Sunday, 30 June 2019

21st Century nursing is the glue that holds a patient’s health care journey together. Across the entire patient experience, and wherever there is someone in need of care, nurses work tirelessly to identify and protect the needs of the individual. Beyond the time-honored reputation for compassion and dedication lies a highly specialized profession, which is constantly evolving...

Saturday, 29 June 2019

Q. The mother of a client with chronic undifferentiated schizophrenia calls the visiting nurse in the outpatient clinic to report that her daughter has not answered the phone in 10 days. "She was doing so well for months. I don't know what's wrong. I'm worried." Which of the following responses by the nurse is most appropriate? A. "Maybe she's just mad at you. Did you...

Friday, 28 June 2019

Q. A 40-year-old executive who was unexpectedly laid off from work 2 days earlier complains of fatigue and an inability to cope. He admits drinking excessively over the previous 48 hours. This behavior is an example of: A. alcoholism. B. a manic episode. C. situational crisis. D. depression. Correct Answer: C (adsbygoogle = window.adsbygoogle || []).push({}); Explanation: A...

Thursday, 27 June 2019

Q. The family of an older adult wants their mother to have counseling for depression. During the initial nursing assessment, the client denies the need for counseling. Which of the following comments by the client supports the fact that the client may not need counseling? A. "My doctor just put me on an antidepressant, and I'll be fine in a week or so." B. "My daughter...

Wednesday, 26 June 2019

Q. Compared to the food requirements of preschoolers and adolescents, the food requirements of school-age children are not as great because these children have a lower: A. Growth rate. B. Metabolic rate. C. Level of activity. D. Hormonal secretion rate. Correct Answer: A (adsbygoogle = window.adsbygoogle || []).push({}); Explanation: Children ages 6 to 12...

Tuesday, 25 June 2019

Q. A nurse is caring for a family whose infant has anencephaly. The most appropriate nursing intervention is to: A. help the family prepare for the infant's imminent death. B. implement measures to facilitate the attachment process. C. provide emotional support so the family can adjust to the birth of an infant with health problems. D. prepare the family for the extensive...

Monday, 24 June 2019

Q. During rounds, a nurse finds that a client with hemiplegia has fallen from the bed because the nursing assistant failed to raise the side rails after giving a back massage. The nurse assists the client to the bed and assesses for injury. As per agency policies, the nurse fills out an incident report. Which of the following activities should the nurse perform after finishing...

Friday, 21 June 2019

Q. Which of the following laboratory findings is present in nephrotic syndrome? A. Decreased total serum protein. B. Hypercalcemia. C. Hyperglycemia. D. Decreased hematocrit. Correct Answer: A (adsbygoogle = window.adsbygoogle || []).push({}); Explanation: A decreased total serum protein occurs as extensive amounts of protein are excreted from the body through...

Thursday, 20 June 2019

Q. A client with a tracheostomy tube coughs and dislodges the tracheostomy tube. The nurse's first action should be to: A. Call for emergency assistance. B. Attempt reinsertion of tracheostomy tube. C. Position the client in semi-Fowler's position with the neck hyperextended. D. Insert the obturator into the stoma to reestablish the airway. Correct Answer: B (adsbygoogle...

Wednesday, 19 June 2019

Q. A nurse on a rehabilitation unit is caring for a client who sustained a head injury in a motor vehicle accident. She notes that the client has become restless and agitated during therapy; previous documentation described the client as cooperative during therapy sessions. The nurse's priority action should be to: A. gather assessment data and notify the physician of...

Tuesday, 18 June 2019

Q. Which finding best indicates that a nursing assistant has an understanding of blood glucose meter use? A. Verbalizing an understanding of blood glucose meter use B. Documenting a normal blood glucose level C. Providing documentation of previous certification D. Demonstrating correct technique Correct Answer: D (adsbygoogle = window.adsbygoogle || []).push({}); Explanation: The...

Monday, 17 June 2019

Q. A client with gastroenteritis is admitted to an acute care facility and presents with severe dehydration and electrolyte imbalances. Diagnostic tests reveal the Norwalk virus as the cause of gastroenteritis. Based on this information, the nurse knows that: A. the client requires an antiviral agent. B. enteric precautions must be continued. C. enteric precautions can...

Sunday, 16 June 2019

Q. When assessing a client for early septic shock, the nurse should assess the client for which of the following? A. Cool, clammy skin. B. Warm, flushed skin. C. Increased blood pressure. D. Hemorrhage. Correct Answer: B (adsbygoogle = window.adsbygoogle || []).push({}); Explanation: Warm, flushed skin from a high cardiac output with vasodilation occurs in warm...

Saturday, 15 June 2019

Q. Just after delivery, a nurse measures a neonate's axillary temperature at 94.1° F (34.5° C). What should the nurse do? A. Rewarm the neonate gradually. B. Rewarm the neonate rapidly. C. Observe the neonate hourly. D. Notify the physician when the neonate's temperature is normal. Correct Answer: A (adsbygoogle = window.adsbygoogle || []).push({}); Explanation: A...

Friday, 14 June 2019

Q. A client is experiencing an early postpartum hemorrhage. Which item in the client's care plan requires revision? A. Inserting an indwelling urinary catheter B. Fundal massage C. Administration of oxytocics D. Pad count Correct Answer: D (adsbygoogle = window.adsbygoogle || []).push({}); Explanation: By the time the client is hemorrhaging, a pad count is...

Thursday, 13 June 2019

Q. A nurse is using Doppler ultrasound to assess a pregnant woman. When should the nurse expect to hear fetal heart tones? A. 7 weeks' gestation B. 11 weeks' gestation C. 17 weeks' gestation D. 21 weeks' gestation Correct Answer: B (adsbygoogle = window.adsbygoogle || []).push({}); Explanation: Using Doppler ultrasound, fetal heart tones may be heard as early...

Wednesday, 12 June 2019

Q. A client with a tentative diagnosis of psychosis is admitted to the psychiatric unit. A physician orders the phenothiazine thioridazine 50 mg by mouth three times per day. Phenothiazines differ from central nervous system (CNS) depressants in their sedative effects by producing: A. deeper sleep than CNS depressants. B. greater sedation than CNS depressants. C. a calming...

Tuesday, 11 June 2019

Q. Family members of a client with bipolar disorder tell a nurse that they are concerned that the client is becoming manic. The nurse knows that the manic phase is marked by: A. flight of ideas and inflated self-esteem. B. increased sleep and greater distractibility. C. decreased self-esteem and increased physical restlessness. D. obsession with following rules and maintaining...

Monday, 10 June 2019

Q. A client is irritable and hostile. He becomes agitated and verbally lashes out when his personal needs are not immediately met by the staff. When the client's request for a pass is refused by the primary care provider, he utters a stream of profanities. Which of the following statements best describes the client's behavior? A. The client's anger is not intended personally. B....

Saturday, 8 June 2019

Q. When performing a physical assessment on an 18-month-old child, which of the following would be best? A. Have a parent hold the toddler. B. Assess the ears and mouth first. C. Carry out the assessment from head to toe. D. Assess motor function by having the child run and walk. Correct Answer: A (adsbygoogle = window.adsbygoogle || []).push({}); Explanation: The...

Friday, 7 June 2019

Q. The nurse is assessing the development of a 7-month-old. The child should be able to: A. Play pat-a-cake. B. Sit without support. C. Say two words. D. Wave bye-bye. Correct Answer: B (adsbygoogle = window.adsbygoogle || []).push({}); Explanation: The majority of infants (90%) can sit without support by 7 months of age. Approximately 75% of infants at...

Thursday, 6 June 2019

Q. A 57-year-old Hispanic woman with breast cancer who does not speak English is admitted for a lumpectomy. Her daughter, who speaks English, accompanies her. In order to obtain admission information from the client, what should the nurse do? A. Ask the client's daughter to serve as an interpreter. B. Ask one of the Hispanic nursing assistants to serve as an interpreter. C....

Wednesday, 5 June 2019

Whether you’re in the hospital for an injury or are going into labor, nurses are one of the main people who will tend to your needs with your treatment. Most people assume that nurses simply handle bed pans or check blood pressure, but the professionals have a long list of duties to perform behind the scenes. As one of the most difficult roles to perform in the healthcare...
Q. Total parenteral nutrition (TPN) is prescribed for a client who has recently had a significant small and large bowel resection and is currently not taking anything by mouth. The nurse should: A. Administer TPN through a nasogastric or gastrostomy tube. B. Handle TPN using strict aseptic technique. C. Auscultate for bowel sounds prior to administering TPN. D. Designate...

Tuesday, 4 June 2019

Q. The nurse observes that the right eye of an unconscious client does not close completely. Which nursing intervention is most appropriate? A. Have the client wear eyeglasses at all times. B. Lightly tape the eyelid shut. C. Instill artificial tears once every shift. D. Clean the eyelid with a washcloth every shift. Correct Answer: B (adsbygoogle = window.adsbygoogle...

Saturday, 1 June 2019

Q. A nurse, a licensed practical nurse (LPN), and a nursing assistant are caring for a group of clients. The nurse asks the nursing assistant to check the pulse oximetry level of a client who underwent laminectomy. The nursing assistant reports that the pulse oximetry reading is 89%. The client Kardex contains an order for oxygen application at 2 L/min should the pulse...

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