1.
A 79-year old home health client with severe arthritis of the hands tells the nurse that she has difficulty instilling eye drops for glaucoma. What can the nurse plan to assist the client?
2.
A patient reports smoking 10 cigarettes per day for 40 years. How will the healthcare provider document this patient's smoking habit in terms of pack years?
3.
When making a checklist for an older adult who is learning to do self-catherization, which action is most helpful?
4.
The nurse is instructing a 53 year-old male client with newly-diagnosed type 2 diabetes how to care for his feet at home. Which statement indicates that the client understands?
5.
When a mother enters the playroom of the pediatrics unit to visit her 3-year old son, he does not immediately go to her. A reason for his behavior is
6.
The nurse is teaching parents to administer eardrops at home. Which action will indicate that the parents understand?
7.
The nurse is instructing a client with newly-diagnosed type 2 diabetes how to use a blood glucose monitor. Which consistent glucose level should the client report to the health care provider?
8.
A group of workers has been exposed to industrial pollution. What type of study would you use to categorize and assess the health effects of this exposure?
9.
A group of nurse researchers conducts a smoking prevention health education session for community members. What is the primary goal of this intervention?
10.
The healthcare provider is teaching a patient with emphysema pursed-lip breathing. Pursed lip breathing helps patients with emphysema because it
11.
What is the best community-based research approach to conduct a study focusing on the elderly population?
12.
A public health nurse is tasked with evaluating a new community-based program aimed at reducing the rate of falls in older adults. The program includes strength and balance exercises, as well as home safety assessments. To determine if this program is truly effective in preventing falls, which study design would provide the strongest evidence?
13.
When a child is able to grasp the idea that a ball continues to exist, even though the parent places the ball under a pillow, which of Piaget stages is the child in?
14.
The mother of a 2-year old girl is frustrated by her daughter's temper tantrums, and asks the pediatric nurse for advice. Which action is most appropriate when a tantrum occurs?
15.
After the nurse does an assessment of an 83-year old with dementia, what will be the most realistic plan of care for the client?
16.
The nurse is caring for an 18-month old male on the pediatric unit. Which of the following is important?
17.
The most appropriate toys to give to a 5-month old infant are
18.
The nurse administered a dose of morphine sulfate as prescribed to a patient who is the post anesthesia care (PACU). The patient appears to be resting comfortably, the respiratory rate is 8 and the O2 saturation on 2L oxygen via cannula is 86%. The nurse should IMMEDIATELY administer.
19.
A patient schedule for a major surgery in one hour is very nervous and upset. Which of the following order medications would the nurse administer to relax this patient?
20.
A patient with poor wound healing and poor appetite has an order to begin total parental nutrition (TPN). Which of the following the nurse should obtain?
21.
A nurse is caring for a patient receiving parenteral nutrition (TPN). The patient reports the sudden onset of feeling short of breath and anxious. The nurse hears crackles in bilateral lower lobes of the lungs and the patient’s O2 saturation is 90% on room air. The nurse must IMMEDIATELY.
22.
What is the priority nursing intervention on admission of a primigravida in labor?
23.
The nurse is teaching the mother of a 3-months-old infant about bottle feeding. Which statement indicates the mother understands of appropriate procedure?
24.
An older adult is hospitalized for weight loss and dehydration because of nutritional deficits. What should the nurse consider when caring for this client?
25.
A client rescued from a burning building has partial- and full-thickness burns over 40% of the body. Which is the initial physiologic change that the nurse can expect?
26.
A client who is in isolation requires a temperature taken many times a day. Where is the exact place for the thermometer to be kept?
27.
A nurse who is caring for a child with pyloric stenosis should look for symptoms of?
28.
A nurse wants to measure the effectiveness of a new educational program on medication adherence among 100 diabetic patients in a community clinic. She collects numerical data before and after the intervention to compare results. What type of research is she conducting?
29.
Question: A 9-month-old child who has had four ear infections in the past 6 months is being discharged. Which statement by the parent indicates the need for further discharge teaching?
30.
A patient had a total abdominal hysterectomy 2days-ago and has not been out of the bed yet. The patient is complaining left leg pain and swelling. What should the nurse do FIRST?
31.
While caring for a patient in the post-anesthesia care unit (PACU), a nurse plans to keep the patient warm. What is the MOST important reason for this action?
32.
A patient had a vitrectomy and is about to be transported to the post anesthesia care unit (PACU). The patient should be placed in which of the following positions before transport to the PACU?
33.
While caring for a patient in the post-anesthesia care unit (PACU) who has developed Hypovolemic shock, a nurse should position the patient:
34.
While caring for a patient in the post-anesthesia care unit (PACU), a nurse observes the onset of rapid breathing cyanosis, and narrowing blood pressure. The nurse should plan to:
35.
A patient who had abdominal surgery is in the PACU. Which nursing diagnosis takes PRIORITY?
36.
A patient is diagnosed with pulmonary hypertension. Which nursing diagnosis should be the PRIORITY?
37.
A patient with a pulmonary embolus has an order for arterial blood gases. The FIRST intervention by the nurse is to
38.
During discharge teaching for a child newly diagnosed with cystic fibrosis, which statement by the parent indicates a need for further teaching?
39.
A patient with poor wound healing and appetite is about to begin total parenteral nutrition (TPN). While waiting for TPN, the nurse should obtain:
40.
A patient scheduled for major surgery in one hour is nervous and upset. Which medication should the nurse administer?
41.
A nurse administered morphine in the PACU. The patient’s respiratory rate is 8, and O2 saturation is 86% on 2L O2. What should the nurse do FIRST?
42.
A surgeon asks the nurse to witness a consent form for surgery, but the patient is confused. The nurse should
43.
A shrinkage device is applied after a leg amputation. What is the goal of this device regarding the shape of the residual limb?
44.
A patient has a clean, well-approximated 4 mm surgical incision after lumbar surgery. What type of healing is this?
45.
A nurse plans to teach 20–25-year-old women about oral contraceptives. What should the nurse include?
46.
A 16-year-old requests birth control. Which goal best aligns with the nursing diagnosis of health-seeking behaviors?
47.
A patient is having cognitive difficulties after a stroke. Which brain structure is MOST likely affected?
48.
A home health nurse visits a diabetic patient with open-angle glaucoma. The patient takes metformin and timolol drops. Which finding indicates noncompliance?
49.
To reduce aspiration risk in a hospitalized child with severe burns, how should the head of bed be positioned?
50.
A patient develops periorbital edema after a craniotomy of the temporal lobe. What should the nurse do?
51.
A home health nurse teaches a family about PICC care. Which statement is appropriate?
52.
A home health nurse is visiting a patient with MRSA and a PICC line. What action should the nurse take FIRST?
53.
While giving a large-volume enema, a patient complains of cramping. What should the nurse do?
54.
A CVA (stroke) patient cannot chew or swallow. What order should the nurse anticipate?
55.
During assessment, a nurse notices facial asymmetry. Which cranial nerve should be examined?
56.
To prevent pressure ulcers in an immobile patient, which pressure points should receive CLOSE attention?
57.
When giving medication to a pediatric patient, what is the most accurate method of dosage calculation?
58.
While conducting a nursing assessment on a newly admitted patient, the patient has a blood pressure of 140/90, and a heart rate of 105. The patient is alert and oriented and his oxygen saturation is 96% on room air. The patient is anxious and short of breath. Which of the following will be the PRIORITY nursing diagnosis?
59.
An unconscious patient who has a head injury is in the emergency department. The patient's pupils are dilated and there is no response to light. What is the MOST appropriate nursing action?
60.
A patient has a central venous catheter (CVC). A nurse knows that which of the following is the MOST common complication associated with the CVC?
61.
The nurse is teaching a new mother who is breastfeeding her 2-week-old daughter. The mother asks how to know if her daughter is getting enough to eat. The nurse should tell the mother to monitor the infant for which of the following?
62.
The nurse is teaching the parents of a child with leukemia about the side effects of chemotherapy. Which of the following statements by the parent indicates the need for further teaching?
63.
Which of the following would be the MOST appropriate to include in a nursing care plan for a patient with urinary retention?
64.
A nurse is providing care to a patient who has a head injury. Which of the following signs indicates that the patient is progressing well?
65.
A patient is in the hospital for a total knee replacement. The nurse is concerned about the patient developing a deep vein thrombosis (DVT). Which of the following will be the LEAST effective in preventing DVT?
66.
A patient is in the hospital for a total hip replacement. Which of the following nursing diagnoses is PRIORITY?
67.
A patient with a history of heart disease is admitted to the hospital with pneumonia. The patient's vital signs are: T 101.5°F (38.6°C), BP 120/80, HR 110, RR 22. What is the MOST appropriate nursing action?
68.
Which of the following is the most important for a nurse to do when caring for a patient with a peripherally inserted central catheter (PICC)?
69.
A nurse is teaching a new mother about postpartum depression. Which of the following statements indicates that the mother understands the teaching?
70.
A patient is being discharged with a peripherally inserted central catheter (PICC). The nurse should tell the family member to change the dressing every
71.
A nurse is caring for a patient who is receiving continuous bladder irrigation after a transurethral resection of the prostate (TURP). The nurse should monitor the patient for which of the following?
72.
A patient is in the hospital with sepsis. VS: T 102.5°F (39.2°C), BP 90/50, HR 120, RR 24. What is the PRIORITY nursing action?
73.
A nurse is teaching a patient about the side effects of digoxin. The patient should be taught to monitor for which of the following?
74.
A patient is in the hospital for a total hip replacement. The nurse should instruct the patient to avoid which of the following positions?
75.
A nurse is teaching a patient about a new prescription for warfarin. The nurse should teach the patient to avoid which of the following?
76.
A nurse is concerned about a patient in the hospital for a total knee replacement developing which of the following?
77.
A nurse is teaching a new mother about postpartum hemorrhage. The nurse should teach the mother to monitor for which of the following?
78.
A nurse is teaching a patient about a new prescription for gabapentin. The nurse should teach the patient to monitor for which of the following?
79.
A nurse is caring for a patient who is in the hospital for a total knee replacement. The nurse should encourage the patient to do which of the following?
80.
A nurse is teaching a new mother about breast feeding. The nurse should teach the mother to do which of the following?
81.
A nurse is teaching a patient about a new prescription for atorvastatin. The nurse should teach the patient to monitor for which of the following?
82.
A nurse is caring for a patient who is in the hospital for a total hip replacement. The nurse should teach the patient to avoid which of the following?
83.
A nurse is teaching a new mother about postpartum depression. The nurse should teach the mother to monitor for which of the following?
84.
A nurse is teaching a patient about a new prescription for amlodipine. The nurse should teach the patient to monitor for which of the following?
85.
A nurse is caring for a patient who is in the hospital for a total hip replacement. The nurse should be concerned about the patient developing which of the following?
86.
A nurse is teaching a new mother about breast feeding. The nurse should teach the mother to do which of the following?
87.
A nurse is teaching a patient about a new prescription for lisinopril. The nurse should teach the patient to monitor for which of the following?
88.
A nurse is caring for a patient who is in the hospital for a total hip replacement. The nurse should encourage the patient to do which of the following?
89.
A nurse is teaching a new mother about postpartum depression. The nurse should teach the mother to monitor for which of the following?
90.
A nurse is teaching a patient about a new prescription for metformin. The nurse should teach the patient to monitor for which of the following?
91.
A nurse is caring for a patient who is in the hospital for a total knee replacement. The nurse should encourage the patient to do which of the following?
92.
A nurse is teaching a new mother about breastfeeding. The nurse should teach the mother to do which of the following?
93.
A nurse is teaching a patient about a new prescription for aripiprazole. The nurse should teach the patient to monitor for which of the following?
94.
A nurse is caring for a patient who is in the hospital for a total hip replacement. The nurse should teach the patient to avoid which of the following?
95.
A nurse is teaching a new mother about postpartum depression. The nurse should teach the mother to monitor for which of the following?
96.
A nurse is teaching a patient about a new prescription for sertraline. The nurse should teach the patient to monitor for which of the following?
97.
A nurse is caring for a patient who is in the hospital for a total knee replacement. The nurse should encourage the patient to do which of the following?
98.
A nurse is teaching a new mother about breastfeeding. The nurse should teach the mother to do which of the following?
99.
A nurse is teaching a patient about a new prescription for atorvastatin. The nurse should teach the patient to monitor for which of the following?
100.
A nurse is caring for a patient who is in the hospital for a total hip replacement. The nurse should teach the patient to avoid which of the following?
101.
A nurse is teaching a new mother about postpartum depression. The nurse should teach the mother to monitor for which of the following?
102.
A nurse is teaching a patient about a new prescription for lisinopril. The nurse should teach the patient to monitor for which of the following?
103.
A nurse is caring for a patient who is in the hospital for a total knee replacement. The nurse should encourage the patient to do which of the following?
104.
A nurse is teaching a new mother about breastfeeding. The nurse should teach the mother to do which of the following?
105.
A nurse is teaching a patient about a new prescription for metoprolol. The nurse should teach the patient to monitor for which of the following?
106.
A nurse is caring for a patient who is in the hospital for a total hip replacement. The nurse should teach the patient to avoid which of the following?
107.
A nurse is teaching a new mother about postpartum depression. The nurse should teach the mother to monitor for which of the following?
108.
A nurse is teaching a patient about a new prescription for sertraline. The nurse should teach the patient to monitor for which of the following?
109.
A nurse is caring for a patient who is in the hospital for a total knee replacement. The nurse should encourage the patient to do which of the following?
110.
A nurse is teaching a new mother about breastfeeding. The nurse should teach the mother to do which of the following?
111.
A nurse is teaching a patient about a new prescription for atorvastatin. The nurse should teach the patient to monitor for which of the following?
112.
After a hip replacement, which activity should the nurse teach the client to avoid?
113.
A nurse is caring for a client with postpartum depression. Which of the following is a common symptom?
114.
A client on amlodipine for hypertension should be monitored for which side effect?
115.
A client after knee replacement surgery is at risk for which major complication?
116.
A nurse is teaching a breastfeeding mother about proper feeding. Which of the following instructions is correct?
117.
A nurse is teaching a client taking warfarin about dietary restrictions. Which food should be limited?
118.
After a hip replacement, which position should the nurse instruct the client to avoid?
119.
A nurse is caring for a client with postpartum depression. Which finding requires immediate intervention?
120.
A client is prescribed furosemide. Which electrolyte imbalance is the priority for the nurse to monitor?
121.
A client after total knee replacement should be encouraged to use which device to promote joint mobility?
122.
A nurse is teaching a mother about breastfeeding. What should the nurse emphasize?
123.
A nurse is teaching a client prescribed aripiprazole about side effects. Which should the nurse emphasize monitoring?
124.
After hip replacement, the nurse should teach the client to avoid which activity?
125.
A postpartum woman reports persistent crying and hopelessness. Which finding is most concerning?
126.
A nurse teaches a client taking sertraline about side effects. Which should the nurse emphasize?
127.
After total knee replacement, which activity should the nurse encourage first?
128.
A nurse is reinforcing teaching about breastfeeding. What is most important for successful feeding?
129.
A client taking atorvastatin should be taught to monitor which finding?
130.
After hip replacement, the nurse should teach the client to avoid which action?
131.
Which is a hallmark symptom of postpartum depression?
132.
A nurse is teaching a client prescribed lisinopril. Which electrolyte imbalance is most important to monitor?
133.
After total knee replacement, the nurse encourages the client to use which device?
134.
A breastfeeding mother seeks advice from the nurse. What should the nurse emphasize?
135.
A client is prescribed metoprolol. Which side effect should the nurse prioritize teaching?
136.
After hip replacement, which activity is unsafe for the client?
137.
A patient in the PACU after general anesthesia has a respiratory rate of 4/min and an O₂ saturation of 84% on 3 L/min nasal cannula. The nurse anticipates which ABG value to be elevated?
138.
A nurse is caring for a post–total knee replacement patient. Which complication should the nurse closely monitor?
139.
During surgery under general anesthesia, the patient’s heart stops. Ventilation is started via ETT with ambu bag. Which compression-to-ventilation ratio is correct for adults?
140.
For an infant with hydrocephalus, which sign indicates increased intracranial pressure?
141.
Before drawing an ABG from the radial artery, which test must the nurse perform?
142.
To reduce drug interactions in a chronically ill child, parents should be advised to
143.
A patient’s stage III coccyx ulcer has developed a hard black crust in the center. This indicates
144.
A child with acetaminophen overdose should be monitored for damage to which organ system?
145.
A child with tetralogy of Fallot develops a hypercyanotic (“tet”) spell. Which position is best?
146.
A 60-year-old patient has lost weight unintentionally over 6 months. At what point is this clinically significant?
147.
Which activity best promotes fine motor development in a child?
148.
To prevent falls, a Parkinson’s patient should be taught to
149.
A major concern with antipsychotic medications is development of
150.
A patient prescribed metformin should be taught to monitor for
151.
After total knee replacement, which device should be encouraged?
152.
A nurse is teaching a mother about breastfeeding. Which instruction is correct?
153.
A nurse is teaching a patient about a new prescription for atorvastatin. The nurse should teach the patient to monitor for which of the following?
154.
A nurse is caring for a patient who is in the hospital for a total hip replacement. The nurse should teach the patient to avoid which of the following?
155.
A nurse is teaching a new mother about postpartum depression. The nurse should teach the mother to monitor for which of the following?
156.
Which instruction should be included in the discharge teaching of a patient following a spinal fusion?
157.
The home health nurse is visiting a client with COPD who was just discharged from the hospital. What is the most important teaching?
158.
When caring for an elderly client with visual and hearing impairments, which should the nurse assess?
159.
The nurse plans to instruct parents of a 4-year-old with cystic fibrosis about the child's nutritional needs. Which should be included?
160.
During a home assessment of a 2-year-old, which behavior indicates normal development?
161.
A client calls the clinic after a home pregnancy test is positive. Which hormone caused this result?
