A client is diagnosed with HIV. Which of the following are antiviral drug classes used in the treatment of HIV/AIDS?
The nurse should teach parents of small children that the most common type of first-degree burn is:
A client is told that his test is positive, but in fact, the client does not have the disease tested for. Which type of false report is this an example of?
An elderly client denies that abuse is occurring. Which of the following factors could be a barrier for the client to admit being a victim?
The vast majority of deaths resulting from unintentional poisoning occur in:
In performing a psychosocial assessment, the nurse begins by asking questions that encourage the client to describe problematic behaviors and situations. The next step is to elicit the client’s:
A syringe pump is a type of electronic infusion pump used to infuse fluids or medications directly from a syringe. This device is commonly used for:
After breast reconstruction secondary to breast cancer, the nurse should recognize which of the following expected client outcomes as evidence of a favorable response to nursing interventions related to disturbed body image?
An 8-year-old Asian child is being examined during a school screening. The nurse notices small bruises on the anterior and posterior ribs. The nurse should ask the child:
A contraindication for topical corticosteroid use in a client with atopic dermatitis (eczema) is:
The nurse who was not promoted then went to the utility room and slammed several cupboard doors while looking for Kleenex. This behavior exemplifies:
When a client who is having trouble conceiving says to the nurse, “I have started taking ginseng,†the best response by the nurse is:
In managing nausea related to Morphine epidural analgesia, the nurse should administer:
Which of the following tests is commonly performed on newborns with jaundice?
Which of the following conditions has a severe complication of respiratory failure?
In evaluating the lab work of a client in a hepatic coma, which of the following lab tests is most important?
Which of the following medications might cause upper-gastrointestinal (UGI) bleeding?
The nurse should teach a client in the Emergency Department, who has suffered an ankle sprain, to:
When suctioning a client, what is the usual amount of time the nurse should spend for each suction pass?
When teaching parents how their children learn sex role identification, the nurse should include which of the following statements?
A client with a nasogastric (NG) tube begins vomiting. What action should the nurse take?
A client is having problems with her ankles. To assess her ankles’ ROM, which ROM exercises should the nurse have her perform?
A client has a nasogastric (NG) tube in place following abdominal surgery. The purpose of this tube immediately following surgery is to:
A man reports his wife is constantly cleaning. The activity has interfered with the family life. Friends have stopped visiting because she makes them uncomfortable. He states he has awakened in the middle of the night and found her cleaning. The nurse should consult with the couple and recommend the husband help with therapy by:
A client turns her ankle. She is diagnosed as having a Pulled Ligament. This should be documented as a:
Which of the following instructions should the nurse give a client who will be undergoing mammography?
Which of the following nursing actions is most effective when evaluating a kinetic family drawing?
Why must the nurse be careful not to cut through or disrupt any tears, holes, bloodstains, or dirt present on the clothing of a client who has experienced trauma?
A client with Kawasaki disease has bilateral congestion of the conjunctivae, dry cracked lips, a strawberry tongue, and edema of the hands and feet followed by desquamation of fingers and toes. Which of the following nursing measures is most appropriate to meet the expected outcome of positive body image?
Which of the following values should the nurse monitor closely while a client is on total parenteral nutrition?
Which of the following statements, if made by the parents of a newborn, does not indicate a need for further teaching about cord care?
How often should the nurse change the intravenous tubing on total parenteral nutrition solutions?
Which of the following organs of the digestive system has a primary function of absorption?
A client expresses anxiety about having magnetic resonance imaging performed. Which of the following is an appropriate response by the nurse?
Herbal therapy has several indications for use. Primarily, herbal therapy is:
Which of the following medications should be held 24–48 hours prior to an electroencephalogram (EEG)?
A female prostitute enters a clinic for treatment of a sexually transmitted disease. This disease is the most prevalent STD in the United States. The nurse can anticipate that the woman has which of the following?
Which of the following home-care strategies is most likely to negatively impact the body image of a client with Cushing’s syndrome?
The nurse should make which of the following responses when questioned by a client about the role of leptin in the body?
Which of the following actions should a nurse take first for a client who has just vomited 300 cc of bright red blood?
Which is an appropriate outcome for the nursing diagnosis of Body Image Disturbance for a client with anorexia nervosa?
All of the following are clinical manifestations indicating male climacteric except:
Which type of exercises might be prescribed to strengthen the pelvic floor muscles of a client with urinary incontinence?
Which of the following diseases places a client at risk for developing cirrhosis?
When a middle-age woman says to the nurse, “I’m really worried about menopause. When my mom went through it, she got really depressed.†The nurse’s best response is:
In a disaster, triage situation, the nurse should be least concerned with which of the following regarding a client in crisis?
Which cultural group has the highest incidence of inflammatory bowel disease (IBD)?
The presence of which hormone in the urine is specifically indicative of pregnancy?
While undergoing fetal heart monitoring, a pregnant Native-American woman requests that a medicine woman be present in the examination room. Which of the following is an appropriate response by the nurse?
When obtaining a health history on a menopausal woman, which information should a nurse recognize as a contraindication for hormone replacement therapy?
A client is taking hydrocodone (Vicodin) for chronic back pain. The client has required an increase in the dose and asks whether this means he is addicted to Vicodin. The nurse should base her reply on the knowledge that:
What is the primary theory that explains a family’s concept of health and illness?
A client with massive chest and head injuries is admitted to the ICU from the Emergency Department. All of the following are true except:
The nurse observes bilateral bruises on the arms of an elderly client in a long-term care facility. Which of the following questions should the nurse ask this client?
According to the ANA Code of Ethics for Nurses, professional nurses have an ethical obligation to:
High uric acid levels can develop in clients who are receiving chemotherapy. This can be caused by:
How many feet should separate the nurse and the source when extinguishing a small, wastebasket fire with an appropriate extinguisher?
A nurse is teaching a client about self-administration of Haldol 15 mg po hs. For which side effect/s must the client seek medical attention?
Ten-year-old Jackie is admitted to the hospital with a medical diagnosis of Rheumatic Fever. She relates a history of “a sore throat about a month ago.†Bed rest with bathroom privileges is prescribed. Which of the following nursing assessments should be given the highest priority when assessing Jackie’s condition?
A patient has been ordered to get Klonapin for the first time. Which of the following side effects is not associated with Klonapin?
A nurse assesses a 83 year-old female’s venous ulcer for the second time that is located near the right medial malleolus. The wound is exhibiting purulent drainage and the patient has limited mobility in her home. Which of the options is the best course of action?
A nurse is performing a screening on a patient that has been casted recently on the left lower extremity. Which of the following statements should the nurse be most concerned about?
A 14 year-old boy has been admitted to a mental health unit for observation and treatment. The boy becomes agitated and starts yelling at nursing staff members. What should the nurse first response be?
A patient has recently been prescribed Lidocaine Hydrochloride. Which of the following symptoms may occur with over dosage?
A nurse is caring for a retired MD. The MD asks the question, “What type of cells secrete insulin?†The correct answer is:
A woman seeks assistance because she recently remembered childhood sexual abuse. The nurse should include which of the following goals for this client?
Which of the following arterial blood gas values indicates a patient may be experiencing a condition of metabolic acidosis?
A 62 year-old female is being seen on a home visit by a nurse. The patient reports she has been taking Premarin for years. Which of the following would indicate an over-dosage?
The client on Floxin must be alerted to which of the following adverse effects?
A nurse is assessing a patient’s breath sounds. The patient has had a pneumonectomy to the right lung performed 48 hours ago. Which of the following conditions most likely exists?
A 22 year-old patient in a mental health lock-down unit under suicide watch appears happy about being discharged. Which of the following is probably happening?
The acts enacted by states to provide immunity from liability to persons who provide emergency care at an accident scene are called:
A patient asks a nurse the following question. Exposure to TB can be identified best with which of the following procedures? Which of the following tests is the most definitive of TB?
Which of the following medications is not considered a neuromuscular blocker?
During a routine health screening, the nurse should talk to the parents of a 1-year-old child about which of the following?
A nurse discharge planner is preparing a client for discharge from an acute care setting. The nurse assesses that skilled home care services are clinically indicated. This assessment is based on all of the following indicators except:
When caring for a Native-American family, the nurse needs to consider which of the following?
The nurse and a colleague are on the elevator after their shift, and they hear a group of health caregivers discussing a recent client scenario. Which client right might be breached?
The nurse is preparing to administer IV Vancomycin to a client. Which of the following nursing actions
should be taken first?
Which of the following needs immediate medical attention and emergency intervention? The client who:
Which of the following clients should refrain from therapy with the thiazide diuretic hydrochlorothiazide (HCTZ)?
While walking in the hallway of an acute care unit of the hospital, the nurse overhears the change of shift report. The nurse should:
All of the following tasks could be delegated to a nursing assistant or unlicensed assistive personnel (UAP) except:
The nurse can best communicate to a client that he or she has been listening by:
A client’s central venous access device (CVAD) becomes infected. Why might the physician order antibiotics to be given through the line rather than through a peripheral IV line?
Local anesthetics block the conduction of pain impulses to the spinal cord. Their duration of action: