NCLEX 4

ID: 4374 | file: Critical Care The critical care nurse is caring for a client with a subclavian central line catheter. The nurse knows that a specific central-line bundle was developed to reduce the client's risk for developing a catheter-related bloodstream infection (CLABSI). The interventions include which essential actions? Select all that apply. 1.Strict hand washing 2.Daily dressing change .Betadine skin antisepsis 4.Optimal catheter site selection 5.Strict sterile technique with maximal barrier precautions during placement 6.Infection control primary health care provider as a member of the client's health care team

1.Strict hand washing 4.Optimal catheter site selection 5.Strict sterile technique with maximal barrier precautions during placement

ID: 3325 | file: Funds Part 2 The nurse is reading a primary health care provider's prescription and notes that a client is to receive a medication at 1:00 pm. Using the military time clock, the nurse administers the medication at which time? Refer to figure.

1

ID: 3246 | file: Funds Part 2 A client is to receive 1000 mL of 5% dextrose in water at a rate of 125 mL/hr. The drop (gtt) factor is 10 drops (gtt)/mL. The nurse sets the flow rate at how many drops per minute? Fill in the blank. Record your answer to the nearest whole number.

21gtt/min

ID: 4455 | file: Mental Health The nurse is educating a community group about risk factors for suicide and knows a member needs further teaching when which criteria are chosen as risk factors? Select all that apply. 1.Male gender 2.Caucasian race 3.Age less than 32 years 4.Practicing a religion 5.Married over 10 years

3.Age less than 32 years 4.Practicing a religion 5.Married over 10 years

ID: 1175 | file: Adult Health_Renal The nurse is reinforcing instructions to a client about the types of fluids that assist in prevention and treatment of urinary tract infections (UTIs). The nurse instructs the client to consume which fluids? Select all that apply. 1.Milk 2.Soda 3.Prune juice 4.Apple juice 5.Cranberry juice

3.Prune juice 4.Apple juice 5.Cranberry juice

ID: 0149 | file: ch17 The nurse is caring for a client following a craniotomy in which a large tumor was removed from the left side. In which position can the nurse safely place the client? Refer to the Figure.

A

ID: 1709 | file: Maternity The nurse reviews the client's health record and notes that based on Leopold's maneuvers, the fetus is in a cephalic presentation. Which findings while performing Leopold's maneuvers support the identification of a cephalic presentation? Select all that apply. 1.Small parts are located on the left side of the uterus. 2.Small parts are located on the right side of the uterus. 3.A round hard ballottable shape is located in the fundus. 4.A round hard ballottable shape is located just above the symphysis pubis. 5.A soft, irregular non-ballottable shape is located just above the symphysis pubis.

1.Small parts are located on the left side of the uterus. 2.Small parts are located on the right side of the uterus. 5.A soft, irregular non-ballottable shape is located just above the symphysis pubis.

ID: 1603 | file: Funds Part 2 A primary health care provider has prescribed phytonadione 2.5 mg intramuscularly. The nurse reads the label on the medication vial and administers how many mL to the client? Refer to the figure and fill in the blank. Record your answer to two decimal places.

0.25mL

ID: 3511 | file: Funds Part 2 A client with sickle cell anemia is being treated for sickle cell crisis. The primary health care provider prescribes morphine sulfate 2 mg. The concentration of the vial is 10 mg/mL of solution. How many milliliters of solution should the nurse administer? Fill in the blank. Record the answer to one decimal place.

0.2mL

ID: 0749 | file: comptest The nurse is preparing to suction an adult client through the client's tracheostomy tube. Which interventions should the nurse perform for this procedure? Select all that apply. 1.Apply suction for up to 10 seconds. 2.Hyperoxygenate the client before suctioning. 3.Set the wall suction unit pressure at 160 mm Hg. 4.Apply suction while gently inserting the catheter. 5.Apply intermittent suction while rotating and withdrawing the catheter. 6.Advance the catheter until resistance is met and then pull the catheter back 1 cm.

1.Apply suction for up to 10 seconds. 2.Hyperoxygenate the client before suctioning. 5.Apply intermittent suction while rotating and withdrawing the catheter. 6.Advance the catheter until resistance is met and then pull the catheter back 1 cm.

