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Question 1 of 30
1. Question
Category: Health Promotion and MaintenanceA patient in the cardiac unit is concerned about the risk factors associated with atherosclerosis. Which of the following are hereditary risk factors for developing atherosclerosis?
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Question 2 of 30
2. Question
Category: Physiological AdaptationClaudication is a well-known effect of peripheral vascular disease. Which of the following facts about claudication is correct? Select all that apply:
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Question 3 of 30
3. Question
Category: Health Promotion and MaintenanceA nurse is providing discharge information to a patient with peripheral vascular disease. Which of the following information should be included in the instructions?
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Question 4 of 30
4. Question
Category: Health Promotion and MaintenanceA patient who has been diagnosed with the vasospastic disorder (Raynaud’s disease) complains of cold and stiffness in the fingers. Which of the following descriptions is most likely to fit the patient?
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Question 5 of 30
5. Question
Category: Health Promotion and MaintenanceA 23-year-old patient in the 27th week of pregnancy has been hospitalized on complete bed rest for 6 days. She experiences sudden shortness of breath, accompanied by chest pain. Which of the following conditions is the most likely cause of her symptoms?
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Question 6 of 30
6. Question
Category: Physiological AdaptationThrombolytic therapy is frequently used in the treatment of suspected stroke. Which of the following is a significant complication associated with thrombolytic therapy?
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Question 7 of 30
7. Question
Category: Health Promotion and MaintenanceAn infant is brought to the clinic by his mother, who has noticed that he holds his head in an unusual position and always faces to one side. Which of the following is the most likely explanation?
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Question 8 of 30
8. Question
Category: Health Promotion and MaintenanceAn adolescent brings a physician’s note to school stating that he is not to participate in sports due to a diagnosis of Osgood-Schlatter disease. Which of the following statements about the disease is correct?
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Question 9 of 30
9. Question
Category: Health Promotion and MaintenanceThe clinic nurse asks a 13-year-old female to bend forward at the waist with arms hanging freely. Which of the following assessments is the nurse most likely conducting?
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Question 10 of 30
10. Question
Category: Psychosocial IntegrityA clinic nurse interviews a parent who is suspected of abusing her child. Which of the following characteristics is the nurse least likely to find in an abusing parent?
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Question 11 of 30
11. Question
Category: Physiological AdaptationA nurse is assigned to the pediatric rheumatology clinic and is assessing a child who has just been diagnosed with juvenile idiopathic arthritis. Which of the following statements about the disease is most accurate?
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Question 12 of 30
12. Question
Category: Safety and Infection ControlA child is admitted to the hospital several days after stepping on a sharp object that punctured her athletic shoe and entered the flesh of her foot. The physician is concerned about osteomyelitis and has ordered parenteral antibiotics. Which of the following actions is done immediately before the antibiotic is started?
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Question 13 of 30
13. Question
Category: Physiological AdaptationA two-year-old child has sustained an injury to the leg and refuses to walk. The nurse in the emergency department documents swelling of the lower affected leg. Which of the following does the nurse suspect is the cause of the child’s symptoms?
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Question 14 of 30
14. Question
Category: Health Promotion and MaintenanceA toddler has recently been diagnosed with cerebral palsy. Which of the following information should the nurse provide to the parents? Select all that apply.
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Question 15 of 30
15. Question
Category: Health Promotion and MaintenanceA child has recently been diagnosed with Duchenne muscular dystrophy (DMD). The parents are receiving genetic counseling prior to planning another pregnancy. Which of the following statements includes the most accurate information?
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Question 16 of 30
16. Question
Category: Reduction of Risk PotentialA client is scheduled for a percutaneous transluminal coronary angioplasty (PTCA). The nurse knows that a PTCA is the
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Question 17 of 30
17. Question
Category: Physiological AdaptationA newborn has been diagnosed with hypothyroidism. In discussing the condition and treatment with the family, the nurse should emphasize:
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Question 18 of 30
18. Question
Category: Psychosocial IntegrityA priority goal of involuntary hospitalization of the severely mentally ill client is
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Question 19 of 30
19. Question
Category: Psychosocial IntegrityA 19-year-old client is paralyzed in a car accident. Which statement used by the client would indicate to the nurse that the client was using the mechanism of “suppression”?
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Question 20 of 30
20. Question
Category: Physiological AdaptationThe nurse is caring for a woman 2 hours after a vaginal delivery. Documentation indicates that the membranes were ruptured for 36 hours prior to delivery. What are the priority nursing diagnoses at this time?
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Question 21 of 30
21. Question
Category: Pharmacological and Parenteral TherapiesA 3-year-old had a hip spica cast applied 2 hours ago. In order to facilitate drying, the nurse should:
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Question 22 of 30
22. Question
Category: Pharmacological and Parenteral TherapiesA client is scheduled for an Intravenous Pyelogram (IVP). In order to prepare the client for this test, the nurse would:
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Question 23 of 30
23. Question
Category: Physiological AdaptationFollowing a diagnosis of acute glomerulonephritis (AGN) in their 6-year-old child, the parent’s remark: “We just don’t know how he caught the disease!” The nurse’s response is based on an understanding that:
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Question 24 of 30
24. Question
Category: Physiological AdaptationThe nurse is caring for a 20 lbs (9 kg) 6 month-old with a 3-day history of diarrhea, occasional vomiting and fever. Peripheral intravenous therapy has been initiated, with 5% dextrose in 0.33% normal saline with 20 mEq of potassium per liter infusing at 35 ml/hr. Which finding should be reported to the healthcare provider immediately?
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Question 25 of 30
25. Question
Category: Physiological AdaptationWhile caring for the client during the first hour after delivery, the nurse determines that the uterus is boggy and there is vaginal bleeding. What should be the nurse’s first action?
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Question 26 of 30
26. Question
Category: Physiological AdaptationThe nurse is assessing an infant with developmental dysplasia of the hip. Which finding would the nurse anticipate?
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Question 27 of 30
27. Question
Category: Pharmacological and Parenteral TherapiesTo prevent a Valsalva maneuver in a client recovering from an acute myocardial infarction, the nurse would:
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Question 28 of 30
28. Question
Category: Management of CareOn admission to the psychiatric unit, the client is trembling and appears fearful. The nurse’s initial response should be to:
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Question 29 of 30
29. Question
Category: Physiological AdaptationDuring the admission assessment on a client with chronic bilateral glaucoma, which statement by the client would the nurse anticipate since it is associated with this problem?
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Question 30 of 30
30. Question
Category: Physiological AdaptationA client with asthma has low pitched wheezes present in the final half of exhalation. One hour later the client has high pitched wheezes extending throughout exhalation. This change in assessment indicates to the nurse that the client:
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