Which of the following should not be included in the teaching for clients who take oral iron preparations?
The best lab test to diagnose disseminated intravascular coagulation (DIC) is:
The sexually transmitted disease, sometimes referred to as the silent STD, that is more common than gonorrhea and a leading cause of PID is:
In managing nausea related to Morphine epidural analgesia, the nurse should administer:
The nurse assesses a client for physiological risk factors for falls. The nurse should conclude that the client is not at risk if which of the following is discovered?
Ten-year-old Jackie is admitted to the hospital with a medical diagnosis of Rheumatic Fever. She relates a history of “a sore throat about a month ago.†Bed rest with bathroom privileges is prescribed. Which of the following nursing assessments should be given the highest priority when assessing Jackie’s condition?
The charge nurse on a cardiac unit tells you a patient is exhibiting signs of right-sided heart failure. Which of the following would not indicate right-sided heart failure?
A client has been taking a drug (Drug A) that is highly metabolized by the cytochrome p-450 system. He has been on this medication for 6 months. At this time, he is started on a second medication (Drug B) that is an inducer of the cytochrome p-450 system. You should monitor this client for:
A nurse is caring for a retired MD. The MD asks the question, “What type of cells secrete insulin?†The correct answer is:
A nurse doing a home health visit consults with a male patient that has a diagnosis of CAD and COPD. The patient is currently taking Ventolin, Azmacort, Aspirin, and Theophylline. The patient complains of upset stomach, nausea and feeling uncomfortable. The nurse should:
During the health screening of an adolescent, which finding by the nurse requires further teaching?
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?
After securing the client’s safety from a faulty electric bed, the nurse should take which action?
The physician wants to know if a client is tolerating his total parenteral nutrition. Which of the following laboratory tests is likely to be ordered?
A nurse who is assessing the health-related physical fitness of a client as part of a health assessment should focus on which of the following aspects of the assessment?
Which instruction should be given in a health education class regarding testicular cancer?
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:
An Rh-negative woman with previous sensitization has delivered an Rh-positive fetus. Which of the following nursing actions should be included in the client’s care plan?
Which of the following is true concerning human immunodeficiency virus (HIV)?
A 14 year-old boy has been admitted to a mental health unit for observation and treatment. The boy becomes agitated and starts yelling at nursing staff members. What should the nurse first response be?
Which of the following motions is identified with the corresponding action?
(Action- Turning palm of hand over to face in the anterior direction, dorsum of the hand is pointed downward toward the floor.)
Which of the following methods of contraception is able to reduce the transmission of HIV and other STDs?
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:
What do the following ABG values indicate: pH 7.38, PO2 78 mmHg, PCO2 36mmHg, and HCO3 24 mEq/L?
Which of the following lab values would indicate symptomatic AIDS in the medical chart? (T4 cell count per deciliter)
Which of the following diseases or conditions is least likely to be associated with increased potential for bleeding?
Teaching about the need to avoid foods high in potassium is most important for which client?
A client with dumping syndrome should ___________ while a client with GERD should ___________.
Erythropoietin used to treat anemia in clients with renal failure should be given in conjunction with:
When teaching a client about anti-retroviral therapy for human immunodeficiency virus (HIV), the PN should emphasize:
A contraindication for topical corticosteroid use in a client with atopic dermatitis (eczema) is:
Which statement best describes electrolytes in intracellular and extracellular fluid?
A preschooler has successfully completed the test item “counts 5 blocks†on the Denver II test. This pass is evidence of which of the following developmental concepts?
Paula is a 32-year-old woman seeking evaluation and treatment of major depressive symptoms. A major nursing priority during the assessment process includes which of the following?
Which of the following symptoms is most characteristic of a client with cancer of the lungs?
While performing a physical assessment on a 6-month-old infant, the nurse observes head lag. Which of the following nursing actions should the nurse perform first?
A couple from the Philippines living in the United States is expecting their first child. In providing culturally competent care, the nurse must first:
What significant event occurs in the orientation phase of a nurse-client relationship?
The nurse should teach parents of small children that the most common type of first-degree burn is:
In an obstetrical emergency, which of the following actions should the nurse perform first after the
baby delivers?
In a disaster situation, the nurse assessing a diabetic client on insulin assesses for all of the following except:
On first meeting, a new nurse manager makes eye contact, smiles, initiates conversation about the previous work experience of nurses, and encourages active participation by nurses in the dialogue. Her behavior is an example of:
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 nurse is planning a brief treatment program for a client who was raped. A realistic, short-term goal is to:
A 4-year-old client is unable to go to sleep at night in the hospital. Which nursing intervention best promotes sleep for the child?
High uric acid levels can develop in clients who are receiving chemotherapy. This can be caused by:
Fat emulsions are frequently administered as a part of total parenteral nutrition. Which statement is true regarding fat emulsions?
Which of the following observations is most important when assessing a client’s breathing?
A chemical reaction between drugs prior to their administration or absorption is known as:
A wrong committed by one person against another (or against the property of another) that might result in a civil trial is:
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 serious complication of a total hip replacement is displacement of the prosthesis. What is the primary sign of displacement?
Referral for client education in the community can be accomplished through all of the following except:
When medications have an additive, synergistic, or antagonistic effect on a tissue, a ________ reaction has occurred.
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?
The power a nurse exerts when he or she works to accomplish goals and effect change in an agency or in policy is considered what type of power?
A client has just returned from surgery where a femoral-popliteal bypass was performed. The nurse has assessed the client and is unable to feel a pulse at either the dorsalis pedis or the posterior tibial sites of the left foot. The foot feels warm and the color is pink. What action should the nurse perform next to prevent ischemia?
A neighbor telephones the nurse to tell her that her child has erythema infectiosum and asks for information. The nurse knows that another name for the disorder is:
The nurse can best communicate to a client that he or she has been listening by:
The nurse is caring for a dying client who has persistently requested that the nurse “help her to die and be in peace.†According to the Code of Ethics for Nurses, the nurse should:
The orientation nurse educator reviewing the biohazard legend with a class of new employees states that the emblem is affixed to containers whenever:
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?
The nurse’s first action upon discovery of an electrical fire should be which of the following?
In infants and children, the side effects of firstgeneration over-the counter (OTC) antihistamines, such as diphenhydramine (Benedryl) and hydroxyzine (Atarax), can include:
A client with cirrhosis of the liver presents with ascites. The physician is to perform a parancentesis. For safety, the nurse should ask the client to:
Which of the following microorganisms is easily transmitted from client to client on the hands of health care workers?
The nurse is teaching parents of a newborn about feeding their infant. Which of the following instructions should the nurse include?
When a client informs the nurse that he is experiencing hypoglycemia, the nurse provides immediate intervention by providing:
All of the following should be performed when fetal heart monitoring indicates fetal distress except:
What is the primary nutritional deficiency of concern for a strict vegetarian?
Which of the following is an appropriate nursing goal for a client at risk for nutritional problems?
When obtaining a health history on a menopausal woman, which information should a nurse recognize as a contraindication for hormone replacement therapy?
Which of the following neurological disorders is characterized by writhing, twisting movements of the face and limbs?
A client comes to the clinic for assessment of his physical status and guidelines for starting a weight-reduction diet. The client’s weight is 216 pounds and his height is 66 inches. The nurse identifies the BMI (body mass index) as:
A woman asks, “How much alcohol can I safely drink while pregnant?†The nurse’s best response is:
With a breech presentation, the nurse must be particularly alert for which of the following?
When a woman is receiving postpartum epidural morphine, the nurse should plan to observe for which of the following side effects to occur within the first 3 hours?
Which of the following diseases places a client at risk for developing cirrhosis?
The nurse should make which of the following responses when questioned by a client about the role of leptin in the body?
In administering NSAID adjunctive therapy to an elderly client with cancer, the nurse must monitor:
In a disaster, triage situation, the nurse should be least concerned with which of the following regarding a client in crisis?
The chemotherapeutic agent 5-fluorourcacil (5-FU) is ordered for a client as an adjunct measure to surgery. Which statement about chemotherapy is true?
One of the major functions of the kidneys in maintaining normal fluid balance is:
Which type of diet should the nurse provide to help a client who has major burns maintain a positive nitrogen balance?
A female client complains to the nurse at the health department that she has fatigue, shortness of breath, and lightheadedness. Her history reveals no significant medical problems. She states that she is always on a fad diet without any vitamin supplements. Which tests should the nurse expect the client to have first?
Increased cortisol levels might be found in a client with which condition?