The healthcare provider plans to administer diazepam, 4 mg IV push, to a client with severe anxiety. How many milliliters should the healthcare provider administer? (Round to the nearest tenth.)
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Question 2 of 53
A client is admitted with a diagnosis of diabetic ketoacidosis (DKA). Which assessment finding should the nurse anticipate?
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Question 3 of 53
The healthcare provider is assessing several clients prior to surgery. Which factor in a client's history poses the greatest threat for complications to occur during surgery?
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Question 4 of 53
The healthcare professional observes a UAP taking a client's blood pressure in the lower extremity. Which observation of this procedure requires the healthcare professional's intervention?
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Question 5 of 53
A client has a nursing diagnosis of Altered sleep patterns related to nocturia. Which client instruction is important for the nurse to provide?
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Question 6 of 53
The nurse is administering the 0900 medications to a client who was admitted during the night. Which client statement indicates that the nurse should further assess the medication order?
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Question 7 of 53
After a needle stick occurs while removing the cap from a sterile needle, what action should the individual take?
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Question 8 of 53
The healthcare provider is preparing an older client for discharge. Which method is best for the provider to use when evaluating the client's ability to perform a dressing change at home?
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Question 9 of 53
A client in a long-term care facility reports to the nurse that he has not had a bowel movement in 2 days. Which intervention should the nurse implement first?
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Question 10 of 53
While reviewing the side effects of a newly prescribed medication, a 72-year-old client notes that one of the side effects is a reduction in sexual drive. Which is the best response by the nurse?
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Question 11 of 53
During a 30-second interval, the nurse counts six respirations, and the client coughs three times. In repeating the count for a second 30-second interval, the nurse counts eight respirations. What respiratory rate should the nurse document?
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Question 12 of 53
The healthcare provider who is preparing to give an adolescent client a prescribed antipsychotic medication notes that parental consent has not been obtained. Which action should the provider take?
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Question 13 of 53
The nurse-manager of a skilled nursing (chronic care) unit is instructing UAPs on ways to prevent complications of immobility. Which intervention should be included in this instruction?
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Question 14 of 53
Which instruction is most important for the nurse to include when teaching a client with limited mobility strategies to prevent venous thrombosis?
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Question 15 of 53
A seriously ill female client tells the nurse, 'I am so tired and in so much pain! Please help me to die.' Which is the best response for the nurse to provide?
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Question 16 of 53
A client who is in hospice care complains of increasing amounts of pain. The healthcare provider prescribes an analgesic every four hours as needed. Which action should the nurse implement?
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Question 17 of 53
Why is it most important to start intravenous infusions in the upper extremities rather than the lower extremities of adults?
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Question 18 of 53
The UAPs working on a chronic neuro unit ask the nurse to help them determine the safest way to transfer an elderly client with left-sided weakness from the bed to the chair. What method describes the correct transfer procedure for this client?
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Question 19 of 53
A hospitalized male client is receiving nasogastric tube feedings via a small-bore tube and a continuous pump infusion. He reports that he had a bad bout of severe coughing a few minutes ago but feels fine now. What action is best for the nurse to take?
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Question 20 of 53
After hemodialysis, a client with a history of chronic renal failure has just returned to the unit. What is the most important assessment for the nurse to make?
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Question 21 of 53
What is the most important action for the nurse to take when caring for a client with a spinal cord injury experiencing autonomic dysreflexia?
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Question 22 of 53
A client who has been on bed rest for several days is at risk for developing deep vein thrombosis (DVT). Which intervention should the nurse include in the client's plan of care?
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Question 23 of 53
A client with chronic renal failure is receiving epoetin alfa (Epogen). Which laboratory test should the nurse monitor to evaluate the effectiveness of this medication?
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Question 24 of 53
The nurse is providing discharge teaching to a client with a new diagnosis of osteoporosis. Which instruction should the nurse include?
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Question 25 of 53
A client is admitted with a diagnosis of chronic obstructive pulmonary disease (COPD) exacerbation. Which intervention should the nurse implement first?
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Question 26 of 53
A client with a diagnosis of asthma is receiving albuterol (Proventil) via a metered-dose inhaler (MDI). Which assessment finding indicates that the medication is effective?
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Question 27 of 53
The father of an 11-year-old client reports to the nurse that the client has been 'wetting the bed' since the passing of his mother and is concerned. Which action is most important for the nurse to take?
