A community health nurse is caring for a group of families. The nurse should identify which of the following families is experiencing a maturational loss?
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Question 2 of 92
When assessing a client's skin turgor, a nurse should:
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Question 3 of 92
A group of newly licensed nurses is being taught about the Braden Scale by a nurse. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?
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Question 4 of 92
A nurse is counseling a middle adult client who describes having difficulty dealing with several issues. Which of the following client statements should the nurse identify as the priority to assess further?
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Question 5 of 92
A home health nurse is teaching a new caregiver how to care for a client who has had a tracheostomy for 1 year. Which of the following instructions should the nurse include?
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Question 6 of 92
A client who is malnourished expresses concern about losing their loose wedding ring. What is the most appropriate action for the nurse to take?
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Question 7 of 92
During assessment, what is a nurse monitoring when assessing body alignment?
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Question 8 of 92
Why should a client with an ileal conduit be instructed to empty the collection device frequently?
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Question 9 of 92
A nurse on a surgical unit is receiving a client who had abdominal surgery from the postanesthesia care unit. Which of the following assessments should the nurse make first?
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Question 10 of 92
When assessing a client's skin as part of a comprehensive physical examination, what finding should a nurse expect?
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Question 11 of 92
A nurse on the IV team is conducting an in-service education program about the complications of IV therapy. Which of the following statements by an attendee indicates an understanding of the manifestations of infiltration? (Select all that apply.)
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Question 12 of 92
While administering a cleansing enema, the client reports abdominal cramping. Which of the following actions should the nurse take?
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Question 13 of 92
A nurse is caring for a client who reports a pain level of 5 on a scale from 0-10. The client informs the nurse that pain medication is not an option for managing pain. Which of the following is an appropriate response by the nurse?
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Question 14 of 92
A client is experiencing a severe sore throat, pain when swallowing, and swollen lymph nodes. Which of the following stages of infection is the client likely in?
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Question 15 of 92
A nurse is planning care for a client who has fluid overload. Which of the following actions should the nurse plan to take first?
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Question 16 of 92
A client has a fecal impaction. Before digital removal of the mass, which of the following types of enemas should be administered to soften the feces?
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Question 17 of 92
A charge nurse is observing a newly licensed nurse prepare a sterile field. Which of the following actions should the charge nurse identify as contaminating the sterile field?
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Question 18 of 92
When performing nasotracheal suctioning for a client with a respiratory infection, what technique should the nurse use?
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Question 19 of 92
Which statement by the mother indicates that the mother understands safety precautions with her four-month-old infant and her 4-year-old child?
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Question 20 of 92
A client who has just had a mastectomy has a closed wound suction device (hemovac) in place. Which nursing action will ensure proper operation of the device?
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Question 21 of 92
A nurse is evaluating a client's use of a cane. What is the correct use?
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Question 22 of 92
A nurse is providing home care for a client who is receiving tube feedings and medication through a gastrostomy tube. The family member providing the feedings reports that the client has begun to have diarrhea. For which of the following practices should the nurse intervene?
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Question 23 of 92
A nurse delegates a position change to a nursing assistive personnel. The nurse instructs the assistive personnel (AP) to place the patient in the lateral position. Which finding by the nurse indicates a correct outcome?
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Question 24 of 92
A healthcare provider is preparing to provide chest physiotherapy for a client who has left lower lobe atelectasis. Which of the following actions should the healthcare provider plan to take?
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Question 25 of 92
When administering an otic medication to an older adult client, which action should the nurse take to ensure that the medication reaches the inner ear?
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Question 26 of 92
While caring for a client who is postoperative and has refused to use an incentive spirometer following major abdominal surgery, what is the nurse's priority action?
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Question 27 of 92
A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0-10. Which of the following statements should the nurse identify as an indication that the client understands the preoperative teaching they received about pain management?
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Question 28 of 92
Which statement made by a client indicates to the nurse that they may have a thought disorder?
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Question 29 of 92
A nurse is planning care for a client who has hypernatremia. Which of the following actions should the nurse include in the plan of care?
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Question 30 of 92
What intervention is most important for the LPN/LVN to implement for a male client experiencing urinary retention?
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Question 31 of 92
Which behavior indicates the nurse is using a team approach when caring for a patient who is experiencing alterations in mobility?
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Question 32 of 92
While starting an intravenous infusion (IV) for a client, the nurse notices that her gloved hands get spotted with blood. The client has not been diagnosed with any infection transmitted via the bloodstream. Which of the following should the nurse do as soon as the task is completed?
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Question 33 of 92
A client with type 1 diabetes mellitus is resistant to learning self-injection of insulin. Which of the following statements should the nurse make?
