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Question 1 of 75
1. Question
1 point(s)Once a nurse assesses a client’s condition and identifies appropriate nursing diagnoses, a:
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Question 2 of 75
2. Question
1 point(s)Planning is a category of nursing behaviors in which:
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Question 3 of 75
3. Question
1 point(s)Priorities are established to help the nurse anticipate and sequence nursing interventions when a client has multiple problems or alterations. Priorities are determined by the client’s:
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Question 4 of 75
4. Question
1 point(s)A client-centered goal is a specific and measurable behavior or response that reflects a client’s:
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Question 5 of 75
5. Question
1 point(s)For clients to participate in goal setting, they should be:
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Question 6 of 75
6. Question
1 point(s)The nurse writes an expected outcome statement in measurable terms. An example is:
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Question 7 of 75
7. Question
1 point(s)As goals, outcomes, and interventions are developed, the nurse must:
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Question 8 of 75
8. Question
1 point(s)When establishing realistic goals, the nurse:
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Question 9 of 75
9. Question
1 point(s)To initiate an intervention the nurse must be competent in three areas, which include:
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Question 10 of 75
10. Question
1 point(s)Collaborative interventions are therapies that require:
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Question 11 of 75
11. Question
1 point(s)Well formulated, client-centered goals should:
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Question 12 of 75
12. Question
1 point(s)The following statement appears on the nursing care plan for an immunosuppressed client: The client will remain free from infection throughout hospitalization. This statement is an example of a (an):
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Question 13 of 75
13. Question
1 point(s)The following statements appear on a nursing care plan for a client after a mastectomy: Incision site approximated; absence of drainage or prolonged erythema at the incision site; and the client remains afebrile. These statements are examples of:
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Question 14 of 75
14. Question
1 point(s)The planning step of the nursing process includes which of the following activities?
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Question 15 of 75
15. Question
1 point(s)The nursing care plan is:
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Question 16 of 75
16. Question
1 point(s)After determining a nursing diagnosis of acute pain, the nurse develops the following appropriate client-centered goal:
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Question 17 of 75
17. Question
1 point(s)When developing a nursing care plan for a client with a fractured right tibia, the nurse includes in the plan of care independent nursing interventions, including:
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Question 18 of 75
18. Question
1 point(s)Which of the following nursing interventions are written correctly?
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Question 19 of 75
19. Question
1 point(s)A client’s wound is not healing and appears to be worsening with the current treatment. The nurse first considers:
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Question 20 of 75
20. Question
1 point(s)When calling the nurse consultant about a difficult client-centered problem, the primary nurse is sure to report the following:
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Question 21 of 75
21. Question
1 point(s)The primary nurse asked a clinical nurse specialist (CNS) to consult on a difficult nursing problem. The primary nurse is obligated to:
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Question 22 of 75
22. Question
1 point(s)After assessing the client, the nurse formulates the following diagnoses. Place them in order of priority, with the most important (classified as high) listed first.
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Ineffective airway clearance
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Constipation
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Ineffective tissue perfusion.
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Anticipated grieving
View Answers:
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Question 23 of 75
23. Question
1 point(s)The nurse is reviewing the critical paths of the clients on the nursing unit. In performing a variance analysis, which of the following would indicate the need for further action and analysis?
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Question 24 of 75
24. Question
1 point(s)The RN has received her client assignment for the day shift. After making the initial rounds and assessing the clients, which client would the RN need to develop a care plan first?
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Question 25 of 75
25. Question
1 point(s)Which of the following statements about the nursing process is most accurate?
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Question 26 of 75
26. Question
1 point(s)What equipment would be necessary to complete an evaluation of cranial nerves 9 and 10 during a physical assessment?
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Question 27 of 75
27. Question
1 point(s)Which technique would be best in caring for a client following receiving a diagnosis of a stage IV tumor in the brain?
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Question 28 of 75
28. Question
1 point(s)An 8.5 lb, 6 oz infant is delivered to a diabetic mother. Which nursing intervention would be implemented when the neonate becomes jittery and lethargic?
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Question 29 of 75
29. Question
1 point(s)What question would be most important to ask a male client who is in for a digital rectal examination?
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Question 30 of 75
30. Question
1 point(s)The nurse assesses a prolonged late deceleration of the fetal heart rate while the client is receiving oxytocin (Pitocin) IV to stimulate labor. The priority nursing intervention would be to:
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Question 31 of 75
31. Question
1 point(s)Which nursing approach would be most appropriate to use while administering an oral medication to a 4-month-old?
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Question 32 of 75
32. Question
1 point(s)Which nursing intervention would be a priority during the care of a 2-month-old after surgery?
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Question 33 of 75
33. Question
1 point(s)While performing a physical examination on a newborn, which assessment should be reported to the physician?
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Question 34 of 75
34. Question
1 point(s)Which action by the mother of a preschooler would indicate a disturbed family interaction?
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Question 35 of 75
35. Question
1 point(s)During the history, which information from a 21-year-old client would indicate a risk for development of testicular cancer?
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Question 36 of 75
36. Question
1 point(s)While caring for a client, the nurse notes a pulsating mass in the client’s periumbilical area. Which of the following assessments is appropriate for the nurse to perform?
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Question 37 of 75
37. Question
1 point(s)When observing 4-year-old children playing in the hospital playroom, what activity would the nurse expect to see the children participating in?
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Question 38 of 75
38. Question
1 point(s)The nurse is teaching the parents of a 3 month-old infant about nutrition. What is the main source of fluids for an infant until about 12 months of age?
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Question 39 of 75
39. Question
1 point(s)While the nurse is administering medications to a client, the client states “I do not want to take that medicine today.” Which of the following responses by the nurse would be best?
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Question 40 of 75
40. Question
1 point(s)The nurse is assessing a 4 month-old infant. Which motor skill would the nurse anticipate finding?
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Question 41 of 75
41. Question
1 point(s)The nurse should recognize that all of the following physical changes of the head and face are associated with the aging client except:
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Question 42 of 75
42. Question
1 point(s)All of the following characteristics would indicate to the nurse that an elder client might experience undesirable effects of medicines except:
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Question 43 of 75
43. Question
1 point(s)When assessing a newborn whose mother consumed alcohol during the pregnancy, the nurse would assess for which of these clinical manifestations?
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Question 44 of 75
44. Question
1 point(s)Which of these statements, when made by the nurse, is most effective when communicating with a 4-year-old?
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Question 45 of 75
45. Question
1 point(s)A 64-year-old client scheduled for surgery with a general anesthetic refuses to remove a set of dentures prior to leaving the unit for the operating room. What would be the most appropriate intervention by the nurse?
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Question 46 of 75
46. Question
1 point(s)The nurse is assessing a client who states her last menstrual period was March 17, and she has missed one period. She reports episodes of nausea and vomiting. Pregnancy is confirmed by a urine test. What will the nurse calculate as the estimated date of delivery (EDD)?
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Question 47 of 75
47. Question
1 point(s)The family of a 6-year-old with a fractured femur asks the nurse if the child’s height will be affected by the injury. Which statement is true concerning long bone fractures in children?
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Question 48 of 75
48. Question
1 point(s)A client is admitted to the hospital with a history of confusion. The client has difficulty remembering recent events and becomes disoriented when away from home. Which statement would provide the best reality orientation for this client?
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Question 49 of 75
49. Question
1 point(s)When a client wishes to improve the appearance of their eyes by removing excess skin from the face and neck, the nurse should provide teaching regarding which of the following procedures?
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Question 50 of 75
50. Question
1 point(s)A woman who is six months pregnant is seen in antepartal clinic. She states she is having trouble with constipation. To minimize this condition, the nurse should instruct her to
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Question 51 of 75
51. Question
1 point(s)A client with chronic pain reports to you, the charge nurse, that the nurse has not been responding to requests for pain medication. What is your initial action?
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Question 52 of 75
52. Question
1 point(s)Family members are encouraging your client to “tough it out” rather than run the risk of becoming addicted to narcotics. The client is stoically abiding by the family’s wishes. Priority nursing interventions for this client should target which dimension of pain?
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Question 53 of 75
53. Question
1 point(s)A client with diabetic neuropathy reports a burning, electrical type in the lower extremities that is not responding to NSAIDs. You anticipate that the physician will order which adjuvant medication for this type of pain?
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Question 54 of 75
54. Question
1 point(s)Which client is most likely to receive opioids for extended periods of time?
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Question 55 of 75
55. Question
1 point(s)As the charge nurse, you are reviewing the charts of clients who were assigned to a newly graduated RN. The RN has correctly chartered the dose and time of medication, but there is no documentation regarding non-pharmaceutical measures. What action should you take first?
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Question 56 of 75
56. Question
1 point(s)In caring for a young child with pain, which assessment tool is the most useful?
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Question 57 of 75
57. Question
1 point(s)In applying the principles of pain treatment, what is the first consideration?
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Question 58 of 75
58. Question
1 point(s)Which route of administration is preferred if immediate analgesia and rapid titration are necessary?
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Question 59 of 75
59. Question
1 point(s)When titrating an analgesic to manage pain, what is the priority goal?
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Question 60 of 75
60. Question
1 point(s)In educating clients about non-pharmaceutical alternatives, which topic could you delegate to an experienced LPN/LVN, who will function under your continued support and supervision?
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Question 61 of 75
61. Question
1 point(s)Place the examples of drugs in the order of usage according to the World Health Organization (WHO) analgesic ladder.
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Codeine, oxycodone, and diphenhydramine
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NSAIDs and corticosteroids
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Morphine, hydromorphone, acetaminophen, and lorazepam
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Question 62 of 75
62. Question
1 point(s)Which client is at greater risk for respiratory depression while receiving opioids for analgesia?
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Question 63 of 75
63. Question
1 point(s)A client appears upset and tearful, but denies pain and refuses pain medication, because “my sibling is a drug addict and has ruined our lives.” What is the priority intervention for this client?
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Question 64 of 75
64. Question
1 point(s)A client is being tapered off opioids and the nurse is watchful for signs of withdrawal. What is one of the first signs of withdrawal?
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Question 65 of 75
65. Question
1 point(s)In caring for clients with pain and discomfort, which task is most appropriate to delegate to the nursing assistant?
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Question 66 of 75
66. Question
1 point(s)The physician has ordered a placebo for a chronic pain client. You are a newly hired nurse and you feel very uncomfortable administering the medication. What is the first action that you should take?
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Question 67 of 75
67. Question
1 point(s)For a cognitively impaired client who cannot accurately report pain, what is the first action that you should take?
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Question 68 of 75
68. Question
1 point(s)Which route of administration is preferable for administration of daily analgesics (if all body systems are functional)?
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Question 69 of 75
69. Question
1 point(s)A first-day postoperative client on a PCA pump reports that the pain control is inadequate. What is the first action you should take?
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Question 70 of 75
70. Question
1 point(s)Which non-pharmacological measure is particularly useful for a client with acute pancreatitis?
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Question 71 of 75
71. Question
1 point(s)What is the best way to schedule medication for a client with constant pain?
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Question 72 of 75
72. Question
1 point(s)Which client(s) are appropriate to assign to the LPN/LVN, who will function under the supervision of the RN or team leader? Select all that apply.
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Question 73 of 75
73. Question
1 point(s)For a client who is taking aspirin, which laboratory value should be reported to the physician?
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Question 74 of 75
74. Question
1 point(s)Which client would be appropriate to assign to a newly graduated RN, who has recently completed orientation?.
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Question 75 of 75
75. Question
1 point(s)A family member asks you, “Why can’t you give more medicine? He is still having a lot of pain.” What is your best response?
CorrectIncorrect