ID: 3489 | file: Maternity A client presents at her primary health care provider's office 10 weeks pregnant with her first pregnancy. Which are presumptive signs of pregnancy that the client might be expected to have? Select all that apply. 1.Fatigue 2.Breast changes 3.Chadwick's sign 4.Nausea and vomiting 5.Pigmentation changes of the face 6.A bluish discoloration of the vagina and cervix

1.Fatigue 2.Breast changes 4.Nausea and vomiting

ID: 3418 | file: Pediatric The nurse is caring for an infant with a diagnosis of Hirschsprung's disease. The nurse should check for which clinical findings that are consistent with Hirschsprung's disease? Select all that apply. 1.Fever 2.Constipation 3.Failure to thrive 4.Intolerance to wheat 5.Abdominal distention 6.Explosive, watery diarrhea

1.Fever 2.Constipation 3.Failure to thrive 5.Abdominal distention 6.Explosive, watery diarrhea

ID: 4447 | file: Funds Part 1 The nurse teaches the family of an infant with spina bifida that the infant should not be given which baby foods that may trigger a latex-type food allergy? Select all that apply. 1.Kiwi 2.Prunes 3.Apples 4.Bananas 5.Avocados

1.Kiwi 4.Bananas 5.Avocados

ID: 3222 | file: Funds Part 1 The nurse is caring for a client whose magnesium level is 3 mEq/L (1.5 mmol/L) and the client is being treated for the magnesium imbalance. The nurse interprets that the electrolyte imbalance is resolving if which signs or symptoms are no longer present? Select all that apply. 1.Tetany 2.Twitches 3.Chest pain 4.Hypotension 5.Muscular excitability 6.Loss of deep tendon reflexes

4.Hypotension 6.Loss of deep tendon reflexes

ID: 0129 | file: ch15 The medication is an intramuscular dose of 400,000 units of penicillin G benzathine. The medication label reads penicillin G benzathine 300,000 units/mL. The nurse prepares how much medication to administer the correct dose? Fill in the blank and record the answer using one decimal place.

1.3mL

ID: 3900 | file: Adult Health_Renal A long-term care nurse notes that an older client who is normally alert has become progressively confused and irritable. What diagnostic tests should the nurse anticipate the health care provider to prescribe? Select all that apply. 1.Urinalysis 2.Lipid profile 3.Chemistry profile 4.Coagulation studies 5.Stool for occult blood 6.Complete blood count

1.Urinalysis 6.Complete blood count

ID: 3059 | file: Adult Health_GI The nurse has assisted with the insertion of a Levin tube for gastrointestinal (GI) decompression. Which settings should the nurse anticipate to be prescribed by the primary health care provider? Select all that apply. 1.Low 2.High 3.Medium 4.Continuous 5.Intermittent

1.Low 5.Intermittent

ID: 1317 | file: Adult Health_Neuro The nurse is providing care to a client with increased intracranial pressure (ICP). Which approaches would be beneficial in controlling the client's ICP from an environmental viewpoint? Select all that apply. 1.Reducing environmental noise 2.Maintaining a calm atmosphere 3.Allowing the client uninterrupted time for sleep 4.Clustering nursing activities to be done all at once 5.Keeping overhead lights on most of the day and night

1.Reducing environmental noise 2.Maintaining a calm atmosphere 3.Allowing the client uninterrupted time for sleep

ID: 3726 | file: Funds Part 1 Which fluids are identified as insensible fluid losses? Select all that apply. 1.Sweat 2.Sputum 3.Nasogastric tube output 4.Output from Jackson-Pratt drain 5.Urine output from indwelling catheter

1.Sweat 2.Sputum *Insensible=measuring them does not make SENSe because it cant be measured.

ID: 4302 | file: Funds Part 2 A client has been diagnosed with metabolic alkalosis. Which laboratory values are most important for the nurse to monitor for this client? Select all that apply. 1.Red blood cells 2.Serum bilirubin 3.Serum electrolytes 4.Arterial blood gases (ABGs) 5.Complete blood count (CBC)

3.Serum electrolytes 4.Arterial blood gases (ABGs)

ID: 4436 | file: Leadership Management The nurse was assigned to care for five clients and spent most of the day caring for one of these clients who had just returned from surgery. The nurse did not ask for assistance and did not regularly check on the other clients. During the day, one of the nurse's other clients got out of bed without calling for assistance and fell, breaking his arm. Which possible charges could this nurse face with this situation? Select all that apply. 1.Libel 2.Battery 3.Negligence 4.Malpractice 5.Abandonment of care

3.Negligence 4.Malpractice 5.Abandonment of care

ID: 4300 | file: Funds Part 1 The metabolic panel of a client reveals a calcium level of 6.5 mg/dL (1.6 mmol/L). Based on this laboratory finding, which additional data specific to this calcium level should the nurse collect? Select all that apply. 1.Presence of Chvostek's sign 2.Presence of muscle weakness 3.Presence of decreased deep tendon reflexes 4.Presence of electrocardiogram abnormalities 5.Presence of tingling in the fingertips and around the mouth 6.Presence of carpal spasm when blood pressure cuff is inflated above systolic blood pressure for a few minutes

1.Presence of Chvostek's sign 4.Presence of electrocardiogram abnormalities 5.Presence of tingling in the fingertips and around the mouth 6.Presence of carpal spasm when blood pressure cuff is inflated above systolic blood pressure for a few minutes

ID: 3835 | file: Maternity The nurse is reviewing the record of a pregnant client and notes that the primary health care provider has documented the presence of Chadwick's sign. The prenatal client asks the nurse to explain Chadwick's sign. Which information provided by the nurse is accurate? Select all that apply 1.Chadwick's sign relates to fundal height. 2.Chadwick's sign is a probable sign of pregnancy. 3.Chadwick's sign may be present as early as 6 weeks' gestation. 4.Chadwick's sign is a bluish discoloration of the vagina and cervix. 5.Chadwick's sign occurs when the pregnant client experiences fetal movement.

