Following change-of-shift report on an orthopedic unit, which client should the nurse see first?
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Question 2 of 91
A client who is confused and pulling at the tubing of her IV is being cared for by a nurse. Which of the following actions should the nurse take before requesting a prescription for restraints from the provider?
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Question 3 of 91
When interviewing the parents of a child with asthma, what information about the child's environment should be gathered most importantly?
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Question 4 of 91
A charge nurse is explaining the various stages of the lifespan to a group of newly licensed nurses. Which of the following examples should the charge nurse include as a developmental task for a young adult?
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Question 5 of 91
When ambulating a frail, older adult client, the nurse should:
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Question 6 of 91
A client with prostate cancer declines to discuss concerns after the provider discusses treatment options. What statement should the nurse make?
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Question 7 of 91
When a client decides not to have surgery despite significant blockages of the coronary arteries, it is an example of which of the following ethical principles?
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Question 8 of 91
A client with difficulty self-feeding due to rheumatoid arthritis should be referred to which member of the interprofessional care team to use adaptive devices?
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Question 9 of 91
The patient has been diagnosed with a spinal cord injury and needs to be repositioned using the logrolling technique. Which technique will the healthcare team use for logrolling?
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Question 10 of 91
A nurse is collecting data from an older adult client as part of a neurologic examination. Which of the following findings should the nurse expect as changes associated with aging?
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Question 11 of 91
When using an open irrigation technique to irrigate a client's indwelling urinary catheter, which of the following actions should the nurse take?
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Question 12 of 91
A client with a history of coronary artery disease is experiencing chest pain. What is the priority action for the nurse to take?
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Question 13 of 91
A client with a terminal illness is being cared for by a nurse. Which of the following findings indicates that the client's death is imminent?
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Question 14 of 91
The mother of a 2 year-old hospitalized child asks the nurse's advice about the child's screaming every time the mother gets ready to leave the hospital room. What is the best response by the nurse?
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Question 15 of 91
A nurse has an order to remove sutures from a client. After retrieving the suture removal kit and applying sterile gloves, which of the following actions should the nurse take next?
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Question 16 of 91
Which assessment data reflects the need for nurses to include the problem, "Risk for falls," in a client's plan of care?
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Question 17 of 91
A client is incontinent of loose stool and is reporting a painful perineum. Which of the following is the priority nursing action?
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Question 18 of 91
A client is admitted to the hospital in the terminal stage of cancer. The nurse enters the client's room to administer medications and finds the client crying. The appropriate nursing action is to:
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Question 19 of 91
The client is receiving discharge instructions for warfarin (Coumadin). Which statement by the client indicates a need for further teaching?
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Question 20 of 91
A client with a diagnosis of deep vein thrombosis (DVT) is receiving anticoagulation therapy. Which of the following laboratory values would be most concerning?
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Question 21 of 91
A healthcare professional is preparing to administer dextrose 5% in water (D5W) 1,000-mL IV to infuse over 10 hr. How many mL/hr should the IV infusion pump be set to deliver? (Round the answer to the nearest whole number. Do not use a trailing zero.)
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Question 22 of 91
The nurse is caring for a client with a nasogastric (NG) tube. Which action should the LPN/LVN take to maintain patency of the tube?
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Question 23 of 91
During a dressing change, a healthcare professional observes granulation tissue in a client's wound. Which of the following findings should be documented?
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Question 24 of 91
A nurse at a clinic is collecting data about pain from a client who reports severe abdominal pain. The nurse asks the client if there have been any accompanying nausea and vomiting. Which of the following pain characteristics is the nurse attempting to determine?
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Question 25 of 91
A nurse in a surgical suite notes documentation on a client's medical record stating that he has a latex allergy. In preparation for the client's procedure, which of the following precautions should the nurse take?
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Question 26 of 91
At a mobile screening clinic, a nurse is assessing a client who reports a history of a heart murmur due to aortic stenosis. To auscultate the aortic valve, where should the nurse place the stethoscope?
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Question 27 of 91
The healthcare professional is preparing to administer potassium chloride intravenously to a client with hypokalemia. Which action is most important?
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Question 28 of 91
A nurse at an assisted living facility is preparing an in-service for residents about electrical safety. Which of the following instructions should the nurse include?
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Question 29 of 91
When assessing readiness to learn about insulin self-administration, what indicates the client is ready to learn?
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Question 30 of 91
A nurse on a medical-surgical unit has received change-of-shift report and will care for four clients. Which of the following tasks should the nurse assign to an assistive personnel (AP)?
