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Question 1 of 30
1. Question
Category: Health Promotion and MaintenanceA pediatric nurse is performing a routine assessment of a one-month-old infant during a well-baby visit at the primary care clinic. The infant’s mother reports no concerns and states that the baby has been feeding well and has had regular bowel movements. Upon assessment, which of the following findings warrants further investigation by the nurse?
Select all that apply.
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Question 2 of 30
2. Question
Category: Health Promotion and MaintenanceDuring her shift in the maternity ward, Nurse Jackson cares for Ms. Greene, who is at 42 weeks of gestation and shows no signs of labor. Given that the fetus is now considered postmature, Nurse Jackson recalls the risks associated with postmaturity. Among the following potential complications, which one is primarily linked to the postmature status of the fetus?
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Question 3 of 30
3. Question
Category: Reduction of Risk PotentialIn the post-surgical unit, the nurse is attending to a client who had a total hip replacement seven (7) days ago. This client has a history of hypertension, mild asthma, and is on anticoagulant therapy. The client provides feedback about their current condition. Which of the following statements by the client is most concerning and necessitates the nurse’s immediate intervention?
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Question 4 of 30
4. Question
Category: Pharmacological and Parenteral TherapiesIn the cardiology unit, a nurse closely monitors a 33-year-old male client diagnosed with heart failure. The client, a previously active triathlete, was recently started on furosemide due to increased fluid retention. The client mentions a few changes he’s noticed over the past week. Which of the following statements from the client would suggest he may be experiencing a negative side effect from the furosemide?
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Question 5 of 30
5. Question
Category: Health Promotion and MaintenanceA 32-year-old pregnant woman comes to the clinic for her prenatal visit. The nurse gathers data about her obstetric history, which includes 3-year-old twins at home and a miscarriage ten years ago at 12 weeks gestation. How would the nurse accurately document this information? Fill in the blanks.
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Answer: Gravida para
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Question 6 of 30
6. Question
Category: Basic Care and ComfortIn a wound care clinic, Nurse Palmer is assigned to Ms. Harris, a 27-year-old female client with a history of deep vein thrombosis. Ms. Harris presents with a venous stasis ulcer on her left lower leg, which has persisted for the last three months despite home care efforts. Ms. Harris has been managing the ulcer with over-the-counter dressings and is concerned about the lack of progress. She has also mentioned that she’s been feeling fatigued lately and has unintentionally lost 5 kg over the past month. Based on the assessment and the client’s history, which nursing intervention would be most effective in promoting the healing of the ulcer?
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Question 7 of 30
7. Question
Category: Pharmacological and Parenteral TherapiesA nurse is to administer meperidine hydrochloride (Demerol) 100 mg, atropine sulfate (Atropisol) 0.4 mg, and promethazine hydrochloride (Phenergan) 50 mg IM to a preoperative client. List the order in which the nurse must carry out the following actions prior to the administration of preoperative medications.
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Raise the side rails on the bed
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Instruct the client to remain in bed
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Place the call bell within reach
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Have the client empty bladder
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Question 8 of 30
8. Question
Category: Health Promotion and MaintenanceNurse Jackson has recently taken on the role of Nurse Manager for a busy medical-surgical unit. She wants to implement an effective reward-feedback system to improve team performance and foster professional growth. During a team meeting, she discusses potential strategies for feedback. Which of these statements a team member makes best describes the characteristics of an effective reward-feedback system?
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Question 9 of 30
9. Question
Category: Health Promotion and MaintenanceNurse Martinez is caring for Mr. Reyes, a 45-year-old client newly diagnosed with multiple sclerosis. Mr. Reyes is an active individual and has voiced concerns about how this diagnosis will affect his fitness regimen. During a teaching session about safe exercises and physical activities for MS patients, Nurse Martinez provides various recommendations. She later evaluates Mr. Reyes’ understanding of the information provided. The nurse determines the client needs additional teaching if Mr. Reyes makes which of the following statements? Select all that apply.
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Question 10 of 30
10. Question
Category: Safety and Infection ControlNurse Anderson is visiting the home of Mrs. Thompson, an 80-year-old woman with advanced Alzheimer’s disease. Mrs. Thompson’s family, including her daughter and son-in-law, have been primary caregivers and made several modifications to accommodate her needs. Nurse Anderson, assessing the quality of home care provided to Mrs. Thompson, seeks to prioritize the safety and well-being of the patient. During her evaluation, which statement made by the daughter will the nurse reinforce as being of utmost importance?
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Question 11 of 30
11. Question
Category: Pharmacological and Parenteral TherapiesA nurse is reviewing a patient’s medication during shift change. Which of the following medications would be contraindicated if the patient were pregnant? Select all that apply.
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Question 12 of 30
12. Question
Category: Pharmacological and Parenteral TherapiesA nurse is reviewing a patient’s past medical history (PMH). The history indicates the patient has photosensitive reactions to medications. Which of the following drugs is associated with photosensitive reactions? Select all that apply.
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Question 13 of 30
13. Question
Category: Pharmacological and Parenteral TherapiesA 68-year-old female patient, recently diagnosed with Parkinson’s disease and rheumatoid arthritis, tells you during a follow-up visit that her urine is starting to look discolored. She also mentions that she has been taking over-the-counter medications for constipation and occasional headaches. Given her medical history and the potential side effects of medications, which of the following of the patient’s medications is least likely to cause urine discoloration?
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Question 14 of 30
14. Question
Category: Pharmacological and Parenteral TherapiesYou are a charge nurse responsible for reviewing the nursing unit’s refrigerator at a busy urban hospital that has recently experienced a power outage. The outage lasted for a short period, but you’re ensuring that all medications are stored correctly post-outage. During your review, you find several medications, some of which are critical for patients with chronic conditions. Which of the following drugs, if found inside the fridge, should be removed and replaced due to incorrect storage?
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Question 15 of 30
15. Question
Category: Pharmacological and Parenteral TherapiesA 34-year-old female, who is a renowned biologist specializing in immunology, has recently been diagnosed with an autoimmune disease. During a consultation, she discusses her concerns with the nurse, mentioning her recent discovery of being pregnant. She expresses her worries about the potential impact of her condition on the fetus and is curious about the body’s natural protective mechanisms.
Given her background and concerns, which of the following immunoglobulins should the nurse explain as the only one that will provide protection to the fetus in the womb?
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Question 16 of 30
16. Question
Category: Safety and Infection ControlA second-year nursing student, who is on a clinical rotation in the infectious diseases unit of a major urban hospital, has just suffered a needlestick injury. The incident occurred while the student was assisting in drawing blood from a patient known to have a high viral load and is positive for AIDS. The student is visibly shaken, as they are aware of the patient’s medical history.
Given the circumstances and potential risk, which of the following is the most significant action that the nursing student should take immediately after the incident?
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Question 17 of 30
17. Question
Category: Physiological AdaptationA thirty-five-year-old male, who is a professional marathon runner, has been an insulin-dependent diabetic for five years. He visits the clinic, expressing concerns about recent changes in his training performance. He mentions fatigue, occasional dizziness, and now, an inability to urinate for the past 24 hours.
Given his profession, medical history, and the presented symptoms, which of the following complications of diabetes would you most likely suspect?
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Question 18 of 30
18. Question
Category: Physiological AdaptationYou are conducting a health assessment in a high school clinic. A 14-year-old girl, who is a lead ballet dancer in her school’s performing arts program, comes in for a routine check-up. She has a BMI of 18 and appears fatigued. During the assessment, she hesitantly discloses her inability to eat, occasionally induced vomiting after meals, and severe constipation. She also mentions increased pressure to maintain a certain physique for her upcoming performances.
Given her age, extracurricular activities, and the presented symptoms, which of the following conditions would you most likely suspect?
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Question 19 of 30
19. Question
Category: Physiological AdaptationA 24-year-old female, who recently returned from a mountaineering expedition, is admitted to the ER presenting with confusion. The patient’s medical records indicate a history of a myeloma diagnosis. She also reports having experienced constipation, intense abdominal pain, and polyuria during her expedition. She mentions that she had limited access to water and relied heavily on packaged foods during her trip.
Given her recent activities, medical history, and the presenting signs and symptoms, which of the following conditions would you most likely suspect?
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Question 20 of 30
20. Question
Category: Pharmacological and Parenteral TherapiesA 28-year-old woman, in her second pregnancy, visits the prenatal clinic. During her first pregnancy, she did not receive any postnatal Rhogam shots. Her medical records indicate that she is RH negative. The father of the child, however, is RH positive.
Given the potential risks associated with Rh incompatibility and the importance of preventive care, under which circumstances would Rhogam most likely be administered to the mother to prevent hemolytic disease in the infant?
