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- Current
- Review
- Answered
- Correct
- Incorrect
- Question 1 of 450
1. Question
1. Question Tag: leukemia
Question Category: Health Promotion and Maintenance
The nurse is providing discharge teaching for the client with leukemia. The client should be told to avoid:CorrectIncorrect - Question 2 of 450
2. Question
2. Question Tag: tracheostomy
Question Category: Reduction of Risk Potential
The nurse is changing the ties of the client with a tracheostomy. The safest method of changing the tracheostomy ties is to:
CorrectIncorrect - Question 3 of 450
3. Question
3. Question Tag: lung resection
Question Category: Physiological Integrity, Reduction of Risk Potential
The nurse is monitoring a client following a lung resection. The hourly output from the chest tube was 300mL. The nurse should give priority to:
CorrectIncorrect - Question 4 of 450
4. Question
4. Question Tag: Tetralogy of Fallot
Question Category: Physiological Integrity, Pharmacological and Parenteral Therapies
The infant is admitted to the unit with tetralogy of fallot. The nurse would anticipate an order for which medication?
CorrectIncorrect - Question 5 of 450
5. Question
5. Question Tag: Self-breast exam
Question Category: Health Promotion and Maintenance
The nurse is educating the lady’s club in a self-breast exam. The nurse is aware that most malignant breast masses occur in the Tail of Spence. On the diagram below, select where the Tail of Spence is.
CorrectIncorrect - Question 6 of 450
6. Question
6. Question Tag: ventricular septal defect
Question Category: Physiological Integrity, Physiological Adaptation
The toddler is admitted with a cardiac anomaly. The nurse is aware that the infant with a ventricular septal defect will:
CorrectIncorrect - Question 7 of 450
7. Question
7. Question Tag: nonstress test
Question Category: Physiological Integrity, Reduction of Risk Potential
The nurse is monitoring a client with a history of stillborn infants. The nurse is aware that a nonstress test can be ordered for this client to:
CorrectIncorrect - Question 8 of 450
8. Question
8. Question Tag: labor
Question Category: Health Promotion and Maintenance
The nurse is evaluating the client who was admitted 8 hours ago for induction of labor. The following graph is noted on the monitor. Which action should be taken first by the nurse?
CorrectIncorrect - Question 9 of 450
9. Question
9. Question Tag: ECG, cardiac arrhythmia
Question Category: Physiological Integrity, Reduction of Risk Potential
The nurse notes the following on the ECG monitor. The nurse would evaluate the cardiac arrhythmia as:
CorrectIncorrect - Question 10 of 450
10. Question
10. Question Tag: lovenox (Enoxaparin)
Question Category: Physiological Integrity, Pharmacological and Parenteral Therapies
A client with clotting disorder has an order to continue lovenox (Enoxaparin) injections after discharge. The nurse should teach the client that lovenox injections should:
CorrectIncorrect - Question 11 of 450
11. Question
- Question Tag: valium (Diazepam), phenergan (Promethazine)
Question Category: Physiological Integrity, Pharmacological and Parenteral Therapies
The nurse has a preop order to administer valium (Diazepam) 10mg and phenergan (Promethazine) 25mg. The correct method of administering these medications is to:
CorrectIncorrect - Question 12 of 450
12. Question
12. Question Tag: urinary tract infection
Question Category: Health Promotion and Maintenance
A client with frequent urinary tract infections asks the nurse how she can prevent the recurrence. The nurse should teach the client to:
CorrectIncorrect - Question 13 of 450
13. Question
13. Question Tag: nursing assistant
Question Category: Safe and Effective Care Environment, Management of Care
Which task should be assigned to the nursing assistant?
CorrectIncorrect - Question 14 of 450
14. Question
14. Question Tag: thyroidectomy
Question Category: Physiological Integrity, Reduction of Risk Potential
The client has recently returned from having a thyroidectomy. The nurse should keep which of the following at the bedside?
CorrectIncorrect - Question 15 of 450
15. Question
15. Question Tag: histoplasmosis
Question Category: Physiological Integrity, Physiological Adaptation
The physician has ordered a histoplasmosis test for the elderly client. The nurse is aware that histoplasmosis is transmitted to humans by:
CorrectIncorrect - Question 16 of 450
16. Question
16. Question Tag: chest pain
Question Category: Physiological Integrity, Physiological Adaptation
What’s the first intervention for a patient experiencing chest pain and an p02 of 89%?
CorrectIncorrect - Question 17 of 450
17. Question
17. Question Tag: abdominal aortic aneurysm
Question Category: Physiological Integrity, Physiological Adaptation
Which of the following signs and symptoms usually signifies rapid expansion and impending rupture of an abdominal aortic aneurysm?
CorrectIncorrect - Question 18 of 450
18. Question
18. Question Tag: cardiomyopathy
Question Category: Physiological Integrity, Physiological Adaptation
In which of the following types of cardiomyopathy does cardiac output remain normal?
CorrectIncorrect - Question 19 of 450
19. Question
19. Question Tag: chest pain
Question Category: Physiological Integrity, Physiological Adaptation
Which of the following interventions should be your first priority when treating a patient experiencing chest pain while walking?
CorrectIncorrect - Question 20 of 450
20. Question
20. Question Tag: acute pulmonary edema
Question Category: Physiological Integrity, Physiological Adaptation
Which of the following positions would best aid breathing for a patient with acute pulmonary edema?
CorrectIncorrect - Question 21 of 450
21. Question
21. Question Tag: abruptio placentae
Question Category: Physiological Integrity, Reduction of Risk Potential
A pregnant woman arrives at the emergency department (ED) with abruptio placentae at 34 weeks’ gestation. She’s at risk for which of the following blood dyscrasias?
CorrectIncorrect - Question 22 of 450
22. Question
22. Question Tag: vehicle accident, fracture
Question Category: Physiological Integrity, Physiological Adaptation
A 16-year-old patient involved in a motor vehicle accident arrives in the ED unconscious and severely hypotensive. He’s suspected to have several fractures of his pelvis and legs. Which of the following parenteral fluids is the best choice for his current condition?
CorrectIncorrect - Question 23 of 450
23. Question
23. Question Tag: corticosteroids
Question Category: Physiological Integrity, Pharmacological and Parenteral Therapies
Corticosteroids are potent suppressors of the body’s inflammatory response. Which of the following conditions or actions do they suppress?
CorrectIncorrect - Question 24 of 450
24. Question
24. Question Tag: HIV, zidovudine
Question Category: Physiological Integrity, Pharmacological and Parenteral Therapies
A patient infected with human immunodeficiency virus (HIV) begins zidovudine therapy. Which of the following statements best describes this drug’s action?
CorrectIncorrect - Question 25 of 450
25. Question
25. Question Tag: pneumonia
Question Category: Physiological Integrity, Basic Care and Comfort
A 20-year-old patient is being treated for pneumonia. He has a persistent cough and complains of severe pain on coughing. What could you tell him to help him reduce his discomfort?
CorrectIncorrect - Question 26 of 450
26. Question
26. Question Tag: asthma, acute respiratory distress
Question Category: Physiological Integrity, Physiological Adaptation
A 19-year-old patient comes to the ED with acute asthma. His respiratory rate is 44 breaths/minute, and he appears to be in acute respiratory distress. Which of the following actions should you take first?
CorrectIncorrect - Question 27 of 450
27. Question
27. Question Tag: smoke inhalation, hypoxia
Question Category: Physiological Integrity, Physiological Adaptation
A firefighter who was involved in extinguishing a house fire is being treated for smoke inhalation. He developed severe hypoxia 48 hours after the incident, requiring intubation and mechanical ventilation. Which of the following conditions has he most likely developed?
CorrectIncorrect - Question 28 of 450
28. Question
28. Question Tag: pneumothorax
Question Category: Physiological Integrity, Reduction of Risk Potential
Which of the following measures best determines that a patient who had a pneumothorax no longer needs a chest tube?
CorrectIncorrect - Question 29 of 450
29. Question
29. Question Tag: subdural hematoma
Question Category: Physiological Integrity, Physiological Adaptation
Which of the following nursing interventions should you use to prevent foot drop and contractures in a patient recovering from a subdural hematoma?
CorrectIncorrect - Question 30 of 450
30. Question
30. Question Tag: increased intracranial pressure
Question Category: Physiological Integrity, Physiological Adaptation
Which of the following signs of increased intracranial pressure (ICP) would appear first after head trauma?
CorrectIncorrect - Question 31 of 450
31. Question
31. Question Tag: phenytoin
Question Category: Physiological Integrity, Physiological Adaptation
When giving intravenous (I.V.) phenytoin, which of the following methods should you use?
CorrectIncorrect - Question 32 of 450
32. Question
32. Question Tag: hip repair
Question Category: Physiological Integrity, Physiological Adaptation
After surgical repair of a hip, which of the following positions is best for the patient’s legs and hips?
CorrectIncorrect - Question 33 of 450
33. Question
- Question Tag: acute pancreatitis
Question Category: Physiological Integrity, Physiological Adaptation
Which of the following factors should be the primary focus of nursing management in a patient with acute pancreatitis?
CorrectIncorrect - Question 34 of 450
34. Question
34. Question Tag: liver biopsy
Question Category: Physiological Integrity, Reduction of Risk Potential
After a liver biopsy, place the patient in which of the following positions?
CorrectIncorrect - Question 35 of 450
35. Question
35. Question Tag: hypothyroidism
Question Category: Physiological Integrity, Reduction of Risk Potential
Which of the following potentially serious complications could occur with therapy for hypothyroidism?
CorrectIncorrect - Question 36 of 450
36. Question
36. Question Tag: diabetes insipidus
Question Category: Physiological Integrity, Physiological Adaptation
Adequate fluid replacement and vasopressin replacement are objectives of therapy for which of the following disease processes?
CorrectIncorrect - Question 37 of 450
37. Question
37. Question Tag: type 1 diabetes mellitus
Question Category: Physiological Integrity, Physiological Adaptation
Patients with Type 1 diabetes mellitus may require which of the following changes to their daily routine during periods of infection?
