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Question 1 of 30
1. Question
1 point(s)Category: Pharmacological and Parenteral TherapiesThe nurse is caring for a 65-year-old male client with a history of ischemic heart disease who has been admitted to the ICU following a myocardial infarction. The client is currently receiving lidocaine I.V. to manage his ventricular ectopy, which has been persistent. Which of the following factors would be most important for the nurse to consider in relation to the administration of this medication?
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Question 2 of 30
2. Question
1 point(s)Category: Pharmacological and Parenteral TherapiesA 72-year-old male patient with a history of atrial fibrillation and controlled hypertension has been initiated on warfarin therapy. Upon assessment of the patient’s history, it was revealed that he has a history of peptic ulcer. This patient also has a recent history of a peptic ulcer. Given the client’s medical history and current medication regimen, which of the following instructions should the nurse prioritize when providing discharge teaching?
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Question 3 of 30
3. Question
1 point(s)Category: Reduction of Risk PotentialIn a busy surgical unit, a nurse is preparing to insert an I.V. catheter for a 33-year-old patient who is scheduled for elective surgery and has a notably hairy forearm where the I.V. is to be placed. The patient is allergic to a variety of adhesives and has sensitive skin that is prone to irritation. Given these considerations, how should the nurse manage excess hair at the intended catheter insertion site?
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Question 4 of 30
4. Question
1 point(s)Category: Health Promotion and MaintenanceA nurse is tasked with the education of an elderly female patient who has been recently diagnosed with osteoporosis. The patient leads a sedentary lifestyle, has a diet low in calcium, has undergone menopause ten years prior, and has a visibly kyphotic posture. In planning the education for this patient, which of the following complications should the nurse emphasize as the most significant risk associated with osteoporosis, especially considering the patient’s profile?
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Question 5 of 30
5. Question
1 point(s)Category: Health Promotion and MaintenanceA community health nurse is conducting a workshop on breast health for a group of women with diverse backgrounds, ranging from those who have never performed Breast Self-Examination (BSE) to some who have had benign breast conditions in the past. As part of the educational session, the nurse emphasizes the importance of BSE for the early detection of potential breast anomalies. What should the nurse identify as the primary goal for these women in performing regular BSE?
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Question 6 of 30
6. Question
1 point(s)Category: Basic Care and ComfortA nurse is managing the care of a 32-year-old female client diagnosed with hyperthyroidism. The client reports experiencing palpitations, unintentional weight loss, and intermittent bouts of excessive sweating. The treatment plan includes antithyroid medications. In addition to administering medication, what nursing interventions should be prioritized to manage the client’s condition best?
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Question 7 of 30
7. Question
1 point(s)Category: Health Promotion and MaintenanceA nurse is providing discharge education to a 55-year-old client who has been hospitalized with symptoms leading to a diagnosis of atherosclerosis. The client has a sedentary lifestyle, a high-stress job, and a diet high in saturated fats. As part of the client’s comprehensive care plan to manage and reduce the progression of atherosclerosis, which of the following lifestyle modifications should the nurse emphasize?
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Question 8 of 30
8. Question
1 point(s)Category: Physiological AdaptationIn a postoperative unit, a nurse is caring for a client who has recently undergone a laminectomy to relieve spinal cord compression. The client is alert but has been instructed to minimize movement to prevent post-surgical complications. In addition to monitoring for the usual postoperative signs such as infection or bleeding, which technique should the nurse use to reposition the client to promote comfort and prevent injury safely?
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Question 9 of 30
9. Question
1 point(s)Category: Health Promotion and MaintenanceA 55-year-old client who just had cataract removal with an intraocular lens implant is being prepared for discharge. The client has a history of hypertension and is moderately active. The client’s postoperative recovery has been uneventful, but they express anxiety about ensuring a proper recovery. The nurse needs to provide comprehensive discharge instructions. In addition to avoiding activities that could increase ocular pressure, which of the following should be included in the discharge education?
