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Question 1 of 30
1. Question
Category: Reduction of Risk PotentialA 28-year-old male has been found wandering around in a confusing pattern. The male is sweaty and pale. Which of the following tests is most likely to be performed first?
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Question 2 of 30
2. Question
Category: Health Promotion and MaintenanceA mother is inquiring about her child’s ability to potty train. Which of the following factors is the most important aspect of toilet training?
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Question 3 of 30
3. Question
Category: Safety and Infection ControlA parent calls the pediatric clinic and is frantic about the bottle of cleaning fluid her child drank for 20 minutes. Which of the following is the most important instruction the nurse can give the parent?
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Question 4 of 30
4. Question
Category: Pharmacological and Parenteral TherapiesA nurse is administering a shot of Vitamin K to a 30 day-old infant. Which of the following target areas is the most appropriate?
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Question 5 of 30
5. Question
Category: Safety and Infection ControlA nurse has just started her rounds delivering medication. A new patient on her rounds is a 4-year-old boy who is non-verbal. This child does not have any identification on. What should the nurse do?
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Question 6 of 30
6. Question
Category: Reduction of Risk PotentialA patient is admitted to the hospital with a diagnosis of primary hyperparathyroidism. A nurse checking the patient’s lab results would expect which of the following changes in laboratory findings?
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Question 7 of 30
7. Question
Category: Basic Care and ComfortA patient with Addison’s disease asks a nurse for nutrition and diet advice. Which of the following diet modifications is not recommended?
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Question 8 of 30
8. Question
Category: Physiological AdaptationA patient with a history of diabetes mellitus is on the second postoperative day following cholecystectomy. She has complained of nausea and isn’t able to eat solid foods. The nurse enters the room to find the patient confused and shaky. Which of the following is the most likely explanation for the patient’s symptoms?
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Question 9 of 30
9. Question
Category: Reduction of Risk PotentialA nurse assigned to the emergency department evaluates a patient who underwent fiberoptic colonoscopy 18 hours previously. The patient reports increasing abdominal pain, fever, and chills. Which of the following conditions poses the most immediate concern?
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Question 10 of 30
10. Question
Category: Reduction of Risk PotentialA patient is admitted to the same-day surgery unit for a liver biopsy. Which of the following laboratory tests assesses coagulation? Select all that apply.
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Question 11 of 30
11. Question
Category: Safety and Infection ControlA nurse is assessing a clinic patient with a diagnosis of hepatitis A. Which of the following is the most likely route of transmission?
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Question 12 of 30
12. Question
Category: Safety and Infection ControlA leukemia patient has a relative who wants to donate blood for transfusion. Which of the following donor medical conditions would prevent this?
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Question 13 of 30
13. Question
Category: Pharmacological and Parenteral TherapiesA physician has diagnosed acute gastritis in a clinic patient. Which of the following medications would be contraindicated for this patient?
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Question 14 of 30
14. Question
Category: Health Promotion and MaintenanceThe nurse is conducting nutrition counseling for a patient with cholecystitis. Which of the following information is important to communicate?
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Question 15 of 30
15. Question
Category: Physiological AdaptationA patient admitted to the hospital with myocardial infarction develops severe pulmonary edema. Which of the following symptoms should the nurse expect the patient to exhibit?
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Question 16 of 30
16. Question
Category: Reduction of Risk PotentialA nurse caring for several patients in the cardiac unit is told that one is scheduled for implantation of an automatic internal cardioverter-defibrillator. Which of the following patients is most likely to have this procedure?
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Question 17 of 30
17. Question
Category: Reduction of Risk PotentialA patient is scheduled for a magnetic resonance imaging (MRI) scan for suspected lung cancer. Which of the following is a contraindication to the study for this patient?
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Question 18 of 30
18. Question
Category: Physiological AdaptationA nurse calls a physician with the concern that a patient has developed a pulmonary embolism. Which of the following symptoms has the nurse most likely observed?
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Question 19 of 30
19. Question
Category: Reduction of Risk PotentialA patient comes to the emergency department with abdominal pain. Work-up reveals the presence of a rapidly enlarging abdominal aortic aneurysm. Which of the following actions should the nurse expect?
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Question 20 of 30
20. Question
Category: Reduction of Risk PotentialA patient with leukemia is receiving chemotherapy that is known to depress bone marrow. A CBC (complete blood count) reveals a platelet count of 25,000/microliter. Which of the following actions related specifically to the platelet count should be included in the nursing care plan?
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Question 21 of 30
21. Question
Category: Physiological AdaptationA nurse in the emergency department is observing a 4-year-old child for signs of increased intracranial pressure after a fall from a bicycle, resulting in head trauma. Which of the following signs or symptoms would be cause for concern?
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Question 22 of 30
22. Question
Category: Health Promotion and MaintenanceA nonimmunized child appears at the clinic with a visible rash. Which of the following observations indicates the child may have rubeola (measles)?
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Question 23 of 30
23. Question
Category: Physiological AdaptationA child is seen in the emergency department for scarlet fever. Which of the following descriptions of scarlet fever is not correct?
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Question 24 of 30
24. Question
Category: Pharmacological and Parenteral TherapiesA child weighing 30 kg arrives at the clinic with diffuse itching as the result of an allergic reaction to an insect bite. Diphenhydramine (Benadryl) 25 mg 3 times a day is prescribed. The correct pediatric dose is 5 mg/kg/day. Which of the following best describes the prescribed drug dose?
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Question 25 of 30
25. Question
Category: Health Promotion and MaintenanceThe mother of a 2-month-old infant brings the child to the clinic for a well-baby check. She is concerned because she feels only one testis in the scrotal sac. Which of the following statements about the undescended testis is the most accurate?
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Question 26 of 30
26. Question
Category: Physiological AdaptationA child is admitted to the hospital with a diagnosis of Wilms tumor, stage II. Which of the following statements most accurately describes this stage?
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Question 27 of 30
27. Question
Category: Reduction of Risk PotentialA teen patient is admitted to the hospital by his physician who suspects a diagnosis of acute glomerulonephritis. Which of the following findings is consistent with this diagnosis? Select all that apply.
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Question 28 of 30
28. Question
Category: Physiological AdaptationWhich of the following conditions most commonly causes acute glomerulonephritis?
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Question 29 of 30
29. Question
Category: Health Promotion and MaintenanceAn infant with hydrocele is seen in the clinic for a follow-up visit at 1 month of age. The scrotum is smaller than it was at birth, but the fluid is still visible on illumination. Which of the following actions is the physician likely to recommend?
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Question 30 of 30
30. Question
Category: Physiological AdaptationA nurse is caring for a patient with peripheral vascular disease (PVD). The patient complains of burning and tingling of the hands and feet and cannot tolerate touch of any kind. Which of the following is the most likely explanation for these symptoms?
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