CorrectIncorrect - Question 38 of 450
38. Question
38. Question Tag:decreased hematocrit
Question Category: Physiological Integrity, Reduction of Risk Potential
On a follow-up visit after having a vaginal hysterectomy, a 32-year-old patient has a decreased hematocrit level. Which of the following complications does this suggest?
CorrectIncorrect - Question 39 of 450
39. Question
39. Question Tag: partial-thickness burn
Question Category: Physiological Integrity, Pharmacological and Parenteral Therapies
A patient has partial-thickness burns to both legs and portions of his trunk. Which of the following I.V. fluids are given first?
CorrectIncorrect - Question 40 of 450
40. Question
40. Question Tag: wound culture
Question Category: Health Promotion and Maintenance
Which of the following techniques is correct for obtaining a wound culture specimen from a surgical site?
CorrectIncorrect - Question 41 of 450
41. Question
41. Question Tag: furosemide, congestive heart failure
Question Category: Physiological Integrity, Pharmacological and Parenteral Therapies
A nurse is administering IV furosemide to a patient admitted with congestive heart failure. After the infusion, which of the following symptoms is not expected?
CorrectIncorrect - Question 42 of 450
42. Question
42. Question Tag: coronary artery disease
Question Category: Health Promotion and Maintenance
There are a number of risk factors associated with coronary artery disease. Which of the following is a modifiable risk factor?
CorrectIncorrect - Question 43 of 450
43. Question
43. Question Tag: myocardial infarction, tissue plasminogen activator
Question Category: Physiological Integrity, Physiological Adaptation
Tissue plasminogen activator (t-PA) is considered for the treatment of a patient who arrives in the emergency department following the onset of symptoms of myocardial infarction. Which of the following is a contraindication for treatment with t-PA?
CorrectIncorrect - Question 44 of 450
44. Question
44. Question Tag: myocardial infarction
Question Category: Health Promotion and Maintenance
Following myocardial infarction, a hospitalized patient is encouraged to practice frequent leg exercises and ambulate in the hallway as directed by his physician. Which of the following choices reflects the purpose of exercise for this patient?
CorrectIncorrect - Question 45 of 450
45. Question
45. Question Tag: cardiogenic shock
Question Category: Physiological Integrity, Physiological Adaptation
A patient arrives in the emergency department with symptoms of myocardial infarction, progressing to cardiogenic shock. Which of the following symptoms should the nurse expect the patient to exhibit with cardiogenic shock?
CorrectIncorrect - Question 46 of 450
46. Question
46. Question Tag: congestive heart failure
Question Category: Physiological Integrity, Physiological Adaptation
A patient with a history of congestive heart failure arrives at the clinic complaining of dyspnea. Which of the following actions is the first the nurse should perform?
CorrectIncorrect - Question 47 of 450
47. Question
47. Question Tag: nitroglycerin, angina
Question Category: Physiological Integrity, Pharmacological and Parenteral Therapies
A clinic patient has recently been prescribed nitroglycerin for treatment of angina. He calls the nurse complaining of frequent headaches. Which of the following responses to the patient is correct?
CorrectIncorrect - Question 48 of 450
48. Question
48. Question Tag: colon cancer, chemotherapy
Question Category: Physiological Integrity, Reduction of Risk Potential
A patient received surgery and chemotherapy for colon cancer, completing therapy three (3) months previously, and she is now in remission. At a follow-up appointment, she complains of fatigue following activity and difficulty with concentration at her weekly bridge games. Which of the following explanations would account for her symptoms?
CorrectIncorrect - Question 49 of 450
49. Question
49. Question Tag: hemoglobin
Question Category: Basic Care and Comfort
A clinic patient has a hemoglobin concentration of 10.8 g/dL and reports sticking to a strict vegetarian diet. Which of the following nutritional advice is appropriate?
CorrectIncorrect - Question 50 of 450
50. Question
50. Question Tag: anemia
Question Category: Physiological Integrity, Physiological Adaptation
A hospitalized patient is receiving packed red blood cells (PRBCs) for treatment of severe anemia. Which of the following is the most accurate statement?
CorrectIncorrect - Question 51 of 450
51. Question
51. Question Tag: Epoetin
Question Category: Physiological Integrity, Reduction of Risk Potential
A patient who has received chemotherapy for cancer treatment is given an injection of Epoetin. Which of the following should reflect the findings in a complete blood count (CBC) drawn several days later?
CorrectIncorrect - Question 52 of 450
52. Question
52. Question Tag: polycythemia vera
Question Category: Physiological Integrity, Physiological Adaptation
A patient is admitted to the hospital with suspected polycythemia vera. Which of the following symptoms is consistent with the diagnosis? Select all Select all that apply.
CorrectIncorrect - Question 53 of 450
53. Question
53. Question Tag: platelet count
Question Category: Physiological Integrity, Reduction of Risk Potential
A nurse is caring for a patient with a platelet count of 20,000/microliter. Which of the following is an important intervention?
CorrectIncorrect - Question 54 of 450
54. Question
54. Question Tag: corticosteroid
Question Category: Physiological Integrity, Pharmacological and Parenteral Therapies
A nurse in the emergency department assesses a patient who has been taking long-term corticosteroids to treat renal disease. Which of the following is a typical side effect of corticosteroid treatment? Select all that apply.
CorrectIncorrect - Question 55 of 450
55. Question
55. Question Tag: neutropenia
Question Category: Physiological Integrity, Physiological Adaptation
A nurse is caring for patients in the oncology unit. Which of the following is the most important nursing action when caring for a neutropenic patient?
CorrectIncorrect - Question 56 of 450
56. Question
56. Question Tag: leukemia
Question Category: Health Promotion and Maintenance
A patient is undergoing the induction stage of treatment for leukemia. The nurse teaches family members about infectious precautions. Which of the following statements by family members indicates that the family needs more education?
CorrectIncorrect - Question 57 of 450
57. Question
57. Question Tag: acute lymphoblastic leukemia
Question Category: Health Promotion and Maintenance
A nurse is caring for a patient with acute lymphoblastic leukemia (ALL). Which of the following is the most likely age range of the patient?
CorrectIncorrect - Question 58 of 450
58. Question
58. Question Tag: Hodgkin’s disease
Question Category: Physiological Integrity, Physiological Adaptation
A patient is admitted to the oncology unit for diagnosis of suspected Hodgkin’s disease. Which of the following symptoms is typical of Hodgkin’s disease?
CorrectIncorrect - Question 59 of 450
59. Question
59. Question Tag: Hodgkin’s disease
Question Category: Physiological Integrity, Physiological Adaptation
The Hodgkin’s disease patient described in the question above undergoes a lymph node biopsy for definitive diagnosis. If the diagnosis of Hodgkin’s disease were correct, which of the following cells would the pathologist expect to find?
CorrectIncorrect - Question 60 of 450
60. Question
60. Question Tag: bone marrow aspiration
Question Category: Physiological Integrity, Physiological Adaptation
A patient is about to undergo bone marrow aspiration and biopsy and expresses fear and anxiety about the procedure. Which of the following is the most effective nursing response?
CorrectIncorrect - Question 61 of 450
61. Question
61. Question Tag: sickle cell anemia
Question Category: Physiological Integrity, Reduction of Risk Potential
A 43-year-old African American male is admitted with sickle cell anemia. The nurse plans to assess circulation in the lower extremities every 2 hours. Which of the following outcome criteria would the nurse use?
CorrectIncorrect - Question 62 of 450
62. Question
62. Question Tag: sickle cell crisis
Question Category: Physiological Integrity, Physiological Adaptation
A 30-year-old male from Haiti is brought to the emergency department in sickle cell crisis. What is the best position for this client?
CorrectIncorrect - Question 63 of 450
63. Question
- Question Tag: sickle cell crisis
Question Category: Physiological Integrity, Physiological Adaptation
A 25-year-old male is admitted in sickle cell crisis. Which of the following interventions would be of the highest priority for this client?
CorrectIncorrect - Question 64 of 450
64. Question
64. Question Tag: sickle cell crisis
Question Category: Physiological Integrity, Basic Care and Comfort
Which of the following foods would the nurse encourage the client in sickle cell crisis to eat?
CorrectIncorrect - Question 65 of 450
65. Question
65. Question Tag: sickle cell crisis
Question Category: Physiological Integrity, Physiological Adaptation
A newly admitted client has a sickle cell crisis. The nurse is planning care based on the assessment of the client. The client is complaining of severe pain in his feet and hands. The pulse oximetry is 92. Which of the following interventions would be implemented first? Assume that there are orders for each intervention.
CorrectIncorrect - Question 66 of 450
66. Question
66. Question Tag: iron-deficiency anemia
Question Category: Physiological Integrity, Basic Care and Comfort
The nurse is instructing a client with iron-deficiency anemia. Which of the following meal plans would the nurse expect the client to select?
CorrectIncorrect - Question 67 of 450
67. Question
67. Question Tag: sickle cell anemia
Question Category: Health Promotion and Maintenance
Clients with sickle cell anemia are taught to avoid activities that cause hypoxia and hypoxemia. Which of the following activities would the nurse recommend?
CorrectIncorrect - Question 68 of 450
68. Question
68. Question Tag: vitamin B12 deficiency
Question Category: Physiological Integrity, Physiological Adaptation
The nurse is conducting an admission assessment of a client with vitamin B12 deficiency. Which of the following would the nurse include in the physical assessment?
CorrectIncorrect - Question 69 of 450
69. Question
69. Question Tag: vitamin B12 deficiency
Question Category: Health Promotion and Maintenance
An African American female comes to the outpatient clinic. The physician suspects vitamin B12 deficiency anemia. Because jaundice is often a clinical manifestation of this type of anemia, what body part would be the best indicator?
