RN
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| show | A. Blood sugar check
B. CT scan
C. Blood cultures
D. Arterial blood gases
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| A mother is inquiring about her child’s ability to potty train. Which of the following factors is the most important aspect of toilet training? | show 🗑
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| show | A. This too shall pass.
B. Take the child immediately to the ER
C. Contact the Poison Control Center quickly
D. Give the child syrup of ipeca
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| A nurse is administering a shot of Vitamin K to a 30 day-old infant. Which of the following target areas is the most appropriate? | show 🗑
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| show | A. Contact the provider
B. Ask the child to write their name on paper
C. Ask a coworker about the identification of the child
D. Ask the father who is in the room the child’s name
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| A patient is admitted to the hospital with a diagnosis of primary hyperparathyroidism. A nurse checking the patient’s lab results would expect which of the following changes in laboratory findings? | show 🗑
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| A patient with Addison’s disease asks a nurse for nutrition and diet advice. Which of the following diet modifications is not recommended? | show 🗑
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| show | A. Anesthesia reaction
B. Hyperglycemia
C. Hypoglycemia
D. Diabetic ketoacidosis
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| A nurse assigned to the emergency department evaluates a patient who underwent fiberoptic colonoscopy 18 hours previously. The patient reports increasing abdominal pain, fever, and chills. Which of the following conditions poses the most immediate concer | show 🗑
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| show | A. Partial thromboplastin time
B. Prothrombin time
C. Platelet count
D. Hemoglobin
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| A nurse is assessing a clinic patient with a diagnosis of hepatitis A. Which of the following is the most likely route of transmission? | show 🗑
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| show | A. A history of hepatitis C five years previously
B. Cholecystitis requiring cholecystectomy one year previously
C. Asymptomatic diverticulosis
D. Crohn’s disease in remission
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| A physician has diagnosed acute gastritis in a clinic patient. Which of the following medications would be contraindicated for this patient? | show 🗑
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| The nurse is conducting nutrition counseling for a patient with cholecystitis. Which of the following information is important to communicate? | show 🗑
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| show | A. Slow, deep respirations
B. Stridor
C. Bradycardia
D. Air hunger
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| show | A. A patient admitted for myocardial infarction without cardiac muscle damage.
B. A postoperative coronary bypass patient, recovering on schedule.
C. A patient with a history of ventricular tachycardia and syncopal episodes.
D. A patient
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| show | A. The patient is allergic to shellfish.
B. The patient has a pacemaker.
C. The patient suffers from claustrophobia.
D. The patient takes antipsychotic medication.
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| A nurse calls a physician with the concern that a patient has developed a pulmonary embolism. Which of the following symptoms has the nurse most likely observed? | show 🗑
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| A patient comes to the emergency department with abdominal pain. Work-up reveals the presence of a rapidly enlarging abdominal aortic aneurysm. Which of the following actions should the nurse expect? | show 🗑
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| show | D. The patient will be discharged home to follow-up with his cardiologist in 24 hours.
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| A patient with leukemia is receiving chemotherapy that is known to depress bone marrow. A CBC (complete blood count) reveals a platelet count of 25,000/microliter. Which of the following actions related specifically to the platete | show 🗑
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| platelet count of 25,000/microliter. Which of the following actions related specifically to the platelet count should be included in the nursing care plan? | show 🗑
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| show | A. Bulging anterior fontanel
B. Repeated vomiting
C. Signs of sleepiness at 10 PM
D. Inability to read short words from a distance of 18 inches
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| A nonimmunized child appears at the clinic with a visible rash. Which of the following observations indicates the child may have rubeola (measles)? | show 🗑
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| show | A. Scarlet fever is caused by infection with group A Streptococcus bacteria.
B. “Strawberry tongue” is a characteristic sign.
C. Petechiae occur on the soft palate.
D. The pharynx is red and swollen.
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| show | A. It is the correct dose
B. The dose is too low
C. The dose is too high
D. The dose should be increased or decreased, depending on the symptoms
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| kg/day. Which of the following best describes the prescribed drug dose? | show 🗑
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| show | A. Normally, the testes are descended by birth.
B. The infant will likely require surgical intervention.
C. The infant probably has only one testis.
D. Normally, the testes descend by one year of age.
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| A child is admitted to the hospital with a diagnosis of Wilms tumor, stage II. Which of the following statements most accurately describes this stage? | show 🗑
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| show | A. Urine specific gravity of 1.040.
B. Urine output of 350 ml in 24 hours.
C. Brown (“tea-colored”) urine.
D. Generalized edema.
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| show | A. A congenital condition leading to renal dysfunction.
B. Prior infection with group A Streptococcus within the past 10-14 days.
C. Viral infection of the glomeruli.
D. Nephrotic syndrome.
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| An infant with hydrocele is seen in the clinic for a follow-up visit at 1 month of age. The scrotum is smaller than it was at birth, but fluid is still visible on illumination. Which of the following actions is the physician likely to recommend? | show 🗑
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| show | A. Inadequate tissue perfusion leading to nerve damage.
B. Fluid overload leading to compression of nerve tissue.
C. Sensation distortion due to psychiatric disturbance.
D. Inflammation of the skin on the hands and feet.
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| A patient in the cardiac unit is concerned about the risk factors associated with atherosclerosis. Which of the following are hereditary risk factors for developing atherosclerosis? | show 🗑
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| show | A. It results when oxygen demand is greater than oxygen supply.
B. It is characterized by pain that often occurs during rest.
C. It is a result of tissue hypoxia.
D. It is characterized by cramping and weakness.
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| A nurse is providing discharge information to a patient with peripheral vascular disease. Which of the following information should be included in instructions? | show 🗑
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| A patient who has been diagnosed with vasospastic disorder (Raynaud’s disease) complains of cold and stiffness in the fingers. Which of the following descriptions is most likely to fit the patient? | show 🗑
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| A 23-year-old patient in the 27th week of pregnancy has been hospitalized on complete bed rest for 6 days. She experiences sudden shortness of breath, accompanied by chest pain. Which of the following conditions is the most likely cause of her symptoms? | show 🗑
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| show | A. Air embolus.
B. Cerebral hemorrhage.
C. Expansion of the clot.
D. Resolution of the clot.
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| An infant is brought to the clinic by his mother, who has noticed that he holds his head in an unusual position and always faces to one side. Which of the following is the most likely explanation? | show 🗑
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| An adolescent brings a physician’s note to school stating that he is not to participate in sports due to a diagnosis of Osgood-Schlatter disease. Which of the following statements about the disease is correct? | show 🗑
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| show | A. Spinal flexibility
B. Leg length disparity
C. Hypostatic blood pressure
D. Scoliosis
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| A clinic nurse interviews a parent who is suspected of abusing her child. Which of the following characteristics is the nurse least likely to find in an abusing parent? | show 🗑
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| show | A. The child has a poor chance of recovery without joint deformity.
B. Most children progress to adult rheumatoid arthritis.
C. Nonsteroidal anti-inflammatory drugs are the first choice in treatment.
D. Physical activity should be minimized.
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| A child is admitted to the hospital several days after stepping on a sharp object that punctured her athletic shoe and entered the flesh of her foot. The physician is concerned about osteomyelitis and has ordered parenteral antibiotics. | show 🗑
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| Which of the following actions is done immediately before the antibiotic is started? | show 🗑
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| show | A. Possible fracture of the tibia.
B. Bruising of the gastrocnemius muscle.
C. Possible fracture of the radius.
D. No anatomic injury, the child wants his mother to carry him.
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| A toddler has recently been diagnosed with cerebral palsy. Which of the following information should the nurse provide to the parents? Select all that apply. | show 🗑
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| show | E. Therapies and surgical interventions can cure cerebral palsy.
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| show | A. Duchenne’s is an X-linked recessive disorder, so daughters have a 50% chance of being carriers and sons a 50% chance of developing the disease.
B. Duchenne’s is an X-linked recessive disorder, so both daughters and sons have a 50% chance of d dx
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| A client is scheduled for a percutaneous transluminal coronary angioplasty (PTCA). The nurse knows that a PTCA is the | show 🗑
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| show | D. Non-invasive radiographic examination of the heart.
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| show | A. They can expect the child will be mentally retarded.
