A 7-year-old child is sent to the school nurse by the teacher due to a noticeable rash on the face. On assessment, the nurse observes that the child’s cheeks are bright red, as if they have been slapped, and a lacy, maculopapular rash is present on the trunk and limbs. Based on these findings, the nurse suspects erythema infectiosum (fifth disease). The characteristic rash of this condition is:

The parents of a 6-month-old male infant bring him to the emergency department, reporting that he has been crying intensely, drawing his knees up to his chest, and appears to be in severe, intermittent abdominal pain. The nurse notes that the infant has passed stools mixed with blood and mucus that appear “red currant jelly–like.” Based on these findings, the nurse recognizes these symptoms as indicative of:

A 4-month-old infant hospitalized with congenital hypothyroidism has been prescribed Levothyroxine sodium (Synthroid). The nurse administers the medication, but the child vomits 10 minutes later. What is the best nursing action?

A nurse is preparing to obtain the vital signs of an alert adult client who was admitted to the hospital with dehydration secondary to vomiting and diarrhea. The nurse needs to assess the client’s body temperature. What is the best method to obtain an accurate temperature reading in this situation?

A walk-in client comes to the clinic complaining of abdominal pain and diarrhea. The nurse greets the client, obtains a brief history, and proceeds to measure the client’s vital signs. Which phase of the nursing process is the nurse implementing at this point?

A 51-year-old woman has been diagnosed with cholecystitis and is receiving discharge teaching about dietary management. During a follow-up visit, the nurse evaluates the client’s understanding of the instructions. Which diet choice made by the client indicates that the nurse’s teaching has been effective?

A male client has undergone a total gastrectomy. Several hours after surgery, the nurse notices that the nasogastric (NG) tube has stopped draining. The client appears uncomfortable and reports increasing abdominal distention. What should the nurse do first?

A post-operative patient who recently underwent abdominal surgery experiences a severe coughing episode, after which the nurse notices wound evisceration (protrusion of abdominal contents). In addition to notifying the surgeon, which nursing intervention is most appropriate?

A nurse is teaching ostomy self-care to a patient who recently had a colostomy. During the teaching session, the nurse instructs the patient on how to measure and cut the skin barrier wafer before applying the pouch. The nurse should explain that the opening in the wafer should be:

A male client with a recent history of rectal bleeding is being prepared for a colonoscopy. The nurse needs to position the client properly to facilitate the procedure. What is the initial position the nurse should place the client in?

A client underwent a craniotomy 3 days ago. The nurse is evaluating the client for potential postoperative complications. Which of the following findings would make the nurse suspect that the client is developing meningitis?

A client is being prepared for discharge after undergoing coronary artery bypass graft (CABG) surgery. The nurse is providing teaching regarding expected postoperative experiences. Which of the following should the nurse inform the client to expect?

A child has recently been diagnosed with cystic fibrosis and is being evaluated in a pediatric clinic. During the assessment, the nurse considers the typical manifestations of cystic fibrosis. Which of the following findings would the nurse not expect to see at this early stage?

A 4-year-old child was recently diagnosed with cystic fibrosis and is visiting the pediatric clinic for a routine assessment. The nurse reviews the common manifestations of cystic fibrosis. Which of the following findings would the nurse least likely expect to see at this early stage?

A 6-year-old child with cystic fibrosis is being seen in a pediatric clinic for nutritional counseling. The nurse is teaching the parents about dietary management. Which of the following dietary plans is most appropriate for a client with cystic fibrosis?

During a surgical procedure, the sterile nurse is maintaining the sterile field. A needed sterile supply is not currently in the sterile field. Which healthcare personnel should hand the sterile item to the sterile nurse by opening its outer cover without contaminating the field?

During a surgical procedure, the operating room (OR) team performs distinct roles to ensure the procedure is completed safely and efficiently. While the surgeon performs the operation, which member of the OR team is responsible for monitoring the client’s status, including urine output and blood loss?

A nurse is preparing to administer a buccal medication to a school-age child in the clinic. To ensure proper absorption and effectiveness, where should the nurse instruct the child to place the medication?

A nurse is preparing to administer a cleansing enema to an adult client admitted for constipation. To ensure safe and effective administration, what is the most appropriate position for the client during this procedure?

A nurse is ordered to administer ampicillin capsules TID PC to a hospitalized adult client. To ensure proper absorption and effectiveness, when should the nurse administer the medication?

A nurse is preparing to administer an intramuscular (IM) injection of a medication that is irritating to subcutaneous tissue. To prevent tracking of the medication into the subcutaneous tissue, which technique should the nurse use?

A patient with no known allergies is prescribed penicillin every 6 hours. While administering the medication, the nurse observes a fine rash on the patient’s skin. What is the most appropriate nursing action in this situation?

A nurse is preparing to administer an intramuscular injection using the Z-track method for a medication that irritates subcutaneous tissue. Which of the following interventions is not appropriate when performing the Z-track technique?

A nurse is preparing to administer an intramuscular injection to an infant in the pediatric clinic. To ensure safety and effectiveness, which is the correct method for identifying the vastus lateralis site?

A nurse is planning to administer an intramuscular injection to an adult client. While considering the mid-deltoid site, the nurse recalls that this site is seldom used for IM injections. Why is this site generally avoided?

A nurse is preparing to administer an intramuscular injection to an adult client. When considering the mid-deltoid site, the nurse notes that this site is seldom used for IM injections. Why is this the case?

A nurse is preparing to administer an intradermal injection for a tuberculosis skin test to an adult client in the clinic. Which needle gauge is most appropriate for this type of injection?

A nurse is preparing to administer parenteral penicillin to a hospitalized client with a bacterial infection. Which of the following routes can parenteral penicillin be safely administered?

A physician orders gr 10 of aspirin for a patient. The nurse needs to calculate the equivalent dose in milligrams (mg) before administration. What is the correct conversion?

A physician orders an IV infusion of Dextrose 5% in water at 100 mL/hour for a hospitalized patient. The IV tubing has a drop factor of 15 gtt/mL. What should the nurse set the flow rate in drops per minute (gtt/min)?

Which of the following is a sign or symptom of hemolytic reaction to blood transfusion ?

A nurse is providing nutrition education to the parents of a 3-month-old infant during a well-baby visit. The parents ask about the main source of fluids for their infant. What should the nurse identify as the primary source of fluids until about 12 months of age?

While administering medications, a client states, “I do not want to take the medicine today.” Which of the following responses by the nurse demonstrates the best professional and ethical practice?

A nurse is performing a developmental assessment on a 4-month-old infant during a well-baby visit. Which of the following motor skills would the nurse expect the infant to demonstrate at this age?anticipate finding ?

During a routine assessment of an older adult client, the nurse evaluates physical changes of the head and face commonly associated with aging. Which of the following findings would not be considered a normal age-related change?

A nurse is assessing an older adult client before administering medications. Which of the following characteristics would not indicate an increased risk of undesirable medication effects?

A nurse in the newborn nursery is assessing an infant whose mother consumed alcohol throughout pregnancy. Which clinical manifestation should the nurse expect to observe in the newborn?

A nurse is preparing to give medication to a 4-year-old child. To ensure effective communication, the nurse wants to use age-appropriate language. Which statement should the nurse use?

A 64-year-old client is being prepared for surgery under general anesthesia. The nurse asks the client to remove their dentures, but the client refuses, stating they are embarrassed to be without them. What is the most appropriate nursing intervention?

What should the nurse calculate as the EDD?

Which statement by the nurse is most accurate regarding long bone fractures in children?

Which statement by the nurse would provide the best reality orientation for this client

A 52-year-old client visits the clinic and tells the nurse that they are unhappy with the drooping skin around their eyes, face, and neck, and want to improve their appearance by removing the excess skin. The nurse should provide teaching about which cosmetic surgical procedure?

A 6-month pregnant woman visits the antenatal clinic and tells the nurse, “I’m having trouble with constipation.” Which of the following instructions by the nurse would best help reduce her constipation?

A nurse is caring for a patient who is 2 days postoperative following a right mastectomy. Which of the following is the most appropriate nursing goal at this stage of recovery?

A 45-year-old client is scheduled for elective surgery and expresses feelings of anxiety about the procedure. Which nursing intervention should take priority in helping to reduce the client’s anxiety?

A patient is in the post-anesthesia care unit (PACU) following general anesthesia. The nurse notes a respiratory rate of 8 breaths per minute and an O₂ saturation of 84% on 3 L/min oxygen via nasal cannula. While awaiting the arterial blood gas (ABG) results, what should the nurse do?

A home health nurse has been caring for a bedridden patient with decreased bowel mobility for one month. The family reports that the patient is now becoming incontinent of feces. Upon evaluating the plan of care, which of the following interventions would be most beneficial?

A bed-bound patient has a care plan that includes repositioning every 2 hours. Despite this, the patient develops a stage I pressure ulcer on the right heel. Which intervention should the nurse add to the care plan to prevent further tissue damage?

A patient is in the postoperative unit after surgery under spinal anesthesia. The patient reports a severe headache that worsens when sitting or standing and improves when lying flat. Which nursing action would be most appropriate for this patient?