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Question 21 of 30
21. Question
Category: Health Promotion and MaintenanceA first-time mother, who is a pediatrician herself, has recently given birth to twins. While one of the twins has been diagnosed with phenylketonuria (PKU), the other has not. She approaches the nurse with a series of technical questions regarding PKU, its diagnosis, and implications.
Given her medical background and the unique situation of having twins with different PKU statuses, which of the following statements made by a nurse would NOT be correct regarding PKU?
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Question 22 of 30
22. Question
Category: Pharmacological and Parenteral TherapiesA 50-year-old male patient, who is a known case of congestive heart failure and was recently diagnosed with osteoarthritis, is admitted to the ER. The patient’s wife reports that he might have taken an overdose of aspirin in an attempt to manage his joint pain.
Given his medical history and the potential implications of aspirin overdose, which of the following complications should a nurse most closely monitor for during the acute management of this patient.
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Question 23 of 30
23. Question
Category: Safety and Infection ControlA 50-year-old patient, who is blind and deaf and has recently undergone a major abdominal surgery, has been admitted to your post-operative floor. The patient has a history of anxiety and has been on medication for the same.
As the charge nurse, considering the patient’s sensory deficits, recent surgery, and psychological background, what should be your primary responsibility for this patient?
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Question 24 of 30
24. Question
Category: Pharmacological and Parenteral TherapiesA 72-year-old patient, who is a retired miner, is getting discharged from a skilled nursing facility (SNF) after a 3-week stay for a lower limb fracture. The patient has a history of severe COPD, likely due to his occupational exposure, and PVD. He lives alone in a two-story house and is primarily concerned about his ability to breathe easily, especially when he needs to climb stairs to his bedroom.
Given his living situation, medical history, and concerns, which of the following would be the best instruction for this patient to manage his respiratory challenges?
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Question 25 of 30
25. Question
Category: Physiological AdaptationA nurse is assigned to the pediatric cardiology unit where she is caring for a 6-month-old infant. The infant was brought in by concerned parents who noticed their baby was less active and had difficulty feeding. After a series of tests, the infant has been diagnosed with a congenital heart defect.
Given the infant’s age, recent behavioral changes, and the diagnosis, which of the following clinical signs would most likely be present and should be closely monitored by the nurse?
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Question 26 of 30
26. Question
Category: Physiological AdaptationYou are a pediatric nurse in a tertiary care hospital. At shift change, you receive a handover about a newborn who was delivered a few hours ago. The mother, a 38-year-old primigravida, underwent prenatal testing which indicated a high likelihood of Down’s syndrome, and the diagnosis was confirmed post-delivery. As you prepare to care for the newborn and support the mother, you review the common characteristics of Down’s syndrome. Which of the following characteristics is NOT typically associated with Down’s syndrome?
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Question 27 of 30
27. Question
Category: Pharmacological and Parenteral TherapiesA client with myocardial infarction is receiving tissue plasminogen activator, alteplase (Activase, tPA). While on the therapy, the nurse plans to prioritize which of the following?
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Question 28 of 30
28. Question
Category: Basic Care and ComfortA 32-year-old pregnant woman in her first trimester visits the antenatal clinic for her routine check-up. She mentions that during her last visit, her obstetrician recommended increasing her intake of folic acid to support the neural development of her baby. She is a vegetarian and is concerned about getting adequate folic acid from her diet. She asks the nurse for advice on food sources. Which of the following foods should the nurse recommend as containing the highest concentration of folic acid?
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Question 29 of 30
29. Question
Category: Physiological AdaptationA nurse educator is preparing a seminar for a group of new graduate nurses who will be starting their careers in the pediatric intensive care unit. Given the vulnerability of the pediatric population to certain infections, the educator wants to emphasize the importance of understanding meningitis and its causative agents. When discussing the microorganisms responsible for meningitis in humans, which of the following should the nurse educator highlight as NOT being linked to meningitis?
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Question 30 of 30
30. Question
Category: Physiological AdaptationA nurse is working in the hematology ward and is administering a blood transfusion to a 40-year-old patient with chronic anemia due to a genetic condition. The patient, who is a biology teacher, is curious about the physiology of red blood cells and asks, “Considering the turnover and production of red blood cells in my body, how long does a typical red blood cell live?” Given the patient’s background and the context, which of the following responses is accurate?
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