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Question 10 of 30
10. Question
1 point(s)Category: Health Promotion and MaintenanceGeorge, a 17-year-old individual, is attending a health education session at a community clinic. The clinic is conducting screenings and teaching about early detection of common health issues in young adults. George has a family history of testicular cancer and is seeking information on how to reduce his risk. The nurse should include education on testicular self-examinations as part of the session. At what age should the nurse emphasize the initiation of regular testicular self-examinations?
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Question 11 of 30
11. Question
1 point(s)Category: Physiological AdaptationA 50-year-old male client with a history of colorectal cancer has recently undergone a colon resection. Postoperatively, while assisting the client to turn in bed for routine care, the nurse notices the surgical wound site has suddenly dehisced, and there is evisceration of abdominal contents. In prioritizing the immediate actions to take, which step should the nurse perform first to address this acute complication?
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Question 12 of 30
12. Question
1 point(s)Category: Physiological AdaptationThe nurse is monitoring a 78-year-old male patient who has experienced a significant cerebrovascular accident resulting in extensive brain damage. During a comprehensive evaluation, the nurse observes the patient’s respiratory pattern and identifies a cycle of respirations that increase and decrease in depth and rate, culminating in periods where breathing temporarily ceases. This observation is most consistent with which of the following descriptions?
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Question 13 of 30
13. Question
1 point(s)Category: Physiological AdaptationThe nurse is evaluating a 63-year-old female patient who has been admitted with worsening heart failure. During the physical examination, the nurse uses a stethoscope to listen to the patient’s lung fields. The patient presents with shortness of breath, a cough that worsens when lying down, and fatigue. Which type of breath sounds is the nurse most likely to auscultate that are typically associated with heart failure?
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Question 14 of 30
14. Question
1 point(s)Category: Physiological AdaptationA nurse is attending to a 35-year-old patient with a history of asthma who presents to the emergency department in the midst of an acute asthma exacerbation. The patient, who was initially wheezing loudly, suddenly has no audible wheezing and the nurse cannot auscultate breath sounds. The patient appears anxious and is using accessory muscles to breathe. Considering the change in respiratory status, what is the most likely explanation for the absence of wheezing?
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Question 15 of 30
15. Question
1 point(s)Category: Safety and Infection ControlA nurse is caring for a 22-year-old individual with a known diagnosis of epilepsy. During the nurse’s shift, the patient begins to have a tonic-clonic seizure. During the active phase of the seizure, which of the following actions should the nurse take? Select all that apply.
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Question 16 of 30
16. Question
1 point(s)Category: Reduction of Risk PotentialAfter insertion of a chest tube for a pneumothorax, a client becomes hypotensive with neck vein distention, tracheal shift, absent breath sounds, and diaphoresis. Nurse Amanda suspects a tension pneumothorax has occurred. What cause of tension pneumothorax should the nurse check for?
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Question 17 of 30
17. Question
1 point(s)Category: Safety and Infection ControlThe nurse is providing lunch to a 68-year-old male patient with a history of stroke which has affected his swallowing reflex. As the patient begins to eat, he suddenly starts choking on a piece of food but is coughing loudly and forcefully. Observing this, what should the nurse do?
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Question 18 of 30
18. Question
1 point(s)Category: Health Promotion and MaintenanceWhile conducting an initial health assessment, the nurse is collecting information from an 84-year-old female patient who has recently been admitted to the geriatric ward due to chronic hypertension and mild cognitive impairment. Which of the following pieces of information would be most beneficial for the nurse to gather in order to tailor an individualized care plan?
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Question 19 of 30
19. Question
1 point(s)Category: Physiological AdaptationThe nurse is preparing to provide oral care for a 76-year-old female patient who is comatose following a cerebral hemorrhage. The patient is unable to manage her secretions and has a history of chronic obstructive pulmonary disease (COPD). To minimize the risk of aspiration and ensure proper oral hygiene, what should the nurse do?
