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Question 1 of 30
1. Question
Category: Health Promotion and MaintenanceThe nurse is providing discharge teaching for the client with leukemia. The client should be told to avoid:
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Question 2 of 30
2. Question
Category: Reduction of Risk PotentialThe nurse is changing the ties of the client with a tracheostomy. The safest method of changing the tracheostomy ties is to:
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Question 3 of 30
3. Question
Category: Reduction of Risk PotentialThe nurse is monitoring a client following a lung resection. The hourly output from the chest tube was 300mL. The nurse should give priority to:
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Question 4 of 30
4. Question
Category: Pharmacological and Parenteral TherapiesThe infant is admitted to the unit with tetralogy of fallot. The nurse would anticipate an order for which medication?
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Question 5 of 30
5. Question
Category: Health Promotion and MaintenanceThe nurse is educating the lady’s club in a self-breast exam. The nurse is aware that most malignant breast masses occur in the Tail of Spence.
On the diagram below, select where the Tail of Spence is.
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Question 6 of 30
6. Question
The toddler is admitted with a cardiac anomaly. The nurse is aware that the infant with a ventricular septal defect will:
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Question 7 of 30
7. Question
Category: Reduction of Risk PotentialThe nurse is monitoring a client with a history of stillborn infants. The nurse is aware that a nonstress test can be ordered for this client to:
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Question 8 of 30
8. Question
Category: Health Promotion and MaintenanceThe nurse is evaluating the client who was admitted 8 hours ago for induction of labor. The following graph is noted on the monitor. Which action should be taken first by the nurse?
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Question 9 of 30
9. Question
Category: Reduction of Risk PotentialThe nurse notes the following on the ECG monitor. The nurse would evaluate the cardiac arrhythmia as:
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Question 10 of 30
10. Question
A client with clotting disorder has an order to continue lovenox (Enoxaparin) injections after discharge. The nurse should teach the client that lovenox injections should:
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Question 11 of 30
11. Question
Category: Pharmacological and Parenteral TherapiesThe nurse has a preop order to administer valium (Diazepam) 10mg and phenergan (Promethazine) 25mg. The correct method of administering these medications is to:
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Question 12 of 30
12. Question
Category: Health Promotion and MaintenanceA client with frequent urinary tract infections asks the nurse how she can prevent the recurrence. The nurse should teach the client to:
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Question 13 of 30
13. Question
Category: Management of CareWhich task should be assigned to the nursing assistant?
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Question 14 of 30
14. Question
Category: Reduction of Risk PotentialThe client has recently returned from having a thyroidectomy. The nurse should keep which of the following at the bedside?
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Question 15 of 30
15. Question
Category: Physiological AdaptationThe physician has ordered a histoplasmosis test for the elderly client. The nurse is aware that histoplasmosis is transmitted to humans by:
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Question 16 of 30
16. Question
Category: Physiological AdaptationWhat’s the first intervention for a patient experiencing chest pain and a p02 of 89%?
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Question 17 of 30
17. Question
Category: Physiological AdaptationWhich of the following signs and symptoms usually signifies rapid expansion and impending rupture of an abdominal aortic aneurysm?
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Question 18 of 30
18. Question
Category: Physiological AdaptationIn which of the following types of cardiomyopathy does cardiac output remain normal?
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Question 19 of 30
19. Question
Category: Physiological AdaptationWhich of the following interventions should be your first priority when treating a patient experiencing chest pain while walking?
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Question 20 of 30
20. Question
Category: Physiological AdaptationWhich of the following positions would best aid breathing for a patient with acute pulmonary edema?
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Question 21 of 30
21. Question
Category: Reduction of Risk PotentialA pregnant woman arrives at the emergency department (ED) with abruptio placentae at 34 weeks’ gestation. She’s at risk for which of the following blood dyscrasias?
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Question 22 of 30
22. Question
Category: Physiological AdaptationA 16-year-old patient involved in a motor vehicle accident arrives in the ED unconscious and severely hypotensive. He’s suspected to have several fractures of his pelvis and legs. Which of the following parenteral fluids is the best choice for his current condition?
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Question 23 of 30
23. Question
Category: Pharmacological and Parenteral TherapiesCorticosteroids are potent suppressors of the body’s inflammatory response. Which of the following conditions or actions do they suppress?
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Question 24 of 30
24. Question
Category: Pharmacological and Parenteral TherapiesA patient infected with human immunodeficiency virus (HIV) begins zidovudine therapy. Which of the following statements best describes this drug’s action?
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Question 25 of 30
25. Question
Category: Basic Care and ComfortA 20-year-old patient is being treated for pneumonia. He has a persistent cough and complains of severe pain on coughing. What could you tell him to help him reduce his discomfort?
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Question 26 of 30
26. Question
Category: Physiological AdaptationA 19-year-old patient comes to the ED with acute asthma. His respiratory rate is 44 breaths/minute, and he appears to be in acute respiratory distress. Which of the following actions should you take first?
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Question 27 of 30
27. Question
Category: Physiological AdaptationA firefighter who was involved in extinguishing a house fire is being treated for smoke inhalation. He developed severe hypoxia 48 hours after the incident, requiring intubation and mechanical ventilation. Which of the following conditions has he most likely developed?
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Question 28 of 30
28. Question
Category: Reduction of Risk PotentialWhich of the following measures best determines that a patient who had a pneumothorax no longer needs a chest tube?
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Question 29 of 30
29. Question
Category: Physiological AdaptationWhich of the following nursing interventions should you use to prevent footdrop and contractures in a patient recovering from a subdural hematoma?
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Question 30 of 30
30. Question
Category: Physiological AdaptationWhich of the following signs of increased intracranial pressure (ICP) would appear first after head trauma?
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