The perioperative nurse manager and the postoperative unit manager are concerned about the increasing number of surgical infections in their hospital. What action by the managers is best?
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Question 2 of 73
Which one of the following examples of nursing actions would be considered an ethical/legal skill?
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Question 3 of 73
The nurse should assess every client to determine if stress reduction interventions should be part of the plan of care. The rationale for this action is that:
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Question 4 of 73
The primary source of data during the assessment phase of the nursing process is:
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Question 5 of 73
Which nursing action would compromise safety when administering a tube feeding to a client with a tracheostomy?
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Question 6 of 73
Which of the following is an effective technique to use when interviewing a client?
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Question 7 of 73
A patient scheduled for a total laryngectomy and radical neck dissection for cancer of the larynx asks the nurse, 'Will I be able to talk normally after surgery?' What is the most accurate response by the nurse?
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Question 8 of 73
You have read from the chart that a blood transfusion was prescribed to Gella, a patient with aplastic anemia. Which of the following actions should you do FIRST?
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Question 9 of 73
A pediatrician’s prescription reads “ampicillin sodium 125 mg IV every 6 hours.†The medication label reads “when reconstituted with 7.4 mL of bacteriostatic water, the final concentration is 1 g/7.4 mL.†The nurse prepares to draw up how many milliliters to administer 1 dose?
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Question 10 of 73
Unilateral hypertrophy of the arm muscles is most likely seen in an individual who regularly
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Question 11 of 73
The nurse is providing care for a client who underwent mitral valve replacement. The best example of a measurable client outcome goal is to:
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Question 12 of 73
Nurse Monett is caring for a client recovering from gastrointestinal bleeding. The nurse should:
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Question 13 of 73
What major complication should an elderly female with osteoporosis be taught about?
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Question 14 of 73
What comment from a nursing student reflects the need for further education regarding how incorporating nursing theory into research enhances the evidence base of the nursing profession?
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Question 15 of 73
What action indicates the client needs more practice in combining two insulins?
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Question 16 of 73
A patient who comes to the clinic reports frequent, watery stools for 2 days. Which action should the nurse take first?
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Question 17 of 73
The proper placement of a stethoscope for auscultating the aortic valve is the
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Question 18 of 73
You are to insert an indwelling catheter for a female client, after the insertion of the catheter still the urine does not flow. You made a conclusion that you might have inserted the catheter into the vagina. In response to this, you should:
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Question 19 of 73
A patient who has just undergone a colon resection complains to a nurse that he felt something pop under his dressing while trying to get out of bed.the nurse removes the dressing and finds that dehiscence of the wound has occurred.what nursing action should be implemented first?
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Question 20 of 73
The nurse is performing an assessment on a patient brought to the emergency department for treatment for dehydration. The nurse assesses a respiratory rate of 26 breaths/minute, a heart rate of 110 beats/minute, a blood pressure of 86/50 mm Hg, and a temperature of 39.5 C. The patient becomes dizzy when transferred from the wheelchair to a bed. The nurse notes cool, clammy skin. Which diagnosis does the nurse suspect?
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Question 21 of 73
What is the legal source of rules of conduct for nurses?
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Question 22 of 73
A patient has chronic peripheral artery disease (PAD) of the legs and an ulcer on the right second toe. What should the nurse expect to find on assessment?
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Question 23 of 73
An inpatient nurse brings an informed consent form to a client for an operation scheduled for tomorrow. The client asks about possible complications from the operation. What response by the nurse is best?
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Question 24 of 73
A primary health care provider notifies the nurse that a client has a “bandemia.†What action does the nurse anticipate?
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Question 25 of 73
A male client is admitted and diagnosed with acute pancreatitis after a holiday celebration of excessive food and alcohol. Which assessment finding reflects this diagnosis?
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Question 26 of 73
A patient with chronic obstructive pulmonary disease (COPD) has poor gas exchange. Which action by the nurse would support the patient’s ventilation?
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Question 27 of 73
A patient with pneumonia should have which of the following tests performed to determine an appropriate antibiotic?
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Question 28 of 73
What should Nurse Maureen do if a male client begins choking on his lunch but is coughing forcefully?
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Question 29 of 73
Which client should the on-duty nurse assess first?
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Question 30 of 73
A young adult patient with cystic fibrosis (CF) is admitted to the hospital with increased dyspnea. Which intervention should the nurse include in the plan of care?
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Question 31 of 73
A nurse is admitting a patient to the hospital for surgery. Which of the following pieces of information must be obtained from the patient? Select all that apply.
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Question 32 of 73
The client is to receive a scheduled dose of digoxin has a irregular apical pulse of 92 bpm and a serum potassium of 3.9 meq/l which nursing documentation reflects the most appropriate action?
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Question 33 of 73
The nurse takes proactive measures to prevent falls, such as using bed alarms and assisting patients with mobility. What ethical principle do these measures emphasize?
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Question 34 of 73
The nurse documents the client’s pulse as weak and thready. This pulse characteristic refers to:
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Question 35 of 73
A physician’s order reads Potassium chloride (KCl) 30mEq to be added to 1L ml normal saline and to be given over 10-hour period. The available potassium chloride is 40mEq per 20ml. Nurse Corazon should prepare how many milliliters of Potassium Chloride to administer the correct dose of medication?