2.Chadwick's sign is a probable sign of pregnancy. 3.Chadwick's sign may be present as early as 6 weeks' gestation. 4.Chadwick's sign is a bluish discoloration of the vagina and cervix.

ID: 2447 | file: Maternity The nurse working in a prenatal clinic receives a telephone call from a client at 22 weeks of gestation. The client reports some vaginal discharge and has started to experience menstrual-like cramps and diarrhea. Which responses by the nurse indicate an understanding of the implications of the client's signs/symptoms? Select all that apply. 1."Lie on your left side for an hour and try to drink some fluids." 2."It is important that you urinate frequently to keep your bladder empty." 3."This is probably an emergency. Have someone drive you to a hospital now." 4."Palpate for contractions and call back if there are more than four contractions in the next hour." 5."Can you identify what you ate and drank, what medications you took, and your activity during the past 24 hours?"

1.3mL

ID: 1653 | file: Mental Health The nurse is caring for a client with long-term Alzheimer's disease (AD). Which are some of the behavioral manifestations the nurse should expect to observe? Select all that apply. 1.Apraxia 2.Aphasia 3.Agnosia 4.Hyperorality 5.Somatization 6.Operant conditioning

1.Apraxia 2.Aphasia 3.Agnosia 4.Hyperorality

ID: 3251 | file: Funds Part 1 A client has a prescription to take sodium polystyrene sulfonate for several days. The client also needs to make some dietary changes. Which foods should the client avoid? Select all that apply. 1.Cabbage 2.Peaches 3.Soybeans 4.Mushrooms 5.Strawberries

1.Cabbage 4.Mushrooms 5.Strawberries

ID: 2378 | file: Adult Health_Respiratory Which are signs and symptoms characteristic of emphysema? Select all that apply. 1.Cyanosis 2.Wheezing 3.Weight loss 4.Barrel chest 5.Shortness of breath 6.Decreased lung sounds

1.Cyanosis 3.Weight loss 4.Barrel chest 5.Shortness of breath 6.Decreased lung sounds

ID: 1183 | file: Maternity Which nursing interventions should be implemented for a newborn receiving phototherapy for hyperbilirubinemia? Select all that apply. 1.Monitor the temperature frequently. 2.Protect the eyes with an opaque mask. 3.Apply lotion generously to the body and extremities. 4.Remove all clothing from the newborn including diapers. 5.Monitor and document the number and consistency of stools.

1.Monitor the temperature frequently. 2.Protect the eyes with an opaque mask. 5.Monitor and document the number and consistency of stools.

ID: 4325 | file: Funds Part 2 A client is complaining of abdominal pain and nausea. The prescription is as follows: give hydroxyzine 25 mg intramuscularly and meperidine 25 mg intramuscularly, stat. Hydroxyzine is available in 50 mg/mL. Meperidine is available in 25 mg/0.5 mL. The nurse should combine the doses in one syringe for administration to the ventrogluteal muscle. How many milliliters should the nurse administer in total? Fill in the blank.

1mL

ID: 1396 | file: Mental Health The nurse is assessing a client diagnosed with severe anxiety. Which objective data should the nurse expect to find? Select all that apply. 1.Selective inattention 2.Oblivious to surroundings 3.Unable to focus on anything 4.Engaging in purposeless activity (walking around aimlessly) 5.Physical behavior may become erratic, uncoordinated, and impulsive. 6.Showing unproductive relief behavior (stomping, wringing hands, dropping things)

2.Oblivious to surroundings 3.Unable to focus on anything 4.Engaging in purposeless activity (walking around aimlessly) 6.Showing unproductive relief behavior (stomping, wringing hands, dropping things)

ID: 3259 | file: Critical Care A client with a peripheral intravenous (IV) site calls the nurse to the room and tells the nurse, "The IV is not running right." Which findings would indicate an infiltrated IV? Select all that apply. 1.Cool to touch 2.Vein hard to touch 3.Redness at the site 4.Swelling at the site 5.May not have a blood return

1.Cool to touch 4.Swelling at the site 5.May not have a blood return

ID: 0108 | file: ch14 The nurse is caring for a client with a health care associated infection caused by methicillin-resistant Staphylococcus aureus. Contact precautions are prescribed for the client. The nurse prepares to irrigate the wound and apply a new dressing. Which protective interventions should the nurse use to perform this procedure? Select all that apply. 1.Put on a mask. 2.Don gown and gloves. 3.Apply shoe protectors. 4.Wear a pair of protective goggles. 5.Have the client wear a mask and goggles.

