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Question 1 of 30
1. Question
1 point(s)Category: Management of CareThe nurse is managing care for several clients in the outpatient clinic. Among the following clients who called, which one should the nurse prioritize in responding to first?
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Question 2 of 30
2. Question
1 point(s)Category: Management of CareA nurse on the surgical floor is prioritizing care for clients after receiving the report from the previous shift. Which of the following patients should the nurse assess first?
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Question 3 of 30
3. Question
1 point(s)Category: Physiological AdaptationA nurse in a post-surgical unit is monitoring a 46-year-old patient who underwent a thyroidectomy 12 hours ago for the treatment of Grave’s disease. Which of the following observations should most concern the nurse?
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Question 4 of 30
4. Question
1 point(s)Category: Physiological AdaptationA 38-year-old patient is admitted to the emergency department with severe pain in the lower right quadrant of the abdomen, nausea, and a low-grade fever, raising concerns about possible appendicitis. The nurse is considering pain relief strategies. Which of the following actions should the nurse prioritize?
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Question 5 of 30
5. Question
1 point(s)Category: Physiological AdaptationA 56-year-old patient, recently diagnosed with end-stage renal disease, is preparing for their first peritoneal dialysis session in a clinic. The patient has a history of diabetes and hypertension, and has been experiencing increasing fatigue and fluid retention. Upon arrival, the nurse notes that the patient appears anxious about the procedure. The patient’s vital signs are stable, with a blood pressure of 150/90 mmHg, pulse 78 bpm, and respiratory rate 16 breaths per minute. The nurse reviews the physician’s orders, which indicate the type and volume of dialysate to be used. The peritoneal dialysis catheter had been placed a week earlier, and there’s no sign of infection at the site. The patient is settled in a comfortable position in the dialysis room, which is equipped with all necessary emergency equipment. Considering this scenario, which of the following actions should the nurse prioritize?
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Question 6 of 30
6. Question
1 point(s)Category: Health Promotion and MaintenanceA 75-year-old male patient with a history of right-sided hemiplegia due to a recent stroke is learning how to use a cane under the guidance of the nurse. The patient expresses a desire to be as independent as possible in mobility. During the teaching session, the nurse observes the patient’s ability to use the cane correctly. Which of the following behaviors, if demonstrated by the patient, indicates that the teaching was effective?
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Question 7 of 30
7. Question
1 point(s)Category: Physiological AdaptationAn 82-year-old female patient with a history of mild cognitive impairment and Parkinson’s disease is admitted to a nursing home. The patient occasionally exhibits confusion and has an unsteady gait. The nurse is assessing the patient’s needs and environment to promote safety and comfort. Which of the following actions, if taken by the nurse, is most appropriate?
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Question 8 of 30
8. Question
1 point(s)Category: Health Promotion and MaintenanceA 78-year-old male patient with a recent hip replacement surgery is learning to use a standard aluminum walker under the guidance of the nurse. The patient has mild arthritis in both hands and experiences occasional shortness of breath. Which of the following behaviors, if demonstrated by the patient, indicates that the nurse’s teaching was effective?
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Question 9 of 30
9. Question
1 point(s)Category: Health Promotion and MaintenanceA nurse is supervising a diverse group of elderly clients aged 75-90 years in a residential home setting. Many of these clients have varied health conditions, including vision and hearing impairments, limited mobility, and chronic illnesses that require medication. The nurse is assessing factors that could contribute to sensory deprivation in these clients. Which of the following reasons is most likely to increase the risk of sensory deprivation in this elderly group?
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Question 10 of 30
10. Question
1 point(s)A 68-year-old male patient with a history of chronic emphysema presents in the clinic with symptoms of increasing restlessness and confusion. He has a history of smoking and reports difficulty in breathing. The nurse is assessing the patient to determine the best immediate course of action. What step should the nurse take next?
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Question 11 of 30
11. Question
1 point(s)Category: Reduction of Risk PotentialA 45-year-old male patient who recently underwent a kidney transplant is being monitored in the post-operative period. During a routine check-up, the patient reports feeling generally unwell and expresses discomfort in the area of the transplant. The nurse is vigilant for signs of organ rejection. Which of the following assessments would most strongly prompt the nurse to suspect organ rejection?
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Question 12 of 30
12. Question
1 point(s)A 52-year-old male patient, who is overweight and has a history of mild hypertension, presents to the healthcare facility with symptoms of severe flank pain and hematuria. The patient has been diagnosed with ureteral colic. The nurse is focusing on the immediate management of the patient’s condition. What should be the immediate objective of nursing care for this patient?
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Question 13 of 30
13. Question
1 point(s)Category: Pharmacological and Parenteral TherapiesA 38-year-old female patient with a diagnosis of hyperthyroidism is scheduled to receive Lugol’s iodine solution as a preoperative preparation before undergoing a subtotal thyroidectomy. The patient experiences symptoms including rapid heart rate, weight loss, and anxiety. The nurse is preparing to administer the medication and educates the patient on its purpose. What is the primary reason for administering Lugol’s iodine solution to this patient?
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Question 14 of 30
14. Question
1 point(s)Category: Physiological AdaptationA 30-year-old male patient, recently diagnosed with type 1 diabetes, is being educated by the nurse on potential complications of diabetes, including acute hypoglycemia. The patient is keen to understand how different health conditions might interact with his diabetes. The nurse is discussing other conditions that might also predispose a patient to develop acute hypoglycemia. Which of the following conditions can also lead to acute hypoglycemia?
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Question 15 of 30
15. Question
1 point(s)Category: Physiological AdaptationA 55-year-old female patient is receiving combination chemotherapy for the treatment of metastatic carcinoma. The patient has been experiencing fatigue and nausea. The nurse is closely monitoring the patient for potential systemic side effects of the chemotherapy treatment. Which of the following systemic side effects should the nurse monitor for in this patient?
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Question 16 of 30
16. Question
1 point(s)Category: Health Promotion and MaintenanceA 60-year-old female patient with a recent colostomy is adjusting to her new lifestyle. She expresses concerns to the nurse about the inability to control the passage of gas, especially in social situations. The patient is seeking advice on dietary modifications to help manage this issue. What should the nurse suggest to the patient to help control the passage of gas from the colostomy?
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Question 17 of 30
17. Question
1 point(s)Category: Health Promotion and MaintenanceA 56-year-old male patient who recently underwent surgery for a colostomy is learning colostomy irrigation techniques from the nurse. The patient is anxious about managing his colostomy independently and is attentive to the instructions. The nurse wants to ensure that the patient has understood the process correctly. Which of the following statements by the patient would indicate to the nurse that the instructions for colostomy irrigation have been understood correctly?
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Question 18 of 30
18. Question
1 point(s)Category: Physiological AdaptationA 62-year-old male patient, in the oliguric phase of acute tubular necrosis, presents with fluid and electrolyte imbalances. The patient exhibits confusion, nausea, and muscle weakness. As part of the medical management to correct these imbalances, the nurse is preparing to administer the prescribed therapy. Which of the following interventions would the nurse expect to be part of the prescribed therapy to correct the electrolyte imbalance in this patient?
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Question 19 of 30
19. Question
1 point(s)Category: Pharmacological and Parenteral TherapiesMario has a burn injury. After 48 hours, the physician orders for Mario 2 liters of IV fluid to be administered q12 h. The drop factor of the tubing is 10 gtt/ml. The nurse should set the flow to provide:
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Question 20 of 30
20. Question
1 point(s)Category: Physiological AdaptationA 40-year-old male patient suffered a burn injury in a household accident. The burns cover his face, neck, right upper arm, and upper trunk. The nurse is using the rule of nines to estimate the total body surface area (TBSA) affected by the burns to guide treatment planning. According to the rule of nines, which area has the largest percent of burns?
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Question 21 of 30
21. Question
1 point(s)Category: Physiological AdaptationA 45-year-old male, working as a construction engineer, is brought to the emergency department after an accident where he fell from a 2-story building. Upon arrival, he is found to be unconscious with no external signs of injury except for minor abrasions. The patient’s medical history is significant for hypertension, controlled with medication. There is no information available about the circumstances of the fall or the exact nature of the impact. The nurse’s assessment focuses on identifying immediate life-threatening injuries, particularly those related to potential head trauma, spinal injury, or internal bleeding. Given this scenario, which of the following assessment findings should the nurse be most concerned about?
