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Question 1 of 30
1. Question
Category: Physiological AdaptationAmong the following signs and symptoms, which would most likely be present in a client with mitral regurgitation?
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Question 2 of 30
2. Question
Category: Physiological AdaptationKris with a history of chronic infection of the urinary system complains of urinary frequency and burning sensation. To figure out whether the current problem is of renal origin, the nurse should assess whether the client has discomfort or pain in the:
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Question 3 of 30
3. Question
Category: Physiological AdaptationNurse Perry is evaluating the renal function of a male client. After documenting urine volume and characteristics, Nurse Perry assesses which signs as the best indicator of renal function.
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Question 4 of 30
4. Question
Category: Physiological AdaptationJohn suddenly experiences a seizure, and Nurse Gina notices that John exhibits uncontrollable jerking movements. Nurse Gina documents that John experienced which type of seizure?
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Question 5 of 30
5. Question
Category: Health Promotion and MaintenanceSmoking cessation is a critical strategy for the client with Buerger’s disease, Nurse Jasmin anticipates that the male client will go home with a prescription for which medication?
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Question 6 of 30
6. Question
Category: Physiological AdaptationNurse Lilly has been assigned to a client with Raynaud’s disease. Nurse Lilly realizes that the etiology of the disease is unknown but it is characterized by:
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Question 7 of 30
7. Question
Category: Health Promotion and MaintenanceNurse Jamie should explain to a male client with diabetes that self-monitoring of blood glucose is preferred to urine glucose testing because:
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Question 8 of 30
8. Question
Category: Physiological AdaptationJessie weighed 210 pounds on admission to the hospital. After 2 days of diuretic therapy, Jessie weighs 205.5 pounds. The nurse could estimate the amount of fluid Jessie has lost:
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Question 9 of 30
9. Question
Category: Physiological AdaptationNurse Donna is aware that the shift of body fluids associated with Intravenous administration of albumin occurs in the process of:
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Question 10 of 30
10. Question
Category: Reduction of Risk PotentialMyrna, a 52-year-old client with a fractured left tibia, has a long leg cast and she is using crutches to ambulate. Nurse Joy assesses for which sign and symptom that indicates complication associated with crutch walking?
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Question 11 of 30
11. Question
Category: Health Promotion and MaintenanceWhich of the following statements should the nurse teach the neutropenic client and his family to avoid?
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Question 12 of 30
12. Question
Category: Physiological AdaptationA female client is experiencing a painful and rigid abdomen and is diagnosed with a perforated peptic ulcer. A surgery has been scheduled and a nasogastric tube is inserted. The nurse should place the client before surgery in
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Question 13 of 30
13. Question
Category: Physiological AdaptationWhich nursing intervention ensures adequate ventilating exchange after surgery?
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Question 14 of 30
14. Question
Category: Reduction of Risk PotentialGeorge, who has undergone thoracic surgery has a chest tube connected to a water-seal drainage system attached to suction. Presence of excessive bubbling is identified in the water-seal chamber, the nurse should:
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Question 15 of 30
15. Question
Category: Health Promotion and MaintenanceA client who has been diagnosed with hypertension is being taught to restrict intake of sodium. The nurse would know that the teachings are effective if the client states that:
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Question 16 of 30
16. Question
Category: Physiological AdaptationA male client with a history of cirrhosis and alcoholism is admitted with severe dyspnea resulting from ascites. The nurse should be aware that the ascites is most likely the result of increased:
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Question 17 of 30
17. Question
Category: Management of CareA newly admitted client diagnosed with Hodgkin’s disease undergoes an excisional cervical lymph node biopsy under local anesthesia. What does the nurse assess first after the procedure?
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Question 18 of 30
18. Question
Category: Physiological AdaptationA client has 15% blood loss. Which of the following nursing assessment findings indicates hypovolemic shock?
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Question 19 of 30
19. Question
Category: Reduction of Risk PotentialNurse Lucy is planning to give preoperative teaching to a client who will be undergoing rhinoplasty. Which of the following should be included?
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Question 20 of 30
20. Question
Category: Physiological AdaptationPaul is admitted to the hospital due to metabolic acidosis caused by Diabetic ketoacidosis (DKA). The nurse prepares which of the following medications as an initial treatment for this problem?
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Question 21 of 30
21. Question
Category: Health Promotion and MaintenanceDr. Marquez tells a client that an increased intake of foods that are rich in Vitamin E and beta-carotene are important for healthier skin. The nurse teaches the client that excellent food sources of both of these substances are:
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Question 22 of 30
22. Question
Category: Health Promotion and MaintenanceA client has Gastroesophageal Reflux Disease (GERD). The nurse should teach the client that after every meal, the client should:
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Question 23 of 30
23. Question
Category: Reduction of Risk PotentialAfter gastroscopy, an adaptation that indicates major complication would be:
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Question 24 of 30
24. Question
Category: Health Promotion and MaintenanceA client who has undergone a cholecystectomy asks the nurse whether there are any dietary restrictions that must be followed. Nurse Hilary would recognize that the dietary teaching was well understood when the client tells a family member that:
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Question 25 of 30
25. Question
Category: Physiological AdaptationNurse Rachel teaches a client who has been recently diagnosed with hepatitis A about untoward signs and symptoms related to Hepatitis that may develop. The one that should be reported immediately to the physician is:
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Question 26 of 30
26. Question
Category: Pharmacological and Parenteral TherapiesWhich of the following antituberculosis drugs can damage the 8th cranial nerve?
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Question 27 of 30
27. Question
Category: Physiological AdaptationThe client asks Nurse Annie the causes of peptic ulcer. Nurse Annie responds that recent research indicates that peptic ulcers are the result of which of the following:
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Question 28 of 30
28. Question
Category: Physiological AdaptationRyan has undergone a subtotal gastrectomy. The nurse should expect that nasogastric tube drainage will be what color for about 12 to 24 hours after surgery?
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Question 29 of 30
29. Question
Category: Physiological AdaptationNurse Joan is assigned to come for a client who has just undergone eye surgery. Nurse Joan plans to teach the client activities that are permitted during the postoperative period. Which of the following is best recommended for the client?
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Question 30 of 30
30. Question
Category: Physiological AdaptationA client suffered from a lower leg injury and seeks treatment in the emergency room. There is a prominent deformity to the lower aspect of the leg, and the injured leg appears shorter than the other leg. The affected leg is painful, swollen and beginning to become ecchymotic. The nurse interprets that the client is experiencing:
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