1.Put on a mask. 2.Don gown and gloves. 4.Wear a pair of protective goggles.

ID: 0154 | file: ch18 A licensed practical nurse (LPN) is preparing to assist a registered nurse (RN) with removing a nasogastric (NG) tube from the client. Which interventions should be included in the procedure? Select all that apply. 1.Remove the air from the balloon. 2.Explain the procedure to the client. 3.Ask the client to take a deep breath and hold. 4.Pull the tube out in one continuous steady motion. 5.Remove the device or tape securing the tube from the nose.

2.Explain the procedure to the client. 3.Ask the client to take a deep breath and hold. 4.Pull the tube out in one continuous steady motion. 5.Remove the device or tape securing the tube from the nose.

ID: 2539 | file: Maternity During an initial prenatal visit, the nurse notes that the primary health care provider documents that the client is experiencing iron deficiency anemia. Which client data support this finding? Select all that apply. 1.Reports of fatigue 2.Pink mucous membranes 3.Increased vaginal secretions 4.Hemoglobin level of 10.2 g/dL 5.Increased frequency of voiding

1.Reports of fatigue 2.Pink mucous membranes

ID: 1478 | file: Funds Part 2 Penicillin V potassium 250 mg orally every 8 hours is prescribed for a child with a respiratory infection. The medication label reads: Penicillin, 125 mg per 5 mL. The nurse has determined that the dosage prescribed is a safe dose for the child. How many milliliters (mL) will the nurse administer to the child per dose? Fill in the blank.

10mL

ID: 3282 | file: Funds Part 1 The nurse is caring for a homebound older postoperative cardiovascular client. The caregiver's daughter says to the nurse, "My mother has fallen out of bed three times." Which actions should the nurse reinforce to prevent falls? Select all that apply. 1.Provide adequate lighting. 2.Apply a restraint to keep her in bed at night. 3.Ensure that frequently used items are easily accessible. 4.Have the bedside stand and overbed tray table within reach. 5.Leave the side rails down to reach books stacked on the floor by the bed.

1.Provide adequate lighting. 3.Ensure that frequently used items are easily accessible. 4.Have the bedside stand and overbed tray table within reach.

ID: 0656 | file: ch60 The client diagnosed with acquired immunodeficiency syndrome (AIDS) is taking nevirapine. The nurse should monitor for which side/adverse effects of the medication? Select all that apply. 1.Rash 2.Hepatotoxicity 3.Hyperglycemia 4.Peripheral neuropathy 5.Reduced bone mineral density

1.Rash 2.Hepatotoxicity

ID: 1150 | file: Funds Part 2 A client is suspected of having a myocardial infarction. The nurse should expect elevations in which laboratory values to support the diagnosis? Select all that apply. 1.Troponin I 2.Thyroid stimulating hormone (TSH) 3.Creatinine phosphokinase MB (CPK-BB) 4.Creatinine phosphokinase MB (CPK-MB) 5.Creatinine phosphokinase MB (CPK-MM)

1.Troponin I 4.Creatinine phosphokinase MB (CPK-MB)

ID: 3063 | file: Adult Health_Neuro A nursing student is collecting data on a client recently diagnosed with meningitis. The student expects to note which signs and symptoms? Select all that apply. 1.Diarrhea 2.Tinnitus 3.Tachycardia 4.Photophobia 5.Red, macular rash 6.Positive Kernig's sign

3.Tachycardia 4.Photophobia 5.Red, macular rash 6.Positive Kernig's sign

ID: 2902 | file: Adult Health_Respiratory The nurse is assisting in preparing a list of instructions for an adult client who is being discharged following a tonsillectomy. Which instructions should the nurse include in the list? Select all that apply. 1.Avoid hot fluids. 2.Avoid rough foods. 3.Consume milk products. 4.Rest for the next 24 hours. 5.Consume carbonated beverages. 6.Eat ice cream to soothe the throat.

1.Avoid hot fluids. 2.Avoid rough foods. 4.Rest for the next 24 hours.

ID: 2291 | file: Maternity The nurse is collecting data from a client who is pregnant with twins. The nurse understands that which complications are more likely to occur with a twin pregnancy? Select all that apply. 1.Preterm labor 2.Postterm labor 3.Maternal anemia 4.Oligohydramnios 5.Gestational diabetes

1.Preterm labor 3.Maternal anemia

ID: 2904 | file: Adult Health_Respiratory The nurse is reinforcing instructions to a client following a total laryngectomy about caring for the stoma. Which instructions should the nurse provide to the client? Select all that apply. 1.Protect the stoma from water. 2.Soaps should be avoided near the stoma. 3.Wash the stoma daily using a washcloth. 4.Use diluted alcohol on the stoma to clean it. 5.Apply a thin layer of petroleum jelly to the skin surrounding the stoma. 6.Use soft tissues to clean any secretions that accumulate around the stoma.

1.Protect the stoma from water. 2.Soaps should be avoided near the stoma. 3.Wash the stoma daily using a washcloth. 5.Apply a thin layer of petroleum jelly to the skin surrounding the stoma.

ID: 4043 | file: Funds Part 1 A primary health care provider (PHCP) has written a prescription for calcium carbonate for the client with hypocalcemia. The nurse is reinforcing teaching with the client and should include which instructions? Select all that apply. 1.Take the calcium carbonate with or just after meals. 2.Avoid foods such as beets, spinach, and bran in the diet. 3.Take the medication with a full glass of water (8 oz/240 mL). 4.It is permissible to swallow whole and not chew the chewable tablets. 5.It is permissible to take an extra calcium pill if the client develops tremors.

1.Take the calcium carbonate with or just after meals. 2.Avoid foods such as beets, spinach, and bran in the diet. 3.Take the medication with a full glass of water (8 oz/240 mL).

ID: 0140 | file: ch16 The nurse is checking a client's surgical incision and notes an increase in the amount of drainage, a separation of the incision line, and the appearance of underlying tissue. Which actions should the nurse take to deal with this event? Select all that apply. 1.Turn the client to the side with the knees bent. 2.Apply a sterile dressing soaked with normal saline to the wound. 3.Notify the registered nurse (RN) and primary health care provider (PHCP) at once. 4.Explain to the client that obesity is a risk factor and weight loss should be a future goal. 5.Gently explore the wound with a cotton-tipped applicator to determine whether evisceration has occurred.

2.Apply a sterile dressing soaked with normal saline to the wound. 3.Notify the registered nurse (RN) and primary health care provider (PHCP) at once.

ID: 0995 | file: Adult Health_Musculoskeleta The nurse is caring for a client with diabetes mellitus who is scheduled to have a right below-knee amputation. The nurse assesses which factors that can put this client at risk for amputation? Select all that apply. 1.Psoriasis 2.Bony deformity 3.Limited joint mobility 4.Peripheral neuropathy 5.Peripheral vascular disease 6.History of skin ulcers or previous amputation

2.Bony deformity 3.Limited joint mobility 4.Peripheral neuropathy 5.Peripheral vascular disease 6.History of skin ulcers or previous amputation

ID: 4219 | file: Mental Health The nurse on the mental health unit is caring for a client with a history of alcoholism. Aversion conditioning has been chosen as the treatment for this client because other less drastic measures have failed to produce the desired effects. Which are some paradigms or clear examples of aversion conditioning? Select all that apply. 1.Emphasis on group and social interaction and that rules and expectations are mediated by peer pressure. 2.Increased exposure to an object or situation that causes anxiety increases until the anxiety about the object ceases. 3.Punishment (e.g., punishment applied after the client has had an alcoholic drink) 4.Cognitions (verbal or pictorial events) based on attitudes or assumptions developed from previous experiences. These cognitions may be fairly accurate, or they may be distorted. 5.Avoidance training (e.g., client avoids punishment by pushing a glass of alcohol away within a certain time limit) 6.Pairing of a maladaptive behavior with a noxious stimulus (e.g., pairing the sight and smell of alcohol with electric shock), so that anxiety or fear becomes associated with the once-pleasurable stimulus

3.Punishment (e.g., punishment applied after the client has had an alcoholic drink) 5.Avoidance training (e.g., client avoids punishment by pushing a glass of alcohol away within a certain time limit) 6.Pairing of a maladaptive behavior with a noxious stimulus (e.g., pairing the sight and smell of alcohol with electric shock), so that anxiety or fear becomes associated with the once-pleasurable stimulus

ID: 1092 | file: Funds Part 1 The nurse is assigned to care for a client experiencing episodes of postural hypotension who will be discharged home soon. Which actions should the nurse take to ensure safety while transferring the client from the bed to the chair? Select all that apply. 1.Arrange for a transfer board to be used. 2.Perform the transfer using a hydraulic lift only. 3.Question the client about feelings of dizziness. 4.Put the client's shoes on to help the client avoid slipping on the floor during the transfer. 5.Allow the client to dangle the legs in a sitting position on the bed before transfer to a chair.

3.Question the client about feelings of dizziness. 4.Put the client's shoes on to help the client avoid slipping on the floor during the transfer. 5.Allow the client to dangle the legs in a sitting position on the bed before transfer to a chair.

ID: 2936 | file: Adult Health_Renal A client is seen in the health care clinic and acute pyelonephritis is suspected. The nurse reviews the client's record and should expect to note which associated signs and symptoms documented? Select all that apply. 1.Chills 2.Low-grade fever 3.Pale, dilute urine 4.General weakness 5.Nausea and vomiting 6.Flank pain on the unaffected side

1.Chills 4.General weakness 5.Nausea and vomiting

ID: 4360 | file: Adult Health_Renal The nurse is speaking with a client who underwent a minimally invasive procedure treatment for recurrent urolithiasis. Which instructions are appropriate to reinforce in the teaching plan? Select all that apply. 1.Drink at least 3000 mL of fluid each day. 2.Expect some intermittent hematuria to occur. 3.Take acetaminophen if chills and fever occur. 4.Complete the full course of prescribed antibiotics. 5.Filter urine and collect any stones to take to the urological primary health care provider.