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Question 31 of 91
A healthcare professional is admitting a client who has tuberculosis. Which of the following types of transmission precautions should the healthcare professional plan to initiate?
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Question 32 of 91
A patient with stomatitis is receiving oral care education from a nurse. Which instructions will the nurse provide?
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Question 33 of 91
The healthcare provider is preparing to administer a subcutaneous injection of heparin. Which site is most appropriate for the healthcare provider to use?
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Question 34 of 91
The nurse is preparing to administer a medication through a nasogastric (NG) tube. Which action should the LPN/LVN take to ensure proper administration?
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Question 35 of 91
While interviewing a client, the nurse records the assessment in the electronic health record. Which statement is most accurate regarding electronic documentation during an interview?
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Question 36 of 91
A nurse on a rehabilitation unit is preparing to transfer a client who is unable to walk from bed to a wheelchair. Which of the following techniques should the nurse use?
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Question 37 of 91
A client is grieving the loss of her partner and expresses thoughts of not seeing the point of living anymore. What action should the nurse take?
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Question 38 of 91
A nurse in a provider's office is caring for a client who states, "I always have trouble sleeping." Which of the following actions should the nurse take first?
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Question 39 of 91
What intervention should be taken to minimize the risk for injury in a client with dementia?
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Question 40 of 91
A patient has damage to the cerebellum. Which disorder is most important for the nurse to assess?
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Question 41 of 91
A client is receiving morphine via PCA infusion device after abdominal surgery. Which of the following statements indicates that the client knows how to use the device?
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Question 42 of 91
When transferring a postoperative client from the PACU following abdominal surgery, what action should the nurse take to move the client from the stretcher to the bed?
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Question 43 of 91
A client with pneumonia has a decrease in oxygen saturation from 94% to 88% while ambulating. Based on these findings, which intervention should the LPN/LVN implement first?
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Question 44 of 91
A nurse is caring for an older, immobile patient whose condition requires a supine position. Which metabolic alteration will the nurse monitor for in this patient?
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Question 45 of 91
The LPN is caring for a client who has been placed in restraints. What is the most important action for the nurse to take?
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Question 46 of 91
During an admission assessment, a nurse is documenting a client's medication. Which of the following actions should the nurse take?
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Question 47 of 91
A client who has a new prescription for warfarin (Coumadin) is receiving discharge instructions. Which statement indicates the client understands the teaching?
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Question 48 of 91
A dying client is coping with feelings regarding impending death. The nurse bases care on the theory of death and dying by K¼bler-Ross. During which stage of grieving should the LPN/LVN primarily use nonverbal interventions?
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Question 49 of 91
When providing oral care for an unconscious client, which of the following actions should the nurse take?
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Question 50 of 91
A postoperative client will need to perform daily dressing changes after discharge. Which outcome statement best demonstrates the client's readiness to manage his wound care after discharge?
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Question 51 of 91
When documenting client care, which of the following abbreviations should be used?
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Question 52 of 91
The patient has undergone surgery for a broken leg and has a cast in place. What should the nurse do to prevent skin impairment?
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Question 53 of 91
A client with herpes zoster asks the nurse about using complementary and alternative therapies for pain control. The nurse should inform the client that this condition is a contraindication for which of the following therapies?
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Question 54 of 91
A healthcare professional is planning teaching for a group of adolescents who each recently had surgical placement of an ostomy. Which of the following methods should the healthcare professional use as a psychomotor approach to learning?
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Question 55 of 91
A client requires an NG tube for stomach decompression. Which of the following actions should the nurse take when inserting the NG tube?
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Question 56 of 91
The nurse manager has been using a decentralized block scheduling plan to staff the nursing unit. However, staff have asked for many changes and exceptions to the schedule over the past few months. The manager considers self-scheduling knowing that this method will
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Question 57 of 91
The nurse is discharging an adult woman who was hospitalized for 6 days for treatment of pneumonia. While the nurse is reviewing the prescribed medications, the client appears anxious. What action is most important for the nurse to implement?
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Question 58 of 91
A nurse is calculating a client's fluid intake over the past 8 hr. Which of the following items should the nurse plan to document on the client's intake and output record as 120 mL of fluid?
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Question 59 of 91
When reviewing car seat use with the parents of a 1-month-old infant, which of the following instructions should the nurse include?
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Question 60 of 91
The nurse is caring for a client with a newly placed colostomy. Which statement by the client indicates a need for additional teaching?
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Question 61 of 91
When admitting a client with an abdominal wound, which precaution should be taken?
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Question 62 of 91
A client is scheduled to have his alanine aminotransferase (ALT) level checked. The client asks the nurse to explain the laboratory test. Which of the following is an appropriate response by the nurse?
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Question 63 of 91
A 16-year-old enters the emergency department. The triage nurse identifies that this teenager is legally married and signs the consent form for treatment. What would be the appropriate action by the nurse?
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Question 64 of 91
Three days following surgery, a male client observes his colostomy for the first time. He becomes quite upset and tells the LPN that it is much bigger than he expected. What is the best response by the nurse?
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Question 65 of 91
The healthcare provider is caring for a 17-month-old with acetaminophen poisoning. Which lab reports should the healthcare provider review first?
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Question 66 of 91
A healthcare professional is explaining the use of written consent forms to a newly-licensed healthcare professional. The healthcare professional should ensure that a written consent form has been signed by which of the following clients?
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Question 67 of 91
The nurse is caring for a patient who needs to be placed in the prone position. Which action will the nurse take?
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Question 68 of 91
When providing mouth care for an unconscious client, what action should the nurse take?
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Question 69 of 91
A nurse on a rehabilitation unit is transferring a client from a bed to a chair. To avoid a back injury, which of the following techniques should the nurse use?
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Question 70 of 91
A client is to receive 10 mEq of KCl diluted in 250 ml of normal saline over 4 hours. At what rate should the LPN/LVN set the client's intravenous infusion pump?
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Question 71 of 91
When orienting a newly licensed nurse on taking a telephone prescription, which statement indicates understanding of the process?
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Question 72 of 91
A healthcare professional is preparing to insert an IV catheter into a client's arm prior to initiating IV fluid therapy. Which of the following interventions should the healthcare professional implement to prevent infection?
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Question 73 of 91
A nurse observes a family member administer a rectal suppository by having the client lie on the left side for the administration. The family member pushed the suppository until the finger went up to the second knuckle. After 10 minutes, the client was told by the family member to turn to the right side. What is the appropriate comment for the nurse to make?
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Question 74 of 91
A client has had their diet prescription changed to a mechanical soft diet. Which of the following food items should the nurse remove from the client's breakfast tray?
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Question 75 of 91
A client with a history of deep vein thrombosis (DVT) is admitted with swelling and pain in the left leg. What is the most appropriate action for the LPN/LVN to take?
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Question 76 of 91
The nurse is teaching the parents of a child who has head lice (pediculosis capitis). Which information will the nurse include in the teaching session?
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Question 77 of 91
In planning care for a client with a surgical wound healing by secondary intention, the nurse can anticipate that the client will:
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Question 78 of 91
A client is expressing anger about his diagnosis of colorectal cancer. Which of the following actions should the nurse take?
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Question 79 of 91
A nurse is planning care for a client who has a prescription for knee-length anti-embolic stockings. Which of the following actions should the nurse take?
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Question 80 of 91
The client is preparing for discharge following treatment for heart failure. Which statement by the client indicates a need for further teaching?
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Question 81 of 91
A nurse is caring for a client who is unstable and has vital signs measured every 15 minutes by an electronic blood pressure machine. The nurse notices the machine begins to measure the blood pressure at varied intervals and the readings are inconsistent. Which of the following actions should the nurse take?
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Question 82 of 91
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 83 of 91
A charge nurse is teaching a newly licensed nurse about the care of a client who has methicillin-resistant Staphylococcus aureus (MRSA). Which of the following statements should the charge nurse identify as an indication that the newly licensed nurse understands the teaching?
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Question 84 of 91
A client with chronic kidney disease is being assessed. Which laboratory value would be most concerning?
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Question 85 of 91
The healthcare provider is assessing a 17-month-old with acetaminophen poisoning. Which lab reports should the provider review first?
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Question 86 of 91
A healthcare professional is caring for a client with a chest tube. Which observation requires immediate intervention?
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Question 87 of 91
A newly licensed nurse is preparing to administer medications to a client. The nurse notes that the provider has prescribed a medication that is unfamiliar. Which of the following actions should the nurse take?
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Question 88 of 91
During an admission assessment of an older adult client, a nurse should identify which of the following findings as a potential indication of abuse?
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Question 89 of 91
A client is drawing up and mixing insulin under the observation of a nurse. Which of the following findings should the nurse identify as an indication that psychomotor learning has taken place?
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Question 90 of 91
A client has been tentatively diagnosed with Graves' disease (hyperthyroidism). Which of these findings noted on the initial nursing assessment requires quick intervention by the nurse?
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Question 91 of 91
When communicating with a client who is hearing impaired, what should the nurse do?
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