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Question 20 of 30
20. Question
1 point(s)Category: Physiological AdaptationA 77-year-old male client is admitted with a diagnosis of dehydration and change in mental status. He’s being hydrated with I.V. fluids. When the nurse takes his vital signs, she notes he has a fever of 103°F (39.4°C) a cough producing yellow sputum and pleuritic chest pain. The nurse suspects this client may have which of the following conditions?
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Question 21 of 30
21. Question
1 point(s)Category: Health Promotion and MaintenanceIn the context of an ongoing tuberculosis (TB) outbreak, the nurse working in a community health clinic is triaging clients for potential TB exposure and infection. Considering the risk factors and symptoms, which of these clients should the nurse prioritize for TB screening?
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Question 22 of 30
22. Question
1 point(s)Category: Reduction of Risk PotentialA 42-year-old patient with no significant medical history presents to the clinic with a recent positive Mantoux tuberculin skin test. The patient reports a productive cough and night sweats that have persisted for the past three weeks. The nurse understands that a chest X-ray has been ordered. The nurse considers that this diagnostic test is most crucial for which of the following reasons?
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Question 23 of 30
23. Question
1 point(s)Category: Physiological AdaptationThe nurse is attending to a 35-year-old patient presenting to the emergency department with difficulty breathing, audible inspiratory and expiratory wheezes, and a significant reduction in peak expiratory flow rate. The patient has a known history of asthma and is currently experiencing an exacerbation. Which of the following medication classes should the nurse anticipate administering first to address the patient’s immediate needs?
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Question 24 of 30
24. Question
1 point(s)Category: Physiological AdaptationA nurse is assessing a 56-year-old patient who presents with a persistent cough producing copious thick sputum, noticeable swelling in the lower extremities, and blue-tinged nail beds. The patient has a detailed smoking history of consuming one to two packs of cigarettes daily for 40 years. Considering the patient’s history and current symptoms, which of the following conditions does the patient most likely have?
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Question 25 of 30
25. Question
1 point(s)Category: Reduction of Risk PotentialA nurse is caring for a 46-year-old patient admitted with a diagnosis of Chronic Lymphocytic Leukemia (CLL). As part of the treatment regimen, the patient is scheduled for a bone marrow transplantation. The nurse is reviewing the patient’s education plan concerning the procedure. Which of the following statements about bone marrow transplantation is NOT correct?
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Question 26 of 30
26. Question
1 point(s)Category: Safety and Infection ControlA nurse is caring for a 46-year-old male patient with Chronic Lymphocytic Leukemia who, after several days of admission, exhibits new-onset disorientation and complains of persistent headaches. What should the nurse prioritize as an initial action?
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Question 27 of 30
27. Question
1 point(s)Category: Physiological AdaptationA 46-year-old patient with Chronic Lymphocytic Leukemia (CLL) expresses confusion to the nurse about the development of anemia despite the disease’s characteristic increased white blood cell production. The patient presents with fatigue and pallor, common symptoms of anemia. To address the patient’s concern, how should the nurse best explain the reason for anemia in the context of CLL?
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Question 28 of 30
28. Question
1 point(s)Category: Reduction of Risk PotentialIn assessing a 46-year-old patient with a diagnosis of Chronic Lymphocytic Leukemia (CLL), who presents with fatigue, lymphadenopathy, and frequent infections, which of the following findings would the nurse least expect to be reported in the diagnostic assessment?
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Question 29 of 30
29. Question
1 point(s)Category: Reduction of Risk PotentialA 57-year-old patient with a recent history of severe left leg pain and diagnosed with acute arterial occlusion is postoperative following an emergency embolectomy. Six hours after the procedure, the nurse is unable to detect pulses in the patient’s left foot using a Doppler ultrasound. The nurse informs the surgical team of the potential need for further intervention. When discussing the situation with the patient, who expresses a desire to refuse any additional surgical procedures, what should the nurse prioritize as the initial response?
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Question 30 of 30
30. Question
1 point(s)Category: Management of CareDuring the endorsement, which of the following clients should the on-duty nurse assess first?
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