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Question 1 of 30
1. Question
1 point(s)Category: Physiological AdaptationDuring a routine checkup, Nurse Marianne assesses a male client with acquired immunodeficiency syndrome (AIDS) for signs and symptoms of cancer. What is the most common AIDS-related cancer?
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Question 2 of 30
2. Question
1 point(s)Category: Reduction of Risk PotentialRicardo is scheduled for a prostatectomy, and the anesthesiologist plans to use a spinal (subarachnoid) block during surgery. In the operating room, the nurse positions the client according to the anesthesiologist’s instructions. Why does the client require special positioning for this type of anesthesia?
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Question 3 of 30
3. Question
1 point(s)Category: Physiological AdaptationA male client had a nephrectomy 2 days ago and is now complaining of abdominal pressure and nausea. The first nursing action should be to:
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Question 4 of 30
4. Question
1 point(s)Category: Reduction of Risk PotentialWilfredo with a recent history of rectal bleeding is being prepared for a colonoscopy. How should the nurse Patricia position the client for this test initially?
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Question 5 of 30
5. Question
1 point(s)Category: Reduction of Risk PotentialA male client with inflammatory bowel disease undergoes an ileostomy. On the first day after surgery, Nurse Oliver notes that the client’s stoma appears dusky. How should the nurse interpret this finding?
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Question 6 of 30
6. Question
1 point(s)Category: Physiological AdaptationAnthony suffers burns on the legs, which nursing intervention helps prevent contractures?
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Question 7 of 30
7. Question
1 point(s)Category: Physiological AdaptationNurse Ron is assessing a client admitted with second and third-degree burns on the face, arms, and chest. Which finding indicates a potential problem?
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Question 8 of 30
8. Question
1 point(s)Category: Basic Care and ComfortMr. Mendoza who has suffered a cerebrovascular accident (CVA) is too weak to move on his own. To help the client avoid pressure ulcers, Nurse Celia should:
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Question 9 of 30
9. Question
1 point(s)Category: Pharmacological and Parenteral TherapiesNurse Maria plans to administer dexamethasone cream to a female client who has dermatitis over the anterior chest. How should the nurse apply this topical agent?
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Question 10 of 30
10. Question
1 point(s)Category: Pharmacological and Parenteral TherapiesNurse Kate is aware that one of the following classes of medication protects the ischemic myocardium by blocking catecholamines and sympathetic nerve stimulation is:
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Question 11 of 30
11. Question
1 point(s)Category: Reduction of Risk PotentialA male client has jugular distention. In what position should the nurse place the head of the bed to obtain the most accurate reading of jugular vein distention?
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Question 12 of 30
12. Question
1 point(s)Category: Pharmacological and Parenteral TherapiesThe nurse is aware that one of the following classes of medications maximizes cardiac performance in clients with heart failure by increasing ventricular contractility?
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Question 13 of 30
13. Question
1 point(s)Category: Physiological AdaptationA male client has a reduced serum high-density lipoprotein (HDL) level and an elevated low-density lipoprotein (LDL) level. Which of the following dietary modifications is not appropriate for this client?
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Question 14 of 30
14. Question
1 point(s)Category: Management of CareA 37-year-old male client was admitted to the coronary care unit (CCU) 2 days ago with acute myocardial infarction. Which of the following actions would breach the client’s confidentiality?
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Question 15 of 30
15. Question
1 point(s)Category: Management of CareA male client arriving in the emergency department is receiving cardiopulmonary resuscitation from paramedics who are giving ventilation through an endotracheal (ET) tube that they placed in the client’s home. During a pause in compressions, the cardiac monitor shows narrow QRS complexes and a heart rate of beats/minute with a palpable pulse. Which of the following actions should the nurse take first?
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Question 16 of 30
16. Question
1 point(s)Category: Reduction of Risk PotentialAlvin with a massive pulmonary embolism will have an arterial blood gas analysis performed to determine the extent of hypoxia. The acid-base disorder that may be present is?
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Question 17 of 30
17. Question
1 point(s)Category: Reduction of Risk PotentialAfter a motor vehicle accident, Armand, a 22-year-old client, is admitted with a pneumothorax. The surgeon inserts a chest tube and attaches it to a chest drainage system. Bubbling soon appears in the water seal chamber. Which of the following is the most likely cause of the bubbling?
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Question 18 of 30
18. Question
1 point(s)Category: Pharmacological and Parenteral TherapiesNurse Michelle calculates the IV flow rate for a postoperative client. The client receives 3,000 ml of Ringer’s lactate solution IV to run over 24 hours. The IV infusion set has a drop factor of 10 drops per milliliter. The nurse should regulate the client’s IV to deliver how many drops per minute?
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Question 19 of 30
19. Question
1 point(s)Category: Pharmacological and Parenteral TherapiesMickey, a 6-year-old child with a congenital heart disorder is admitted with congestive heart failure. Digoxin (lanoxin) 0.12 mg is ordered for the child. The bottle of Lanoxin contains .05 mg of Lanoxin in 1 ml of solution. What amount should the nurse administer to the child?
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Question 20 of 30
20. Question
1 point(s)Category: Health Promotion and MaintenanceNurse Alexandra teaches a client about elastic stockings. Which of the following statements, if made by the client, indicates to the nurse that the teaching was successful?
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Question 21 of 30
21. Question
1 point(s)Category: Physiological AdaptationThe primary reason for rapid continuous rewarming of the area affected by frostbite is to:
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Question 22 of 30
22. Question
1 point(s)Category: Reduction of Risk PotentialA client recently started on hemodialysis wants to know how the dialysis will take the place of his kidneys. The nurse’s response is based on the knowledge that hemodialysis works by:
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Question 23 of 30
23. Question
1 point(s)Category: Health Promotion and MaintenanceDuring a home visit, a client with AIDS tells the nurse that he has been exposed to measles. Which action by the nurse is most appropriate?
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Question 24 of 30
24. Question
1 point(s)Category: Safety and Infection ControlA client hospitalized with MRSA (methicillin-resistant staph aureus) is placed on contact precautions. Which statement is true regarding precautions for infections spread by contact?
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Question 25 of 30
25. Question
1 point(s)Category: Physiological AdaptationA client who is admitted with an above-the-knee amputation tells the nurse that his foot hurts and itches. Which response by the nurse indicates an understanding of phantom limb pain?
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Question 26 of 30
26. Question
1 point(s)Category: Reduction of Risk PotentialA client with cancer of the pancreas has undergone a Whipple procedure. The nurse is aware that during the Whipple procedure, the doctor will remove the:
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Question 27 of 30
27. Question
1 point(s)Category: Health Promotion and MaintenanceThe physician has ordered a minimal-bacteria diet for a client with neutropenia. The client should be taught to avoid eating:
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Question 28 of 30
28. Question
1 point(s)Category: Health Promotion and MaintenanceA client is discharged home with a prescription for Coumadin (sodium warfarin). The client should be instructed to:
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Question 29 of 30
29. Question
1 point(s)Category: Reduction of Risk PotentialThe nurse is assisting the physician with the removal of a central venous catheter. To facilitate removal, the nurse should instruct the client to:
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Question 30 of 30
30. Question
1 point(s)Category: Pharmacological and Parenteral TherapiesA client has an order for streptokinase. Before administering the medication, the nurse should assess the client for:
CorrectIncorrect