In the United States, several definitions of death are currently being used. The definition that uses apnea testing and pupillary responses to light is termed:
During surgery, it is found that a client with adenocarcinoma of the rectum has positive peritoneal lymph nodes. What is the next most likely site of metastasis?
The nurse teaching a client about hepatitis and its transmission should explain that one type of hepatitis does not produce a carrier state after its acute phase. Which type is it?
The primary organ for drug elimination is the:
A client asks the nurse what risk factors increase the changes of getting skin cancer. The risk factors include all except:
The gag reflex test assesses which cranial nerves?
Some drugs are excreted into bile and delivered to the intestines. Prior to elimination from the body, the drug might be absorbed. This process is known as:
In the process of an annual physical exam, a client is diagnosed with Benign Prostatic Hypertrophy (BPH). This client is likely to have a consult with which type of physician?
A client is having psychological counseling for problems communicating with his mother. Which model of stress is the most useful in reference to this stressor?
As a type of quality indicator, an example of a structure standard is:
Local anesthetics block the conduction of pain impulses to the spinal cord. Their duration of action:
The advanced directive in a client’s chart is dated August 12, 1998.The client’s daughter produces a Power of Attorney for Health Care, dated 2003, which contains different care direction(s). The nurse is supposed to:
The nurse suspects an elderly client has been the victim of abuse. The client denies abuse and declines assistance. The nurse’s next action should be to:
The physician’s role in case management includes all of the following except:
Delegation of tasks to appropriate personnel allows the nurse to:
The school nurse is conducting health screenings on schoolchildren. During the screening, she identifies a child with the behavioral characteristics of attention deficit disorder. Which of the following behaviors is consistent with this disorder?
Mrs. Peterson complains of difficulty falling asleep, awakening earlier than desired, and not feeling rested. She attributes these problems to leg pain that is secondary to her arthritis. What is the most appropriate nursing diagnosis for her?
A client goes to the mental health center for difficulty concentrating, insomnia, and nightmares. The client reports being raped as a child. The nurse should assess the client for further signs of:
Which of the following nursing diagnoses is most appropriate for a client with a new colostomy?
With a breech presentation, the nurse must be particularly alert for which of the following?
For a client requiring total oral care, it is important for the nurse to:
The anemias most often associated with pregnancy are:
Increased cortisol levels might be found in a client with which condition?
Which cultural group has the highest incidence of inflammatory bowel disease (IBD)?
Which of the following infant behaviors demonstrates the concept of object permanence?
The nurse is using Cognitive-Behavioral methods of pain control and knows that the these methods can be expected to do all the following except:
In administering NSAID adjunctive therapy to an elderly client with cancer, the nurse must monitor:
A client who recently lost 50 pounds just received news that she is pregnant. A possible nursing diagnosis is:
Physical examination of a client regarding mobility status should:
The parents of a 2-year-old child ask the nurse how they can teach their child to quit taking toys away from other children. Which of the following statements by the nurse offers the parents the best explanation of their child’s behavior?
Which of the following microorganisms is easily transmitted from client to client on the hands of health care workers?
The chemotherapeutic agent 5-fluorourcacil (5-FU) is ordered for a client as an adjunct measure to surgery. Which statement about chemotherapy is true?
Which of the following represents a normal serum potassium level?
Which of the following medications should be held 24–48 hours prior to an electroencephalogram (EEG)?
Which type of exercises might be prescribed to strengthen the pelvic floor muscles of a client with urinary incontinence?
The nurse can promote relief of muscle pain, spasms, and tension by:
Two staff nurses were considered for promotion to head nurse. The promotion is announced via a memo on the unit bulletin board. When the nurse who was not promoted first read the memo and learned that the other nurse had received the promotion, she left the room in tears. This behavior is an example of:
An elevation in which of the following enzymes is indicative of pancreatitis?
The nurse who was not promoted then went to the utility room and slammed several cupboard doors while looking for Kleenex. This behavior exemplifies:
A client had a colostomy done one day ago. Which of the following is an abnormal finding when assessing the stoma?
Which of the following conditions has a severe complication of respiratory failure?
A man reports his wife is constantly cleaning. The activity has interfered with the family life. Friends have stopped visiting because she makes them uncomfortable. He states he has awakened in the middle of the night and found her cleaning. The nurse should consult with the couple and recommend the husband help with therapy by:
When a client who is having trouble conceiving says to the nurse, “I have started taking ginseng,” the best response by the nurse is:
Accurate documentation of assessment findings regarding pressure ulcers is very important because:
Jane Love, a 35-year old gravida III para II at 23 weeks gestation, is seen in the Emergency Department with painless, bright red vaginal bleeding. Jane reports that she has been feeling tired and has noticed ankle swelling in the evening. Laboratory tests reveal a hemoglobin level of 11.5 g/dL. After evaluating the situation, the nurse determines that Jane is at risk for placenta previa, based on which of the following data?
Which of the following tests is commonly performed on newborns with jaundice?
The sexually transmitted disease, sometimes referred to as the silent STD, that is more common than gonorrhea and a leading cause of PID is:
A client, age 28, is 8 1⁄2 months pregnant. She is most likely to display which normal skin-color variation?
When the nurse is determining the appropriate size of a nasopharyngeal airway to insert, which body part should be measured on the client?
Pressure ulcers usually occur:
In evaluating the lab work of a client in a hepatic coma, which of the following lab tests is most important?
Which of the following is not a reason for pelvic ultrasonography?
Hazards of improper splinting include:
Which instruction should be given in a health education class regarding testicular cancer?
The kind of man who beats a woman is:
Which of the following diseases or conditions is least likely to be associated with increased potential for bleeding?
Following a classic cholecystectomy resection for multiple stones, the PACU nurse observes a serosanguious drainage on the dressing. The most appropriate intervention is to:
When helping a client gain insight into anxiety, the nurse should:
The nurse is assessing the dental status of an 18-month-old child. How many teeth should the nurse expect to examine?
When making an occupied bed, it is important for the nurse to:
A client with which of the following conditions is at risk for developing a high ammonia level?
Ashley and her boyfriend Chris, both 19 years old, are transported to the Emergency Department after being involved in a motorcycle accident. Chris is badly hurt, but Ashley has no apparent injuries, though she appears confused and has trouble focusing on what is going on around her. She complains of dizziness and nausea. Her pulse is rapid, and she is hyperventilating. The nurse should assess Ashley’s level of anxiety as:
Which of the following medications is a serotonin antagonist that might be used to relieve nausea and vomiting?
A 10-month-old child is brought to the Emergency Department because he is difficult to awaken. The nurse notes bruises on both upper arms. These findings are most consistent with:
A client with an ileus is placed on intestinal tube suction. Which of the following electrolytes is lost with intestinal suction?
A 20-year-old obese female client is preparing to have gastric bypass surgery for weight loss. She says to the nurse, “I need this surgery because nothing else I have done has helped me to lose weight.” Which response by the nurse is most appropriate?
Which of the following foods should be avoided by clients who are prone to develop heartburn as a result of gastroesophgeal reflux disease (GERD)?
When a client informs the nurse that he is experiencing hypoglycemia, the nurse provides immediate intervention by providing:
Which of the following statements, if made by the parents of a newborn, does not indicate a need for further teaching about cord care?
A client is taking hydrocodone (Vicodin) for chronic back pain. The client has required an increase in the dose and asks whether this means he is addicted to Vicodin. The nurse should base her reply on the knowledge that:
A client is having a seizure; his blood oxygen saturation drops from 92% to 82%. What should the nurse do first?
The nurse teaching about preventable diseases should emphasize the importance of getting the following vaccines:
To manage time most effectively, the nurse responds to which of the following stimuli first:
A client has experienced a CVA with right hemiparesis and is ready for discharge from the hospital to a long-term care facility for rehab. To provide optimal continuity of care, the nurse should do all of the following except:
The PN is caring for a client with diabetes insipidus. The nurse can expect the lab work to show:
A client receives a cervical intracavity radium implant as part of her therapy. A common side effect of a cervical implant is:
Tricyclics (Antidepressants) sometimes have which of the following adverse affects on patients that have a diagnosis of depression?
A client was involved in a motor vehicle accident in which the seat belt was not worn. The client is exhibiting crepitus, decreased breath sounds on the left, complains of shortness of breath, and has a respiratory rate of 34/min. Which of the following assessment findings should concern the nurse the most?
The nurse belongs to a professional nursing organization that provides social, educational, and political venues for nurses. The nurse has been active in this organization for almost two years, during which time she meets and works with nurses from several different nursing agencies and health care institutions to achieve a variety of
goals, including obtaining advice regarding a personal career choice. This is an example of:
A woman seeks assistance because she recently remembered childhood sexual abuse. The nurse should include which of the following goals for this client?
A 64 year-old Alzheimer’s patient has exhibited excessive cognitive decline resulting in harmful behaviors. The physician orders restraints to be placed on the patient. Which of the following is the appropriate procedure?
A nurse is assessing a patient’s right lower extremity. The extremity is warm to touch, red and swollen. The patient is also running a low fever. Which of the following conditions would be the most likely cause of the patient’s condition?
A 14 year-old boy has been admitted to a mental health unit for observation and treatment. The boy becomes agitated and starts yelling at nursing staff members. What should the nurse first response be?
A newborn baby exhibits a reflex that includes: hand opening, abducted and extended extremities following a jarring motion. Which of the following correctly identifies the reflex?
A nurse is reviewing a patient’s medical record. The record indicates the patient has limited shoulder flexion on the left. Which plane of movement is limited?
A client who has a known history of cardiac problems and is still smoking enters the clinic complaining of sudden onset of sharp, stabbing pain that intensifies with a deep breath. The pain is occurring on only one side and can be isolated upon general assessment. The nurse concludes that this description is most likely caused by:
How many feet should separate the nurse and the source when extinguishing a small, wastebasket fire with an appropriate extinguisher?
A client has a 10% dextrose in water IV solution running. He is scheduled to receive his antiepileptic drug, phenytoin (Dilantin), at this time. The nurse knows that the phenytoin:
During the health screening of an adolescent, which finding by the nurse requires further teaching?
A patient that has TB can be taken off restrictions after which of the following parameters have been met?
A child comes to the clinic with a skin rash. The maculopapular lesions are distributed around the mouth and have honey-colored drainage. The caregiver states that the rash is getting worse and seems to spread with the child’s scratching. Which of the following advisory comments should be given?
A client is told that his test is positive, but in fact, the client does not have the disease tested for. Which type of false report is this an example of?
A chemical reaction between drugs prior to their administration or absorption is known as:
The role of the incident report in risk management is:
A client is given an opiate drug for pain relief following general anesthesia. The client becomes extremely somnolent with respiratory depression. The physician is likely to order the administration of:
A 57-year-old woman is recently widowed. She states, “I will never be able to learn how to manage the finances. My husband did all of that.” Select the nurse’s response that could help raise the client’s self-esteem.
What is the primary theory that explains a family’s concept of health and illness?
An elderly client denies that abuse is occurring. Which of the following factors could be a barrier for the client to admit being a victim?
The nurse teaching an obese client about nutritional needs and weight loss should include all of the following except:
Support-system enhancement includes all of the following except:
A couple from the Philippines living in the United States is expecting their first child. In providing culturally competent care, the nurse must first:
The physician orders the antibiotics ampicillin (Omnipen) and gentamicin (Garamycin) for a newly admitted client with an infection. The nurse should:
A corporate executive works 60–80 hours a week. The client is experiencing some physical signs of stress. The nurse teaches the client biofeedback techniques. This is an example of which of the following health-promotion interventions?
Central venous access devices (CVADs) are frequently utilized to administer chemotherapy. What is an advantage of using CVADs for chemotherapeutic agent administration?
Which of the following observations is most important when assessing a client’s breathing?
Several passengers aboard an airliner suddenly become weak and suffer breathing difficulty. The diagnosis is likely to be:
A syringe pump is a type of electronic infusion pump used to infuse fluids or medications directly from a syringe. This device is commonly used for:
Client self-determination is the primary focus of: