Exact2Pass
A hospitalized client has just been informed that he has terminal cancer. He says to the nurse, “There must be some mistake in the diagnosis.” The nurse determines that the client is demonstrating which of the following?
A 65-year-old female client is experiencing postmenopausal bleeding. Which type of physician should this client be encouraged to see?
A 35-year-old Latin-American client wishes to lose weight to reduce her chances of developing heart disease and diabetes. The client states, “I do not know how to make my diet work with the kind of foods that my family eats.” What should the nurse do first to help the client determine a suitable diet for disease prevention?
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:
In a disaster situation, the nurse assessing a diabetic client on insulin assesses for all of the following except:
A nurse is planning a brief treatment program for a client who was raped. A realistic, short-term goal is to:
A chemical reaction between drugs prior to their administration or absorption is known as:
The greatest time savers when planning client care include all of the following except:
A client can receive the mumps, measles, rubella (MMR) vaccine if he or she:
Attaching a restraint to a side rail or other movable part of the bed can:
As part of a routine health screening, the nurse notes the play of a 2-year-old child. Which of the following is an example of age-appropriate play at this age?
A patient has a history of cardiac arrhythmia. A nurse has been ordered to give 2 units of blood to this patient. The nurse should take which of the following actions?
Which of the following substances need to be assessed when completing a family health assessment?
A young female teenager describes a brutal assault and rape to the nurse on duty. Which of the following actions should the nurse take first?
The nurse working with elderly clients should keep in mind that falls are most likely to happen to elderly who are:
The only time that an individual may receive medical care without giving informed consent is:
All of the following tasks could be delegated to a nursing assistant or unlicensed assistive personnel (UAP) except:
The emergency triage nurse should perform which action upon receiving the history that a client has a severe cough, fever, night sweats, and body wasting?
Which of the following factors can impact an individual’s ability to give informed consent?
Kleinman’s Explanatory Model of Health and Illness is significant because:
A client asks the nurse if all donor blood products are cross-matched with the recipient to prevent a transfusion reaction. Which of the following always requires cross-matching?
When questioning an elder about suspected abuse, the nurse should keep the questions:
A hospitalized adult client who routinely works from midnight until 8 a.m. has a temperature of 99.1° F at 4 a.m. The nurse determines that this is most likely due to:
A day care center has asked the nurse to provide education for parents regarding safety in the home. What type of preventive care does this represent?
During surgery, it is found that a client with adenocarcinoma of the rectum has positive peritoneal lymph nodes. What is the next most likely site of metastasis?
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?
Activities of effective supervisors can be taskrelated or people-related activities. An example of a task-related supervisory activity is:
The nurse is preparing to administer IV Vancomycin to a client. Which of the following nursing actions
should be taken first?
The nurse teaching a client about hepatitis and its transmission should explain that one type of hepatitis does not produce a carrier state after its acute phase. Which type is it?
A stool culture reveals Shigella. What corollary should the nurse recognize regarding this bacterial infection?
A community health nurse is asked to organize a health promotion project that plans to provide glucose screening. This activity is most beneficial within what realm?
A 50 milliliter (ml) bolus of normal saline fluid is ordered by the physician. The physician wants it to infuse in 30 minutes. The nurse should set the pump rate at:
In the process of an annual physical exam, a client is diagnosed with Benign Prostatic Hypertrophy (BPH). This client is likely to have a consult with which type of physician?
Which of the following might be an appropriate nursing diagnosis for an epileptic client?
When administering intravenous electrolyte solution, the nurse should take which of the following precautions?
Which of the following is likely to increase the risk of sexually transmitted disease?
A 10-month-old child is brought to the Emergency Department because he is difficult to awaken. The nurse notes bruises on both upper arms. These findings are most consistent with:
All of the following should be performed when fetal heart monitoring indicates fetal distress except:
A client is complaining of difficulty walking secondary to a mass in the foot. The nurse should document this finding as:
The nurse teaching about preventable diseases should emphasize the importance of getting the following vaccines:
Nurses caring for clients who have cancer and are taking opioids need to assess for all of the following except:
James returns home from school angry and upset because his teacher gave him a low grade on an assignment. After returning home from school, he kicks the dog. This coping mechanism is known as:
When obtaining a health history on a menopausal woman, which information should a nurse recognize as a contraindication for hormone replacement therapy?
