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Question 1 of 30
1. Question
Category: Physiological IntegrityA 21-year-old male with Hodgkin’s lymphoma is a senior at the local university. He is engaged to be married and is to begin a new job upon graduation. Which of the following diagnoses would be a priority for this client?
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Question 2 of 30
2. Question
Category: Physiological IntegrityA client has autoimmune thrombocytopenic purpura. To determine the client’s response to treatment, the nurse would monitor:
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Question 3 of 30
3. Question
Category: Physiological IntegrityThe home health nurse is visiting a client with autoimmune thrombocytopenic purpura (ATP). The client’s platelet count currently is 80, it will be most important to teach the client and family about:
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Question 4 of 30
4. Question
Category: Physiological IntegrityA client with a pituitary tumor has had transsphenoidal hypophysectomy. Which of the following interventions would be appropriate for this client?
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Question 5 of 30
5. Question
Category: Physiological IntegrityThe client with a history of diabetes insipidus is admitted with polyuria, polydipsia, and mental confusion. The priority intervention for this client is:
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Question 6 of 30
6. Question
A client with hemophilia has a nosebleed. Which nursing action is most appropriate to control the bleeding?
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Question 7 of 30
7. Question
Category: Physiological IntegrityA client has had a unilateral adrenalectomy to remove a tumor. To prevent complications, the most important measurement in the immediate postoperative period for the nurse to take is:
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Question 8 of 30
8. Question
Category: Physiological IntegrityA client with Addison’s disease has been admitted with a history of nausea and vomiting for the past 3 days. The client is receiving IV glucocorticoids (Solu-Medrol). Which of the following interventions would the nurse implement?
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Question 9 of 30
9. Question
Category: Physiological IntegrityA client had a total thyroidectomy yesterday. The client is complaining of tingling around the mouth and in the fingers and toes. What would the nurse’s next action be?
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Question 10 of 30
10. Question
Category: Physiological IntegrityA 32-year-old mother of three is brought to the clinic. Her pulse is 52, there is a weight gain of 30 pounds in 4 months, and the client is wearing two sweaters. The client is diagnosed with hypothyroidism. Which of the following nursing diagnoses is of highest priority?
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Question 11 of 30
11. Question
Category: Physiological IntegrityThe client is having an arteriogram. During the procedure, the client tells the nurse, “I’m feeling really hot.” Which response would be best?
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Question 12 of 30
12. Question
Category: Physiological IntegrityThe nurse is observing several healthcare workers providing care. Which action by the healthcare worker indicates a need for further teaching?
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Question 13 of 30
13. Question
Category: Physiological IntegrityThe client is having electroconvulsive therapy for treatment of severe depression. Which of the following indicates that the client’s ECT has been effective?
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Question 14 of 30
14. Question
Category: Physiological IntegrityThe 5-year-old is being tested for enterobiasis (pinworms). To collect a specimen for assessment of pinworms, the nurse should teach the mother to:
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Question 15 of 30
15. Question
Category: Physiological IntegrityThe nurse is teaching the mother regarding treatment for enterobiasis. Which instruction should be given regarding the medication?
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Question 16 of 30
16. Question
Category: Safe and Effective Care EnvironmentThe registered nurse is making assignments for the day. Which client should be assigned to the pregnant nurse?
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Question 17 of 30
17. Question
Category: Safe and Effective Care EnvironmentThe nurse is planning room assignments for the day. Which client should be assigned to a private room if only one is available?
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Question 18 of 30
18. Question
Category: Safe and Effective Care EnvironmentThe nurse caring for a client in the neonatal intensive care unit administers adult-strength Digitalis to the 3-pound infant. As a result of her actions, the baby suffers permanent heart and brain damage. The nurse can be charged with:
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Question 19 of 30
19. Question
Category: Safe and Effective Care EnvironmentWhich assignment should not be performed by the licensed practical nurse?
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Question 20 of 30
20. Question
Category: Physiological IntegrityThe client returns to the unit from surgery with a blood pressure of 90/50, pulse 132, and respirations 30. Which action by the nurse should receive priority?
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Question 21 of 30
21. Question
Category: Safe and Effective Care EnvironmentWhich nurse should be assigned to care for the postpartum client with preeclampsia?
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Question 22 of 30
22. Question
Category: Safe and Effective Care EnvironmentWhich information should be reported to the state Board of Nursing?
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Question 23 of 30
23. Question
Category: Safe and Effective Care EnvironmentThe nurse is suspected of charting medication administration that he did not give. After talking to the nurse, the charge nurse should:
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Question 24 of 30
24. Question
Category: Safe and Effective Care EnvironmentThe home health nurse is planning for the day’s visits. Which client should be seen first?
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Question 25 of 30
25. Question
Category: Safe and Effective Care EnvironmentThe emergency room is flooded with clients injured in a tornado. Which clients can be assigned to share a room in the emergency department during the disaster?
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Question 26 of 30
26. Question
Category: Physiological IntegrityThe nurse is caring for a 6-year-old client admitted with a diagnosis of conjunctivitis. Before administering eye drops, the nurse should recognize that it is essential to consider which of the following?
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Question 27 of 30
27. Question
Category: Health Promotion and MaintenanceThe nurse is discussing meal planning with the mother of a 2-year-old toddler. Which of the following statements, if made by the mother, would require a need for further instruction?
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Question 28 of 30
28. Question
Category: Physiological IntegrityA 2-year-old toddler is admitted to the hospital. Which of the following nursing interventions would you expect?
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Question 29 of 30
29. Question
Category: Health Promotion and MaintenanceWhich instruction should be given to the client who is fitted for a behind-the-ear hearing aid?
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Question 30 of 30
30. Question
Category: Physiological IntegrityA priority nursing diagnosis for a child being admitted from surgery following a tonsillectomy is:
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