The nurse is caring for a client who has fluid overload. What action by the nurse takes priority?
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Question 2 of 75
A nurse working in an outpatient surgery center is responsible for taking a health history and performing a physical assessment on each patient scheduled for surgery. Why is establishing this database so important for nursing care?
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Question 3 of 75
Which of the following accreditations is a legal requirement for a school of nursing to exist?
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Question 4 of 75
The nurse who threatens to inject a client if they refuse to take an oral medication is laible for:-
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Question 5 of 75
The program chairperson sends a survey to collect data on how many nursing students work in the clinical setting. What type of research method is being used?
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Question 6 of 75
A patient is receiving thrombolytic therapy, and the nurse monitors the patient for adverse effects. What is the most common undesirable effect of thrombolytic therapy?
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Question 7 of 75
What condition might a 77-year-old male client with fever, cough, and pleuritic chest pain have?
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Question 8 of 75
The nurse is teaching a patient who will begin receiving targeted therapy for cancer. The patient asks how targeted therapy differs from other types of chemotherapies. The nurse will explain that targeted therapy
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Question 9 of 75
Nurses use the nursing process to focus care on human responses to what?
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Question 10 of 75
Which of the following statements accurately describes the concepts of disease and illness?
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Question 11 of 75
A newly admitted female client was diagnosed with agranulocytosis. The nurse formulates which priority nursing diagnosis?
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Question 12 of 75
How should a nurse hyperventilate a patient before suctioning?
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Question 13 of 75
After spinal anesthesia, how should the nurse position the client?
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Question 14 of 75
What finding should the nurse expect during the assessment of a young adult with infective endocarditis (IE)?
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Question 15 of 75
The nurse is caring for a critically ill patient. What are the contraindications for administering medications by the oral route for this patient? Select all that apply.
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Question 16 of 75
What sign should be reported immediately after a bronchoscopy?
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Question 17 of 75
Asking the client to tip her head to one side and slightly forward, palpating either side of the trachea at the lower half of the neck, and then asking the client to swallow is the correct technique for examining what?
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Question 18 of 75
All of the following but one are nursing considerations for bronchoscopy:
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Question 19 of 75
You need to hang a 1000-mL intravenous (IV) bag of 5% dextrose in water with 20 mEq of potassium chloride. However, since the patient also has infection, she is also prescribed with piperacillin/tazobactam and it also needs to be administered now. The client has one IV site. Which action should you do first?
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Question 20 of 75
How can a client with a history of atherosclerosis decrease their risk?
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Question 21 of 75
The second phase in the critical thinking process entails:
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Question 22 of 75
Which of the following tasks should the nurse delegate to assistive personnel (AP)?
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Question 23 of 75
A patient with metastatic colon cancer has severe vomiting after each administration of chemotherapy. Which action by the nurse is appropriate?
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Question 24 of 75
The nurse selects which of the following materials to be used as the first layer of the dressing at the chest tube insertion site?
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Question 25 of 75
What is the priority of care after the urinary catheter is removed?
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Question 26 of 75
After 2 months of tuberculosis (TB) treatment with isoniazid, rifampin (Rifadin), pyrazinamide, and ethambutol, a patient continues to have positive sputum smears for acid-fast bacilli (AFB). Which action should the nurse take next?
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Question 27 of 75
According to Maslow's basic human needs hierarchy, which needs are the most basic?
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Question 28 of 75
A patient with bacterial pneumonia has rhonchi and thick sputum. What is the nurse's most appropriate action to promote airway clearance?
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Question 29 of 75
A person9s first response to grief and loss is often:
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Question 30 of 75
A client being treated for hypertension returns to the community clinic for follow up. The client says, I know these pills are important
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Question 31 of 75
A nurse assesses clients at a family practice clinic for risk factors that could lead to dehydration. Which client is at greatest risk for dehydration?
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Question 32 of 75
Regardless of the type of ambulatory care facility, what need is common to all patients cared for?
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Question 33 of 75
You are a nurse working in the college student health center. You receive a call that an athlete has been injured. The athlete's physiologic response would be:
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Question 34 of 75
The most appropriate special bed appliance for a patient with spinal problems is:
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Question 35 of 75
Which one of the following methods of documentation is organized around patient diagnoses rather than around patient information?
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Question 36 of 75
The nurse takes vital signs (VS) of a new hospital client admitted for severe abdominal pain. Which step of the nursing process is this nurse performing?
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Question 37 of 75
A patient who has heart failure has recently started taking digoxin (Lanoxin) in addition to furosemide (Lasix) and captopril. Which finding by the home health nurse is a priority to communicate to the health care provider?
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Question 38 of 75
A patient is ordered to receive an intravenous infusion of 3,000 cc 0.8% NaCl over 24 hours. The nurse observes that the rate is 150 cc/hr. If the infusion runs continuously at this rate, the nurse would expect the infusion to be completed in:
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Question 39 of 75
What should the nurse check first before giving oral care to a comatose client?
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Question 40 of 75
Which safeguard should the nurse take to ensure accuracy with a telephone order?
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Question 41 of 75
A nurse instructor explains the concept of health to her students. Which of the following statements accurately describes this state of being?
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Question 42 of 75
Which of the following is a current trend affecting nursing education and practice?
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Question 43 of 75
What leadership style does the nurse manager demonstrate by being the sole decision-maker regarding issues that concern the unit?
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Question 44 of 75
A client complains of severe abdominal pain. To elicit as much information as possible about the pain, the nurse should ask:
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Question 45 of 75
A nurse cares for a client who had a chest tube placed 6 hours ago and refuses to take deep breaths because of the pain. What action would the nurse take?
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Question 46 of 75
The nurse is planning care for a client with type I insulin dependent diabetes mellitus (IDDM). Which statement best reflects a short-term goals for this client?
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Question 47 of 75
The nurse is reviewing the report of a client's routine urinalysis. Which value should the nurse consider abnormal?
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Question 48 of 75
Which action will the nurse take to evaluate the effectiveness of IV nitroglycerin for a patient with a myocardial infarction (MI)?
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Question 49 of 75
What patient characteristic is important to assess when using the health belief model as the framework for teaching?
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Question 50 of 75
When admitting a patient with stage 3 pressure injuries on both heels, which information obtained by the nurse will have the most impact on wound healing?
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Question 51 of 75
Name the routes of medication administration:
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Question 52 of 75
When the triceps tendon is hit with a reflex hammer, the expected response is for the elbow to
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Question 53 of 75
Bathing a client provides an excellent opportunity to assess the client's integument. Which finding indicates the need for referral to another health care professional?
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Question 54 of 75
Since the nurse is taking the initial BP of the client, the nurse should repeat the procedure on the client’s other arm. The nurse knows that there should not be a difference of _____ on the other arm of the client.
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Question 55 of 75
After the nurse teaches the patient with stage 1 hypertension about diet modifications, which diet choice indicates that the teaching has been most effective?
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Question 56 of 75
A nurse using the principle-based approach to patient care seeks to avoid causing harm to patients in all situations. This principle is known as:
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Question 57 of 75
Nurse Mario knows he can perform chest physiotherapy:
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Question 58 of 75
The nurse cares for a dehydrated client who has diarrhea. Which is the following lab values reflect dehydration? Select all that apply.
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Question 59 of 75
What advancements occurred in the nursing profession during the mid-twentieth century?
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Question 60 of 75
A nurse in the ICU is caring for a patient with PEEP. The patient suddenly called the nurse, and said: “Nurse, my leg is severely aching!†What is your priority nursing action?
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Question 61 of 75
The nurse determines that a client has 20/40 vision. Which statement about this client's vision is true?
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Question 62 of 75
Which of the following actions should the nurse take to use a wide base support when assisting a client to get up in a chair?
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Question 63 of 75
In the termination phase of the therapeutic interpersonal process as proposed by Hildegard Peplau:-
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Question 64 of 75
Which finding by the nurse most specifically indicates that a patient is not able to effectively clear the airway?
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Question 65 of 75
A nurse is assessing clients who have intravenous therapy prescribed. Which assessment finding for a client with a peripherally inserted central catheter (PICC) requires immediate attention?
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Question 66 of 75
Which of the following is a priority nursing intervention for a family with a history of violence?
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Question 67 of 75
Which one of the following examples of nursing actions would be considered an ethical/legal skill?
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Question 68 of 75
An elderly woman has total care of her husband with Alzheimers disease. What type of care might the nurse suggest to give her some much-needed time of her own?
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Question 69 of 75
A home health nurse is visiting a new client who uses oxygen in the home. For which factors does the nurse assess when determining if the client is using the oxygen safely? (Select all that do not apply.)
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Question 70 of 75
The new graduate RN needs to have a preceptor assigned to him as he begins working in the pediatric clinic. The BEST person for this assignment would be
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Question 71 of 75
Tony, a basketball player, twists his right ankle while playing on the court and seeks care for ankle pain and swelling. After the nurse applies ice to the ankle for 30 minutes, which statement by Tony suggests that ice application has been effective?
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Question 72 of 75
In the late twentieth century, what shift occurred in the development of nursing theories?
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Question 73 of 75
What is the most important nursing intervention for a client with anemia and cerebral tissue hypoxia?
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Question 74 of 75
Which of the following is a characteristic of nursing practiced from early civilization to the 16th century?
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Question 75 of 75
A patient who had a total laryngectomy has previously expressed hopelessness about the loss of control over personal care. Which information obtained by the nurse indicates that this identified problem is resolving?
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