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Question 34 of 92
A client is scheduled for an intravenous pyelogram. Which of the following actions is appropriate for the nurse to include?
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Question 35 of 92
The patient diagnosed with athlete's foot (tinea pedis) states that he is relieved because it is only athlete's foot, and it can be treated easily. Which information about this condition should the nurse consider when formulating a response to the patient?
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Question 36 of 92
After a client's death in a long-term care facility, identify the correct sequence of steps for the nurse to perform.
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Question 37 of 92
When ethical dilemmas arise, what should newly licensed nurses expect and identify as an ethical dilemma?
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Question 38 of 92
A client is admitted with a diagnosis of left-sided heart failure. Which assessment finding would be most concerning?
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Question 39 of 92
A client with a history of atrial fibrillation is receiving warfarin (Coumadin). Which laboratory value should the LPN/LVN monitor closely while the client is taking this medication?
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Question 40 of 92
The nurse is providing discharge teaching to a client who has a new prescription for digoxin (Lanoxin). Which statement by the client indicates a need for further teaching?
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Question 41 of 92
During a blood transfusion, which observation indicates that the client is experiencing a transfusion reaction?
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Question 42 of 92
When preparing for a change of shift, which document or tools should a healthcare provider use to communicate?
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Question 43 of 92
A nurse is caring for an older adult client who is confused and continually grabs at the nurse. Which of the following is a nursing action?
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Question 44 of 92
A nurse is preparing change of shift report after the night shift using one SBAR communication tool. Which of the following data should the nurse include when reporting background information?
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Question 45 of 92
During an admission history assessment, a client informs the nurse about consuming herbal tea every afternoon at work to alleviate stress. What ingredient is likely present in the tea?
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Question 46 of 92
A client is 6 hours postoperative following abdominal surgery and is having difficulty voiding. Which of the following actions should the nurse take?
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Question 47 of 92
The client is receiving discharge instructions for a new antihypertensive medication. Which statement by the client indicates a need for further teaching?
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Question 48 of 92
A client returning from the surgical suite following a vaginal hysterectomy is awake and asking for something to drink. Her post-op diet prescription reads: 'clear liquids, advance diet as tolerated.' Which of the following is appropriate for the nurse to tell the patient?
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Question 49 of 92
The healthcare provider is educating a client about dietary changes to prevent the recurrence of calcium oxalate kidney stones. Which food should the provider advise the client to avoid?
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Question 50 of 92
A client with Parkinson's disease is being discharged. Which statement by the client indicates a need for further teaching?
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Question 51 of 92
A male client presents to the clinic stating that he has a high-stress job and is having difficulty falling asleep at night. The client reports having a constant headache and is seeking medication to help with sleep. Which intervention should the nurse implement?
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Question 52 of 92
A healthcare professional is caring for a group of clients on a medical-surgical unit. Which of the following clients is at increased risk for body-image disturbances?
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Question 53 of 92
When caring for a client at the end of life, which statement by the client's partner reflects effective coping?
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Question 54 of 92
A guardian reports that a 4-year-old child is waking up with nightmares. Which of the following interventions should the nurse suggest?
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Question 55 of 92
A client is receiving discharge teaching about a new prescription for digoxin (Lanoxin). Which statement by the client indicates a need for further teaching?
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Question 56 of 92
The nurse is caring for a client with a pressure ulcer on the sacrum. Which action should the LPN/LVN take to prevent further skin breakdown?
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Question 57 of 92
A nurse on a medical-surgical unit is admitting a client. Which of the following information should the nurse document in the client's record first?
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Question 58 of 92
During a family assessment, a nurse is interviewing a family composed of a husband, a wife, and three children. One child is biological from this marriage, and the other two are from the wife's previous marriage. How should the nurse identify this family form?
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Question 59 of 92
A client with an NG tube is receiving intermittent feedings through an open system. Which of the following actions should the nurse take first?
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Question 60 of 92
A nurse in a provider's office is obtaining the health and medication history of a client who has a respiratory infection. The client tells the nurse that she is not aware of any allergies, but that she did develop a rash the last time she was taking an antibiotic. Which of the following information should the nurse give to the client?
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Question 61 of 92
When explaining the procedure for collecting a 24-hour urine specimen for creatinine clearance to an older adult male, what should the nurse do next?
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Question 62 of 92
A nurse is observing a newly licensed nurse providing care for a client who reports pain. The nurse checked the client's MAR and noted the last dose of pain medication was administered 6 hours ago. The prescription specifies administration every 4 hours PRN for pain. The nurse administered the medication and followed up with the client 40 minutes later, who reported improvement. What did the newly licensed nurse overlook in the nursing process?
