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Question 1 of 30
1. Question
Category: Basic Care and ComfortWhich roommate would be most suitable for the 6-year-old male with a fractured femur in Russell’s traction?
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Question 2 of 30
2. Question
Category: Health Promotion and MaintenanceA client with osteoarthritis has a prescription for celebrex (Celecoxib). Which instruction should be included in the discharge teaching?
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Question 3 of 30
3. Question
Category: Safety and Infection ControlA client with a fractured tibia has a plaster-of-Paris cast applied to immobilize the fracture. Which action by the nurse indicates an understanding of a plaster-of-Paris cast? The nurse:
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Question 4 of 30
4. Question
Category: Basic Care and ComfortThe teenager with a fiberglass cast asks the nurse if it will be okay to allow his friends to autograph his cast. Which response would be best?
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Question 5 of 30
5. Question
Category: Management of CareThe nurse is assigned to care for the client with a Steinmann pin. During pin care, she notes that the LPN uses sterile gloves and Q-tips to clean the pin. Which action should the nurse take at this time?
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Question 6 of 30
6. Question
Category: Reduction of Risk PotentialA child with scoliosis has a spica cast applied. Which action specific to the spica cast should be taken?
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Question 7 of 30
7. Question
Category: Safety and Infection ControlThe client with a cervical fracture is placed in traction. Which type of traction will be utilized at the time of discharge?
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Question 8 of 30
8. Question
Category: Physiological AdaptationA client with a total knee replacement has a CPM (continuous passive motion device) applied during the postoperative period. Which statement made by the nurse indicates an understanding of the CPM machine?
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Question 9 of 30
9. Question
Category: Safety and Infection ControlA client with a fractured hip is being taught correct use of the walker. The nurse is aware that the correct use of the walker is achieved if the:
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Question 10 of 30
10. Question
Category: Physiological AdaptationWhen assessing a laboring client, the nurse finds a prolapsed cord. The nurse should:
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Question 11 of 30
11. Question
Category: Pharmacological and Parenteral TherapiesThe client presents to the clinic with a serum cholesterol of 275 mg/dL and is placed on rosuvastatin (Crestor). Which instruction should be given to the client?
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Question 12 of 30
12. Question
Category: Pharmacological and Parenteral TherapiesThe client is admitted to the hospital with hypertensive crises. Diazoxide (Hyperstat) is ordered. During administration, the nurse should:
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Question 13 of 30
13. Question
Category: Pharmacological and Parenteral TherapiesThe 6-month-old client with a ventral septal defect is receiving Digitalis for regulation of his heart rate. Which finding should be reported to the doctor?
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Question 14 of 30
14. Question
Category: Pharmacological and Parenteral TherapiesThe client admitted with angina is given a prescription for nitroglycerin. The client should be instructed to:
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Question 15 of 30
15. Question
Category: Basic Care and ComfortThe client is instructed regarding foods that are low in fat and cholesterol. Which diet selection is lowest in saturated fats?
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Question 16 of 30
16. Question
Category: Reduction of Risk PotentialThe client is admitted with right-sided congestive heart failure. In assessing the client for edema, the nurse should check the:
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Question 17 of 30
17. Question
Category: Reduction of Risk PotentialThe nurse is checking the client’s central venous pressure. The nurse should place the zero of the manometer at the:
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Question 18 of 30
18. Question
Category: Pharmacological and Parenteral TherapiesThe physician orders lisinopril (Zestril) and furosemide (Lasix) to be administered concomitantly to the client with hypertension. The nurse should:
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Question 19 of 30
19. Question
Category: Physiological AdaptationThe best method of evaluating the amount of peripheral edema is:
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Question 20 of 30
20. Question
Category: Reduction of Risk PotentialA client with vaginal cancer is being treated with a radioactive vaginal implant. The client’s husband asks the nurse if he can spend the night with his wife. The nurse should explain that:
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Question 21 of 30
21. Question
Category: Basic Care and ComfortThe nurse is caring for a client hospitalized with a facial stroke. Which diet selection would be suited to the client?
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Question 22 of 30
22. Question
Category: Pharmacological and Parenteral TherapiesThe physician has prescribed Novolog insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?
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Question 23 of 30
23. Question
Category: Health Promotion and MaintenanceThe nurse is teaching basic infant care to a group of first-time parents. The nurse should explain that a sponge bath is recommended for the first 2 weeks of life because:
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Question 24 of 30
24. Question
Category: Pharmacological and Parenteral TherapiesA client with leukemia is receiving Trimetrexate. After reviewing the client’s chart, the physician orders Wellcovorin (leucovorin calcium). The rationale for administering leucovorin calcium to a client receiving Trimetrexate is to:
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Question 25 of 30
25. Question
Category: Health Promotion and MaintenanceA 4-month-old is brought to the well-baby clinic for immunization. In addition to the DPT and polio vaccines, the baby should receive:
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Question 26 of 30
26. Question
Category: Pharmacological and Parenteral TherapiesThe physician has prescribed esomeprazole (Nexium) for a client with erosive gastritis. The nurse should administer the medication:
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Question 27 of 30
27. Question
Category: Psychosocial IntegrityA client on the psychiatric unit is in an uncontrolled rage and is threatening other clients and staff. What is the most appropriate action for the nurse to take?
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Question 28 of 30
28. Question
Category: Health Promotion and MaintenanceWhen the nurse checks the fundus of a client on the first postpartum day, she notes that the fundus is firm, is at the level of the umbilicus, and is displaced to the right. The next action the nurse should take is to:
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Question 29 of 30
29. Question
Category: Physiological AdaptationA client is admitted to the hospital with a temperature of 99.8°F, complaints of blood-tinged hemoptysis, fatigue, and night sweats. The client’s symptoms are consistent with a diagnosis of:
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Question 30 of 30
30. Question
Category: Pharmacological and Parenteral TherapiesThe client is seen in the clinic for treatment of migraine headaches. The drug Imitrex (sumatriptan succinate) is prescribed for the client. Which of the following in the client’s history should be reported to the doctor?
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