Yanelis Final all that apply

Which bones are examples of a client's flat bones? Select all that apply. One, some, or all responses may be correct.

Scapula Sternum

Which aspect of psychosocial development is commonly observed in adolescents? Select all that apply. One, some, or all responses may be correct.

A search for personal identity Development of an ethical system

Which are neurological manifestations of hyperthyroidism? Select all that apply

Blurred vision Exophthalmos

The nurse is teaching a class of expectant parents about changes that are to be expected during pregnancy. Which changes would the nurse explain result from melanocyte-stimulating hormone? Select all that apply. One, some, or all responses may be correct

Chloasma Linea nigra

Which behavior patterns may be exhibited by teenagers in late adolescence? Select all that apply. One, some, or all responses may be

Concealed temper Consistent emotions

The nurse is caring for a client with a brain injury who is often disoriented and agitated. Which interventions would the nurse include in the plan of care to decrease the risk for staff injury? Select all that apply. One, some, or all responses may be correct.

Daily routine Reality orientation Calendar and clocks Antipsychotic medication

Which manifestations of surgically induced hypothyroidism might the client exhibit after a thyroidectomy? Select all that apply. One, some, or all responses may be correct.

Fatigue Dry skin

Which side effects of tretinoin are expected when prescribed for a client with severe facial acne? Select all that apply. One, some, or all responses may be correct.

Flaking Erythema

Which clinical manifestations support the nurse's suspicion of a cryptococcosis infection in a client with acquired immunodeficiency syndrome (AIDS)? Select all that apply. One, some, or all responses may be correct.

Generalized seizures Blurred vision and photophobia Neurological deficits and somnolence

Which diseases can be transmitted by air? Select all that apply

Measles Chicken pox Tuberculosis

Which over-the-counter medications are used to treat vulvovaginal candidiasis? Select all that apply. One, some, or all responses may be correct.

Miconazole Clotrimazole

An adolescent who has had type 1 diabetes for 5 years stops adhering to the therapeutic regimen. Which would the nurse conclude based on the client's developmental level?

Need for attention Struggle for identity

Which findings for a client who has a cast applied to the lower extremity indicate a complication? Select all that apply. One, some, or all responses may be correct.

Numbness Prolonged capillary refill

Which are the nurse's priority assessments of the breathing component of a primary survey of a client? Select all that apply. One, some, or all responses may be correct.

Observe for chest wall trauma. Assess breath sounds and respiratory effort

What are the priority nursing interventions for a client with neutropenia in an emergency department? Select all that apply.

Obtain blood cultures immediately. Administer antibiotic STAT as prescribed.

While caring for a client in traction, which actions could the nurse delegate to a licensed practical nurse (LPN)? Select all that apply. One, some, or all responses may be correct.

Padding traction connections Assisting the client with passive and active range-of-motion (ROM) exercises

Which adverse effect would the nurse monitor for after administering vitamin K to a newborn? Select all that apply. One, some, or all

Pain Edema Jaundice Erythema Hemolysis

The nurse manager is teaching the nursing team about funds allocated to health departments for personal health services by local, state, and federal governments. Which statement made by a member of the team would indicate effective learning? Select all that apply. One, some, or all responses may be correct.

The funds provide care for newborns.' 'The funds provide care for clients with tuberculosis.' 'The funds provide care for children with birth defects.'

Which behavior is an early sign of an abusive personality? Select all that apply. One, some, or all responses may be correct.

Verbal abusive Jealous, controlling Enforces rigid sex roles Hypersensitive, easily insulted Isolates partner from family and friends Makes others responsible for their feelings

The nurse is providing instructions about foot care for a client with diabetes mellitus. Which would the nurse include in the instructions? Select all that apply. One, some, or all responses may be correct.

Wear shoes when out of bed. Dry between the toes after bathing.

Which long-term care facility staff member statements indicate correct understanding of a disaster response plan for staff and residents? Select all that apply. One, some, or all responses may be correct.

'We have to implement annual drills.' 'The plan must include an evacuation plan.

Which of these clients can be provided care safely by unlicensed nursing personnel (UNP)? Select all that apply. One, some, or all answers may be correct.

A client who is stable A client who is recovering

Which characteristics would a slow-to-warm up child display? Select all that apply. One, some, or all responses may be correct.

Adapts slowly with frequent communication Reacts with mild but passive resistance to novelty Reacts negatively and with mild intensity to new stimuli

How does exercise help relieve menstrual discomfort in adolescents? Select all that apply. One, some, or all responses may be correct.

By reducing ischemia By reducing pelvic discomfort By releasing endogenous opiates

Which factors in a client's health history increase the risk of hearing loss? Select all that apply. One, some, or all responses may be correct.

Diabetes Noisy environment Ear infections Loud music

Which of these features is exhibited by an adolescent? Select all that apply. One, some, or all responses may be correct.

Invulnerability Personal fable

Which medications would the nurse plan to use when administering chelation therapy to a toddler-age client to decrease the pain associated with intramuscular administration? Select all that apply. One, some, or all responses may be correct.

LMX-4 Procaine

The nurse assesses a client with severe nodule-forming rheumatoid arthritis for possible Felty syndrome. Which assessment findings are consistent with Felty syndrome? Select all that apply. One, some, or all responses may be correct.

Leukopenia Splenomegaly

Which statement is true regarding delegation? Select all that apply. One, some, or all responses may be correct.

Open lines of communication must occur between delegator and delegatee. Delegation occurs only when at least 2 people are involved in a mutual work situation. Delegation involves sharing activities with other appropriate authorities to accomplish the work.

Which information would be used to determine the cause of premature atrial contractions (PACs) observed on a client's EKG? Select all that apply. One, some, or all responses may be correct

Stress level Tobacco use Caffeine intake Electrolyte levels Home medications

Which clinical manifestations would the nurse observe in a client experiencing a full-blown anaphylactic shock from a type I latex allergic reaction? Select all that apply. One, some, or all responses may be correct.

Stridor Hypotension Dyspnea

The nurse understands that which medications are considered typical antipsychotics? Select all that apply. One, some, or all responses may be correct.

Thioridazine Chlorpromazine

Which client conditions are examples of a cell-mediated immunity? Select all that apply. One, some, or all responses may be correct.

Tuberculosis (TB) Graft rejection Contact dermatitis

Which hormone levels peak during a client's sleep? Select all that apply. One, some, or all responses may be correct.

Cortisol Thyrotropin Growth hormone

The nurse understands that which antipsychotic medications have the highest risk of causing tardive dyskinesia? Select all that apply. One, some, or all responses may be correct.

Loxapine Haloperidol

The nurse initiates rifampin for a client with tuberculosis. Which instructions would the nurse teach about this medication? Select all that apply. One, some, or all responses may be correct.

'Avoid drinking alcohol as long as you are on this medication.' 'Notify your provider immediately if you develop a yellow appearance to your skin.' 'Your soft contact lenses will become permanently stained because of this medication.'

Which interventions would the nurse plan for a client undergoing a renal scan? Select all that apply. One, some, or all responses may be correct

Administering furosemide after initial imaging Inserting an intravenous catheter to give the radioisotope

A client reports being physically abused by his or her partner. Which interventions would the nurse include in the plan of care? Select all that apply. One, some, or all responses may be correct.

Assess level of danger. Notify adult protective services

Which are the adverse effects of mirtazapine? Select all that apply. One, some, or all responses may be correct.

Asthenia Drowsiness Abnormal dreams

Which condintions may result from immunoglobulin IgE antibodies on mast cells reacting with antigens? Select all that apply

Asthma Hay fever

Which interventions will be beneficial for safe and effective care of a hospitalized immunosuppressed client? Select all that apply. One, some, or all responses may be correct.

Avoid using supplies from common areas. Encourage activity at an appropriate level. Use alcohol-based hand rubs before touching the client

How do adolescents establish health identity during psychosocial development? Select all that apply. One, some, or all responses may be correct.

By evaluating their own health with a feeling of well-being By having the ability to function normally in the absence of any disease or infirmity

The nurse is providing education about excellent food sources of vitamin A for a client who is deficient in this vitamin. Which foods would the nurse include in the teaching? Select all that apply. One, some, or all responses may be correct.

Carrots Leafy greens Cantaloupe

Which would the nurse identify as increasing the risk of human immunodeficiency virus (HIV) transmission? Select all that apply. One, some, or all responses may be correct.

Childbirth Breast-feeding Needle sharing

Which finding would be expected in a client with a history of hypothyroidism? Select all that apply. One, some, or all responses may be correct

Cold intolerance Lethargy and fatigue Hemoglobin 11.2 g/dL 15-pound weight gain Heart rate 59 beats/min

Which action would the nurse include in the plan of care for a client admitted with heart failure who has gained 20 pounds in 3 weeks? Select all that apply. One, some, or all responses may be correct.

Diuretics Low-salt diet Daily weight checks Fluid restriction Intake and output Oxygen administration

Which medications used for the treatment of plaque psoriasis will the nurse administer subcutaneously? Select all that apply. One, some, or all responses may be correct.

Etanercept Adalimumab Ustekinumab

Which findings from the client's history would be symptoms of insomnia disorder? Select all that apply. One, some, or all responses may be correct.

Fatigue Early morning awakenings Reduced concentration Irritability

Which statements regarding the adverse effects of immunization are true? Select all that apply. One, some, or all responses may be correct.

Oral poliovirus vaccine causes paralytic poliomyelitis. Swelling of glands in the cheeks and neck is an adverse effect of the measles vaccine. Fever and erythema at the injection site are common adverse effects of all vaccines.

The nurse is assessing a client who is being admitted for surgical repair of a rectocele. Which signs or symptoms would the nurse expect the client to report? Select all that apply. One, some, or all responses may be correct.

Painful intercourse Bearing-down sensations

Which factors may cause an adolescent to develop a smoking addiction? Select all that apply. One, some, or all responses may be correct.

Peer pressure Imitating adult behavior of smoking Imitating lifestyles portrayed in movies and advertisements

Which intervention would the nurse use to prevent injury to others when caring for a client with intermittent explosive disorder? Select all that apply. One, some, or all responses may be correct.

Set limits and expectations. Provide structure and boundaries Ignore attention-seeking behaviors.

Which signs and symptoms are observed in the human body with a decrease in body temperature? Select all that apply. One, some, or all responses may be correct.

Shivering Contraction of blood vessels

Which finding is indicative of abnormal newborn breathing? Select all that apply. One, some, or all responses may be correct.

Stridor Mottling Bradypnea Nasal flaring Expiratory grunting

Which clinical manifestations are associated with Sjögren syndrome (SS)? Select all that apply. One, some, or all responses may be correct.

Tooth decay Corneal ulcers Vaginal dryness

Which instructions regarding the use of fluticasone nasal spray are appropriate for client teaching? Select all that apply. One, some, or all responses may be correct.

Use the medication on a regular basis, not PRN. Clear the nasal passages before using the medication. Discontinue use of the medication if nasal infection develops

Which substance is considered addictive in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)?Select all that apply. One, some, or all responses may be correct.

Alcohol Caffeine Cannabis Gambling Hallucinogens Antianxiety medications

The public health nurse is developing a program geared toward primary prevention of domestic violence. Which information would the nurse include in the program for those at high risk? Select all that apply. One, some, or all responses may be correct.

Coping skills Social support Stress reduction

A client with a renal disorder is scheduled for an intravenous pyelogram (IVP). Which interventions would the nurse undertake before the procedure? Select all that apply. One, some, or all responses may be correct.

Ensure that the consent form has been signed. Assess the client for iodine sensitivity. Administer an enema or cathartic to the client.

The nurse is assessing a client with the diagnosis of scleroderma for signs of CREST syndrome (calcinosis, Raynaud phenomenon, esophageal dysfunction, sclerodactyly, and telangiectasia). Which clinical indicators would the nurse expect to identify upon assessment? Select all that apply. One, some, or all responses may be correct.

Esophageal dysmotility Spiderlike hemangiomas Episodic blanching of the fingers

Which assessment findings are associated with rejection of a kidney transplant? Select all that apply. One, some, or all responses may be correct

Fever Oliguria Weight gain

Which substance can cause life-threatening dysrhythmias when inhaled? Select all that apply. One, some, or all responses may be correct.

Glue Gasoline Paint thinner

Which diseases require implementation of droplet precautions? Select all that apply. One, some, or all responses may be correct.

Pertussis Diphtheria

Which are the actions of oxytocin? Select all that apply. One, some, or all responses may be correct.

Promotes milk ejection during lactation Controls uterine bleeding after delivery Induces labor when uterine contractions are weak

Which intervention would the nurse perform when caring for a client in the emergency department reporting chest pain? Select all that apply. One, some, or all responses may be correct.

Providing oxygen Assessing vital signs Obtaining a 12-lead EKG Drawing blood for cardiac enzymes Auscultating heart sounds Administering nitroglycerin

Which reasons would be appropriate for performing a lumbar puncture (LP) on a client? Select all that apply. One, some, or all responses may be correct.

Reading cerebrospinal fluid (CSF) pressure Injecting contrast medium for diagnostic study

The registered nurse (RN) is caring for a client who underwent a hysterectomy. Which tasks can be delegated to the unlicensed assistive personnel (UAP) to provide quality care to the client? Select all that apply. One, some, or all responses may be correct.

Recording vital signs Assisting the client with bathing

Which potential life-threatening conditions would be considered during the primary survey for a client admitted after a fire accident? Select all that apply. One, some, or all responses may be correct.

Shock Inhalation injury Direct cardiac injury

Which age-related changes would the nurse expect to find when assessing the reproductive health of an older female client? Select all that apply. One, some, or all responses may be correct.

Smaller clitoris Shrunken vulva Narrowed vaginal opening

Which clinical manifestations accompany methamphetamine use? Select all that apply. One, some, or all responses may be correct.

Tachycardia Hyperthermia

Which actions would the nurse implement for a client receiving an estrogen agonist? Select all that apply. One, some, or all responses may be correct.

Teaching the client about signs and symptoms of venous thromboembolism (VTE) Monitoring the client's liver function tests (LFTs) in the health record

Which purposes support the process of delegation? Select all that apply. One, some, or all responses may be correct

To achieve nursing goals To improve client outcomes

Which terms might the nurse use to describe a client who was born a man but lives as a woman? Select all that apply. One, some, or all responses may be correct.

Transgender Transwoman

A client has been receiving fluphenazine for several months. The nurse will assess the client for which side effects? Select all that apply. One, some, or all responses may be correct.

Tremors Uncoordinated movement of extremities

The nurse is preparing to administer methylphenidate to an older adult with apathy and depression. Which would the nurse include in the assessment to monitor for complications? Select all that apply. One, some, or all responses may be correct.

Vision Weight Heart rate

An instructor asks a student about the level 'conventional reasoning ' in Lawrence Kohlberg's theory of moral development. Which statements made by the student indicate the need of further teaching? Select all that apply. One, some, or all responses may be correct.

'A child recognizes that there is more than one correct view.' 'A child's response to a moral dilemma is in terms of absolute obedience to authority and rules.' ' An individual follows societal law but recognizes the possibility of changing the law to improve society.'

Which statement by the client, recovering from an acute case of viral hepatitis, indicates understanding of the discharge instructions presented by the nurse? Select all that apply. One, some, or all responses may be correct

'I will avoid alcohol because my liver is scarred and the alcohol causes more damage.' 'I will eat four to seven small snacks or meals per day.'' 'I will eat foods high in carbohydrates, but moderate in fats and proteins.'

Which finding in a client with Graves disease would suggest an exacerbation of the disorder? Select all that apply. One, some, or all responses may be correct.

A 10-pound weight loss Very fast-paced talking Hyperactive bowel sounds Heart rate 120 beats/min Blood pressure 170/86 mm Hg

The nurse is admitting a client with severe myxedema coma. Which interventions would the nurse include in the plan of care? Select all that apply. One, some, or all responses may be correct.

Administer intravenous (IV) levothyroxine. Give IV normal saline.

Which task can be delegated to the licensed vocational nurse (LVN)? Select all that apply. One, some, or all responses may be correct.

Administering oral hypoglycemic agents Administering intramuscular medications

The children of adolescent mothers experience more cognitive developmental problems than children of adult mothers. Which statements correlate with this observation? Select all that apply. One, some, or all responses may be correct.

Adolescent mothers may lack parental competence. Adolescent mothers may view the infant as a plaything.

Which information would support the nurse's decision to arrange for a staff member to remain with a depressed client continuously? Select all that apply. One, some, or all responses may be correct.

Agitated pacing in the hall History of suicide attempts Statements that life is not worth living

Which interventions are in the scope of a licensed practical nurse (LPN)? Select all that apply. One, some, or all responses may be correct.

Ambulating the client Assisting the client with bathing Administering intramuscular medications

Which acts are classified as intentional torts in nursing practice? Select all that apply. One, some, or all responses may be correct.

Battery Assault False imprisonment

Which disasters would the nurse categorize as natural events? Select all that apply. One, some, or all responses may be correct.

Blizzard Droughts Wildfires

According to Piaget's theory, which of these is true about the period of formal operations? Select all that apply. One, some, or all responses may be correct.

Children have the capacity to reason with respect to possibilities. Children have a belief that their actions are scrutinized by imaginary audience.

A client has been on a hunger strike for 5 days. During this time, which hormones provide glucose as energy through catabolism? Select all that apply. One, some, or all responses may be correct

Cortisol Glucagon

Which condition(s) in the client indicate(s) need of nursing care that supports homeostatic regulation? Select all that apply. One, some, or all responses may be correct.

Damaged tissue Obstructed airway

Which functions of leukocytes are involved in the inflammation process? Select all that apply. One, some, or all responses may be correct

Destruction of bacteria and cellular debris Release of vasoactive amines during allergic reactions

Which assessments would the nurse include for a client with spine injuries who wears a body jacket brace? Select all that apply. One, some, or all responses may be correct.

Development of cast syndrome Auscultation for bowel sounds Skin over the thoracic bony prominences

The nurse understands which preparations use toxoids but not live viruses? Select all that apply. One, some, or all responses may be correct.

Diphtheria, hepatitis B, pertussis (acellular), polio, and tetanus vaccine Diphtheria and tetanus toxoids and acellular pertussis vaccine

The nurse is caring for a client admitted with fluid overload. Which tasks are most appropriate to be delegated to the patient care associate (PCA)? Select all that apply. One, some, or all responses may be correct.

Documenting vital signs Recording urine output Repositioning the client every 1 or 2 hours

Which three strategies can the nurse perform while assisting other nurses in making delegation decisions? Select all that apply. One, some, or all answers may be correct.

Doing Asking Offering

Which medication is associated with sedation as a side effect? Select all that apply. One, some, or all responses may be correct.

Doxepin Zaleplon Suvorexant Nefazodone Mirtazapine Clonazepam

Which steps would the nurse explain are to be followed for preventing post-traumatic stress disorder (PTSD) in hospital staff during a mass casualty event? Select all that apply. One, some, or all responses may be correct.

Drinking plenty of water Encouraging coworkers Monitoring each other's stress levels

Effective therapeutic communication would directly affect which outcomes for a client who has schizophrenia? Select all that apply. One, some, or all responses may be correct.

Effectively expresses emotional and physical needs Demonstrates an understanding of the mental health disorder Recognizes the issues most important to managing this disorder

The nurse understands that DTaP vaccines are contraindicated when a prior DTaP vaccination caused which side effects? Select all that apply. One, some, or all responses may be correct.

Encephalopathy within 7 days Immediate anaphylactic reaction

Which action would the nurse take to prevent knee deformities in a client who has an exacerbation of arthritis? Select all that apply. One, some, or all responses may be correct.

Encourage motion of the joint. Maintain joints in functional alignment when resting

Which antitubercular medications may increase a client's risk for gout? Select all that apply. One, some, or all responses may be correct.

Ethambutol Pyrazinamide

Which type of health care does a person who is 'worried well' require? Select all that apply. One, some, or all responses may be correct.

Evaluation Reassurance Preventive treatment

Which medications, when prescribed for a client after a kidney transplant surgery, may require the client to visit a dentist? Select all that apply. One, some, or all responses may be correct.

Everolimus Cyclosporine

Which are the elements of discovery of a lawsuit? Select all that apply. One, some, or all responses may be correct.

Experts Medical records The depositions of witnesses

Which interventions by the nurse help make a successful referral process? Select all that apply. One, some, or all responses may be correct.

Explain the need for referral to the client and family. Provide the referral with adequate client information. Determine what the referral recommends for client care.

Which assessment finding of a client with heart failure would prompt the nurse to contact the health care provider? Select all that apply. One, some, or all responses may be correct.

Fatigue Orthopnea Pitting edema Dry hacking cough 4-pound weight gain

Which symptom indicates pelvic inflammatory disease? Select all that apply. One, some, or all responses may be correct.

Fever Elevated erythrocyte sedimentation rate (ESR) Chronic pelvic pain Irregular vaginal bleeding Abnormal vaginal discharge Bilateral adnexal tenderness

The nurse suspects a child has mumps after completing an assessment. Which symptoms present in the child would support the nurse's suspicion? Select all that apply. One, some, or all responses may be correct.

Fever (100°F-104°F [37.8°C-40°C]) Swelling of the parotid gland

Which information about common expected responses to computed tomography (CT) scan contrast material would the nurse include in preprocedure teaching? Select all that apply. One, some, or all responses may be correct.

Flushing of the face Sensation of warmth

Which statements have been correctly stated about Nightingale's theory of nursing? Select all that apply. One, some, or all responses may be correct.

Focus of nursing is caring through the environment Oriented toward providing fresh air, light, warmth, cleanliness, quiet, and adequate nutrition Focuses on helping the client deal with the symptoms and changes in function related to an illness

Which are examples of health promotion activities? Select all that apply. One, some, or all responses may be correct.

Good nutrition Regular exercise

Which effect does the parathyroid hormone have on bones? Select all that apply. One, some, or all responses may be correct.

Increased bone breakdown Increased serum calcium levels Increased net release of calcium and phosphorus

Which conditions are risk factors that may place infants at a higher risk for developing jaundice? Select all that apply. One, some, or all responses may be correct.

Infection Prematurity Breast-feeding Maternal diabetes

Which statements regarding the involution process are correct? Select all that apply. One, some, or all responses may be correct.

Involution begins immediately after expulsion of the placenta. Involution progresses rapidly during the next few days after birth. Involution is the return of the uterus to a nonpregnant state after birth.

The nurse understands which are the pharmacokinetic reasons for medication sensitivity in infants. Select all that apply. One, some, or all responses may be correct

Medication absorption Renal medication excretion Protein binding of drugs Hepatic medication metabolism

When treating a client with psoriasis, which medications would the nurse anticipate teaching the mode of action and side effects? Select all that apply. One, some, or all responses may be correct.

Methoxsalen Anthralin Calcipotriene

Which diseases would the nurse include when teaching parents about viruses? Select all that apply. One, some, or all responses may be correct.

Mumps Measles Hepatitis B

Which action would the nurse take when a client receiving an infusion of penicillin reports having an anaphylactic reaction to penicillin in the past? Select all that apply. One, some, or all responses may be correct.

Notifying rapid response Measuring oxygen level Administering epinephrine Inserting an indwelling catheter Assessing the respiratory pattern

A primary health care provider schedules a bone scan for a client with osteoporosis. Which nursing actions are beneficial for the client? Select all that apply. One, some, or all responses may be correct.

Placing the client in the supine position Instructing the client to empty their bladder before the scan

Which short-term outcome would the nurse use for a client with bulimia nervosa who at times feels helpless in regard to the eating disorder?

Practices effective socialization skills Perceives the body shape as acceptable Decreases preoccupation with delusional thoughts Verbalizes the desire to increase control over stressful situations

What should the nurse identify as responses to the release of histamine during a type I rapid hypersensitivity reaction? Select all that apply

Pruritus Erythema Nasal mucus secretion Conjunctival mucus secretion

Which statements would the nurse include in teaching about the Hospital Incident Command Systems (HICS)? Select all that apply. One, some, or all responses may be correct.

Specific job action sheets are distributed to all HICS personnel. The emergency operations center or command center is established by HICS personnel. All internal requests and communication with field teams should be coordinated through the emergency operations center.

Which action would the nurse take when caring for a client having an acute episode of anxiety? Select all that apply. One, some, or all responses may be correct

Staying with the client Giving brief directions Using short, simple sentences Linking the client's behavior to feelings Teaching a cognitive therapy principle Having the client write an assessment of strengths

Which conditions pose the greatest risk for injury for an adolescent? Select all that apply. One, some, or all responses may be correct

Substance abuse Motor vehicle accidents

When teaching an unlicensed health care worker about blood pressure (BP) measurement, which information will the nurse include? Select all that apply. One, some, or all responses may be correct

Support the client's arm at heart level when taking BP. Have the client rest for 5 minutes before measuring BP.

According to the Centers for Disease Control and Prevention (CDC) classification, which laboratory report enables the nurse to conclude a client has a stage 3 human immunodeficiency virus (HIV) infection? Select all that apply. One, some, or all responses may be correct.

T-cell count 100 cells/mm 3 or a percentage of 11% CD4 T-cell count 150 cells/mm or a percentage of 12% and Kaposi sarcoma

The nurse is educating a client with hypothyroidism about the use of levothyroxine. Which information would the nurse provide? Select all that apply. One, some, or all responses may be correct.

Take dose same time each day. Refrain from switching brands. Have regular bloodwork drawn.

Which examples will the nurse use to describe occupational hazards for burn injuries when teach a safety class on burns? Select all that apply. One, some, or all responses may be correct.

Tar Power lines Fertilizers

Which of these characteristics are found in an adolescent according to Erikson's theory of psychosocial development? Select all that apply. One, some, or all responses may be correct.

The adolescent is concerned about his or her appearance and body image. The adolescent acquires a sense of identity by participating in decision-making.

Which statement describes stage 4 of Kohlberg's theory? Select all that apply. One, some, or all responses may be correct.

The child shows respect for authority and maintains the social order. Adolescents choose to avoid a party where they know the beer will be served.

The nurse is educating the client newly diagnosed with type 2 diabetes on oral antidiabetic medications. Which instruction would the nurse include in the teaching plan? Select all that apply. One, some, or all responses may be correct.