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Question 63 of 92
A healthcare professional is using the I-SBAR communication tool to provide the client's provider with information about the client. The healthcare professional should convey the client's pain status in which portion of the report?
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Question 64 of 92
A client is admitted with infective endocarditis (IE). Which symptom would alert the nurse to a complication of this condition?
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Question 65 of 92
A healthcare professional is planning care to improve self-feeding for a client with vision loss. Which of the following interventions should the healthcare professional include in the plan of care?
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Question 66 of 92
The nurse is teaching an elderly client how to use MDIs (multi-dose inhalers). The nurse is concerned that the client is unable to coordinate the release of the medication with the inhalation phase. What is the nurse's best recommendation to improve the delivery of the medication?
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Question 67 of 92
In a client with liver cirrhosis, which symptom would be most concerning during assessment?
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Question 68 of 92
The provider orders Lanoxin (digoxin) 0.125 mg PO and furosemide 40 mg every day. Which of these foods would the nurse reinforce for the client to eat at least daily?
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Question 69 of 92
To ensure the safety of a client receiving a continuous intravenous normal saline infusion, how often should the LPN change the administration set?
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Question 70 of 92
A client is being treated for paranoid schizophrenia. When the client became loud and boisterous, the nurse immediately placed him in seclusion as a precautionary measure. The client willingly complied. The nurse's action
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Question 71 of 92
A client with a prescription for a clear liquid diet is receiving teaching about food choices from a nurse. Which of the following selections by the client indicates an understanding of the teaching?
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Question 72 of 92
The healthcare provider is observing the way a patient walks. Which aspect is the healthcare provider assessing?
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Question 73 of 92
A client has a new prescription for nitroglycerin sublingual tablets. Which of the following instructions should the nurse include?
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Question 74 of 92
A healthcare professional is administering 1 L of 0.9% sodium chloride to a client who is postoperative and has fluid-volume deficit. Which of the following changes should the healthcare professional identify as an indication that the treatment was successful?
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Question 75 of 92
During an assessment, a client receiving tube feedings via NG tube shows signs of nasal mucosa irritation. What finding should the nurse report to the provider?
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Question 76 of 92
The healthcare provider is reviewing the signed operative consent with a client who is admitted for the removal of a lipoma on the left leg. The client states that the permit should include...
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Question 77 of 92
A client has a sodium level of 125. What findings should the nurse expect?
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Question 78 of 92
The healthcare professional is assessing a client with a history of rheumatoid arthritis. Which of the following assessment findings would be most concerning?
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Question 79 of 92
The LPN is instructing a client with high cholesterol about diet and lifestyle modifications. What comment from the client indicates that the teaching has been effective?
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Question 80 of 92
A hospitalized client needs a chest x-ray. The radiology department calls the nursing unit and says that they are sending a transporter for the client. When entering the client's room, the priority action is to:
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Question 81 of 92
During an abdominal assessment for an adult client, what is the correct sequence of steps?
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Question 82 of 92
A mother of a child with a neural tube defect asks the nurse what she can do to decrease the chances of having another baby with a neural tube defect. What is the best response by the nurse?
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Question 83 of 92
The patient refuses to bathe in the morning, stating a preference for evening baths. What is the best action for the nurse?
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Question 84 of 92
The nurse is providing oral care to a patient. In which order will the nurse clean the oral cavity, starting with the first area?
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Question 85 of 92
Which of the following findings contraindicate the use of haloperidol (Haldol) and warrant withholding the dose?
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Question 86 of 92
The LPN/LVN is assisting with the care of a client who has had a stroke. Which intervention is most important to include in the client's plan of care to prevent joint contractures?
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Question 87 of 92
The healthcare provider prescribes furosemide (Lasix) 15 mg IV stat. On hand is Lasix 20 mg/2 ml. How many milliliters should the LPN/LVN administer?
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Question 88 of 92
A client asks a nurse about the purpose of advance directives.
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Question 89 of 92
A client receiving chlorpromazine HCL (Thorazine) is in psychiatric home care. During a home visit, the nurse observes the client smacking her lips alternately with grinding her teeth. The nurse recognizes this assessment finding as what?
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Question 90 of 92
The nurse is preparing to administer a blood transfusion to a client. Which action should the LPN/LVN take to ensure the client's safety?
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Question 91 of 92
When assessing a client's IV for infiltration, which finding would be unexpected for the nurse?
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Question 92 of 92
A female client's significant other has been at her bedside providing reassurances and support for the past 3 days, as desired by the client. The client's estranged husband arrives and demands that the significant other not be allowed to visit or be given condition updates. Which intervention should the nurse implement?
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