Question Of The Day: School-age Child

Q. After staying several hours with her 9-year-old daughter who is admitted to the hospital with an asthma attack, the mother leaves to attend to her other children. The child exhibits continued signs and symptoms of respiratory distress. Which of the following findings should lead the nurse to believe the child is experiencing anxiety? A. Not able to get comfortable. B....

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Question Of The Day: The Nursing Process

Q. A client is scheduled for surgery under general anesthesia. The night before surgery, the client tells the nurse, "I can't wait to have breakfast tomorrow." Based on this statement, which nursing diagnosis should be the nurse's priority? A. Deficient knowledge related to food restrictions associated with anesthesia B. Fear related to surgery C. Risk for impaired skin...

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Nursing During COVID-19: 7 Reasons Now is Still a Great Time to Become a Nurse

As our previous way of life has shuttered to an unexpected stop and everyone is hunkering down at home in an attempt to stop the spread of COVID-19 (well, aside from the spring breakers whose beach beers were obviously more important), now is a great opportunity to consider if a career in nursing might be right for you. If you have ever thought about a career in healthcare,...

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Question Of The Day: Basic Physical Care

Q. A client with burns on his groin has developed blisters. As the client is bathing, a few blisters break. The best action for the nurse to take is to: A. remove the raised skin because the blister has already broken. B. wash the area with soap and water to disinfect it. C. apply a weakened alcohol solution to clean the area. D. clean the area with normal saline solution...

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Question Of The Day: Neurosensory Disorders

Q. Which of the following is an early symptom of glaucoma? A. Hazy vision. B. Loss of central vision. C. Blurred or "sooty" vision. D. Impaired peripheral vision. Correct Answer: D Reason: In glaucoma, peripheral vision is impaired long before central vision is impaired. Hazy, blurred, or distorted vision is consistent with a diagnosis of cataracts. Loss of...

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10 Mental Health Tips For Nurses During the COVID-19 Outbreak

During a time that may feel out-of-control for many nurses, it’s important to take control of our mental health and try our best to focus on self-care when away from work. You owe it to yourself to intentionally control how you spend time away from work and where you place your thoughts in-between shifts. After returning home from work, most nurses must quarantine...

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Question Of The Day: Gastrointestinal Disorders

Q. A client with a bleeding ulcer is vomiting bright red blood. The nurse should assess the client for which of the following indicators of early shock? A. Tachycardia. B. Dry, flushed skin. C. Increased urine output. D. Loss of consciousness. Correct Answer: A Reason: In early shock, the body attempts to meet its perfusion needs through tachycardia, vasoconstriction,...

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Question Of The Day: The Neonate

Q. Nurses teach infant care and safety classes to assist parents in appropriately preparing to take their neonates home. Which statement about automobile restraints for infants is correct? A. An infant should ride in a front-facing car seat until he weighs 20 lb (9.1 kg) and is 1 year old. B. An infant should ride in a rear-facing car seat until he weighs 25 lb (11.3 kg)...

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Question Of The Day: Postpartum Period

Q. The nurse is caring for several mother-baby couplets. In planning the care for each of the couplets, which mother would the nurse expect to have the most severe afterbirth pains? A. G 4, P 1 client who is breastfeeding her infant. B. G 3, P 3 client who is breastfeeding her infant. C. G 2, P 2 cesarean client who is bottle-feeding her infant. D. G 3, P 3 client who...

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Question Of The Day: Psychotic Disorders

Q. A client with bipolar disorder, manic phase, just sat down to watch television in the lounge. As the nurse approaches the lounge area, the client states, "The sun is shining. Where is my son? I love Lucy. Let's play ball." The client is displaying: A. Concreteness. B. Flight of ideas. C. Depersonalization. D. Use of neologisms. Correct Answer: B Reason: The client...

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Question Of The Day: Mood, Adjustment, and Dementia Disorders

Q. A nurse is monitoring a client receiving tranylcypromine sulfate (Parnate). Which serious adverse reaction can occur with high dosages of this monoamine oxidase (MAO) inhibitor? A. Hypotensive episodes B. Hypertensive crisis C. Muscle flaccidity D. Hypoglycemia Correct Answer: B Reason: The most serious adverse reaction associated with high doses of MAO inhibitors...

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Question Of The Day: Foundations of Psychiatric Nursing

Q. A client was talking with her husband by telephone, and then she began swearing at him. The nurse interrupts the call and offers to talk with the client. She says, "I can't talk about that bastard right now. I just need to destroy something." Which of the following should the nurse do next? A. Tell her to write her feelings in her journal. B. Urge her to talk with the...

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Question Of The Day: School-age Child

Q. A 7 year old with a history of tonic-clonic seizures has been actively seizing for 10 minutes. The child weighs 22 kg and currently has an intravenous (IV) line of D5 1/2 NS + 20 meq KCL/L running at 60 ml/hr. Vital signs are a temperature of 38 degrees C, heart rate of 120, respiratory rate of 28, and oxygen saturation of 92%. Using the SBAR (Situation-Background-Assessment-Recommendation)...