1.Drink at least 3000 mL of fluid each day. 4.Complete the full course of prescribed antibiotics. 5.Filter urine and collect any stones to take to the urological primary health care provider.

ID: 0128 | file: ch15 The intravenous prescription is 1000 mL of 0.9% NaCl (normal saline) to run over 12 hours. The drop factor is 15 gtts/1 mL. The nurse plans to adjust the flow rate to how many gtts/minute? Fill in the blank and record the answer to the nearest whole number.

21gtts/min

ID: 4385 | file: Adult Health_Integumentary The nurse is caring for a client on transmission-based precautions who has herpes zoster, or shingles. Which are some of the most important skin issues associated with this condition? Select all that apply. 1.There is no pattern or segmental assignment of the lesions. 2.Skin eruptions occur before any discomfort or pain appears. 3.Lesions are very contagious when they are fluid-filled blisters. 4.Eruptions can last several weeks, and the severe pain (postherpetic neuralgia) often persists after the lesions have resolved. 5.To reduce the risk of transmitting the virus to others, clients with lesions are separated from other clients until lesions have crusted.

3.Lesions are very contagious when they are fluid-filled blisters. 4.Eruptions can last several weeks, and the severe pain (postherpetic neuralgia) often persists after the lesions have resolved. 5.To reduce the risk of transmitting the virus to others, clients with lesions are separated from other clients until lesions have crusted.

ID: 1356 | file: Adult Health_Musculoskeletal The nurse is caring for a client admitted with fat embolism syndrome (FES). Which are some of the early manifestations of this syndrome? Select all that apply. 1.Fever 2.Dyspnea 3.Petechiae 4.Hypoxemia 5.Tachypnea 6.Decreased level of consciousness

2.Dyspnea 4.Hypoxemia 5.Tachypnea

ID: 4423 | file: Leadership Management The nurse has been asked to serve on the health care facility ethics committee and knows that this committee serves which purposes? Select all that apply. 1.Education 2.Case consultation 3.Caring for aging clients 4.Process ethical dilemmas 5.Approve emergency mental health commitment

1.Education 2.Case consultation 4.Process ethical dilemmas

ID: 2800 | file: Adult Health_Respiratory A clinic nurse is assisting in caring for a client whose chief complaint is the presence of flulike symptoms. Which recommendations by the nurse are therapeutic? Select all that apply. 1.Get plenty of rest. 2.Take antipyretics for fever. 3.Increase intake of liquids. 4.Get a flu vaccine immediately. 5.Eat carbohydrates only for energy.

1.Get plenty of rest. 2.Take antipyretics for fever. 3.Increase intake of liquids.

ID: 4453 | file: Mental Health The nurse is caring for a client with an eating disorder and knows that which signs/symptoms indicate that the client is dealing with anorexia nervosa? Select all that apply. 1.Lanugo 2.Amenorrhea 3.Russell's sign 4.Normal weight 5.Tooth erosion

1.Lanugo 2.Amenorrhea

ID: 4356 | file: Adult Health_Renal A client contacts the primary health care provider's office to report she is not feeling well, has burning with urination, and suspects she may have a urinary tract infection. The nurse instructs the client to collect a urine specimen for testing. Which urinalysis findings indicate the presence of a urinary tract infection? Select all that apply. 1.Nitrites, present 2.Turbidity, clear 3.Ketones, moderate 4.White blood cells, 10 5.Specific gravity, 1.025 6.Leukocyte esterase, present

1.Nitrites, present 4.White blood cells, 10 6.Leukocyte esterase, present

ID: 0486 | file: ch46 A histamine (H2)-receptor antagonist will be prescribed for a client. The nurse understands that which medications are H2-receptor antagonists? Select all that apply. 1.Nizatidine 2.Ranitidine 3.Famotidine 4.Cimetidine 5.Esomeprazole 6.Lansoprazole

1.Nizatidine 2.Ranitidine 3.Famotidine 4.Cimetidine

ID: 3735 | file: Adult Health_Endocrine The nurse is caring for a client with Paget's disease who has an elevated serum calcium level of 12.3 mEq/L. The nurse should expect the primary health care provider to prescribe which? Select all that apply. 1.Vitamin D 2.Calcitonin 3.Furosemide 4.Assist to ambulate PRN 5.Restrict oral fluids to 1000 mL per day

2.Calcitonin 3.Furosemide 4.Assist to ambulate PRN

ID: 2692 | file: Adult Health_Endocrine The nurse is monitoring a client following a thyroidectomy for signs/symptoms of hypocalcemia. Which signs/symptoms noted in the client indicates the presence of hypocalcemia? Select all that apply. 1.Bradycardia 2.Muscle spasms 3.Positive Trousseau's sign 4.Negative Chvostek's sign 5.Tingling around the mouth

2.Muscle spasms 3.Positive Trousseau's sign 5.Tingling around the mouth

ID: 3125 | file: Adult Health_Neuro A client is suspected of having a diagnosis of Guillain-Barré syndrome (GBS). Which findings would support a diagnosis of Guillain-Barré syndrome? Select all that apply. 1.Permanent paralysis of the legs 2.Visual and hearing disturbances 3.Decreased level of consciousness 4.Decreased intellectual functioning 5.Ascending symmetrical muscle weakness

2.Visual and hearing disturbances 5.Ascending symmetrical muscle weakness

ID: 2041 | file: Funds Part 2 A primary health care provider's prescription reads atenolol, 0.025 g orally daily. The medication bottle reads atenolol, 25-mg tablets. The nurse prepares how many tablet(s) to administer the dose? Fill in the blank.

1 tablet

ID: 3242 | file: Funds Part 2 The primary health care provider's prescription reads "levothyroxine, 100 mcg orally daily." The medication label reads "levothyroxine, 0.1 mg/tablet." The nurse prepares to administer how many tablet(s) to the client? Fill in the blank

1 tablet

ID: 2689 | file: Adult Health_Endocrine The nurse is reviewing a plan of care for a client with Addison's disease. The nurse notes that the client is at risk for dehydration and suggests nursing interventions that will prevent this occurrence. Which nursing interventions are appropriate components of the plan of care? Select all that apply. 1.Monitoring intake and output 2.Maintaining a low-sodium diet 3.Monitoring for changes in mental status 4.Encouraging an intake of low-protein foods 5.Encouraging fluid intake of at least 3000 mL/day

1.Monitoring intake and output 3.Monitoring for changes in mental status 5.Encouraging fluid intake of at least 3000 mL/day

ID: 1427 | file: Pediatric The nurse is caring for a 2-year-old child diagnosed with croup. The nurse collects data on the child, knowing that which are characteristics of this illness? Select all that apply. 1.The cough is harsh and metallic. 2.Inspiratory stridor may be present. 3.Symptoms usually worsen at night and are better during the day. 4.Symptoms usually worsen during the day and are relieved during sleep. 5.It is usually preceded by several days of upper respiratory infection symptoms.

1.The cough is harsh and metallic. 2.Inspiratory stridor may be present. 3.Symptoms usually worsen at night and are better during the day. 5.It is usually preceded by several days of upper respiratory infection symptoms.

ID: 2757 | file: Adult Health_Eye-Ear A client has sought treatment in the ambulatory care clinic after an insect has become trapped in the external ear canal. The nurse prepares to assist the primary health care provider to instill which acceptable solutions into the ear to remove the insect? Select all that apply. 1.Lidocaine 2.Mineral oil 3.Ether solution 4.Tepid tap water 5.Warm, sterile water

1.Lidocaine 2.Mineral oil 3.Ether solution

ID: 0851 | file: Funds Part 1 A client who had abdominal surgery complains of feeling as though "something gave way" in the incisional site. The nurse removes the dressing and notes the presence of a loop of bowel protruding through the incision. Which nursing interventions should the nurse take? Select all that apply. 1.Notify the registered nurse immediately. 2.Document the client's complaint with the exact times. 3.Place a sterile saline dressing and ice packs over the wound. 4.Prepare the client for wound closure by notifying surgery department. 5.Place the client in a supine position without a pillow under the head. 6.Instruct the client to remain quiet and reassure the situation is being taken care of.

1.Notify the registered nurse immediately. 2.Document the client's complaint with the exact times. 4.Prepare the client for wound closure by notifying surgery department. 6.Instruct the client to remain quiet and reassure the situation is being taken care of.

ID: 0532 | file: ch50 A client is receiving digoxin daily. The nurse suspects digoxin toxicity after noting which signs and symptoms? Select all that apply. 1.Visual disturbances 2.Nausea and vomiting 3.Apical pulse rate of 63 beats per minute 4.Serum digoxin level of 2.3 ng/mL (2.93 nmol/L) 5.Serum potassium level of 3.9 mEq/L (3.9 mmol/L)

1.Visual disturbances 2.Nausea and vomiting 4.Serum digoxin level of 2.3 ng/mL (2.93 nmol/L)

ID: 3582 | file: Funds Part 2 The nurse reviews the client's laboratory data. Which data warrant notification of the registered nurse and an immediate call to the primary health care provider? Refer to chart. 1.Sodium level 2.Calcium level 3.Potassium level 4.Magnesium level

2.Calcium level

ID: 3170 | file: Funds Part 1 The nurse is caring for a client following a total hip replacement. The client has been diagnosed with iron deficiency anemia. The nurse instructs the client to increase intake of which foods? Select all that apply. 1.Milk and yogurt 2.Clams and mussels 3.Apples and mangos 4.Potatoes and carrots 5.Lean beef and chicken liver

