Mr. Lee comes to the clinic with thick green drainage around his eyelids. The nurse examiner takes his history and performs a physical examination, beginning with an eye history. General information the nurse should seek is:
One drug can alter the absorption of another drug. One drug increases intestinal motility. Which effect does this have on the second drug?
The teaching plan for a postpartum client who is about to be discharged should include which of the following instructions?
High uric acid levels can develop in clients who are receiving chemotherapy. This can be caused by:
Distribution of a drug to various tissues is dependent on the amount of cardiac output to each type of tissue. Which tissue would receive the highest amount of cardiac output and thus the highest amount of a drug?
A 2-year-old child diagnosed with HIV comes to a clinic for immunizations. Which of the following vaccines should the nurse expect to administer in addition to the scheduled vaccines?
What is the primary theory that explains a family’s concept of health and illness?
Neural tube defects in the fetus have been primarily associated with which deficiency in the mother?
A client who recently lost 50 pounds just received news that she is pregnant. A possible nursing diagnosis is:
A client tells the nurse that his wife’s nagging really gets on his nerves. He asks the nurse to talk with her about her nagging during their family session tomorrow afternoon. Which of the following responses is the most therapeutic for the client?
What does client and family communication and education concerning restraints do?
For which condition might a client’s antidiuretic hormone (ADH) level be increased?
When discussing possible complications of pregnancy with a client, the nurse should explain that all of the following are symptoms of urinary tract infection (UTI). Which of the following is least indicative of UTI during pregnancy?
The chemotherapeutic agent 5-fluorourcacil (5-FU) is ordered for a client as an adjunct measure to surgery. Which statement about chemotherapy is true?
Which of the following microorganisms is easily transmitted from client to client on the hands of health care workers?
Ms. Petty is having difficulty falling asleep. Which of the following measures promote sleep?
While walking in the hallway of an acute care unit of the hospital, the nurse overhears the change of shift report. The nurse should:
The parents of a 2-year-old child ask the nurse how they can teach their child to quit taking toys away from other children. Which of the following statements by the nurse offers the parents the best explanation of their child’s behavior?
A client receiving drug therapy with furosemide and digitalis requires careful observation and care. In planning care for this client, the nurse should recognize that which of the following electrolyte imbalances is most likely to occur?
When working with multicultural populations, the nurse should consider all of the following when planning care for a client with an altered sexuality pattern except:
Which of the following instructions should a nurse give a client who is about to undergo pelvic ultrasonography?
When suctioning a client, what is the usual amount of time the nurse should spend for each suction pass?
Accurate documentation of assessment findings regarding pressure ulcers is very important because:
When teaching a client about anti-retroviral therapy for human immunodeficiency virus (HIV), the PN should emphasize:
In evaluating the lab work of a client in a hepatic coma, which of the following lab tests is most important?
A Roman Catholic client is preparing to have magnetic resonance imaging. He wants to wear his metal crucifix pendant while he is receiving the test. Which of the following is an appropriate response by the nurse?
When discussing the patterns of use of alcohol and other drugs, the nurse should include which piece of information?
The nurse who was not promoted then went to the utility room and slammed several cupboard doors while looking for Kleenex. This behavior exemplifies:
A client’s postoperative pain seems to be getting worse instead of better. When the nurse asks the client, “Why do you think it’s getting worse?” the client replies, “My wife died last month. It’s all I can think about.” The nurse must now consider:
A client with a nasogastric (NG) tube begins vomiting. What action should the nurse take?
A nurse is administering an antibiotic to a 4 year old girl, who does not have an identification bracelet. What action should the nurse take?
Which of the following foods present a problem for a client diagnosed with Celiac Disease?
When a client who is having trouble conceiving says to the nurse, “I have started taking ginseng,” the best response by the nurse is:
A 60-year-old widower is hospitalized after complaining of difficulty sleeping, extreme apprehension, shortness of breath, and a sense of impending doom. What is the best response by the nurse?
A serious complication of a total hip replacement is displacement of the prosthesis. What is the primary sign of displacement?
A stool culture reveals Shigella. What corollary should the nurse recognize regarding this bacterial infection?
How many temporary teeth should the nurse expect to find in a 5-year-old client’s mouth?
A visitor accidentally knocks over a plastic pleural drainage system connected to a client, and it cracks. What should the nurse do first?
The nurse suspects an elderly client has been the victim of abuse. The client denies abuse and declines assistance. The nurse’s next action should be to:
Which of the following clients should refrain from therapy with the thiazide diuretic hydrochlorothiazide (HCTZ)?
Which of the following factors can impact an individual’s ability to give informed consent?
The nurse is working with families who have been displaced by a fire in an apartment complex. What is the priority intervention during the initial assessment?
A risk management program within a hospital is responsible for all of the following except:
When assessing a client with early impairment of oxygen perfusion, such as pulmonary embolus, the nurse should expect to find restlessness and which of the following symptoms?
The nurse’s first action upon discovery of an electrical fire should be which of the following?
A client’s central venous access device (CVAD) becomes infected. Why might the physician order antibiotics to be given through the line rather than through a peripheral IV line?
The client on Floxin must be alerted to which of the following adverse effects?
A patient 3 hours post-op from a hysterectomy is complaining of intense pain at the incision site. When assessing the patient the nurse notes a BP of 169/93, pulse 145 bpm and regular. What action should the nurse take?
Which of the following home-care strategies is most likely to negatively impact the body image of a client with Cushing’s syndrome?
A nurse discharge planner is preparing a client for discharge from an acute care setting. The nurse assesses that skilled home care services are clinically indicated. This assessment is based on all of the following indicators except:
A patient is complaining of severe chest pain during a stress test. Which of the following medications is the most appropriate to relieve this discomfort?
A nurse is reviewing a patient’s arterial blood gas values. Which of the following conditions apply under the following values?
pH- 7.49
Bicarbonate ion 24 mEq/dl
PaCO2 – 31 mmHg
PaO2 – 52 mmHg
FiO2 - .22
A nurse runs into the significant other of a patient with end stage AIDS crying during her smoke break. Which of the following is most appropriate action for the nurse to take?
Which of the following foods should be avoided by clients who are prone to develop heartburn as a result of gastroesophgeal reflux disease (GERD)?
Which of the following physical findings indicates that an 11–12-month-old child is at risk for developmental dysplasia of the hip?
Which of the following might be an appropriate nursing diagnosis for an epileptic client?
A client turns her ankle. She is diagnosed as having a Pulled Ligament. This should be documented as a:
Diagnostic genetic counseling, for procedures such as amniocentesis and chorionic villus sampling, allows clients to make all of the following choices except:
A middle-aged woman tells the nurse that she has been experiencing irregular menses for the past six months. The nurse should assess the woman for other symptoms of:
Which of the following organs of the digestive system has a primary function of absorption?
In teaching clients with Buck’s Traction, the major areas of importance should be:
A 20-year-old obese female client is preparing to have gastric bypass surgery for weight loss. She says to the nurse, “I need this surgery because nothing else I have done has helped me to lose weight.” Which response by the nurse is most appropriate?
While undergoing fetal heart monitoring, a pregnant Native-American woman requests that a medicine woman be present in the examination room. Which of the following is an appropriate response by the nurse?
A client, age 28, was recently diagnosed with Hodgkin’s disease. After staging, therapy is planned to include combination radiation therapy and systemic chemotherapy with MOPP— nitrogen mustard, vincristine (Onconvin), prednisone, and procarbazine. In planning care for this client, the nurse should anticipate which of the following side effects to contribute to a sense of altered body image?
Which of the following nursing actions is most effective when evaluating a kinetic family drawing?
A nurse working in a pediatric clinic and observes the following situations. Which of the following may indicate a delayed child to the nurse?
A nurse teaching a patient with COPD pulmonary exercises should do which of the following?
The nurse seeks to assess the renal function of an elderly client who is about to receive a nephrotoxic medication. Which of the following labs provides the best indicator for renal function?
Appropriate nursing strategies to assist a client in maintaining a sense of self include:
A client goes to the mental health center for difficulty concentrating, insomnia, and nightmares. The client reports being raped as a child. The nurse should assess the client for further signs of:
The nurse is teaching a client about sleep and gives background information on normal sleep patterns. Which of the following substances promotes sleep?
Why is it often necessary to draw a complete blood count and differential (CBC/differential) when a client is being treated with an antiepileptic drug (AED)?
A patient has recently been prescribed Zidovudine (Retrovir). The patient has AIDS. Which of the following side effects should the patient specifically watch out for?
A newborn has been delivered. An Apgar score is given. What does this scoring system indicate?
Which of the following lab values is associated with a decreased risk of cardiovascular disease?
The acts enacted by states to provide immunity from liability to persons who provide emergency care at an accident scene are called:
The nurse should make which of the following responses when questioned by a client about the role of leptin in the body?
When a client who is 25 years of age asks the nurse when she should seek fertility counseling, the best response by the nurse is:
A client states, “I eat a well-balanced diet. I do not smoke. I exercise regularly, and I have a yearly checkup with my physician. What else can I do to help prevent cancer?” The nurse should respond with which of the following statements?
The nurse is teaching a teenage female about preventing the transmission of genital herpes. Which of the following statements should the nurse include?
The client’s lab culture report is negative for a suspected infection. A test that can correctly identify those who do not have a given disease is:
A corporate executive works 60–80 hours a week. The client is experiencing some physical signs of stress. The nurse teaches the client biofeedback techniques. This is an example of which of the following health-promotion interventions?
A client with massive chest and head injuries is admitted to the ICU from the Emergency Department. All of the following are true except:
The nurse observes bilateral bruises on the arms of an elderly client in a long-term care facility. Which of the following questions should the nurse ask this client?
A nurse observes a client sitting alone and talking. When asked, the client reports that he is “talking to the voices.” The nurse’s next action should be:
What significant event occurs in the orientation phase of a nurse-client relationship?
An elderly client denies that abuse is occurring. Which of the following factors could be a barrier for the client to admit being a victim?
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TESTED 19 May 2024