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Question Of The Day: Infant

Q. A 10-month-old child with recurrent otitis media is brought to the clinic for evaluation. To help determine the cause of the child's condition, the nurse should ask the parents: A. "Does water ever get into the baby's ears during shampooing?" B. "Do you give the baby a bottle to take to bed?" C. "Have you noticed a lot of wax in the baby's ears?" D. "Can the baby combine...

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Question Of The Day: The Nursing Process

Q. A client complains of severe abdominal pain. To elicit as much information as possible about the pain, the nurse should ask: A. "Do you have the pain all the time?" B. "Can you describe the pain?" C. "Where does it hurt the most?" D. "Is the pain stabbing like a knife?" Correct Answer: B Reason: Asking an open-ended question such as "Can you describe the pain?"...

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Question Of The Day: Basic Physical Care

Q. Which scenario complies with Health Insurance Portability and Accountability Act of 1996 (HIPAA) regulations? A. Two nurses in the cafeteria are discussing a client's condition. B. The health care team is discussing a client's care during a formal care conference. C. A nurse checks the computer for the laboratory results of a neighbor who has been admitted to another...

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Question Of The Day: Genitourinary Disorders

Q. After surgery for an ileal conduit, the nurse should closely assess the client for the occurrence of which of the following complications related to pelvic surgery? A. Peritonitis. B. Thrombophlebitis. C. Ascites. D. Inguinal hernia. Correct Answer: B Reason: After pelvic surgery, there is an increased chance of thrombophlebitis owing to the pelvic manipulation...

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Question Of The Day: Respiratory Disorders

Q. A nurse is conducting an initial assessment on a client with possible tuberculosis. Which assessment finding indicates a risk factor for tuberculosis? A. The client sees his physician for a check-up yearly. B. The client has never traveled outside of the country. C. The client had a liver transplant 2 years ago. D. The client works in a health care insurance office. Correct...

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Question Of The Day: Neurosensory Disorders

Q. When obtaining the vital signs of a client with multiple traumatic injuries, a nurse detects bradycardia, bradypnea, and systolic hypertension. The nurse must notify the physician immediately because these findings may reflect which complication? A. Shock B. Encephalitis C. Increased intracranial pressure (ICP) D. Status epilepticus Correct Answer: C Reason: When...

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Question Of The Day: Gastrointestinal Disorders

Q. A client with inflammatory bowel disease is receiving total parenteral nutrition (TPN). The basic component of the client's TPN solution is most likely to be: A. An isotonic dextrose solution. B. A hypertonic dextrose solution. C. A hypotonic dextrose solution. D. A colloidal dextrose solution. Correct Answer: B Reason: The TPN solution is usually a hypertonic...

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Question Of The Day: The Neonate

Q. While assessing a male neonate whose mother desires him to be circumcised, the nurse observes that the neonate's urinary meatus appears to be located on the ventral surface of the penis. The primary health care provider is notified because the nurse suspects which of the following? A. Phimosis. B. Hydrocele. C. Epispadias. D. Hypospadias. Correct Answer: D Reason: The...

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Question Of The Day: Postpartum Period

Q. While assessing the fundus of a multiparous client on the first postpartum day, the nurse performs handwashing and dons clean gloves. Which of the following should the nurse do next? A. Place the nondominant hand above the symphysis pubis and the dominant hand at the umbilicus. B. Ask the client to assume a side-lying position with the knees flexed. C. Perform massage...

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Question Of The Day: Antepartum Period

Q. A multigravid client in labor at 38 weeks' gestation has been diagnosed with Rh sensitization and probable fetal hydrops and anemia. When the nurse observes the fetal heart rate pattern on the monitor, which of the following patterns is most likely? A. Early deceleration pattern. B. Sinusoidal pattern. C. Variable deceleration pattern. D. Late deceleration pattern. Correct...

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Question Of The Day: Psychotic Disorders

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...

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Question Of The Day: Mood, Adjustment, and Dementia Disorders

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 Reason: A situational crisis results from a specific...

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5 Reasons a Nursing Degree is the Best College Major

If you’re considering what subject to major in, it is also important to consider what NOT to major in. Forbes recently released its list of the 10 worst college majors to pursue; from philosophy to anthropology to religious studies, the majors that made the list had to yield the lowest pay with the most challenging job market. Guess what major wasn’t listed --- nursing!  Going...

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Question Of The Day: Foundations of Psychiatric Nursing

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...

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Question Of The Day: School-age Child

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 Reason: Children ages 6 to 12 have a slower growth rate than do younger children and adolescents....

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Question Of The Day: Endocrine and Metabolic Disorders

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 Reason: The best way to validate blood glucose...

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