CorrectIncorrect - Question 70 of 450
70. Question
70. Question Tag: anemia
Question Category: Physiological Integrity, Physiological Adaptation
The nurse is conducting a physical assessment on a client with anemia. Which of the following clinical manifestations would be most indicative of the anemia?
CorrectIncorrect - Question 71 of 450
71. Question
71. Question Tag: polycythemia vera
Question Category: Health Promotion and Maintenance
The nurse is teaching the client with polycythemia vera about prevention of complications of the disease. Which of the following statements by the client indicates a need for further teaching?
CorrectIncorrect - Question 72 of 450
72. Question
72. Question Tag: acute leukemia
Question Category: Health Promotion and Maintenance
A 33-year-old male is being evaluated for possible acute leukemia. Which of the following would the nurse inquire about as a part of the assessment?
CorrectIncorrect - Question 73 of 450
73. Question
73. Question Tag: acute leukemia
Question Category: Health Promotion and Maintenance
An African American client is admitted with acute leukemia. The nurse is assessing for signs and symptoms of bleeding. Where is the best site for examining the presence of petechiae?
CorrectIncorrect - Question 74 of 450
74. Question
74. Question Tag: acute leukemia
Question Category: Health Promotion and Maintenance
A client with acute leukemia is admitted to the oncology unit. Which of the following would be most important for the nurse to inquire?
CorrectIncorrect - Question 75 of 450
75. Question
75. Question Tag: acute leukemia
Question Category: Physiological Integrity, Reduction of Risk Potential
Which of the following would be the priority nursing diagnosis for the adult client with acute leukemia?
CorrectIncorrect - Question 76 of 450
76. Question
76. Question Tag: Hodgkin’s lymphoma
Question Category: Physiological Integrity
A 21-year-old male with Hodgkin’s lymphoma is a senior at the local university. He is engaged to be married and is to begin a new job upon graduation. Which of the following diagnoses would be a priority for this client?
CorrectIncorrect - Question 77 of 450
77. Question
77. Question Tag: thrombocytopenic purpura
Question Category: Physiological Integrity
A client has autoimmune thrombocytopenic purpura. To determine the client’s response to treatment, the nurse would monitor:
CorrectIncorrect - Question 78 of 450
78. Question
78. Question Tag: thrombocytopenic purpura
Question Category: Physiological Integrity
The home health nurse is visiting a client with autoimmune thrombocytopenic purpura (ATP). The client’s platelet count currently is 80, it will be most important to teach the client and family about:
CorrectIncorrect - Question 79 of 450
79. Question
79. Question Tag: transsphenoidal hypophysectomy
Question Category: Physiological Integrity
A client with a pituitary tumor has had transsphenoidal hypophysectomy. Which of the following interventions would be appropriate for this client?
CorrectIncorrect - Question 80 of 450
80. Question
80. Question Tag: diabetes
Question Category: Physiological Integrity
The client with a history of diabetes insipidus is admitted with polyuria, polydipsia, and mental confusion. The priority intervention for this client is:
CorrectIncorrect - Question 81 of 450
81. Question
81. Question Tag: hemophilia
Question Category: Physiological Integrity
A client with hemophilia has a nosebleed. Which nursing action is most appropriate to control the bleeding?
CorrectIncorrect - Question 82 of 450
82. Question
82. Question Tag: unilateral adrenalectomy
Question Category: Physiological Integrity
A client has had a unilateral adrenalectomy to remove a tumor. To prevent complications, the most important measurement in the immediate postoperative period for the nurse to take is:
CorrectIncorrect - Question 83 of 450
83. Question
83. Question Tag: Addison’s disease, glucocorticoids
Question Category: Physiological Integrity
A client with Addison’s disease has been admitted with a history of nausea and vomiting for the past 3 days. The client is receiving IV glucocorticoids (Solu-Medrol). Which of the following interventions would the nurse implement?
CorrectIncorrect - Question 84 of 450
84. Question
84. Question Tag: total thyroidectomy
Question Category: Physiological Integrity
A client had a total thyroidectomy yesterday. The client is complaining of tingling around the mouth and in the fingers and toes. What would the nurse’s next action be?
CorrectIncorrect - Question 85 of 450
85. Question
85. Question Tag: hypothyroidism
Question Category: Physiological Integrity
A 32-year-old mother of three is brought to the clinic. Her pulse is 52, there is a weight gain of 30 pounds in 4 months, and the client is wearing two sweaters. The client is diagnosed with hypothyroidism. Which of the following nursing diagnoses is of highest priority?
CorrectIncorrect - Question 86 of 450
86. Question
86. Question Tag: arteriogram
Question Category: Physiological Integrity
The client is having an arteriogram. During the procedure, the client tells the nurse, “I’m feeling really hot.” Which response would be best?
CorrectIncorrect - Question 87 of 450
87. Question
87. Question Tag: healthcare workers
Question Category: Physiological Integrity
The nurse is observing several healthcare workers providing care. Which action by the healthcare worker indicates a need for further teaching?
CorrectIncorrect - Question 88 of 450
88. Question
88. Question Tag: electroconvulsive therapy, depression
Question Category: Physiological Integrity
The client is having electroconvulsive therapy for treatment of severe depression. Which of the following indicates that the client’s ECT has been effective?
CorrectIncorrect - Question 89 of 450
89. Question
89. Question Tag: enterobiasis
Question Category: Physiologic Integrity
The 5-year-old is being tested for enterobiasis (pinworms). To collect a specimen for assessment of pinworms, the nurse should teach the mother to:
CorrectIncorrect - Question 90 of 450
90. Question
90. Question Tag: enterobiasis
Question Category: Physiological Integrity
The nurse is teaching the mother regarding treatment for enterobiasis. Which instruction should be given regarding the medication?
CorrectIncorrect - Question 91 of 450
91. Question
91. Question Tag: pregnancy
Question Category: Safe and Effective Care Environment
The registered nurse is making assignments for the day. Which client should be assigned to the pregnant nurse?
CorrectIncorrect - Question 92 of 450
92. Question
92. Question Tag: room assignments
Question Category: Safe and Effective Care Environment
The nurse is planning room assignments for the day. Which client should be assigned to a private room if only one is available?
CorrectIncorrect - Question 93 of 450
93. Question
93. Question Tag: Digitalis
Question Category: Safe and Effective Care Environment
The nurse caring for a client in the neonatal intensive care unit administers adult-strength Digitalis to the 3-pound infant. As a result of her actions, the baby suffers permanent heart and brain damage. The nurse can be charged with:
CorrectIncorrect - Question 94 of 450
94. Question
94. Question Tag: licensed practical nurse
Question Category: Safe and Effective Care Environment
Which assignment should not be performed by the licensed practical nurse?
CorrectIncorrect - Question 95 of 450
95. Question
95. Question Tag: surgery
Question Category: Physiological Integrity
The client returns to the unit from surgery with a blood pressure of 90/50, pulse 132, and respirations 30. Which action by the nurse should receive priority?
CorrectIncorrect - Question 96 of 450
96. Question
- Question Tag: preeclampsia
Question Category: Safe and Effective Care Environment
Which nurse should be assigned to care for the postpartum client with preeclampsia?
CorrectIncorrect - Question 97 of 450
97. Question
97. Question Tag: Board of Nursing
Question Category: Safe and Effective Care Environment
Which information should be reported to the state Board of Nursing?
CorrectIncorrect - Question 98 of 450
98. Question
98. Question Tag: medication administration
Question Category: Safe and Effective Care Environment
The nurse is suspected of charting medication administration that he did not give. After talking to the nurse, the charge nurse should:
CorrectIncorrect - Question 99 of 450
99. Question
99. Question Tag: home health care
Question Category: Safe and Effective Care Environment
The home health nurse is planning for the day’s visits. Which client should be seen first?
CorrectIncorrect - Question 100 of 450
100. Question
- Question Tag: emergency department
Question Category: Safe and Effective Care Environment
The emergency room is flooded with clients injured in a tornado. Which clients can be assigned to share a room?
CorrectIncorrect - Question 101 of 450
101. Question
101. Question Tag: conjunctivitis
Question Category: Physiological Integrity
The nurse is caring for a 6-year-old client admitted with a diagnosis of conjunctivitis. Before administering eye drops, the nurse should recognize that it is essential to consider which of the following?
CorrectIncorrect - Question 102 of 450
102. Question
102. Question Tag: meal planning
Question Category: Health Promotion and Maintenance
The nurse is discussing meal planning with the mother of a 2-year-old toddler. Which of the following statements, if made by the mother, would require a need for further instruction?
CorrectIncorrect - Question 103 of 450
103. Question
103. Question Tag: toddler
Question Category: Physiological Integrity
A 2-year-old toddler is admitted to the hospital. Which of the following nursing interventions would you expect?
CorrectIncorrect - Question 104 of 450
104. Question
104. Question Tag: hearing aid
Question Category: Health Promotion and Maintenance
Which instruction should be given to the client who is fitted for a behind-the-ear hearing aid?
CorrectIncorrect - Question 105 of 450
105. Question
105. Question Tag: tonsillectomy
Question Category: Physiological Integrity
A priority nursing diagnosis for a child being admitted from surgery following a tonsillectomy is:
CorrectIncorrect - Question 106 of 450
106. Question
106. Question Tag: bacterial pneumonia
Question Category: Physiological Integrity
A client with bacterial pneumonia is admitted to the pediatric unit. What would the nurse expect the admitting assessment to reveal?
CorrectIncorrect - Question 107 of 450
107. Question
107. Question Tag: epiglottitis
Question Category: Safe and Effective Care Environment
The nurse is caring for a client admitted with epiglottitis. Because of the possibility of complete obstruction of the airway, which of the following should the nurse have available?
CorrectIncorrect - Question 108 of 450
108. Question
108. Question Tag: Grave’s disease
Question Category: Physiological Integrity
A 25-year-old client with Grave’s disease is admitted to the unit. What would the nurse expect the admitting assessment to reveal?