A safety measure to implement when transferring a client with hemiparesis from a bed to a wheelchair is:
Erythropoietin used to treat anemia in clients with renal failure should be given in conjunction with:
Teaching about the need to avoid foods high in potassium is most important for which client?
A client has been diagnosed with Disseminated Intravascular Coagulation (DIC) and transferred to the medical intensive care unit (ICU) subsequent to an acute bleeding episode. In the ICU, continuous Heparin drip therapy is initiated. Which of the following assessment findings indicates a positive response to Heparin therapy?
When a client needs oxygen therapy, what is the highest flow rate that oxygen can be delivered via nasal cannula?
Which of the following procedures describes an opening between the colon and abdominal wall?
In teaching bleeding precautions to a client with leukemia, the PN should include which of the following instructions?
An 8-year-old Asian child is being examined during a school screening. The nurse notices small bruises on the anterior and posterior ribs. The nurse should ask the child:
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 conditions has a severe complication of respiratory failure?
Which of the following allergies might be a contraindication for a client to receive contrast enhancement for intracranial computed tomography?
To ensure proper immobilization and increase client comfort when using a rigid splint:
Which of the following describes the stages of domestic violence in an intimate relationship?
When a client who is having trouble conceiving says to the nurse, “I have started taking ginseng,” the best response by the nurse is:
When caring for a client with a possible diagnosis of placenta previa, which of the following admission procedures should the nurse omit?
Incidences of child abuse apperar to be higher in the African-American community and might be explained by:
When a client with a major burn experiences body image disturbance, which of the following is an appropriate nursing intervention classification?
Which statement best describes electrolytes in intracellular and extracellular fluid?
A client has a nasogastric (NG) tube in place following abdominal surgery. The purpose of this tube immediately following surgery is to:
A client with sickle cell disease is worried about passing the disease on to children. Which of the following statements by the PN is most appropriate for this client?
Which of the following instructions should a nurse give a client who is about to undergo pelvic ultrasonography?
A nurse is assigned to do pre-operative teaching on a blind patient who is scheduled for surgery the following morning. What teaching strategy would best fit the situation?
A patient has experienced a severe third degree burn to the trunk in the last 36 hours. Which phase of burn management is the patient in?
What is the appropriate ratio of cardiac compressions to ventilations in an adult client for one-person CPR?
The highest incident of child abuse occurs in children in which age group?
Which direction given to the nursing assistant is most likely to accomplish the task of getting a urine specimen delivered to the lab immediately after collection?
A patient has been admitted to the hospital with a HNP L4-5 segment diagnosis. After 24 hours the patient is able to ambulate with assistance with reduced muscle spasms. Which of the following medications was the most beneficial in changing the patient’s mobility status?
A newborn baby exhibits a reflex that includes: hand opening, abducted and extended extremities following a jarring motion. Which of the following correctly identifies the reflex?
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?
An infection in a central venous access device is not eliminated by giving antibiotics through the catheter. How might bacterial glycocalyx contribute to this?
A client has experienced a CVA with right hemiparesis and is ready for discharge from the hospital to a long-term care facility for rehab. To provide optimal continuity of care, the nurse should do all of the following except:
A client is taking the fluoroquinolone Ciprofloxin for acute prostatitis. After a few doses of the agent, he develops severe muscle pain. The most likely cause of the adverse reaction is:
For which condition might a client’s antidiuretic hormone (ADH) level be increased?
A client expresses anxiety about having magnetic resonance imaging performed. Which of the following is an appropriate response by the nurse?
When a middle-age woman says to the nurse, “I’m really worried about menopause. When my mom went through it, she got really depressed.” The nurse’s best response is:
Which of the following blood pressure parameters indicates PIH? Elevation over a baseline of:
When teaching a woman about possible side effects of hormone replacement therapy, the nurse should include information about all of the following except:
One of the major functions of the kidneys in maintaining normal fluid balance is:
A physician orders a serum creatinine for a hospitalized client. The nurse should explain to the client and his family that this test:
Which of the following viruses is most likely to be acquired through casual contact with an infected individual?
Mrs. Owens is the 81-year-old mother of Jonathan, who is 54 years old. Jonathan has had schizophrenia since he was 16 years old. Which of Mrs. Owens’s concerns is likely to predominate?
In administering NSAID adjunctive therapy to an elderly client with cancer, the nurse must monitor:
A nurse is caring for a client with an elevated urine osmolarity. The nurse should assess the client for: