question 161 of 210

In view of the fact that most older adults take at least six prescription drugs, what are four nursing interventions that can specifically help prevent problems caused by multiple drug use in older patients?

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Question 162 of 210

The nurse is caring for a client 2 hours after a right lower lobectomy. During the evaluation of the water-seal chest drainage system, it is noted that the fluid level bubbles constantly in the water seal chamber. On inspection of the chest dressing and tubing, the nurse does not find any air leaks in the system. The next best action for the nurse is to:

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Question 163 of 210

Although acute pain is severe, why does a client with acute pain cope better with the discomfort in the later stages?

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Question 164 of 210

Mr. Jones wants to lose 2 lb/wk. How many calories must he reduce daily?

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Question 165 of 210

The client is prescribed a long-acting beta2 agonist and expresses concerns about the cost, stating they only use the inhaler during asthma attacks. How should the nurse respond?

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Question 166 of 210

A client with dyspnea and difficulty climbing stairs is classified as having class III dyspnea. Which intervention should the nurse include in the client's plan of care?

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Question 167 of 210

The client has received preoperative teaching for a vertical partial laryngectomy. The nurse determines that the teaching has been effective when the client states:

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Question 168 of 210

A client with chronic obstructive pulmonary disease is being taught by a nurse. Which nutritional information should the nurse include in the teaching? (SATA)

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Question 169 of 210

A nurse collaborates with a respiratory therapist to complete pulmonary function tests (PFTs) for a client. Which statements should the nurse include in communications with the respiratory therapist prior to the tests? (Select all that apply)

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Question 170 of 210

What high-priority nursing diagnoses and interventions would you identify for a client diagnosed with anxiety?

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Question 171 of 210

A client has been diagnosed with hypertension but does not take the antihypertensive medications because of a lack of symptoms. What response by the nurse is best?

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Question 172 of 210

What drugs might a client have taken in the past that would have affected their hearing?

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Question 173 of 210

In which clients is electroconvulsive therapy (ECT) usually contraindicated?

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Question 174 of 210

A client learns about pursed-lip breathing. Which statement by the client indicates teaching has been effective?

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Question 175 of 210

A client is experiencing an acute exacerbation of asthma. Which medication should the nurse administer first?

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Question 176 of 210

For a patient who is receiving chemotherapy, which laboratory result is of particular importance?

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Question 177 of 210

Why is the potential for death from infections with multidrug-resistant microorganisms increased?

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Question 178 of 210

Goals for patient safety in the OR include the Universal Protocol. What is included in this protocol?

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Question 179 of 210

What is the primary goal of treating otitis externa?

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Question 180 of 210

Which biological agent has a vaccine readily available but is only used for military and at-risk civilians?

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Question 181 of 210

A client has an oxygen saturation of 88% on room air. Which action should the nurse take first?

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Question 182 of 210

Which of the following should qualify as an abnormal result in a Romberg test?

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Question 183 of 210

A patient's family does not know the patient's end-of-life care preferences, but assumes that they know what is best for the patient under the circumstances. This assumption reflects

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Question 184 of 210

What should the nurse request Mr. Ross to do while assisting him to cough and deep breathe postoperatively?

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Question 185 of 210

A client with chronic obstructive pulmonary disease (COPD) is being assessed by a nurse. Which finding should the nurse expect?

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Question 186 of 210

What is the term that best describes biologic differences in physical features, such as skin color, bone structure, and eye shape?

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Question 187 of 210

A client interested in smoking cessation is being taught by a nurse. Which statements should the nurse include in the teaching? (Select one that does not apply)

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Question 188 of 210

A client has a tracheostomy that is 3 days old. Upon assessment, the nurse notes the client's face is puffy, and the eyelids are swollen. What action by the nurse takes priority?

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Question 189 of 210

Three days after surgery, Mark notices that the wound site is more painful now than it was the day before. When you inspect the surgical site you are looking for redness or inflammation. Other indicators of infection would include

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Question 190 of 210

The client's potassium level is 6.7 mEq/L. Which intervention should you delegate to the student nurse under your supervision?

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Question 191 of 210

What health hazard is significant, particularly to patients with asthma?

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Question 192 of 210

A client with emphysema is being assessed by a nurse. Which clinical manifestation should the nurse expect?

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Question 193 of 210

The physician has ordered continuous positive airway pressure (CPAP) for a patient with serious obstructive sleep apnea. How will CPAP help the patient?

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Question 194 of 210

Roger presents with blurred and double vision, muscle weakness, and intolerance of temperature changes. In order to rule out multiple sclerosis, the physician will likely order

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Question 195 of 210

A healthcare professional is caring for four clients on intravenous heparin therapy. Which lab value possibly indicates a serious side effect has occurred?

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Question 196 of 210

Mrs. Brown asks about the difference between wide- and narrow-angle glaucoma. Which of the following responses would be most appropriate?

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Question 197 of 210

Your patient is a 25-year-old woman just diagnosed with hydatidiform mole. You would expect:

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Question 198 of 210

Which word(s) in the question identify(ies) the C part of the PICOT format?

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Question 199 of 210

A nurse is interested in providing community education and screening on hypertension. In order to reach a priority population, to what target audience should the nurse provide this service?

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Question 200 of 210

A client has a tracheostomy tube in place. When the nurse suctions the client, food particles are noted. What action by the nurse is best?

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Question 201 of 210

11. A patient who is receiving radiation therapy for breast cancer tells the nurse that she cannot verbalize her fears about her treatment. Which complementary or alternative therapy would be most beneficial for the nurse to teach this patient about at this time?

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Question 202 of 210

A nurse collaborates with a respiratory therapist to complete pulmonary function tests (PFTs) for a client. Which statements should the nurse include in communications with the respiratory therapist prior to the tests? (SATA)

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Question 203 of 210

What condition could predispose a client to shock?

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Question 204 of 210

How will recognizing that clients have different perceptions of time assist the nurse to provide more sensitive care?

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Question 205 of 210

A client is scheduled to have a tracheostomy placed in an hour. What action by the nurse is the priority?

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Question 206 of 210

Steps to prevent a pressure ulcer may include

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Question 207 of 210

Clients with mitral stenosis would likely manifest findings associated with congestion in the:

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Question 208 of 210

Which emotional reaction does the client go through when facing mortality in an attempt to postpone death?

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Question 209 of 210

Which phase of the nurse-client relationship demonstrates a plan constructed mutually to meet goals identified during the assessment of the client?

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Question 210 of 210

A client with chronic obstructive pulmonary disease (COPD) is being taught by a healthcare provider. Which statement by the client indicates a need for further teaching?

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