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Question 1 of 75
1. Question
1 point(s)A 72-year-old female patient with a history of type 2 diabetes and hypertension was admitted to the medical-surgical unit due to a minor stroke. On assessment, the nurse noted generalized skin dryness, particularly on the arms, legs, and face. The nurse understands the importance of skin integrity, especially considering the patient’s age and comorbidities. Which of the following nursing interventions should the nurse consider when addressing the patient’s skin dryness? Select all that apply.Â
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Question 2 of 75
2. Question
1 point(s)A 68-year-old male patient was admitted to the cardiac unit following a recent myocardial infarction. The patient has a history of chronic venous insufficiency in both lower extremities. The nurse is preparing to provide a bed bath to the patient. The charge nurse advises the nurse to use long, firm strokes from the distal to the proximal areas when washing the patient’s extremities. The primary reason for this technique is to:
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Question 3 of 75
3. Question
1 point(s)Vivid dreaming occurs in which stage of sleep?
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Question 4 of 75
4. Question
1 point(s)The natural sedative in meat and milk products (especially warm milk) that can help induce sleep is:
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Question 5 of 75
5. Question
1 point(s)Nursing interventions that can help the patient to relax and sleep restfully include all of the following except:
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Question 6 of 75
6. Question
1 point(s)Restraints can be used for all of the following purposes except to:
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Question 7 of 75
7. Question
1 point(s)Which of the following is the nurse’s legal responsibility when applying restraints?
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Question 8 of 75
8. Question
1 point(s)Kubler-Ross’s five successive stages of death and dying are:
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Question 9 of 75
9. Question
1 point(s)A terminally ill patient usually experiences all of the following feelings during the anger stage except:
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Question 10 of 75
10. Question
1 point(s)Nurses and other healthcare providers often have difficulty helping a terminally ill patient through the necessary stages leading to acceptance of death. Which of the following strategies is most helpful to the nurse in achieving this goal?
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Question 11 of 75
11. Question
1 point(s)Which of the following symptoms is the best indicator of imminent death?
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Question 12 of 75
12. Question
1 point(s)A nurse caring for a patient with an infectious disease who requires isolation should refers to guidelines published by the:
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Question 13 of 75
13. Question
1 point(s)To institute appropriate isolation precautions, the nurse must first know the:
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Question 14 of 75
14. Question
1 point(s)Which is the correct procedure for collecting a sputum specimen for culture and sensitivity testing?
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Question 15 of 75
15. Question
1 point(s)An autoclave is used to sterilize hospital supplies because:
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Question 16 of 75
16. Question
1 point(s)The best way to decrease the risk of transferring pathogens to a patient when removing contaminated gloves is to:
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Question 17 of 75
17. Question
1 point(s)After having an I.V. line in place for 72 hours, a patient complains of tenderness, burning, and swelling. Assessment of the I.V. site reveals that it is warm and erythematous. This usually indicates:
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Question 18 of 75
18. Question
1 point(s)To ensure homogenization when diluting powdered medication in a vial, the nurse should:
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Question 19 of 75
19. Question
1 point(s)The nurse is teaching a patient to prepare a syringe with 40 units of U-100 NPH insulin for self-injection. The patient’s first priority concerning self-injection in this situation is to:
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Question 20 of 75
20. Question
1 point(s)The physician’s order reads “Administer 1 g cefazolin sodium (Ancef) in 150 ml of normal saline solution in 60 minutes.” What is the flow rate if the drop factor is 10 gtt = 1 ml?
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Question 21 of 75
21. Question
1 point(s)A patient must receive 50 units of Humulin regular insulin. The label reads 100 units = 1 ml. How many milliliters should the nurse administer?
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Question 22 of 75
22. Question
1 point(s)How should the nurse prepare an injection for a patient who takes both regular and NPH insulin?
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Question 23 of 75
23. Question
1 point(s)A patient has just received 30 mg of codeine by mouth for pain. Five minutes later he vomits. What should the nurse do first?
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Question 24 of 75
24. Question
1 point(s)A patient is catheterized with a #16 indwelling urinary (Foley) catheter to determine if:
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Question 25 of 75
25. Question
1 point(s)A staff nurse who is promoted to assistant nurse manager may feel uncomfortable initially when supervising her former peers. She can best decrease this discomfort by:
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Question 26 of 75
26. Question
1 point(s)Nurse Clarisse is teaching a patient about a newly prescribed drug. What could cause a geriatric patient to have difficulty retaining knowledge about prescribed medications?
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Question 27 of 75
27. Question
1 point(s)When examining a patient with abdominal pain the nurse in charge should assess:
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Question 28 of 75
28. Question
1 point(s)The nurse is assessing a postoperative adult patient. Which of the following should the nurse document as subjective data?
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Question 29 of 75
29. Question
1 point(s)A male patient has a soft wrist-safety device. Which assessment finding should the nurse consider abnormal?
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Question 30 of 75
30. Question
1 point(s)Which of the following planes divides the body longitudinally into anterior and posterior regions?
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Question 31 of 75
31. Question
1 point(s)A female patient with a terminal illness is in denial. Indicators of denial include:
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Question 32 of 75
32. Question
1 point(s)The nurse in charge is transferring a patient from the bed to a chair. Which action does the nurse take during this patient transfer?
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Question 33 of 75
33. Question
1 point(s)A female patient who speaks a little English has emergency gallbladder surgery, during discharge preparation, which nursing action would best help this patient understand wound care instruction?
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Question 34 of 75
34. Question
1 point(s)Before administering the evening dose of a prescribed medication, the nurse on the evening shift finds an unlabeled, filled syringe in the patient’s medication drawer. What should the nurse in charge do?
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Question 35 of 75
35. Question
1 point(s)When administering drug therapy to a male geriatric patient, the nurse must stay especially alert for adverse effects. Which factor makes geriatric patients have adverse drug effects?
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Question 36 of 75
36. Question
1 point(s)A female patient is being discharged after cataract surgery. After providing medication teaching, the nurse asks the patient to repeat the instructions. The nurse is performing which professional role?
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Question 37 of 75
37. Question
1 point(s)A female patient exhibits signs of heightened anxiety. Which response by the nurse is most likely to reduce the patient’s anxiety?
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Question 38 of 75
38. Question
1 point(s)A scrub nurse in the operating room has which responsibility?
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Question 39 of 75
39. Question
1 point(s)A patient is in the bathroom when the nurse enters to give a prescribed medication. What should the nurse in charge do?
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Question 40 of 75
40. Question
1 point(s)The physician orders heparin, 7,500 units, to be administered subcutaneously every 6 hours. The vial reads 10,000 units per milliliter. The nurse should anticipate giving how much heparin for each dose?
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Question 41 of 75
41. Question
1 point(s)The nurse in charge measures a patient’s temperature at 102 degrees F. what is the equivalent Centigrade temperature?
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Question 42 of 75
42. Question
1 point(s)To evaluate a patient for hypoxia, the physician is most likely to order which laboratory test?
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Question 43 of 75
43. Question
1 point(s)The nurse uses a stethoscope to auscultate a male patient’s chest. Which statement about a stethoscope with a bell and diaphragm is true?
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Question 44 of 75
44. Question
1 point(s)A male patient is to be discharged with a prescription for an analgesic that is a controlled substance. During discharge teaching, the nurse should explain that the patient must fill this prescription how soon after the date on which it was written?
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Question 45 of 75
45. Question
1 point(s)Which human element considered by the nurse in charge during assessment can affect drug administration?
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Question 46 of 75
46. Question
1 point(s)An employer establishes a physical exercise area in the workplace and encourages all employees to use it. This is an example of which level of health promotion?
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Question 47 of 75
47. Question
1 point(s)What does the nurse in charge do when making a surgical bed?
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Question 48 of 75
48. Question
1 point(s)The physician prescribes 250 mg of a drug. The drug vial reads 500 mg/ml. How much of the drug should the nurse give?
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Question 49 of 75
49. Question
1 point(s)Nurse Mackey is monitoring a patient for adverse reactions during barbiturate therapy. What is the major disadvantage of barbiturate use?
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Question 50 of 75
50. Question
1 point(s)Which nursing action is essential when providing continuous enteral feeding?
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Question 51 of 75
51. Question
1 point(s)When teaching a female patient how to take a sublingual tablet, the nurse should instruct the patient to place the table on the:
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Question 52 of 75
52. Question
1 point(s)Which action by the nurse in charge is essential when cleaning the area around a Jackson-Pratt wound drain?
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Question 53 of 75
53. Question
1 point(s)The doctor orders dextrose 5% in water, 1,000 ml to be infused over 8 hours. The I.V. tubing delivers 15 drops per milliliter. The nurse in charge should run the I.V. infusion at a rate of:
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Question 54 of 75
54. Question
1 point(s)A female patient undergoes a total abdominal hysterectomy. When assessing the patient 10 hours later, the nurse identifies which finding as an early sign of shock?
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Question 55 of 75
55. Question
1 point(s)Which pulse should the nurse palpate during rapid assessment of an unconscious male adult?
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Question 56 of 75
56. Question
1 point(s)Clients should be taught that repeatedly ignoring the sensation of needing to defecate could result in which of the following?
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Question 57 of 75
57. Question
1 point(s)Which statement provides evidence that an older adult who is prone to constipation is in need of further teaching?
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Question 58 of 75
58. Question
1 point(s)A client is scheduled for a colonoscopy. The nurse will provide information to the client about which type of enema?
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Question 59 of 75
59. Question
1 point(s)The nurse is most likely to report which finding to the primary care provider for a client who has an established colostomy?
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Question 60 of 75
60. Question
1 point(s)Which goal is the most appropriate for clients with diarrhea related to ingestion of an antibiotic for an upper respiratory infection?
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Question 61 of 75
61. Question
1 point(s)A client with a new stoma who has not had a bowel movement since surgery last week reports feeling nauseous. What is the appropriate nursing action?
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Question 62 of 75
62. Question
1 point(s)The nurse assesses a client’s abdomen several days after abdominal surgery. It is firm, distended, and painful to palpate. The client reports feeling “bloated” . The nurse consults with the surgeon, who orders an enema. The nurse prepares to give what kind of enema?
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Question 63 of 75
63. Question
1 point(s)Which of the following is most likely to validate that a client is experiencing intestinal bleeding?
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Question 64 of 75
64. Question
1 point(s)Which nursing diagnosis is/are most applicable to a client with fecal incontinence? Select all that apply.
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Question 65 of 75
65. Question
1 point(s)A nurse determines that a fracture bedpan should be used for the patient who:
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Question 66 of 75
66. Question
1 point(s)A patient with the diagnosis of diverticulosis is advised to eat a diet high in fiber. What should the nurse recommend that the patient eat to best increase the bulk and fecal material?
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Question 67 of 75
67. Question
1 point(s)Which statement by a patient with an ileostomy alerts the nurse to the need for further education?
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Question 68 of 75
68. Question
1 point(s)A practitioner orders a return flow enema (Harris flush drip) for an adult patient with flatulence. When preparing to administer this enema the nurse compares the steps of a return flow enema with cleansing enemas. What should the nurse do that is unique to a return flow enema?
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Question 69 of 75
69. Question
1 point(s)A nurse discourages a patient from straining excessively when attempting to have a bowel movement. What physiological response primarily may be prevented by avoiding straining on defecation?
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Question 70 of 75
70. Question
1 point(s)A nurse is caring for a client who will perform fecal occult blood testing at home. Which of the following information should the nurse include when explaining the procedure to the client?
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Question 71 of 75
71. Question
1 point(s)A nurse is talking with a client who reports constipation. When the nurse discusses dietary changes that can help prevent constipation, which of the following foods should the nurse recommend?
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Question 72 of 75
72. Question
1 point(s)A nurse is caring for a client who has diarrhea for the past four days. When assessing a client, the nurse should expect which of the following findings? Select all that apply.
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Question 73 of 75
73. Question
1 point(s)A nurse is preparing to administer a cleansing enema to an adult client in preparation for a diagnostic procedure. Which of the following are appropriate steps for the nurse to take? Select all that apply.
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Question 74 of 75
74. Question
1 point(s)While a nurse is administering a cleansing enema, the client reports abdominal cramping. Which of the following is the appropriate intervention?
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Question 75 of 75
75. Question
1 point(s)A client with chronic pulmonary disease has a bluish tinge around the lips. The nurse charts which term to most accurately describe the client’s condition?
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