Tuesday, 30 April 2019

Q. The nurse should assess the client who is taking risperidone (Risperdal) 1 mg, orally twice a day for: A. Insomnia. B. Headache. C. Anxiety. D. Orthostatic hypotension. Correct Answer: D (adsbygoogle = window.adsbygoogle || []).push({}); Explanation: Significant orthostatic hypotension is associated with risperidone (Risperdal) therapy. The nurse should...

Monday, 29 April 2019

Q. Which statement about somatoform pain disorder is accurate? A. The pain is intentionally fabricated by the client to receive attention. B. The pain is real to the client, even though the pain may not have an organic etiology. C. The pain is less than would be expected as a result of the underlying disorder the client identifies. D. The pain is what would be expected...

Friday, 26 April 2019

Q. An 8-year-old child is suspected of having meningitis. Signs of meningitis include: A. Cullen's sign. B. Koplik's spots. C. Kernig's sign. D. Chvostek's sign. Correct Answer: C (adsbygoogle = window.adsbygoogle || []).push({}); Explanation: Signs and symptoms of meningitis include Kernig's sign, stiff neck, headache, and fever. To test for Kernig's sign,...

Thursday, 25 April 2019

Q. When assessing for pain in a toddler, which of the following methods should be the most appropriate? A. Ask the child about the pain. B. Observe the child for restlessness. C. Use a numeric pain scale. D. Assess for changes in vital signs. Correct Answer: B (adsbygoogle = window.adsbygoogle || []).push({}); Explanation: Toddlers usually express pain through...

Wednesday, 24 April 2019

Q. A parent confides to the nurse that their 8-month-old infant is anxious. Which of the following suggestions by the nurse is most appropriate to help the mother lessen her anxiety about her infant? A. Limit holding the infant to feeding times. B. Talk quietly to the infant while he is awake. C. Play music in his room for most of the day and night. D. Have a close friend...

Tuesday, 23 April 2019

Q. A group of nurses has established a focus group and pilot study to examine the potential application of personal data assistants (PDAs) in bedside care. This study is a tangible application of: A. Nursing informatics. B. Electronic medical records. C. Telemedicine. D. Computerized documentation. Correct Answer: A (adsbygoogle = window.adsbygoogle || []).push({}); Explanation: Nursing...

Monday, 22 April 2019

Q. Twenty-four hours after a bone marrow aspiration, the nurse evaluates which of the following as an appropriate client outcome? A. The client maintains bed rest. B. There is redness and swelling at the aspiration site. C. The client requests morphine sulfate for pain. D. There is no bleeding at the aspiration site. Correct Answer: D (adsbygoogle = window.adsbygoogle...

Saturday, 20 April 2019

Q. A primiparous woman has recently delivered a term infant. Priority teaching for the patient includes information on: A. Sudden infant death syndrome (SIDS) B. Breastfeeding C. Infant bathing D. Infant sleep-wake cycles Correct Answer: B (adsbygoogle = window.adsbygoogle || []).push({}); Explanation: Breastfed infants should eat within the first hour of...

Friday, 19 April 2019

Healthcare market research and consulting company PRC recently announced the results of its National Nursing Engagement Report. The report was based on survey findings from over 2,000 healthcare partners and revealed key data about nurses in the workforce today, as well as what the future will hold for nurses and how hospital administrators can help support nurses going...
Q. A nurse is caring for a client diagnosed with ovarian cancer. Diagnostic testing reveals that the cancer has spread outside the pelvis. The client has previously undergone a right oophorectomy and received chemotherapy. The client now wants palliative care instead of aggressive therapy. The nurse determines that the care plan's priority nursing diagnosis should be: A....

Thursday, 18 April 2019

Q. A nurse is caring for a client who has a history of sleep apnea. The client understands the disease process when he says: A. "I need to keep my inhaler at the bedside." B. "I should eat a high-protein diet." C. "I should become involved in a weight loss program." D. "I should sleep on my side all night long." Correct Answer: C (adsbygoogle = window.adsbygoogle...

Wednesday, 17 April 2019

Q. Before cataract surgery, the nurse is to instill several types of eye drops. The surgeon writes orders for 5 gtts of antibiotic in OD, and 3 drops of topical steroid drops in OD. The nurse should: A. Contact the surgeon to rewrite the order. B. Administer the antibiotic in the left eye and the steroid in the right eye. C. Administer both types of drops in the right...

Tuesday, 16 April 2019

Q. A nurse is managing the care of a client with osteoarthritis. Appropriate treatment strategies for osteoarthritis include: A. administration of opioids for pain control. B. administration of nonsteroidal anti-inflammatory drugs (NSAIDs) and initiation of an exercise program. C. administration of monthly intra-articular injections of corticosteroids. D. vigorous physical...

Monday, 15 April 2019

Q. When referred to a podiatrist, a client newly diagnosed with diabetes mellitus asks, "Why do you need to check my feet when I'm having a problem with my blood sugar?" The nurse's most helpful response to this statement is: A. "The physician wants to be sure your shoes fit properly so you won't develop pressure sores." B. "The circulation in your feet can help us determine...

Saturday, 13 April 2019

Q. A client who is undergoing radiation therapy develops mucositis. Which of the following interventions should be included in the client's plan of care? A. Increase mouth care to twice per shift. B. Provide the client with hot tea to drink. C. Promote regular flossing of teeth. D. Use half-strength hydrogen peroxide on mouth ulcers. Correct Answer: C (adsbygoogle...

Friday, 12 April 2019

Q. A client is recovering from an acute myocardial infarction (MI). During the first week of the client's recovery, the nurse should stay alert for which abnormal heart sound? A. Opening snap B. Graham Steell's murmur C. Ejection click D. Pericardial friction rub Correct Answer: D (adsbygoogle = window.adsbygoogle || []).push({}); Explanation: A pericardial...

Thursday, 11 April 2019

Q. When performing an initial assessment of a post-term male neonate weighing 4,000 g (9 lb) who was admitted to the observation nursery after a vaginal delivery with low forceps, the nurse detects Ortolani's sign. Which of the following actions should the nurse do next? A. Determine the length of the mother's labor. B. Notify the primary health care provider immediately. C....

Wednesday, 10 April 2019

Q. A nurse is preparing to perform a postpartum assessment on a client who gave birth 5 hours ago. Which precaution should the nurse plan to take for this procedure? A. Washing the hands B. Washing the hands and wearing latex gloves C. Washing the hands and wearing latex gloves and a barrier gown D. Washing the hands and wearing latex gloves, a barrier gown, and protective...

Tuesday, 9 April 2019

Q. A client who has been in the latent phase of the first stage of labor is transitioning to the active phase. During the transition, the nurse expects to see which client behavior? A. A desire for personal contact and touch B. A full response to teaching C. Fatigue, a desire for touch, and quietness D. Withdrawal, irritability, and resistance to touch Correct Answer:...

Monday, 8 April 2019

Q. A client who's 7 weeks pregnant comes to the clinic for her first prenatal visit. She reports smoking 20 to 25 cigarettes per day. When planning the client's care, the nurse anticipates informing her that if she doesn't stop smoking, her fetus may be at risk for: A. spina bifida. B. tetralogy of Fallot. C. low birth weight. D. hydronephrosis. Correct Answer: C (adsbygoogle...

Saturday, 6 April 2019

Q. At an outpatient visit 3 months after discharge from the hospital, a client says he has stopped his olanzapine (Zyprexa) even though it controls his symptoms of schizophrenia better than other medications. "I have gained 20 lb already. I can't stand any more." Which response by the nurse is most appropriate? A. "I don't think you look fat, why do you think so?" B. "I...

Friday, 5 April 2019

During my senior year of nursing school, life suddenly got a little busy for me. And by a “little busy” I mean I found out I was pregnant, I started planning a wedding with a deadline of three months, and I was still working night shift as a nurse tech. (adsbygoogle = window.adsbygoogle || []).push({}); Honestly, I don’t know how I survived that time in my life,...
Q. A client diagnosed with a cognitive disorder is showing signs of confusion, short-term memory loss, and a short attention span. Which of the following therapy groups would be best suited for this client? A. Insight-oriented. B. Medication management. C. Problem solving. D. Reality-orientation. Correct Answer: D (adsbygoogle = window.adsbygoogle || []).push({}); Explanation:...

Thursday, 4 April 2019

Q. Which of the following should the nurse teach a client with generalized anxiety disorder to help the client cope with anxiety? A. Cognitive and behavioral strategies. B. Issue avoidance and denial of problems. C. Rest and sleep. D. Withdrawal from role expectations and role relationships. Correct Answer: A (adsbygoogle = window.adsbygoogle || []).push({}); Explanation:...

Wednesday, 3 April 2019

Q. A nurse makes a home visit to a client who was discharged from a psychiatric hospital. The client is irritable and walks about her room slowly and morosely. After 10 minutes, the nurse prepares to leave, but the client plucks at the nurse's sleeve and quickly asks for help rearranging her belongings. She also anxiously makes inconsequential remarks to keep the nurse...
(adsbygoogle = window.adsbygoogle || []).push({}); Most nurses have excellent clinical skills that they learned both through their education and on-the-job. He or she is knowledgeable about various disease processes and can quote the side effects of medications verbatim. However, soft skills are usually traits that cannot be taught. Soft skills are innate components...

Tuesday, 2 April 2019

Before graduating with my BSN, I knew I didn’t aspire to bedside nurse for long. I had my eyes set on nursing leadership early on in my career. After two years of inpatient nursing on a medical/GI floor, I started taking graduate level classes towards obtaining a master’s degree in nursing administration with hopes of becoming a nurse manager. (adsbygoogle = window.adsbygoogle...
Q. According to Erikson's psychosocial theory of development, an 8-year-old child would be in which stage? A. Trust versus mistrust B. Initiative versus guilt C. Industry versus inferiority D. Identity versus role confusion Correct Answer: C (adsbygoogle = window.adsbygoogle || []).push({}); Explanation: In middle childhood, the 6- to 12-year-old child is mastering...

Monday, 1 April 2019

Q. A child diagnosed with tetralogy of Fallot becomes upset, crying and thrashing around when a blood specimen is obtained. The child's color becomes blue and the respiratory rate increases to 44 breaths/minute. Which of the following actions should the nurse do first? A. Obtain an order for sedation for the child. B.  Assess for an irregular heart rate and rhythm. C....

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