The healthcare provider is assessing a client who has just returned from hemodialysis. Which finding requires immediate intervention?
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Question 2 of 55
A client with a history of coronary artery disease is admitted with chest pain. Which assessment finding requires immediate intervention?
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Question 3 of 55
The healthcare provider is assessing a client who has returned from surgery. Which finding requires immediate intervention?
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Question 4 of 55
A community health nurse is evaluating the effectiveness of a diabetes management program. Which outcome indicates that the program is successful?
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Question 5 of 55
During a prenatal class for expectant mothers, what topic should be included to ensure the health of both the mother and the baby?
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Question 6 of 55
The client with congestive heart failure (CHF) is receiving discharge instructions. Which statement by the client indicates a need for further teaching?
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Question 7 of 55
The healthcare provider is caring for a client with syndrome of inappropriate antidiuretic hormone (SIADH). Which intervention is most important?
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Question 8 of 55
A client with a history of asthma is admitted with shortness of breath. Which assessment finding requires immediate intervention?
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Question 9 of 55
The healthcare provider is preparing to administer intravenous immune globulin (IVIG) to a client with Guillain-Barre syndrome. Which assessment is most important before initiating the infusion?
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Question 10 of 55
A client who has been receiving chemotherapy for cancer has a platelet count of 20,000/mm3. Which intervention should the nurse include in the plan of care?
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Question 11 of 55
A client who is receiving total parenteral nutrition (TPN) has an elevated blood glucose level. Which action should the nurse take first?
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Question 12 of 55
The healthcare provider is developing a health education program for pregnant women on the importance of prenatal care. Which topic should be prioritized?
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Question 13 of 55
A public health nurse is implementing a program to improve vaccination rates among children in the community. Which intervention is most likely to be effective?
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Question 14 of 55
The healthcare provider is assessing the laboratory results for a client who is admitted with renal failure and osteodystrophy. Which findings are consistent with this client's clinical picture?
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Question 15 of 55
The healthcare provider is inspecting the external eye structures of a client. Which finding is a normal racial variation?
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Question 16 of 55
A primipara with a breech presentation is in the transition phase of labor. The nurse visualizes the perineum and sees the umbilical cord extruding from the introitus. In which position should the nurse place the client?
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Question 17 of 55
A community health nurse is conducting a program evaluation for a diabetes management class. Which measure best indicates the program's effectiveness?
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Question 18 of 55
The healthcare professional is planning a health fair to promote cancer awareness and prevention. Which activity is most likely to increase participation?
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Question 19 of 55
A community health nurse is conducting a needs assessment in a rural area. Which data source is most likely to provide comprehensive information about the community's health status?
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Question 20 of 55
The public health nurse is preparing to administer flu vaccines at a community center. Which group should the nurse prioritize for vaccination?
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Question 21 of 55
The nurse is teaching a group of high school adolescents about safety associated with traumatic injuries. Which factor causing spinal cord injuries should the nurse discuss with the adolescents?
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Question 22 of 55
An elderly client with limited mobility reports feeling isolated and lonely. Which intervention should the nurse prioritize?
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Question 23 of 55
The healthcare provider is preparing to administer atropine, an anticholinergic, to a client scheduled for a cholecystectomy. The client asks the provider to explain the reason for the prescribed medication. What response is best for the provider to provide?
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Question 24 of 55
The client is unable to void, and the plan of care sets an objective for the client to ingest at least 1000 mL of fluid between 7:00 am and 3:30 pm. Which client response should the nurse document to indicate a successful outcome?
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Question 25 of 55
The nurse is assessing an older adult client and determines that the client's left upper eyelid droops, covering more of the iris than the right eyelid. Which description should the nurse use to document this finding?
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Question 26 of 55
The home health nurse visits a young male client with AIDS who has Kaposi's sarcoma and peripheral neuropathies. His parents, who are the caregivers, tell the nurse that their son sleeps most of the time. The nurse assesses that the client is semi-conscious with stable vital signs, cries out in pain when turned or moved, has a Duragesic pain patch in place, and skin lesions that are closed and dried. Which intervention should the nurse implement?
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Question 27 of 55
The school nurse is coaching a group of high school students on ways to deal with the stress of final exams. Today the class is focusing on healthy food choices for lunch in the school cafeteria. Which option should the nurse recommend?
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Question 28 of 55
A community health nurse is applying for a federal grant to support a smoking cessation educational program. In which order should the nurse prioritize these nursing activities? Arrange in order top to bottom.
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Question 29 of 55
A 17-year-old unmarried, pregnant client with drug addiction is a high school dropout, homeless, and has a history of past abuse arrives at the clinic for her first prenatal visit. Which findings should the nurse document as health risk factors for the client? (Select all that apply)
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Question 30 of 55
When examining sources for funding, which criteria should the nurse clarify about the program for the community group?
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Question 31 of 55
A community health nurse is conducting a neighborhood discussion group about disaster planning. What information regarding transmission of anthrax should the nurse provide to the group?
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Question 32 of 55
A female client makes routine visits to a neighborhood community health center. The nurse notes that this client often presents with facial bruising, particularly around the eyes. The nurse discusses prevention of domestic violence with the client even though the client does not admit to it. What level of prevention has the nurse applied in this situation?
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Question 33 of 55
Following a blizzard that resulted in millions of dollars of damage, the community health nurse is planning to seek financial assistance for families affected by the disaster. Which contact is most important for the nurse to make?
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Question 34 of 55
The parish nurse notes that an elderly male client has had a 5 lbs weight loss since his check-up one month ago. The client has good hygiene, still drives a car, and lives alone. To which agency should the nurse refer this client?
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Question 35 of 55
A school nurse is developing a health risk screening protocol for use at an elementary school. What information is most important for the nurse to include in this protocol?
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Question 36 of 55
Several employees who have a 10-year or longer smoking history ask for assistance with smoking cessation. A nurse develops a 2-month program that includes weekly group sessions on lifestyle changes and use of over-the-counter nicotine substitute products. Which measurement provides the best indication of the program's effectiveness?
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Question 37 of 55
The public health nurse is creating a plan to increase state funding for a local health clinic. Which strategy is likely to be most effective in obtaining funding for the clinic?
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Question 38 of 55
The nurse is planning a health education program for 10-year-olds. Which setting is most likely to increase the preadolescents' participation in the program?
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Question 39 of 55
A teenage boy with a history of recurring atopic dermatitis (eczema) tells the school nurse that he wants to play high school football. Which action should the nurse take?
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Question 40 of 55
A public health nurse is evaluating a program designed to reduce the incidence of sexually transmitted infections (STIs) among teenagers. Which outcome indicates that the program is successful?
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Question 41 of 55
The healthcare professional is developing a program to educate parents on childhood nutrition. Which topic should be prioritized?
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Question 42 of 55
A public health nurse is assessing a community's readiness for a new smoking cessation program. Which factor is most important to evaluate?
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Question 43 of 55
The healthcare professional is developing a program to educate parents on the importance of immunizations. Which topic should be prioritized?
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Question 44 of 55
The healthcare provider is preparing to administer an intravenous antibiotic to a client with a central venous catheter. Which action is most important?
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Question 45 of 55
A client with a history of seizures is admitted with status epilepticus. Which medication should the nurse prepare to administer?
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Question 46 of 55
A client with a history of diabetes mellitus is admitted with diabetic ketoacidosis (DKA). Which finding requires immediate intervention?
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Question 47 of 55
A public health nurse is evaluating a program designed to reduce childhood obesity. Which outcome indicates that the program is successful?
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Question 48 of 55
A community health nurse is addressing the issue of substance abuse in the community. Which intervention should be prioritized?
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Question 49 of 55
The healthcare provider is caring for a client with a chest tube. Which observation indicates that the chest tube is functioning properly?
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Question 50 of 55
A client with a history of deep vein thrombosis (DVT) is admitted with unilateral leg swelling. Which intervention should the nurse implement?
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Question 51 of 55
A community health nurse is planning a program to reduce the incidence of heart disease in the community. Which intervention should the nurse prioritize?
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Question 52 of 55
When planning a community health fair to promote mental health awareness, which activity should be included to best engage participants?
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Question 53 of 55
A client with a history of chronic kidney disease is receiving erythropoietin therapy. Which finding indicates that the therapy is effective?
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Question 54 of 55
When caring for a client with a tracheostomy, which action should the nurse take first when performing tracheostomy care?
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Question 55 of 55
A client with a history of alcohol abuse is admitted with acute pancreatitis. Which assessment finding requires immediate intervention?
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