CorrectIncorrect - Question 109 of 450
109. Question
109. Question Tag: celiac disease
Question Category: Health Promotion and Maintenance
The nurse is providing dietary instructions to the mother of an 8-year-old child diagnosed with celiac disease. Which of the following foods, if selected by the mother, would indicate her understanding of the dietary instructions?
CorrectIncorrect - Question 110 of 450
110. Question
110. Question Tag: chronic bronchitis
Question Category: Physiological Integrity
The nurse is caring for an 80-year-old with chronic bronchitis. Upon the morning rounds, the nurse finds an O2 sat of 76%. Which of the following actions should the nurse take first?
CorrectIncorrect - Question 111 of 450
111. Question
111. Question Tag: amniotomy
Question Category: Physiological Integrity
A gravida 3 para 0 is admitted to the labor and delivery unit. The doctor performs an amniotomy. Which observation would the nurse be expected to make after the amniotomy?
CorrectIncorrect - Question 112 of 450
112. Question
112. Question Tag: vaginal exam
Question Category: Physiological Integrity
The client is admitted to the unit. A vaginal exam reveals that she is 2cm dilated. Which of the following statements would the nurse expect her to make?
CorrectIncorrect - Question 113 of 450
113. Question
113. Question Tag: labor
Question Category: Physiological Integrity
The client is having fetal heart rates of 90–110 bpm during the contractions. The first action the nurse should take is:
CorrectIncorrect - Question 114 of 450
114. Question
- Question Tag: pitocin, dystocia
Question Category: Physiological Integrity
In evaluating the effectiveness of IV Pitocin for a client with secondary dystocia, the nurse should expect:
CorrectIncorrect - Question 115 of 450
115. Question
115. Question Tag: footling breech presentation
Question Category: Physiological Integrity
A vaginal exam reveals a footling breech presentation. The nurse should take which of the following actions at this time?
CorrectIncorrect - Question 116 of 450
116. Question
116. Question Tag: vaginal exam
Question Category: Physiological Integrity
A vaginal exam reveals that the cervix is 4cm dilated, with intact membranes and a fetal heart tone rate of 160–170 bpm. The nurse decides to apply an external fetal monitor. The rationale for this implementation is:
CorrectIncorrect - Question 117 of 450
117. Question
117. Question Tag: labor, primigravida
Question Category: Physiological Integrity
The following are all nursing diagnoses appropriate for a gravida 1 para 0 in labor. Which one would be most appropriate for the primigravida as she completes the early phase of labor?
CorrectIncorrect - Question 118 of 450
118. Question
118. Question Tag: late decelerations
Question Category: Physiological Integrity
As the client reaches 8 cm dilation, the nurse notes late decelerations on the fetal monitor. The FHR baseline is 165–175 bpm with variability of 0–2bpm. What is the most likely explanation of this pattern?
CorrectIncorrect - Question 119 of 450
119. Question
119. Question Tag: variable decelerations
Question Category: Physiological Integrity
The nurse notes variable decelerations on the fetal monitor strip. The most appropriate initial action would be to:
CorrectIncorrect - Question 120 of 450
120. Question
- Question Tag: fetal heart rate
Question Category: Physiological Integrity
Which of the following is a characteristic of a reassuring fetal heart rate pattern?
CorrectIncorrect - Question 121 of 450
121. Question
121. Question Tag: epidural anesthesia
Question Category: Physiologic Integrity
The rationale for inserting a French catheter every hour for the client with epidural anesthesia is:
CorrectIncorrect - Question 122 of 450
122. Question
122. Question Tag: conception
Question Category: Health Promotion and Maintenance
A client in the family planning clinic asks the nurse about the most likely time for her to conceive. The nurse explains that conception is most likely to occur when:
CorrectIncorrect - Question 123 of 450
123. Question
123. Question Tag: rhythm method
Question Category: Health Promotion and Maintenance
A client tells the nurse that she plans to use the rhythm method of birth control. The nurse is aware that the success of the rhythm method depends on the:
CorrectIncorrect - Question 124 of 450
124. Question
124. Question Tag: diabetes, birth control
Question Category: Health Promotion and Maintenance
A client with diabetes asks the nurse for advice regarding methods of birth control. Which method of birth control is most suitable for the client with diabetes?
CorrectIncorrect - Question 125 of 450
125. Question
125. Question Tag: ectopic pregnancy
Question Category: Physiological Integrity
The doctor suspects that the client has an ectopic pregnancy. Which symptom is consistent with a diagnosis of ectopic pregnancy?
CorrectIncorrect - Question 126 of 450
126. Question
126. Question Tag: nutrition, pregnancy
Question Category: Health Promotion and Maintenance
The nurse is teaching a pregnant client about nutritional needs during pregnancy. Which menu selection will best meet the nutritional needs of the pregnant client?
CorrectIncorrect - Question 127 of 450
127. Question
127. Question Tag: hyperemesis gravidarum
Question Category: Physiological Integrity
The client with hyperemesis gravidarum is at risk for developing:
CorrectIncorrect - Question 128 of 450
128. Question
128. Question Tag: pregnancy
Question Category: Health Promotion and Maintenance
A client tells the doctor that she is about 20 weeks pregnant. The most definitive sign of pregnancy is:
CorrectIncorrect - Question 129 of 450
129. Question
129. Question Tag: diabetes, neonate
Question Category: Physiologic Integrity
The nurse is caring for a neonate whose mother is diabetic. The nurse will expect the neonate to be:
CorrectIncorrect - Question 130 of 450
130. Question
130. Question Tag: oral contraceptives
Question Category: Health Promotion and Maintenance
Which of the following instructions should be included in the nurse’s teaching regarding oral contraceptives?
CorrectIncorrect - Question 131 of 450
131. Question
- Question Tag: breastfeeding
Question Category: Health Promotion and Maintenance
The nurse is discussing breastfeeding with a postpartum client. Breastfeeding is contraindicated in the postpartum client with:
CorrectIncorrect - Question 132 of 450
132. Question
132. Question Tag: vaginal bleeding
Question Category: Physiological Integrity
A client is admitted to the labor and delivery unit complaining of vaginal bleeding with very little discomfort. The nurse’s first action should be to:
CorrectIncorrect - Question 133 of 450
133. Question
133. Question Tag: labor
Question Category: Physiological Integrity
A client telephones the emergency room stating that she thinks that she is in labor. The nurse should tell the client that labor has probably begun when:
CorrectIncorrect - Question 134 of 450
134. Question
134. Question Tag: fetal development, smoking
Question Category: Health Promotion and Maintenance
The nurse is teaching a group of prenatal clients about the effects of cigarette smoke on fetal development. Which characteristic is associated with babies born to mothers who smoked during pregnancy?
CorrectIncorrect - Question 135 of 450
135. Question
135. Question Tag: RhoGam
Question Category: Physiological Integrity
The physician has ordered an injection of RhoGam for the postpartum client whose blood type is A negative but whose baby is O positive. To provide postpartum prophylaxis, RhoGam should be administered:
CorrectIncorrect - Question 136 of 450
136. Question
136. Question Tag: amniotomy
Question Category: Physiological Integrity
After the physician performs an amniotomy, the nurse’s first action should be to assess the:
CorrectIncorrect - Question 137 of 450
137. Question
137. Question Tag: effacement, labor and delivery
Question Category: Physiological Integrity
A client is admitted to the labor and delivery unit. The nurse performs a vaginal exam and determines that the client’s cervix is 5 cm dilated with 75% effacement. Based on the nurse’s assessment the client is in which phase of labor?
CorrectIncorrect - Question 138 of 450
138. Question
138. Question Tag: narcotic abstinence syndrome
Question Category: health
A newborn with narcotic abstinence syndrome is admitted to the nursery. Nursing care of the newborn should include:
CorrectIncorrect - Question 139 of 450
139. Question
139. Question Tag: epidural anesthesia
Question Category:
A client elects to have epidural anesthesia to relieve the discomfort of labor. Following the initiation of epidural anesthesia, the nurse should give priority to:
CorrectIncorrect - Question 140 of 450
140. Question
140. Question Tag: postoperative wound infection
Question Category: Safe and Effective Care Environment
The nurse is aware that the best way to prevent postoperative wound infection in the surgical client is to:
CorrectIncorrect - Question 141 of 450
141. Question
141. Question Tag: fractured hip
Question Category: Physiological Integrity
The elderly client is admitted to the emergency room. Which symptom is the client with a fractured hip most likely to exhibit?
CorrectIncorrect - Question 142 of 450
142. Question
142. Question Tag: osteoporosis
Question Category: Health Promotion and Maintenance
The nurse knows that a 60-year-old female client’s susceptibility to osteoporosis is most likely related to:
CorrectIncorrect - Question 143 of 450
143. Question
143. Question Tag: Bryant’s traction
Question Category: Physiological Integrity
A 2-year-old is admitted for repair of a fractured femur and is placed in Bryant’s traction. Which finding by the nurse indicates that the traction is working properly?
CorrectIncorrect - Question 144 of 450
144. Question
144. Question Tag: Buck’s traction
Question Category: Physiological Integrity
A client with a fractured hip has been placed in Buck’s traction. Which statement is true regarding balanced skeletal traction? Balanced skeletal traction:
CorrectIncorrect - Question 145 of 450
145. Question
145. Question Tag: open reduction internal fixation
Question Category: Safe and Effective Care Environment
The client is admitted for an open reduction internal fixation of a fractured hip. Immediately following surgery, the nurse should give priority to assessing the:
CorrectIncorrect - Question 146 of 450
146. Question
146. Question Tag: percutaneous gastrostomy tube
Question Category: Health Promotion and Maintenance
Which statement made by the family member caring for the client with a percutaneous gastrostomy tube indicates an understanding of the nurse’s teaching?
CorrectIncorrect - Question 147 of 450
147. Question
147. Question Tag: total knee replacement
Question Category: Physiological Integrity
The nurse is assessing the client with a total knee replacement 2 hours postoperative. Which information requires notification of the doctor?