B. Administration of thyroid hormone will prevent problems.
C. This rare problem is always hereditary.
D. Physical growth/development will be delayed.
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| show | A. Re-orientation to reality
B. Elimination of symptoms
C. Protection from harm to self or others
D. Return to independent functioning
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| show | A. “I don’t remember anything about what happened to me.”
B. “I’d rather not talk about it right now.”
C. “It’s the other entire guy’s fault! He was going too fast.”
D. “My mother is heartbroken about this.”
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| The nurse is caring for a woman 2 hours after a vaginal delivery. Documentation indicates that the membranes were ruptured for 36 hours prior to delivery. What are the priority nursing diagnoses at this time? | show 🗑
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| show | A. Expose the cast to air and turn the child frequently.
B. Use a heat lamp to reduce the drying time.
C. Handle the cast with the abductor bar.
D. Turn the child as little as possible.
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| show | A. Instruct the client to maintain a regular diet the day prior to the examination.
B. Restrict the client’s fluid intake 4 hours prior to the examination.
C. Administer a laxative to the client the evening before the examination.
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| show | A. AGN is a streptococcal infection that involves the kidney tubules.
B. The disease is easily transmissible in schools and camps.
C. The illness is usually associated with chronic respiratory infections.
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| show | A. 3 episodes of vomiting in 1 hour.
B. Periodic crying and irritability.
C. Vigorous sucking on a pacifier.
D. No measurable voiding in 4 hours.
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| While caring for the client during the first hour after delivery, the nurse determines that the uterus is boggy and there is vaginal bleeding. What should be the nurse’s first action? | show 🗑
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| The nurse is assessing an infant with developmental dysplasia of the hip. Which finding would the nurse anticipate? | show 🗑
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| To prevent a Valsalva maneuver in a client recovering from an acute myocardial infarction, the nurse would: | show 🗑
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| show | A. Give the client orientation materials and review the unit rules and regulations.
B. Introduce him/her and accompany the client to the client’s room.
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| show | A. “I have constant blurred vision.”
B. “I can’t see on my left side.”
C. “I have to turn my head to see my room.”
D. “I have specks floating in my eyes.”
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| show | A. Has increased airway obstruction.
B. Has improved airway obstruction.
C. Needs to be suctioned.
D. Exhibits hyperventilation.
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| show | A. Isometric
B. Range of motion
C. Aerobic
D. Isotonic
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| show | A. Counsel the woman to consent to HIV screening.
B. Perform tests for sexually transmitted diseases.
C. Discuss her high risk for cervical cancer.
D. Refer the client to a family planning clinic.
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| show | A. Arrange to change client care assignments.
B. Explain that this behavior is expected.
C. Discuss the appropriate use of “time-out”.
D. Explain that the child needs extra attention.
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| show | A. Strange bed and surroundings.
B. Separation from parents.
C. Presence of other toddlers.
D. Unfamiliar toys and games.
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| While explaining an illness to a 10-year-old, what should the nurse keep in mind about cognitive development at this age? | show 🗑
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| show | A. Nutrition
B. Elimination
C. Activity
D. Safety
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| show | A. Sports and games with rules.
B. Finger paints and water play.
C. “Dress-up” clothes and props.
D. Chess and television programs
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| show | A. High Fowler’s
B. Supine
C. Left lateral
D. Low Fowler’s
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| show | A. Urinary output of 30 ml per hour
B. No complaints of thirst
C. Increased hematocrit
D. Good skin turgor around burn
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| show | A. Acute pain related to biologic and chemical factors
B. Anxiety related to change in or threat to health status
C. Hopelessness related to deteriorating physiological condition
D. Risk for Side effects related to medical therap
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| You are creating a teaching plan for a patient with newly diagnosed migraine headaches. Which key items should be included in the teaching plan? Select all that apply. | show 🗑
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| show | A. Document the seizure
B. Perform neurologic checks
C. Take the patient’s vital signs
D. Restrain the patient for protection
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| show | A. Complete admission assessment.
B. Set up oxygen and suction equipment.
C. Place a padded tongue blade at the bedside.
D. Pad the side rails before the patient arrives.
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| A nursing student is teaching a patient and family about epilepsy prior to the patient’s discharge. For which statement should you intervene? | show 🗑
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Created by:
Faith111