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Question 28 of 53
The healthcare professional in the emergency department observes a colleague viewing the electronic health record (EHR) of a client who holds an elected position in the community. The client is not a part of the colleague's assignment. Which action should the healthcare professional implement?
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Question 29 of 53
A postoperative client has three different PRN analgesics prescribed for varying levels of pain. The nurse inadvertently administers a dose that is not within the prescribed parameters. What action should the nurse take first?
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Question 30 of 53
Which instruction should be included in the discharge teaching plan for an adult client with hypernatremia?
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Question 31 of 53
An older adult male client is admitted to the medical unit following a fall at home. When undressing him, the nurse notes that he is wearing an adult diaper, and skin breakdown is obvious over his sacral area. What action should the nurse implement first?
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Question 32 of 53
When assessing for orthostatic hypotension during blood pressure measurement, what action should the nurse implement first?
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Question 33 of 53
When evaluating the effectiveness of a client's nursing care, the nurse first reviews the expected outcomes identified in the plan of care. What action should the nurse take next?
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Question 34 of 53
While suctioning a client's nasopharynx, the nurse observes that the client's oxygen saturation remains at 94%, which is the same reading obtained prior to starting the procedure. What action should the nurse take in response to this finding?
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Question 35 of 53
A CVA (stroke) patient goes into respiratory distress and is placed on a ventilator. The client's daughter arrives with a durable power of attorney and a living will that indicates there should be no extraordinary life-saving measures. What action should the nurse take?
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Question 36 of 53
The healthcare provider receives a report that a client with an indwelling urinary catheter has an output of 150 mL for the previous 6-hour shift. Which intervention should the healthcare provider implement first?
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Question 37 of 53
When entering the room of an adult male, the nurse finds that the client is very anxious. Before providing care, what action should the nurse take first?
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Question 38 of 53
The healthcare professional is monitoring a client receiving IV potassium chloride. Which assessment finding should prompt the healthcare professional to immediately stop the infusion?
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Question 39 of 53
The client with chronic obstructive pulmonary disease (COPD) is receiving oxygen therapy. Which intervention should the nurse implement to ensure the client's safety?
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Question 40 of 53
The healthcare provider is teaching a client with hypertension about lifestyle modifications. Which instruction should the healthcare provider include?
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Question 41 of 53
What action should the nurse take after applying gloves to irrigate a client's indwelling urinary catheter using an open technique?
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Question 42 of 53
Upon admission, a female client with breast cancer, liver, and spine metastases presents with constant, severe pain despite the continuous use of oxycodone (Percodan) and amitriptyline (Elavil) at home for pain management. What information is most crucial for the nurse to gather during the admission assessment?
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Question 43 of 53
A high school senior is complaining of a persistent cough and admits to smoking 10 to 15 cigarettes daily for the past year. He is convinced that he is hopelessly addicted to tobacco since he tried unsuccessfully to quit smoking last week. Which intervention is best for the nurse to implement?
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Question 44 of 53
A client has a nursing diagnosis of 'spiritual distress.' What intervention is best for the nurse to implement when caring for this client?
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Question 45 of 53
A male healthcare provider is assigned to care for a female Muslim client. When the provider offers to bathe the client, the client requests that a female healthcare provider perform this task. How should the male healthcare provider respond?
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Question 46 of 53
Which action should the nurse implement when using the confrontation technique during a vision exam?
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Question 47 of 53
When caring for an immobile client, what nursing diagnosis has the highest priority?
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Question 48 of 53
Following a craniotomy, why did the nurse position the client in low Fowler's position?
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Question 49 of 53
Mr. Landon is scheduled to undergo a tracheostomy. Which nursing action is essential during tracheal suctioning?
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Question 50 of 53
After surgery, a client who had a colostomy says 'I know the doctor did not really do a colostomy'. The nurse understands that the client is in an early stage of adjustment to the diagnosis or surgery. What nursing action is indicated at this time?
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Question 51 of 53
After an adult had an indwelling catheter removed, the nurse catheterizes them as ordered and obtains 200 cc of urine. What is the best interpretation of this finding?
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Question 52 of 53
You are assigned to teach a student how to suction an adult patient with a tracheostomy. Which of the following actions by the student would be incorrect?
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Question 53 of 53
The healthcare professional counts an adult's apical heartbeat at 110 beats per minute. The healthcare professional describes this as:
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