CorrectIncorrect - Question 148 of 450
148. Question
148. Question Tag: plumbism
Question Category: Health Promotion and Maintenance
The nurse is caring for the client with a 5-year-old diagnosis of plumbism. Which information in the health history is most likely related to the development of plumbism?
CorrectIncorrect - Question 149 of 450
149. Question
149. Question Tag: total hip replacement
Question Category: Safe and Effective Care Environment
A client with a total hip replacement requires special equipment. Which equipment would assist the client with a total hip replacement with activities of daily living?
CorrectIncorrect - Question 150 of 450
150. Question
150. Question Tag: abdominal surgery
Question Category: Physiologic Integrity
An elderly client with an abdominal surgery is admitted to the unit following surgery. In anticipation of complications of anesthesia and narcotic administration, the nurse should:
CorrectIncorrect - Question 151 of 450
151. Question
151. Question Tag: room assignments
Question Category: Physiological Integrity, Basic Care and Comfort
Which roommate would be most suitable for the 6-year-old male with a fractured femur in Russell’s traction?
CorrectIncorrect - Question 152 of 450
152. Question
152. Question Tag: celebrex (Celecoxib)
Question Category: Health Promotion and Maintenance
A client with osteoarthritis has a prescription for celebrex (Celecoxib). Which instruction should be included in the discharge teaching?
CorrectIncorrect - Question 153 of 450
153. Question
153. Question Tag: fracture, cast
Question Category: Safe and Effective Care Environment,, Safety and Infection Control
A client with a fractured tibia has a plaster-of-Paris cast applied to immobilize the fracture. Which action by the nurse indicates an understanding of a plaster-of-Paris cast? The nurse:
CorrectIncorrect - Question 154 of 450
154. Question
154. Question Tag: fiberglass cast
Question Category: Physiological Integrity, Basic Care and Comfort
The teenager with a fiberglass cast asks the nurse if it will be okay to allow his friends to autograph his cast. Which response would be best?
CorrectIncorrect - Question 155 of 450
155. Question
155. Question Tag: Steinmann pin
Question Category: Safe and Effective Care Environment, Management of Care
The nurse is assigned to care for the client with a Steinmann pin. During pin care, she notes that the LPN uses sterile gloves and Q-tips to clean the pin. Which action should the nurse take at this time?
CorrectIncorrect - Question 156 of 450
156. Question
156. Question Tag: scoliosis, spica cast
Question Category: Physiological Integrity, Reduction of Risk Potential
A child with scoliosis has a spica cast applied. Which action specific to the spica cast should be taken?
CorrectIncorrect - Question 157 of 450
157. Question
157. Question Tag: fracture, traction
Question Category: Safe and Effective Care Environment,, Safety and Infection Control
The client with a cervical fracture is placed in traction. Which type of traction will be utilized at the time of discharge?
CorrectIncorrect - Question 158 of 450
158. Question
158. Question Tag: continuous passive motion device
Question Category: Physiological Integrity, Physiological Adaptation
A client with a total knee replacement has a CPM (continuous passive motion device) applied during the postoperative period. Which statement made by the nurse indicates an understanding of the CPM machine?
CorrectIncorrect - Question 159 of 450
159. Question
159. Question Tag: walker, fracture
Question Category: Safe and Effective Care Environment,, Safety and Infection Control
A client with a fractured hip is being taught correct use of the walker. The nurse is aware that the correct use of the walker is achieved if the:
CorrectIncorrect - Question 160 of 450
160. Question
160. Question Tag: prolapsed cord
Question Category: Physiological Integrity, Physiological Adaptation
When assessing a laboring client, the nurse finds a prolapsed cord. The nurse should:
CorrectIncorrect - Question 161 of 450
161. Question
161. Question Tag: rosuvastatin
Question Category: Physiological Integrity, Pharmacological and Parenteral Therapies
The client presents to the clinic with a serum cholesterol of 275 mg/dL and is placed on rosuvastatin (Crestor). Which instruction should be given to the client?
CorrectIncorrect - Question 162 of 450
162. Question
162. Question Tag: diazoxide, hypertensive crises
Question Category: Physiological Integrity, Pharmacological and Parenteral Therapies
The client is admitted to the hospital with hypertensive crises. Diazoxide (Hyperstat) is ordered. During administration, the nurse should:
CorrectIncorrect - Question 163 of 450
163. Question
163. Question Tag: ventral septal defect, Digitalis
Question Category: Physiological Integrity, Pharmacological and Parenteral Therapies
The 6-month-old client with a ventral septal defect is receiving Digitalis for regulation of his heart rate. Which finding should be reported to the doctor?
CorrectIncorrect - Question 164 of 450
164. Question
164. Question Tag: angina, nitroglycerin
Question Category: Physiological Integrity, Pharmacological and Parenteral Therapies
The client admitted with angina is given a prescription for nitroglycerin. The client should be instructed to:
CorrectIncorrect - Question 165 of 450
165. Question
165. Question Tag: cholesterol
Question Category: Physiological Integrity, Basic Care and Comfort
The client is instructed regarding foods that are low in fat and cholesterol. Which diet selection is lowest in saturated fats?
CorrectIncorrect - Question 166 of 450
166. Question
166. Question Tag: congestive heart failure
Question Category: Physiological Integrity, Reduction of Risk Potential
The client is admitted with right congestive heart failure. In assessing the client for edema, the nurse should check the:
CorrectIncorrect - Question 167 of 450
167. Question
167. Question Tag: central venous pressure
Question Category: Physiological Integrity, Reduction of Risk Potential
The nurse is checking the client’s central venous pressure. The nurse should place the zero of the manometer at the:
CorrectIncorrect - Question 168 of 450
168. Question
168. Question Tag: hypertension
Question Category: Physiological Integrity, Pharmacological and Parenteral Therapies
The physician orders lisinopril (Zestril) and furosemide (Lasix) to be administered concomitantly to the client with hypertension. The nurse should:
CorrectIncorrect - Question 169 of 450
169. Question
169. Question Tag: edema
Question Category: Physiological Integrity, Physiological Adaptation
The best method of evaluating the amount of peripheral edema is:
CorrectIncorrect - Question 170 of 450
170. Question
170. Question Tag: vaginal cancer, radioactive implant
Question Category: Physiological Integrity, Physiological Integrity, Reduction of Risk Potential
A client with vaginal cancer is being treated with a radioactive vaginal implant. The client’s husband asks the nurse if he can spend the night with his wife. The nurse should explain that:
CorrectIncorrect - Question 171 of 450
171. Question
171. Question Tag: facial stroke
Question Category: Physiological Integrity, Basic Care and Comfort
The nurse is caring for a client hospitalized with a facial stroke. Which diet selection would be suited to the client?
CorrectIncorrect - Question 172 of 450
172. Question
172. Question Tag: diabetes mellitus, insulin
Question Category: Physiological Integrity, Pharmacological and Parenteral Therapies
The physician has prescribed Novolog insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?
CorrectIncorrect - Question 173 of 450
173. Question
173. Question Tag: infant care
Question Category: Health Promotion and Maintenance
The nurse is teaching basic infant care to a group of first-time parents. The nurse should explain that a sponge bath is recommended for the first 2 weeks of life because:
CorrectIncorrect - Question 174 of 450
174. Question
174. Question Tag: leukemia
Question Category: Physiological Integrity, Pharmacological and Parenteral Therapies
A client with leukemia is receiving Trimetrexate. After reviewing the client’s chart, the physician orders Wellcovorin (leucovorin calcium). The rationale for administering leucovorin calcium to a client receiving Trimetrexate is to:
CorrectIncorrect - Question 175 of 450
175. Question
175. Question Tag: immunization
Question Category: Health Promotion and Maintenance
A 4-month-old is brought to the well-baby clinic for immunization. In addition to the DPT and polio vaccines, the baby should receive:
CorrectIncorrect - Question 176 of 450
176. Question
- Question Tag: gastritis
Question Category: Physiological Integrity, Pharmacological and Parenteral Therapies
The physician has prescribed esomeprazole (Nexium) for a client with erosive gastritis. The nurse should administer the medication:
CorrectIncorrect - Question 177 of 450
177. Question
177. Question Tag: psychiatric unit
Question Category: Psychosocial Integrity
A client in the psychiatric unit is in an uncontrolled rage and is threatening other clients and staff. What is the most appropriate action for the nurse to take?
CorrectIncorrect - Question 178 of 450
178. Question
178. Question Tag: postpartum
Question Category: Health Promotion and Maintenance
When the nurse checks the fundus of a client on the first postpartum day, she notes that the fundus is firm, is at the level of the umbilicus, and is displaced to the right. The next action the nurse should take is to:
CorrectIncorrect - Question 179 of 450
179. Question
179. Question Tag: hemoptysis
Question Category: Physiological Integrity, Physiological Adaptation
A client is admitted to the hospital with a temperature of 99.8°F, complaints of blood-tinged hemoptysis, fatigue, and night sweats. The client’s symptoms are consistent with a diagnosis of:
CorrectIncorrect - Question 180 of 450
180. Question
180. Question Tag: migraine
Question Category: Physiological Integrity, Pharmacological and Parenteral Therapies
The client is seen in the clinic for treatment of migraine headaches. The drug Imitrex (sumatriptan succinate) is prescribed for the client. Which of the following in the client’s history should be reported to the doctor?
CorrectIncorrect - Question 181 of 450
181. Question
181. Question Tag: meningitis
Question Category: Physiological Integrity, Physiological Adaptation
The client with suspected meningitis is admitted to the unit. The doctor is performing an assessment to determine meningeal irritation and spinal nerve root inflammation. A positive Kernig’s sign is charted if the nurse notes:
CorrectIncorrect - Question 182 of 450
182. Question
182. Question Tag: Alzheimer’s disease
Question Category: Psychosocial Integrity
The client with Alzheimer’s disease is being assisted with activities of daily living when the nurse notes that the client uses her toothbrush to brush her hair. The nurse is aware that the client is exhibiting:
CorrectIncorrect - Question 183 of 450
183. Question
183. Question Tag: dementia
Question Category: Psychosocial Integrity
The client with dementia is experiencing confusion late in the afternoon and before bedtime. The nurse is aware that the client is experiencing what is known as:
CorrectIncorrect - Question 184 of 450
184. Question
184. Question Tag: confusion
Question Category: Psychosocial Integrity
The client with confusion says to the nurse, “I haven’t had anything to eat all day long. When are they going to bring breakfast?” The nurse saw the client in the day room eating breakfast with other clients 30 minutes before this conversation. Which response would be best for the nurse to make?
CorrectIncorrect - Question 185 of 450
185. Question
185. Question Tag: Alzheimer’s disease
Question Category: Physiological Integrity, Pharmacological and Parenteral Therapies
The doctor has prescribed Exelon (rivastigmine) for the client with Alzheimer’s disease. Which side effect is most often associated with this drug?
CorrectIncorrect - Question 186 of 450
186. Question
186. Question Tag: labor
Question Category: Physiological Integrity, Reduction of Risk Potential
A client is admitted to the labor and delivery unit in active labor. During examination, the nurse notes a papular lesion on the perineum. Which initial action is most appropriate?
CorrectIncorrect - Question 187 of 450
187. Question
187. Question Tag: human papillomavirus
Question Category: Physiological Integrity, Physiological Adaptation
A client with a diagnosis of HPV is at risk for which of the following?
CorrectIncorrect - Question 188 of 450
188. Question
188. Question Tag: lesion, vulva
Question Category: Physiological integrity, Physiological Adaptation
During the initial interview, the client reports that she has a lesion on the perineum. Further investigation reveals a small blister on the vulva that is painful to touch. The nurse is aware that the most likely source of the lesion is:
CorrectIncorrect - Question 189 of 450
189. Question
189. Question Tag: treponema pallidum
Question Category: Physiological Integrity, Physiological Adaptation
A client visiting a family planning clinic is suspected of having an STI. The best diagnostic test for treponema pallidum is:
CorrectIncorrect - Question 190 of 450
190. Question
190. Question Tag: HELLP syndrome
Question Category: Physiological Integrity, Reduction of Risk Potential
A 15-year-old primigravida is admitted with a tentative diagnosis of HELLP syndrome. Which laboratory finding is associated with HELLP syndrome?
CorrectIncorrect - Question 191 of 450
191. Question
191. Question Tag: preeclampsia
Question Category: Physiological Integrity, Reduction of Risk Potential
The nurse is assessing the deep tendon reflexes of a client with preeclampsia. Which method is used to elicit the biceps reflex?
CorrectIncorrect - Question 192 of 450
192. Question
192. Question Tag: diabetes, primigravida
Question Category: Safe and Effective Care Environment,, Safety and Infection Control
A primigravida with diabetes is admitted to the labor and delivery unit at 34 weeks gestation. Which doctor’s order should the nurse question?
CorrectIncorrect - Question 193 of 450
193. Question
193. Question Tag: amniocentesis
Question Category: Physiological Integrity, Reduction of Risk Potential
A diabetic multigravida is scheduled for an amniocentesis at 32 weeks gestation to determine the L/S ratio and phosphatidylglycerol level. The L/S ratio is 1:1 and the presence of phosphatidylglycerol is noted. The nurse’s assessment of this data is:
CorrectIncorrect - Question 194 of 450
194. Question
194. Question Tag: diabetes
Question Category: Health Promotion and Maintenance
Which observation in the newborn of a diabetic mother would require immediate nursing intervention?
CorrectIncorrect - Question 195 of 450
195. Question
195. Question Tag: magnesium sulfate
Question Category: Physiological Integrity, Pharmacological and Parenteral Therapies
The nurse caring for a client receiving intravenous magnesium sulfate must closely observe for side effects associated with drug therapy. An expected side effect of magnesium sulfate is:
CorrectIncorrect - Question 196 of 450
196. Question
196. Question Tag: epidural anesthesia
Question Category: Physiological Integrity, Reduction of Risk Potential
The client has elected to have epidural anesthesia to relieve labor pain. If the client experiences hypotension, the nurse would:
CorrectIncorrect - Question 197 of 450
197. Question
197. Question Tag: cancer of the pancreas
Question Category: Physiologic Integrity, Physiological Adaptation
A client has cancer of the pancreas. The nurse should be most concerned about which nursing diagnosis?
CorrectIncorrect - Question 198 of 450
198. Question
198. Question Tag: ascites
Question Category: Physiological Integrity, Reduction of Risk Potential
The nurse is caring for a client with ascites. Which is the best method to use for determining early ascites?
CorrectIncorrect - Question 199 of 450
199. Question
199. Question Tag: vehicle accident
Question Category: Physiological Integrity, Physiological Adaptation
The client arrives in the emergency department after a motor vehicle accident. Nursing assessment findings include BP 80/34, pulse rate 120, and respirations 20. Which is the client’s most appropriate priority nursing diagnosis?
CorrectIncorrect - Question 200 of 450
200. Question
200. Question Tag: osteogenesis imperfecta
Question Category: Safe and Effective Care Environment,, Safety and Infection Control
The home health nurse is visiting an 18-year-old with osteogenesis imperfecta. Which information obtained on the visit would cause the most concern? The client:
CorrectIncorrect - Question 201 of 450
201. Question
201. Question Tag: white blood cell count
Question Category: Physiological Integrity, Reduction of Risk Potential
The nurse working the organ transplant unit is caring for a client with a decreased white blood cell count. During evening visitation, a visitor brings a basket of fruit. What action should the nurse take?
CorrectIncorrect - Question 202 of 450
202. Question
202. Question Tag: laryngectomy
Question Category: Physiological Integrity, Physiological Adaptation
The nurse is caring for the client following a laryngectomy when suddenly the client becomes unresponsive and pale, with a BP of 90/40 systolic. The initial nurse’s action should be to:
CorrectIncorrect - Question 203 of 450
203. Question
203. Question Tag: chest tube
Question Category: Physiological Integrity, Reduction of Risk Potential
The client admitted 2 days earlier that a lung resection accidentally pulls out the chest tube. Which action by the nurse indicates understanding of the management of chest tubes?
CorrectIncorrect - Question 204 of 450
204. Question
204. Question Tag: sodium warfarin
Question Category: Physiological Integrity, Reduction of Risk Potential
A client being treated with sodium warfarin has a Protime of 120 seconds. Which intervention would be most important to include in the nursing care plan?
CorrectIncorrect - Question 205 of 450
205. Question
205. Question Tag: calcium
Question Category: Health Promotion and Maintenance
Which selection would provide the most calcium for the client who is 4 months pregnant?
CorrectIncorrect - Question 206 of 450
206. Question
206. Question Tag: preeclampsia, magnesium sulfate
Question Category: Physiological Integrity, Pharmacological and Parenteral Therapies
The client with preeclampsia is admitted to the unit with an order for magnesium sulfate. Which action by the nurse indicates understanding of the possible side effects of magnesium sulfate?
CorrectIncorrect - Question 207 of 450
207. Question
207. Question Tag: blood transfusion
Question Category: Safe and Effective Care Environment, Management of Care
A 6-year-old client is admitted to the unit with a hemoglobin of 6g/dL. The physician has written an order to transfuse 2 units of whole blood. When discussing the treatment, the child’s mother tells the nurse that she does not believe in having blood transfusions and that she will not allow her child to have the treatment. What nursing action is most appropriate?
CorrectIncorrect - Question 208 of 450
208. Question
208. Question Tag: burns
Question Category: Physiological Integrity, Physiological Adaptation
A client is admitted to the unit 2 hours after an explosion causes burns to the face. The nurse would be most concerned with the client developing which of the following?
CorrectIncorrect - Question 209 of 450
209. Question
209. Question Tag: anorexia nervosa
Question Category: Health Promotion and Maintenance, Physiological Adaptation
The nurse is evaluating nutritional outcomes for a patient with anorexia nervosa. Which data best indicates that the plan of care is effective?
CorrectIncorrect - Question 210 of 450
210. Question
210. Question Tag: fracture, cast application
Question Category: Physiological Integrity, Physiological Adaptation
The client is admitted following repair of a fractured tibia and cast application. Which nursing assessment should be reported to the doctor?
CorrectIncorrect - Question 211 of 450
211. Question
211. Question Tag: barbiturates
Question Category: Psychosocial Integrity
A client with a history of abusing barbiturates abruptly stops taking the medication. The nurse should give priority to assessing the client for:
CorrectIncorrect - Question 212 of 450
212. Question
212. Question Tag: labor, FHT
Question Category: Physiological Integrity, Physiological Adaptation
During the assessment of a laboring client, the nurse notes that the FHT are loudest in the upper-right quadrant. The infant is most likely in which position?
CorrectIncorrect - Question 213 of 450
213. Question
213. Question Tag: asthma
Question Category: Physiological Integrity, Physiological Adaptation
The primary physiological alteration in the development of asthma is:
CorrectIncorrect - Question 214 of 450
214. Question
214. Question Tag: mania
Question Category: Physiological Integrity, Basic Care and Comfort
A client with mania is unable to finish her dinner. To help her maintain sufficient nourishment, the nurse should:
CorrectIncorrect - Question 215 of 450
215. Question
215. Question Tag: Bryant’s traction
Question Category: Physiological Integrity, Basic Care and CoMFORT
To maintain Bryant’s traction, the nurse must make certain that the child’s:
CorrectIncorrect - Question 216 of 450
216. Question
216. Question Tag: herpes zoster
Question Category: Physiological Integrity, Reduction of Risk Potential
Which action by the nurse indicates understanding of herpes zoster?