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Question 22 of 30
22. Question
1 point(s)Category: Health Promotion and MaintenanceA 67-year-old male patient who recently had a permanent artificial pacemaker implanted is receiving education from the nurse about managing his health and lifestyle with the device. The patient enjoys an active lifestyle and is keen to understand what activities and precautions are necessary with his new pacemaker. He also uses various electrical appliances at home and is concerned about how they might affect his pacemaker. In this scenario, which piece of information provided by the nurse indicates a knowledge deficit regarding the management of a patient with an artificial cardiac pacemaker?
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Question 23 of 30
23. Question
1 point(s)Category: Physiological AdaptationA 68-year-old male patient with a history of Chronic Obstructive Pulmonary Disease (COPD) is admitted to the hospital with exacerbation of his respiratory symptoms. He is experiencing shortness of breath and his blood oxygen levels are low. The nurse is planning the oxygen therapy for this patient, considering the specific needs of patients with COPD. Which statement reflects the most relevant knowledge about oxygen administration to a patient with COPD?
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Question 24 of 30
24. Question
1 point(s)Category: Physiological AdaptationA 58-year-old male patient has recently undergone a left thoracotomy and a partial pneumonectomy to treat lung cancer. Post-surgery, chest tubes are inserted, and one-bottle water-seal drainage is instituted. In the postanesthesia care unit, the nurse positions the client in Fowler’s position on his right side or on his back. The nurse understands that this positioning is critical for postoperative recovery.
Understanding the implications of postoperative positioning, the nurse is aware that placing the patient in Fowler’s position on either his right side or on his back primarily:
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Question 25 of 30
25. Question
1 point(s)Category: Reduction of Risk PotentialA 42-year-old female patient is scheduled for a bronchoscopy to investigate recent breathing difficulties and a persistent cough. Post-procedure care is crucial for her safety and recovery. The nurse is providing the patient with pre-procedure education, emphasizing the most important aspects of post-procedure care. In teaching the patient what to expect and how to care for herself after the bronchoscopy, what is the highest priority information the nurse should provide?
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Question 26 of 30
26. Question
1 point(s)Category: Physiological AdaptationA 55-year-old male patient is admitted with acute renal failure and is under the care of a nurse. The patient’s recent blood work shows a significantly elevated potassium level, which is a common complication in acute renal failure. The nurse is preparing for the prescribed treatment to address this electrolyte imbalance. Given the patient’s condition and laboratory results, for which of the following conditions should the nurse expect hypertonic glucose, insulin infusions, and sodium bicarbonate to be used?
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Question 27 of 30
27. Question
1 point(s)Category: Physiological AdaptationA 32-year-old female presents to the clinic with a recent diagnosis of condylomata acuminata (genital warts). She is concerned about the implications of her diagnosis and future health risks. Which of the following statements by the nurse is most appropriate?
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Question 28 of 30
28. Question
1 point(s)A 45-year-old individual presents to the emergency department with flank pain and a recent diagnosis of a genitourinary problem. The nurse prepares to palpate the patient’s kidneys, keeping in mind relevant anatomical facts. Which statement is correct regarding the location and size of kidneys?CorrectIncorrect -
Question 29 of 30
29. Question
1 point(s)Category: Reduction of Risk PotentialA 60-year-old male with a history of hypertension and diabetes is admitted to the urology unit with symptoms of fatigue, decreased urine output, and nausea. He has a known diagnosis of chronic renal failure (CRF). The nurse reviews his recent laboratory test results. Which result is most consistent with a diagnosis of CRF?
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Question 30 of 30
30. Question
1 point(s)Category: Physiological AdaptationA 35-year-old female patient, presenting with a history of irregular menstrual cycles and recent abnormal vaginal discharge, receives an abnormal result on a Papanicolaou (Pap) smear test. After unintentionally viewing her chart, the patient inquires about the meaning of ‘dysplasia’ noted in her results. The nurse should provide which definition of dysplasia?
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