The client should obtain a finger-stick blood glucose reading before each meal. The teaching plan should include signs and symptoms of hypoglycemia. The teaching plan should include sick day rules

Which statements indicate the nurse has a correct understanding of interleukin 2? Select all that apply. One, some, or all responses may be correct.

The cytokine enhances natural killer cells. The cytokine is used to treat various malignancies. The cytokine stimulates the differentiation of T-lymphocytes.

Which action would the nurse include in the plan of care for a client who is being treated for a sexually transmitted infection and reports fever and irregular bleeding? Select all that apply. One, some, or all responses may be correct.

The use of analgesics Abdominal palpation Complete blood count Culture of the cervical canal Administration of antibiotics as prescribed Teaching about negative effects of douching

Which goals are appropriate when caring for a client with hyperplasia of pituitary tissue? Select all that apply. One, some, or all responses may be correct.

To alleviate headache To eliminate visual disturbances To return hormone levels to normal

Which action would the nurse include in the plan of care for a client who had an ischemic stroke caused by atrial fibrillation and has been placed on anticoagulation therapy to prevent further strokes from occurring? Select all that apply. One, some, or all responses may be correct.

Wearing a medical alert bracelet Initiating bleeding precautions Refraining from estrogen therapy Obtaining routine prothrombin times Notifying providers of anticoagulation

Which modifiable risk factor would the nurse include in a community presentation on cardiovascular risk factors? Select all that apply. One, some, or all responses may be correct.

Weight Inactivity Cholesterol Tobacco use Homocysteine

Which immunodeficiency disorders affect polymorphonuclear leukocytes and monocytes? Select all that apply. One, some, or all responses may be correct.

Job syndrome Chronic granulomatous disease

For a client with schizophrenia, which symptoms are classified as negative symptoms? Select all that apply. One, some, or all responses may be correct.

Lack of energy Anhedonia

Which strategies would the nurse teach a client who says, 'I have been having trouble sleeping and feel wide awake as soon as I get into bed'? Select all that apply. One, some, or all responses may be correct.

Leaving the bedroom when unable to sleep Exercising in the afternoon rather than in the evening

The nursing manager is preparing a schedule for delegating appropriate tasks to different health care team members. Which health care team member can be delegated the task of administering oral medications? Select all that apply. One, some, or all responses may be correct.

Licensed practical nurse (LPN) Licensed vocational nurse (LVN)

Which health care team members began to increase in number during World War II and are trained to provide care to clients at home? Select all that apply. One, some, or all responses may be correct.

Licensed practical nurse (LPN) Licensed vocational nurse (LVN) Unlicensed nursing personnel (UNP)

Which hormones are secreted by the client's hypothalamus? Select all that apply. One, some, or all responses may be correct.

Prolactin-inhibiting hormone Corticotropin-releasing hormone

For which care activities would the nurse apply a mask, eye protection (goggles), or face shield? Select all that apply. One, some, or all responses may be correct.

Suctioning a nasotracheal tube Irrigating an abdominal wound

During an interview for the position of manager in health care, the candidate is asked about the important qualities of a successful manager. Which responses would be appropriate? Select all that apply. One, some, or all responses may be correct.

'A successful manager should take risks.' 'A successful manager should tolerate uncertainty.' 'A successful manager should experiment with ideas for a unique situation.'

Which instructions by the nurse will be beneficial to the client prescribed pyrazinamide for tuberculosis? Select all that apply. One, some, or all responses may be correct.

'Avoid drinking alcoholic beverages while taking this medication.' 'Drink at least 8 ounces of water with each dose of the medication.'

The nurse recognizes which statements are true regarding the pharmacokinetic changes observed in infants? Select all that apply. One, some, or all responses may be correct.

An infant's gastric pH is less acidic. An infant's gastric emptying is slow. An infant's first-pass metabolism is slow.

Which signs and symptoms would the nurse find in a client who is in the depressive phase of bipolar I disorder? Select all that apply. One, some, or all responses may be correct.

Apathy Loss of appetite Sleep disturbances

The nurse performed a neurological assessment on a client, which included the Glasgow Coma Scale (GCS). Which components does the GCS assessment tool include? Select all that apply. One, some, or all responses may be correct.

Best verbal response Best motor response Best eye-opening response

Which employee would be competent in critical thinking, leadership, communication, and time management skills? Select all that apply. One, some, or all responses may be correct.

Charge nurse Registered nurse (RN)

Which clinical manifestations support a client's diagnosis of cryptosporidiosis? Select all that apply. One, some, or all responses may be correct

Diarrhea Weight loss

The nurse is teaching a client about tricyclic antidepressants. Which potential side effects would the nurse include? Select all that apply. One, some, or all responses may be correct.

Dry mouth Drowsiness Constipation Orthostatic hypotension

Which cause may produce abnormal uterine bleeding? Select all that apply. One, some, or all responses may be correct.

Hypothyroidism Failure to ovulate Bleeding disorders Unidentified pregnancy Use of oral contraceptives Benign lesions of the uterus

Which leukocyte values should be assessed to determine the adequacy of a client's response to inflammation? Select all that apply

Monocytes Neutrophils Macrophages

The nurse recognizes which atypical antipsychotics as being approved for long-term use to prevent the recurrence of mood episodes in clients with bipolar disease? Select all that apply. One, some, or all responses may be correct.

Olanzapine Ziprasidone Aripiprazole

Which medication would the nurse instruct a client to avoid while taking alprazolam? Select all that apply. One, some, or all responses may be correct.

Opioids Alcohol Barbiturates

Which clinical manifestations may indicate a client has systemic lupus erythematosus (SLE)? Select all that apply. One, some, or all responses may be correct.

Pericarditis Discoid lesions Pleural effusions

Which interventions would the nurse implement in the management of a client's botulism infection? Select all that apply. One, some, or all responses may be correct.

Planning for nutrition and rehabilitation support Disposal of suspected contaminated food sources

Which toys would the nurse select as developmentally appropriate for a 1-year-old infant? Select all that apply. One, some, or all responses may be correct.

Push-pull toy Nested boxes Squeaking plastic toy

Which medications act by binding with integrase enzymes and prevent the human immunodeficiency virus (HIV) from incorporating its genetic material into the client's cell? Select all that apply. One, some, or all responses may be correct.

Raltegravir Elvitegravir

Which symptoms would the nurse include when teaching a client to recognize symptoms of hypoglycemia? Select all that apply. One, some, or all responses may be correct.

Rapid heartbeat Emotional changes Numbness of fingers, toes, or mouth

Which colors are often included in an organizational disaster plan for use during triage? Select all that apply. One, some, or all responses may be correct.

Red Black Green Yellow

Which issues would the nurse identify as being associated with the difficulty in identification of teratogens? Select all that apply. One, some, or all responses may be correct.

Teratogenic effects may be delayed. Prolonged medication exposure may be required. Animal test results may not be applicable to humans.

A group of nurses are assessing the quality of health care provided in a women's health hospital. Which would the nurse consider when performing this assessment? Select all that apply. One, some, or all responses may be correct.

The satisfaction of the client with regard to the treatment provided The safety measures are taken while using the equipment in the hospital The implementation of recent evidence-based treatment approaches in the hospital

During a seizure, a client had sudden loss of muscle tone that lasted for a few seconds followed by confusion. Which statement about this type of seizures is true? Select all that apply. One, some, or all responses may be correct.

These seizures increase the risk for injuries from a fall. These seizures are most resistant to medication therapy.

Which instruction would the nurse provide to a group of parents with small children to promote safety and prevent injury? Select all that apply. One, some, or all responses may be correct.

Turn pot handles away from edges. Install smoke detectors in the house. Lock medication away in a safe place. Place child safety latches on cabinets. Verify water temperature before baths

During an assessment, the nurse suspects a client is in the primary stage of syphilis. Which findings support the nurse's conclusion? Select all that apply. One, some, or all responses may be correct

Ulcers on the hands and lips Firm and enlarged lymph nodes

A new mother is concerned about a lump on the right side of her infant's head that wasn't there at birth 36 hours ago. After assessment of the infant, which response by the nurse is appropriate?

Your baby's head is just slightly elongated, and that's nothing to be concerned about.' 'Your baby will be examined again by the pediatrician before you leave later today, so there's no need to worry right now.' 'Your baby may have a condition called cephalhematoma. It's common; however, I'll make a note to have the pediatrician assess it.'

When teaching a client with tuberculosis about prescribed medications, which statements would the nurse use regarding isoniazid? Select all that apply. One, some, or all responses may be correct.

'Be sure to take the medication on an empty stomach.' 'Take daily multiple vitamins that contain B complex.' 'Report darkening of your urine or a yellowish skin discoloration.

During a group discussion on assessment of the degree of conflict resolution, a senior leader emphasizes the quality of relationships. Which question(s) made by the leader refers to quality of relationships? Select all that apply. One, some, or all responses may be correct.

'How willing are people to work together?' 'How much understanding has been created?'

Which statements indicate that the nurse leader is adapting changes in leadership practices to changes in health care systems? Select all that apply. One, some, or all responses may be correct.

'I will be clear about purpose and process.' 'I will involve stakeholders and listen to them.' 'I will align systems and processes to support the change.

In which instances can an adult give consent for a minor ' s medical treatment? Select all that apply. One, some, or all responses may be correct.

As the guardian for a ward As the parent of an unemancipated minor As an adult for the treatment of his or her minor brother or sister (if an emergency and parents are not present)

Which assessment finding would the nurse question for a client who is considering oral contraceptives? Select all that apply. One, some, or all responses may be correct.

Blood clots Heart disease Breast cancer Impaired liver function Undiagnosed vaginal bleeding Smoking more than 15 cigarettes per day

Which aspects would the nurse assess to determine increasing intracranial pressure around the medulla? Select all that apply. One, some, or all responses may be correct.

Breathing Heart rate

A school-age child with end-stage cancer has a continuous infusion of morphine to manage their pain. Breakthrough pain occurs and a fentanyl 'lollipop' is prescribed. Which instruction would the nurse give the child regarding the use of the lollipop when pain occurs?

Chew it and then swallow every 4 hours.' 'Suck on it for half an hour every 6 hours.' 'Hold it in your cheek only until the pain is relieved

The nurse is obtaining consent from an unemancipated minor to perform an abortion. When would the nurse consider the consentgiving process to be appropriately completed? Select all that apply. One, some, or all responses may be correct.

Consent has been given specifically by a court. Self-consent has been granted by a court order. Consent has been obtained from at least one parent of the minor.

A client is noted to have thickened toenails that overhang the toes and crumble at the edge. Which actions would the nurse take? Select all that apply. One, some, or all responses may be correct.

Cut the client's toenails straight across. Use the client's fingernails for assessing capillary refill. Inspect the skin next to the toenail for irritation. Instruct the client to wear clean and absorbent socks.

Which medications would the nurse identify as used to treat generalized anxiety disorder (GAD)? Select all that apply. One, some, or all responses may be correct.

Duloxetine Venlafaxine Escitalopram

Which diseases may occur due to rickettsial infection? Select all that apply

Epidemic typhus Rocky Mountain spotted fever

Which characteristics are commonly associated with adolescent depression? Select all that apply. One, some, or all responses may be correct.

Having suicidal ideation Exhibiting tearfulness Avoiding previously enjoyed activities and relationships

A 9-year-old child with type 1 diabetes is prone to having hypoglycemic episodes in the morning. Which intervention would be included in the school nurse's plan of care for this child?

Limiting fluid intake during school hours Asking the child each day what was eaten for breakfast

The nurse is assisting a primary health care provider with insertion of a central venous access catheter. Which equipment will the nurse plan to have in the room to help prepare for the procedure? Select all that apply. One, some, or all responses may be correct.

Mask Gown Checklist Sterile gloves

Which elements are integrated into delegacy decisions? Select all that apply. One, some, or all answers may be correct.

Stability Critical thinking

The nurse understands which interventions are needed to prevent accidental poisoning of children? Select all that apply. One, some, or all

Potent poisons should be kept out of reach of children. Containers of the poisonous substances should be tightly closed. Old, unused, and unnecessary medications should be safely disposed.

Appropriate delegation in a health care organization achieves which outcomes? Select all that apply. One, some, or all responses may be correct.

Reduces stress Improves treatment outcomes

The client is experiencing postoperative pain and requests a pain shot. Which health care providers are legally permitted to administer an intramuscular (IM) injection to the client? Select all that apply. One, some, or all answers may be correct.

Registered nurse (RN) Licensed practical nurse (LPN) Licensed vocational nurse (LVN)

The nurse is caring for a client who was brought to the emergency department after binge drinking at a party. Which interventions would the nurse include in the plan of care to prevent a suicide attempt? Select all that apply. One, some, or all responses may be correct.

Require sitter in room at all times. Verify medications are swallowed. Use plastic utensils and paper cups.

Which preventable diseases pose a particular risk for pregnant women and their infants? Select all that apply. One, some, or all responses may be correct.

Rubella Varicella Pertussis Hepatitis B Seasonal influenza

Which would be treatment goals in anorexia nervosa? Select all that apply. One, some, or all responses may be correct.

The repairing of family interactions The reinstitution of normal nutrition to counteract a state of malnutrition The correction of deficits and distortions in psychological functioning via psychotherapy

The registered nurse (RN) is caring for an older client who has been admitted to the hospital. The RN allocates several tasks to the unlicensed nursing personnel (UNP). To evaluate the understanding of the UNP, the RN asks the UNP to describe which tasks have been allocated. Which responses by the UNP indicate effective understanding of the tasks? Select all that apply. One, some, or all responses may be correct

'I must assist the client with oral care. 'I must give a sponge bath to the client every morning.' 'I must record the blood pressure of the client at regular intervals.'

The registered nurse provides information to a group of student nurses regarding the actions of parathyroid hormone (PTH). Which statement made by a student nurse indicates the need for further teaching? Select all that apply. One, some, or all responses may be correct.

'It allows reabsorption of phosphorus in the kidney tubules.' 'It decreases serum calcium levels by increasing bone resorption.'

Which information regarding risks that may result from an untreated chlamydia infection would the nurse include when providing education for a female client? Select all that apply. One, some, or all responses may be correct.

Sterility Ectopic pregnancy Blocked Fallopian tubes Pelvic inflammatory disease Increased likelihood of HIV infection

A child with attention-deficit/hyperactivity disorder (ADHD) is prescribed methylphenidate. The mother asks about its action and side effects. Which response by the nurse is most appropriate?

'This medicine increases the appetite.' 'This medicine must be continued until adulthood.' 'It is a short-acting medicine that must be given with each meal.' 'It is a stimulant that has a calming effect on children with ADHD.'

Which actions will the nurse include in the plan of care for a client with a left pneumothorax who has a chest tube in place? Select all that apply. One, some, or all responses may be correct.

Immobilize the left arm in a sling. Check the water-seal chamber for air bubbling. Assist the client to cough and deep breathe every hour while awake.

The nurse identifies which antimicrobial medications as safe during breast-feeding? Select all that apply. One, some, or all responses may be correct.

Penicillin's Macrolides Cephalosporins

A nurse assesses the vital signs of a 50 year old female client and documents the results. Which of the following are considered within normal range for this client? Select all that apply.

Apical pulse of 88 beats per minute and regular Blood pressure of 116/78 mm Hg while in a sitting position

Which prescribed medications would the nurse anticipate initiating for a client with a Clostridium difficile-associated disease (CDAD)? Select all that apply. One, some, or all responses may be correct.

Fidaxomicin Metronidazole Vancomycin

Which responses would the nurse expect a client to exhibit as a result of decreased levels of triiodothyronine (T 3) and thyroxine (T 4)? Select all that apply. One, some, or all responses may be correct.

Weight gain Cold intolerance