CorrectIncorrect - Question 217 of 450
217. Question
217. Question Tag: Vancomycin
Question Category: Physiological Integrity, Reduction of Risk Potential
The client has an order for a trough to be drawn on the client receiving Vancomycin. The nurse is aware that the nurse should contact the lab for them to collect the blood:
CorrectIncorrect - Question 218 of 450
218. Question
218. Question Tag: diaphragm
Question Category: Health Promotion and Maintenance
The client using a diaphragm should be instructed to:
CorrectIncorrect - Question 219 of 450
219. Question
219. Question Tag: postpartum, breastfeeding
Question Category: Health Promotion and Maintenance
The nurse is providing postpartum teaching for a mother planning to breastfeed her infant. Which of the client’s statements indicates the need for additional teaching?
CorrectIncorrect - Question 220 of 450
220. Question
220. Question Tag: cranial nerve VII
Question Category: Physiological Integrity, Physiological Adaptation
Damage to the VII cranial nerve results in:
CorrectIncorrect - Question 221 of 450
221. Question
221. Question Tag: urinary tract infection
Question Category: Physiological Integrity, Pharmacological and Parenteral Therapies
A client is receiving Pyridium (phenazopyridine hydrochloride) for a urinary tract infection. The client should be taught that the medication may:
CorrectIncorrect - Question 222 of 450
222. Question
222. Question Tag: Accutane
Question Category: Physiological Integrity, Reduction of Risk Potential
Which of the following tests should be performed before beginning a prescription of Accutane?
CorrectIncorrect - Question 223 of 450
223. Question
223. Question Tag: AIDS, acyclovir
Question Category: Physiological Integrity, Pharmacological and Parenteral Therapies
A client with AIDS is taking Zovirax (acyclovir). Which nursing intervention is most critical during the administration of acyclovir?
CorrectIncorrect - Question 224 of 450
224. Question
- acyclovir to such higher-risk patients.
- Question Tag: MRI
Question Category : Physiological Integrity, Reduction of Risk Potential
A client is admitted for an MRI. The nurse should question the client regarding:
CorrectIncorrect - Question 225 of 450
225. Question
225. Question Tag: Amphotericin B
Question Category: Physiological Integrity, Pharmacological and Parenteral Therapies
The nurse is caring for the client receiving Amphotericin B. Which of the following indicates that the client has experienced toxicity to this drug?
CorrectIncorrect - Question 226 of 450
226. Question
226. Question Tag: prioritization
Question Category: Safe and Effective Care Environment, Management of Care
The nurse should visit which of the following clients first?
CorrectIncorrect - Question 227 of 450
227. Question
227. Question Tag: cystic fibrosis
Question Category: Physiological Integrity, Pharmacological and Parenteral Therapies
A client with cystic fibrosis is taking pancreatic enzymes. The nurse should administer this medication:
CorrectIncorrect - Question 228 of 450
228. Question
228. Question Tag: cataract
Question Category: Physiological Integrity, Physiological Adaptation
Cataracts result in opacity of the crystalline lens. Which of the following best explains the functions of the lens?
CorrectIncorrect - Question 229 of 450
229. Question
229. Question Tag: glaucoma, miotic eye drops
Question Category: Physiological Integrity, Pharmacological and Parenteral Therapies
A client who has glaucoma is to have miotic eye drops instilled in both eyes. The nurse knows that the purpose of the medication is to:
CorrectIncorrect - Question 230 of 450
230. Question
230. Question Tag: corneal ulcer
Question Category: Physiological Integrity, Pharmacological and Parenteral Therapies
A client with a severe corneal ulcer has an order for Gentamicin gtt. q 4 hours and Neomycin 1 gtt q 4 hours. Which of the following schedules should be used when administering the drops?
CorrectIncorrect - Question 231 of 450
231. Question
231. Question Tag: color blindness
Question Category: Physiological Integrity, Physiological Adaptation
The client with color blindness will most likely have problems distinguishing which of the following colors?
CorrectIncorrect - Question 232 of 450
232. Question
232. Question Tag: pacemaker
Question Category: Health Promotion and Maintenance
The client with a pacemaker should be taught to:
CorrectIncorrect - Question 233 of 450
233. Question
233. Question Tag: enuresis
Question Category: Health Promotion and MaintenanceThe client with enuresis is being taught regarding bladder retraining. The nurse should advise the client to refrain from drinking after:
CorrectIncorrect - Question 234 of 450
234. Question
234. Question Tag: urinary tract infection
Question Category: Health Promotion and Maintenance
Which of the following diet instructions should be given to the client with recurring urinary tract infections?
CorrectIncorrect - Question 235 of 450
235. Question
235. Question Tag: insulin, diabetes mellitus
Question Category: Health Promotion and Maintenance
The physician has prescribed NPH insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?
CorrectIncorrect - Question 236 of 450
236. Question
236. Question Tag: chest tube
Question Category: Physiological Integrity, Physiological Adaptation
The nurse is caring for a 30-year-old male admitted with a stab wound. While in the emergency room, a chest tube is inserted. Which of the following explains the primary rationale for insertion of chest tubes?
CorrectIncorrect - Question 237 of 450
237. Question
237. Question Tag: breastfeeding
Question Category: Health Promotion and Maintenance
A client who delivered this morning tells the nurse that she plans to breastfeed her baby. The nurse is aware that successful breastfeeding is most dependent on the:
CorrectIncorrect - Question 238 of 450
238. Question
238. Question Tag: labor
Question Category: Health Promotion and Maintenance
The nurse is monitoring the progress of a client in labor. Which finding should be reported to the physician immediately?
CorrectIncorrect - Question 239 of 450
239. Question
239. Question Tag: contractions
Question Category: Physiological Adaptation
The nurse is measuring the duration of the client’s contractions. Which statement is true regarding the measurement of the duration of contractions?
CorrectIncorrect - Question 240 of 450
240. Question
240. Question Tag: Pitocin, labor
Question Category: Physiological Integrity, Pharmacological and Parenteral Therapies
The physician has ordered an intravenous infusion of Pitocin for the induction of labor. When caring for the obstetric client receiving intravenous Pitocin, the nurse should monitor for:
CorrectIncorrect - Question 241 of 450
241. Question
241. Question Tag: pregnancy, insulin
Question Category: Physiological Integrity, Physiological Adaptation
A client with diabetes visits the prenatal clinic at 28 weeks gestation. Which statement is true regarding insulin needs during pregnancy?
CorrectIncorrect - Question 242 of 450
242. Question
242. Question Tag: prenatal
Question Category: Health Promotion and Maintenance
A client in the prenatal clinic is assessed to have a blood pressure of 180/96. The nurse should give priority to:
CorrectIncorrect - Question 243 of 450
243. Question
243. Question Tag: primigravida
Question Category: Physiological Integrity, Physiological Adaptation
A primigravida, age 42, is 6 weeks pregnant. Based on the client’s age, her infant is at risk for:
CorrectIncorrect - Question 244 of 450
244. Question
244. Question Tag: abortion
Question Category: Physiological Integrity, Physiological Adaptation
A client with a missed abortion at 29 weeks gestation is admitted to the hospital. The client will most likely be treated with:
CorrectIncorrect - Question 245 of 450
245. Question
245. Question Tag: preeclampsia
Question Category: Physiological Integrity, Pharmacological and Parenteral Therapies
A client with preeclampsia has been receiving an infusion containing magnesium sulfate for a blood pressure that is 160/80; deep tendon reflexes are 1 plus, and the urinary output for the past hour is 100mL. The nurse should:
CorrectIncorrect - Question 246 of 450
246. Question
246. Question Tag: autosomal recessive disorders
Question Category: Physiological Integrity, Physiological Adaptation
Which statement made by the nurse describes the inheritance pattern of autosomal recessive disorders?
CorrectIncorrect - Question 247 of 450
247. Question
247. Question Tag: alpha fetoprotein
Question Category: Physiological Integrity, Physiological Adaptation
A pregnant client, age 32, asks the nurse why her doctor has recommended a serum alpha fetoprotein. The nurse should explain that the doctor has recommended the test:
CorrectIncorrect - Question 248 of 450
248. Question
248. Question Tag: hypothyroidism
Question Category: Physiological Integrity, Pharmacological and Parenteral Therapies
A client with hypothyroidism asks the nurse if she will still need to take thyroid medication during the pregnancy. The nurse’s response is based on the knowledge that:
CorrectIncorrect - Question 249 of 450
249. Question
249. Question Tag: neonatal assessment
Question Category: Health Promotion and Maintenance
The nurse is responsible for performing a neonatal assessment on a full-term infant. At 1 minute, the nurse would expect to find:
CorrectIncorrect - Question 250 of 450
250. Question
250. Question Tag: sickle cell anemia
Question Category: Health Promotion and Maintenance
A client with sickle cell anemia is admitted to the labor and delivery unit during the first phase of labor. The nurse should anticipate the client’s need for:
CorrectIncorrect - Question 251 of 450
251. Question
251. Question Tag: diabetes
Question Category: Physiologic Integrity, Reduction of Risk Potential
A client with diabetes has an order for ultrasonography. Preparation for an ultrasound includes:
CorrectIncorrect - Question 252 of 450
252. Question
252. Question Tag: infant
Question Category: Health Promotion and Maintenance
An infant who weighs 8 pounds at birth would be expected to weigh how many pounds at 1 year?
CorrectIncorrect - Question 253 of 450
253. Question
253. Question Tag: nonstress test
Question Category: Physiological Integrity, Reduction of Risk Potential
A pregnant client with a history of alcohol addiction is scheduled for a nonstress test. The nonstress test:
CorrectIncorrect - Question 254 of 450
254. Question
254. Question Tag: hypospadias
Question Category: Physiological Integrity, Physiological Adaptation
A full-term male has hypospadias. Which statement describes hypospadias?
CorrectIncorrect - Question 255 of 450
255. Question
255. Question Tag: labor
Question Category: Health Promotion and Maintenance
A gravida 3 para 2 is admitted to the labor unit. 45 minutes ago, the patient was 7 cm dilated and 80% effaced. A current vaginal exam reveals that the client’s cervix is 8 cm dilated, with complete effacement. The priority nursing diagnosis at this time is:
CorrectIncorrect - Question 256 of 450
256. Question
256. Question Tag: varicella
Question Category: Physiological Integrity, Physiological Adaptation
The client with varicella will most likely have an order for which category of medication?
CorrectIncorrect - Question 257 of 450
257. Question
257. Question Tag: chest pain
Question Category: Safe and Effective Care Environment, Safety and Infection Control
A client is admitted complaining of chest pain. Which of the following drug orders should the nurse question?
CorrectIncorrect - Question 258 of 450
258. Question
258. Question Tag: rheumatoid arthritis
Question Category: Health Promotion and Maintenance
Which of the following instructions should be included in the teaching for the client with rheumatoid arthritis?
CorrectIncorrect - Question 259 of 450
259. Question
259. Question Tag: pancreatitis
Question Category: Safe and Effective Care Environment, Safety and Infection Control
A client with acute pancreatitis is experiencing severe abdominal pain. Which of the following orders should be questioned by the nurse?
CorrectIncorrect - Question 260 of 450
260. Question
260. Question Tag: chemical dependence
Question Category: Psychosocial Integrity
The client is admitted to the chemical dependence unit with an order for continuous observation. The nurse is aware that the doctor has ordered continuous observation because:
CorrectIncorrect - Question 261 of 450
261. Question
- Question Tag: chest pain
Question Category: Physiological Integrity, Physiological Adaptation
A patient arrives at the emergency department complaining of midsternal chest pain. Which of the following nursing actions should take priority?
CorrectIncorrect - Question 262 of 450
262. Question
262. Question Tag: pneumonia
Question Category: Health Promotion and Maintenance
A patient has been hospitalized with pneumonia and is about to be discharged. A nurse provides discharge instructions to a patient and his family. Which misunderstanding by the family indicates the need for more detailed information?
CorrectIncorrect - Question 263 of 450
263. Question
263. Question Tag: lung cancer
Question Category: Safe and Effective Care Environment, Management of Care
A nurse is caring for an elderly Vietnamese patient in the terminal stages of lung cancer. Many family members are in the room around the clock performing unusual rituals and bringing ethnic foods. Which of the following actions should the nurse take?
CorrectIncorrect - Question 264 of 450
264. Question
264. Question Tag: delegation
Question Category: Safe and Effective Care Environment, Management of Care
The charge nurse on the cardiac unit is planning assignments for the day. Which of the following is the most appropriate assignment for the float nurse that has been reassigned from labor and delivery?
CorrectIncorrect - Question 265 of 450
265. Question
265. Question Tag: type 1 diabetes mellitus
Question Category: Health Promotion and Maintenance
A newly diagnosed 8-year-old child with type I diabetes mellitus and his mother are receiving diabetes education prior to discharge. The physician has prescribed Glucagon for emergency use. The mother asks the purpose of this medication. Which of the following statements by the nurse is correct?
CorrectIncorrect - Question 266 of 450
266. Question
266. Question Tag: congestive heart failure
Question Category: Physiological Integrity, Pharmacological and Parenteral Therapies
An infant with congestive heart failure is receiving diuretic therapy at home. Which of the following symptoms would indicate that the dosage may need to be increased?
CorrectIncorrect - Question 267 of 450
267. Question
267. Question Tag: dilantin, seizure disorder
Question Category: Physiological Integrity, Pharmacological and Parenteral Therapies
A patient taking dilantin (Phenytoin) for a seizure disorder is experiencing breakthrough seizures. A blood sample is taken to determine the serum drug level. Which of the following would indicate a sub-therapeutic level?
CorrectIncorrect - Question 268 of 450
268. Question
268. Question Tag: acetaminophen toxicity
Question Category: Physiological Integrity, Physiological Adaptation
A patient arrives at the emergency department complaining of back pain. He reports taking at least 3 acetaminophen tablets every three hours for the past week without relief. Which of the following symptoms suggests acetaminophen toxicity?
CorrectIncorrect - Question 269 of 450
269. Question
269. Question Tag: morphine sulfate
Question Category: Pharmacological and Parenteral Therapies
A nurse is caring for a cancer patient receiving subcutaneous morphine sulfate for pain. Which of the following nursing actions is most important in the care of this patient?
CorrectIncorrect - Question 270 of 450
270. Question
270. Question Tag: leg pain
Question Category: Physiological Integrity, Physiological Adaptation
A patient arrives at the emergency department with severe lower leg pain after a fall in a touch football game. Following routine triage, which of the following is the appropriate next step in assessment and treatment?
CorrectIncorrect - Question 271 of 450
271. Question
271. Question Tag: cardioverter-defibrillator
Question Category: Physiological Integrity, Physiological Adaptation
A nurse caring for several patients in the cardiac unit is told that one is scheduled for implantation of an automatic internal cardioverter-defibrillator. Which of the following patients is most likely to have this procedure?
CorrectIncorrect - Question 272 of 450
272. Question
Which patient would be the most appropriate candidate for an ICD?
CorrectIncorrect - Question 273 of 450
273. Question
273. Question Tag: pulmonary embolism
Question Category: Physiological Integrity, Physiological Adaptation
A nurse calls a physician with the concern that a patient has developed a pulmonary embolism. Which of the following symptoms has the nurse most likely observed?
CorrectIncorrect - Question 274 of 450
274. Question
274. Question Tag: abdominal aortic aneurysm
Question Category: Physiological Integrity, Reduction of Risk Potential
A patient comes to the emergency department with abdominal pain. Work-up reveals the presence of a rapidly enlarging abdominal aortic aneurysm. Which of the following actions should the nurse expect?
CorrectIncorrect - Question 275 of 450
275. Question
275. Question Tag: chemotherapy
Question Category: Physiological Integrity, Reduction of Risk Potential
A patient with leukemia is receiving chemotherapy that is known to depress bone marrow. A CBC (complete blood count) reveals a platelet count of 25,000/microliter. Which of the following actions related specifically to the platelet count should be included on the nursing care plan?
CorrectIncorrect - Question 276 of 450
276. Question
276. Question Tag: leukemia
Question Category: Health Promotion and Maintenance
A patient is undergoing the induction stage of treatment for leukemia. The nurse teaches family members about infectious precautions. Which of the following statements by family members indicates that the family needs more education?
CorrectIncorrect - Question 277 of 450
277. Question
277. Question Tag: acute lymphoblastic leukemia
Question Category: Physiological Integrity, Physiological Adaptation
A nurse is caring for a patient with acute lymphoblastic leukemia (ALL). Which of the following is the most likely age range of the patient?
CorrectIncorrect - Question 278 of 450
278. Question
278. Question Tag: Hodgkin’s disease
Question Category: Physiological Integrity, Physiological Adaptation
A patient is admitted to the oncology unit for diagnosis of suspected Hodgkin’s disease. Which of the following symptoms is typical of Hodgkin’s disease?
CorrectIncorrect - Question 279 of 450
279. Question
279. Question Tag: Hodgkin’s disease
Question Category: Physiological Integrity, Physiological Adaptation
The Hodgkin’s disease patient described in the question above undergoes a lymph node biopsy for definitive diagnosis. If the diagnosis of Hodgkin’s disease were correct, which of the following cells would the pathologist expect to find?
CorrectIncorrect - Question 280 of 450
280. Question
280. Question Tag: bone marrow aspiration and biopsy
Question Category: Physiological Integrity, Basic Care and Comfort
A patient is about to undergo bone marrow aspiration and biopsy and expresses fear and anxiety about the procedure. Which of the following is the most effective nursing response?
CorrectIncorrect - Question 281 of 450
281. Question
281. Question Tag: toilet training
Question Category: Health Promotion and Maintenance
A mother complains to the clinic nurse that her 2 ½-year-old son is not yet toilet trained. She is particularly concerned that, although he reliably uses the potty seat for bowel movements, he isn’t able to hold his urine for long periods. Which of the following statements by the nurse is correct?
CorrectIncorrect - Question 282 of 450
282. Question
282. Question Tag: infant
Question Category: Health Promotion and Maintenance
The mother of a 14-month-old child reports to the nurse that her child will not fall asleep at night without a bottle of milk in the crib and often wakes during the night asking for another. Which of the following instructions by the nurse is correct?
CorrectIncorrect - Question 283 of 450
283. Question
283. Question Tag: infant
Question Category: Health Promotion and Maintenance
Which of the following actions is not appropriate in the care of a 2-month-old infant?
CorrectIncorrect - Question 284 of 450
284. Question
284. Question Tag: constipation
Question Category: Health Promotion and Maintenance
An older patient asks a nurse to recommend strategies to prevent constipation. Which of the following suggestions would be helpful? Note: More than one answer may be correct. Select all that apply.
CorrectIncorrect - Question 285 of 450
285. Question
285. Question Tag: rheumatic fever
Question Category: Physiological Integrity, Physiological Adaptation
A child is admitted to the hospital with suspected rheumatic fever. Which of the following observations is not confirming the diagnosis?
CorrectIncorrect - Question 286 of 450
286. Question
286. Question Tag: congestive heart failure
Question Category: Physiological Integrity, Reduction of Risk Potential
A patient with a history of congestive heart failure arrives at the clinic complaining of dyspnea. Which of the following actions is the first the nurse should perform?
CorrectIncorrect - Question 287 of 450
287. Question
287. Question Tag: nitroglycerin
Question Category: Physiological Integrity, Pharmacological and Parenteral Therapies
A clinic patient has recently been prescribed nitroglycerin for treatment of angina. He calls the nurse complaining of frequent headaches. Which of the following responses to the patient is correct?
CorrectIncorrect - Question 288 of 450
288. Question
288. Question Tag: colon cancer
Question Category: Physiological Integrity, Reduction of Risk Potential
A patient received surgery and chemotherapy for colon cancer, completing therapy 3 months previously, and she is now in remission. At a follow-u