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Question 1 of 30
1. Question
1 point(s)Category: Health Promotion and MaintenanceA 65-year-old man, who is a retired professional dancer, has been admitted to the orthopedic unit for spinal stenosis surgery. He lives alone in a two-story house and is concerned about his mobility and self-care post-surgery. Given his unique living situation and profession, which has contributed to his current condition, when should the nurse initiate discharge training and planning to ensure a smooth transition and recovery for this patient?
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Question 2 of 30
2. Question
1 point(s)Category: Psychosocial IntegrityA 5-year-old child has been recently admitted to the pediatric unit following a minor accident at school. The child appears hesitant to engage in play activities organized by the hospital’s child life specialist and frequently asks if it’s “okay” to play with certain toys. The parents express concern about their child’s behavior, noting that he was previously very active and curious at home. Based on Erik Erikson’s psychosocial development stages and the child’s age and behavior, the nurse recognizes that the child is primarily navigating which developmental stage?
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Question 3 of 30
3. Question
1 point(s)Category: Psychosocial IntegrityA 26-month-old toddler has been admitted to the pediatric unit following recurrent episodes of temper tantrums and refusal to eat certain foods at home. The parents are concerned and mention that their child has become increasingly assertive, often wanting to do things on their own, like dressing up or using the toilet. They also note moments when the child becomes frustrated and seems ashamed if they can’t complete a task. Based on Erik Erikson’s psychosocial development stages and the described behaviors, the nurse understands that the toddler is primarily navigating which developmental stage?
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Question 4 of 30
4. Question
1 point(s)Category: Psychosocial IntegrityA 20-year-old young adult has been admitted to the hospital following a motor vehicle accident. During the assessment, the patient expresses concerns about their recent breakup and how it might be affecting their overall well-being. They mention feeling isolated from peers and struggling with forming close relationships. The patient’s parents also share that their child has been distancing from family gatherings and often spends time alone. Based on Erik Erikson’s psychosocial development stages and the described behaviors and concerns, the nurse recognizes that the young adult is primarily navigating which developmental stage?
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Question 5 of 30
5. Question
1 point(s)Category: Reduction of Risk PotentialDuring a school health fair, a nurse is stationed at the vital signs booth. As students from various age groups approach, the nurse takes their vital signs. Later, while reviewing the recorded data, the nurse identifies one set of vital signs that seems abnormal for the age group. Which of the following vital signs taken during the health fair appears to be outside the typical range for the respective age group?
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Question 6 of 30
6. Question
1 point(s)Category: Pharmacological and Parenteral TherapiesYou are conducting a comprehensive assessment of a 38-year-old female patient in the outpatient psychiatric clinic. She mentions that she has been struggling with both depression and an anxiety disorder for several years. She hints at being on medication but doesn’t remember the name. As you review her medication list, you notice a drug that is commonly prescribed for such conditions. Based on her described symptoms, which of the following medications on her list would she most likely be taking for her depression and anxiety?
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Question 7 of 30
7. Question
1 point(s)Category: Pharmacological and Parenteral TherapiesA nurse is reviewing the medication list of a 45-year-old male patient admitted to the medical unit. The patient has a complex medical history, including a recent diagnosis of a bacterial respiratory infection, a past episode of Legionnaires disease, a family history of Campylobacteriosis infection, and a long-standing diagnosis of Multiple Sclerosis. The physician has ordered erythromycin as part of the patient’s treatment plan. For which of the patient’s conditions would the nurse question the administration of erythromycin?
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Question 8 of 30
8. Question
1 point(s)Category: Physiological AdaptationA 58-year-old male patient has been admitted to the cardiology unit following complaints of palpitations and fatigue. Upon reviewing his medical chart, the nurse notes a history of chronic kidney disease and a recent episode of hyperkalemia. The patient describes a variety of symptoms he has been experiencing over the past week. Based on his history of hyperkalemia, which of the following symptoms reported by the patient would the nurse consider unrelated to an acute episode of hyperkalemia?
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Question 9 of 30
9. Question
1 point(s)Category: Physiological AdaptationA 42-year-old female patient with a known history of type 1 diabetes presents to the emergency department with complaints of fatigue, increased urination, and difficulty breathing. The nurse suspects an acute episode of ketoacidosis based on her medical history and current symptoms. As the nurse continues the assessment, the patient describes various symptoms she has been experiencing over the past few days. Based on her potential acute ketoacidosis, which of the following symptoms reported by the patient would the nurse consider atypical for this condition?
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Question 10 of 30
10. Question
1 point(s)Category: Physiological AdaptationA 28-year-old male patient presents to the emergency department with a sudden onset of severe headache, neck stiffness, and confusion. His roommate mentions that the patient had been complaining of flu-like symptoms for the past few days. Given the patient’s presentation and the information provided, the nurse suspects acute meningitis. As the nurse continues the assessment, the patient, though disoriented, tries to describe some of the symptoms he has been experiencing. Based on the suspicion of acute meningitis, which of the following symptoms reported by the patient would the nurse consider not expected for this condition?
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Question 11 of 30
11. Question
1 point(s)Category: Physiological AdaptationA 32-year-old female patient presents to the outpatient clinic with complaints of red, itchy eyes with a yellowish discharge for the past three days. She mentions she recently returned from a trip abroad. The nurse, upon reviewing her medical history, notes a previous episode of conjunctivitis last year. Given the patient’s presentation and travel history, the nurse suspects a bacterial cause for the conjunctivitis. Which of the following microorganisms, based on the patient’s symptoms and history, is most likely responsible for her current condition?
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Question 12 of 30
12. Question
1 point(s)Category: Physiological AdaptationA 45-year-old female patient presents to the outpatient clinic with complaints of intermittent joint pain, fatigue, and cognitive disturbances. She recalls having a rash resembling a “bull’s-eye” a few weeks ago after a hiking trip in a tick-endemic area. The nurse, upon reviewing her medical history, notes a recent diagnosis of Lyme disease. Given the patient’s presentation and history, which of the following microorganisms is most likely responsible for her condition?
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Question 13 of 30
13. Question
1 point(s)Category: Reduction of Risk PotentialA fragile 87-year-old female has recently been admitted to the hospital with increased confusion and falls over the last two (2) weeks. She is also noted to have a mild left hemiparesis. Which of the following tests is most likely to be performed?
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Question 14 of 30
14. Question
1 point(s)Category: Reduction of Risk PotentialAn 85-year-old male has been losing mobility and gaining weight over the last two (2) months. The patient also has the heater running in his house 24 hours a day, even on warm days. Which of the following tests is most likely to be performed?
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Question 15 of 30
15. Question
1 point(s)Category: Reduction of Risk PotentialA 20-year-old female attending college is found unconscious in her dorm room. She has a fever and a noticeable rash. She has just been admitted to the hospital. Which of the following tests is most likely to be performed first?
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Question 16 of 30
16. Question
1 point(s)Category: Psychosocial IntegrityWhich behavioral characteristic describes the domestic abuser?
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Question 17 of 30
17. Question
1 point(s)Category: Health Promotion and MaintenanceThe nurse is caring for a client with a long leg cast. During discharge teaching about appropriate exercises for the affected extremity, the nurse should recommend:
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Question 18 of 30
18. Question
1 point(s)Category: Reduction of Risk PotentialA client is in her third month of her first pregnancy. During the interview, she tells the nurse that she has several sex partners and is unsure of the identity of the baby’s father. Which of the following nursing interventions is a priority?A. Counsel the woman to consent to HIV screening.
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Question 19 of 30
19. Question
1 point(s)Category: Psychosocial IntegrityA 16-month-old child has just been admitted to the hospital. As the nurse assigned to this child enters the hospital room for the first time, the toddler runs to the mother, clings to her, and begins to cry. What would be the initial action by the nurse?
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Question 20 of 30
20. Question
1 point(s)Category: Psychosocial IntegrityWhile planning care for a 2-year-old hospitalized child, which situation would the nurse expect to most likely affect the behavior?
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Question 21 of 30
21. Question
1 point(s)Category: Psychosocial IntegrityWhile explaining an illness to a 10-year-old, what should the nurse keep in mind about the cognitive development at this age?
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Question 22 of 30
22. Question
1 point(s)Category: Psychosocial IntegrityThe nurse has just admitted a client with severe depression. From which focus should the nurse identify a priority nursing diagnosis?
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Question 23 of 30
23. Question
1 point(s)Category: Safety and Infection ControlWhich playroom activities should the nurse organize for a small group of 7-year-old hospitalized children?
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Question 24 of 30
24. Question
1 point(s)Category: Health Promotion and MaintenanceA client is discharged following hospitalization for congestive heart failure. The nurse teaching the family suggests they encourage the client to rest frequently in which of the following positions?
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Question 25 of 30
25. Question
1 point(s)Category: Physiological AdaptationThe nurse is caring for a 10-year-old on admission to the burn unit. One assessment parameter that will indicate that the child has adequate fluid replacement is:
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Question 26 of 30
26. Question
1 point(s)Category: Physiological AdaptationWhat is the priority nursing diagnosis for a patient experiencing a migraine headache?
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Question 27 of 30
27. Question
1 point(s)Category: Health Promotion and MaintenanceYou are creating a teaching plan for a patient with newly diagnosed migraine headaches. Which key items should be included in the teaching plan? Select all that apply.
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Question 28 of 30
28. Question
1 point(s)Category: Management of CareThe patient with migraine headaches has a seizure. After the seizure, which action can you delegate to the nursing assistant?
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Question 29 of 30
29. Question
1 point(s)Category: Management of CareYou are preparing to admit a patient with a seizure disorder. Which of the following actions can you delegate to LPN/LVN?
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Question 30 of 30
30. Question
1 point(s)Category: Health Promotion and MaintenanceA nursing student is teaching a patient and family about epilepsy prior to the patient’s discharge. For which statement should you intervene?
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