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Question 36 of 73
The nurse has received the laboratory results for a patient who developed chest pain 4 hours ago and may be having a myocardial infarction. Which laboratory test result should be most helpful in indicating myocardial damage? (FILL IN THE BLANKS)
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Question 37 of 73
Nursing care for a client with an indwelling catheter includes which of the following?
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Question 38 of 73
The following factor should be considered first when developing a teaching plan:
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Question 39 of 73
The physician orders a blood transfusion for a client. The nurse should anticipate using an I.V. access device of which size?
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Question 40 of 73
The client has developed liver failure. Which of the following laboratory values would Nurse Irene expect to have alterations?
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Question 41 of 73
The post-surgical client has been NPO this shift; however, the physician orders clear liquids. Which of the following actions would be best on the part of the nurse?
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Question 42 of 73
A patient with chronic heart failure who is taking a diuretic and an angiotensin-converting enzyme (ACE) inhibitor and who is on a low-sodium diet tells the home health nurse about a 5-Ib weight gain in the past 3 days. What is the nurse's priority action?
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Question 43 of 73
To monitor for complications in a patient with type 2 diabetes, which tests will the nurse in the diabetic clinic schedule at least annually? (Select all that do not apply.)
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Question 44 of 73
Which of the following are examples of a nurse demonstrating the professional value of altruism? Select all that apply.
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Question 45 of 73
During the health history, a client shares that the family attends church every Sunday. Which function of the family does this represent?
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Question 46 of 73
An example of a holistic nursing approach would be when the nurse
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Question 47 of 73
A diabetic patient lost his wife 4 months ago. Tearful, he says, 'How could you possibly understand what I am going through?' Which of the following would be an appropriate response?
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Question 48 of 73
A patient has pitting pedal edema, crackles, and an elevated blood pressure. The nurse concludes that the patient has fluid volume excess. Which type of reasoning did the nurse use?
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Question 49 of 73
A nurse refers a patient with a new colostomy to a support group. This nurse is practicing which of the following aims of nursing?
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Question 50 of 73
The Health Information Portability and Privacy Act (HIPAA) influences nursing research primarily in the area related to:
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Question 51 of 73
A middle-aged woman is 40 pounds over her ideal weight. Which of the following statements best illustrates the effect of her self-concept on health and illness?
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Question 52 of 73
The nurse provides preoperative instruction for a patient scheduled for a left pneumonectomy. Which information should the nurse include about the patient’s postoperative care?
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Question 53 of 73
A home health nurse reviews the nursing care with the patient and family and then mutually discusses the expected outcomes of the nursing care to be provided. Which step of the nursing process is the nurse illustrating?
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Question 54 of 73
The minimum time in washing each hand should never be below:
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Question 55 of 73
The nurse teaching a group of adults about cancer warning signs presents to the group a list of the seven possible warning signs of cancer that is used by the American Cancer Society. What should this list NOT include?
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Question 56 of 73
When preparing the epinephrine injection from an ampule, Nurse Andrae initially:
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Question 57 of 73
Teaching a woman about breast self-examination is an example of what broad aim of nursing?
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Question 58 of 73
Which of the following are examples of characteristics of evidence-based practice? Select all that apply.
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Question 59 of 73
Upon skin inspection of an older adult, the coccyx wound is noted to be intact, reddened, and non-blanchable. What is the best way to document the nurse's assessment finding?
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Question 60 of 73
The nurse cares for a client who just had a massive myocardial infarction (MI). Which of the following stress reduction techniques would be applicable to this client? Select all that apply.
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Question 61 of 73
A nurse has been tried and found guilty of the felony crime of forgery. How might this affect the nurses license to practice nursing?
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Question 62 of 73
One of the primary reasons for conducting nursing research is to:
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Question 63 of 73
When can chest physiotherapy be performed?
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Question 64 of 73
Which of the following abbreviations are on the list of the Joint Commission do not use abbreviations? Select all that apply.
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Question 65 of 73
When assessing a client's skin, the nurse notes a deep, irregular-shaped area of skin loss that extends below the dermis. What term would the nurse use when documenting this?
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Question 66 of 73
Who should not be targeted in nutrition education?
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Question 67 of 73
The nurse is noting an order for a medication to be given TID. Which times will the nurse plan to administer the medication to the patient?
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Question 68 of 73
The scope of Nursing practice is legally defined by:-
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Question 69 of 73
The home health nurse is visiting a patient with chronic obstructive pulmonary disease (COPD). Which nursing action is appropriate to implement for a patient who has an impaired breathing pattern due to anxiety?
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Question 70 of 73
Watson's carative factors include all the following, EXCEPT:
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Question 71 of 73
A nurse in a walk-in healthcare setting provides technical services, such as, administering medications, determines the priority of care needs, and provides patient teaching on all aspects of care. Which of the following terms best describes this type of healthcare setting?
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Question 72 of 73
The nurse is planning care for a client with a CVA. Which of the following measures planned by the nurse would be most effective in preventing skin breakdown?
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Question 73 of 73
What is the primary purpose of standards of nursing practice?
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