2.Clams and mussels 5.Lean beef and chicken liver

ID: 1934 | file: Funds Part 1 A client has a diagnosis of hyperphosphatemia. The nurse reinforces instructions by telling the client to eliminate which items from the diet? Select all that apply. 1.Tea 2.Fish 3.Cocoa 4.Coffee 5.Chicken

2.Fish 5.Chicken

ID: 2716 | file: Funds Part 1 The nurse is reinforcing instructions about home safety measures regarding medications and toxic substances to a parent. Which parent statements indicate a need for further teaching? Select all that apply. 1."I need to make sure to keep medications in childproof bottles." 2."I need to refer to medication as 'candy' only when really necessary." 3."I need to keep the poison control center telephone number available." 4."I need to place all toxic substances in a locked area after labeling them." 5."I can place several medications in the same bottle if I am going for an overnight trip."

2."I need to refer to medication as 'candy' only when really necessary." 5."I can place several medications in the same bottle if I am going for an overnight trip."

ID: 1730 | file: Maternity Which statements made by a nursing student indicate that the student has an appropriate knowledge base regarding the pregnancy hormone human chorionic gonadotropin (hCG)? Select all that apply. 1."Maximum level of human chorionic gonadotropin is reached at term." 2."Human chorionic gonadotropin is the hormone responsible for a positive pregnancy test." 3."Human chorionic gonadotropin may be present as early as 8 to 10 days following conception." 4."Human chorionic gonadotropin is produced by the trophoblastic cells that surround the developing embryo." 5."Human chorionic gonadotropin preserves the function of the ovarian corpus luteum so that estrogen and progesterone are produced before placental functioning."

2."Human chorionic gonadotropin is the hormone responsible for a positive pregnancy test." 3."Human chorionic gonadotropin may be present as early as 8 to 10 days following conception." 4."Human chorionic gonadotropin is produced by the trophoblastic cells that surround the developing embryo." 5."Human chorionic gonadotropin preserves the function of the ovarian corpus luteum so that estrogen and progesterone are produced before placental functioning."

ID: 4487 | file: Pediatric The nurse is providing discharge teaching regarding skin care to a new mother of a 2-day-old infant. Which statements by the mother demonstrate an understanding of how to care for the infant's skin? Select all that apply. 1."It is important to scrub off old ointment with a wet washcloth." 2."We will apply ointments containing zinc oxide to the baby's bottom to prevent diaper rash." 3."To prevent diaper rash, we will change our baby's diaper as soon as he has pooped or peed." 4."Cloth diapers are better than disposable diapers at wicking away moisture from the baby's skin." 5."I will know the baby has diaper rash if I see a moist, red rash that has defined edges and scales that come loose easily."

2."We will apply ointments containing zinc oxide to the baby's bottom to prevent diaper rash." 3."To prevent diaper rash, we will change our baby's diaper as soon as he has pooped or peed."

ID: 4270 | file: Pediatric A 10-year-old child in remission from leukemia is upset over the appearance of cushingoid characteristics from long-term use of corticosteroids that are currently being administered every other day. Which therapeutic statements should the nurse make to the child about the cushingoid appearance? Select all that apply. 1."I am sure it will be all right; they hardly look unusual." 2."Which manifestations of this condition do you find most troublesome?" 3."You should talk to the primary health care provider about the cushingoid characteristics." 4."The signs/symptoms are lessened by taking the prednisone every other day instead of daily." 5."The cushingoid appearance will gradually disappear once the steroids are tapered and discontinued."

2."Which manifestations of this condition do you find most troublesome?" 4."The signs/symptoms are lessened by taking the prednisone every other day instead of daily." 5."The cushingoid appearance will gradually disappear once the steroids are tapered and discontinued."

ID: 3212 | file: Adult Health_Integumentary The nurse is assessing the skin on a client who is immobile and notes the presence of a stage 2 pressure injury in the sacral area. Which nursing actions will encourage healing of a stage 2 pressure injury? Select all that apply. 1.Utilize a rubber ring. 2.Clean with mild soap and water. 3.Encourage adequate nutritional intake. 4.Massage the area around the affected area. 5.Apply a dressing that allows oxygen to pass through.

2.Clean with mild soap and water. 3.Encourage adequate nutritional intake. 5.Apply a dressing that allows oxygen to pass through.

ID: 0104 | file: ch13 The nurse notes the physical assessment findings for a client with a diagnosis of possible meningitis. Which findings should the nurse expect to observe because of meningeal irritation? Select all that apply. 1.Pupils are unequal and react slowly to light. 2.The client reports stiffness and soreness in the neck area. 3.The client reports pain in the vertebral column and passively flexes the hip and knee in response to neck flexion. 4.The client flexes a leg at the hip and knee and reports pain in the vertebral column when the leg is extended. 5.The client's upper arms are flexed and held tightly to the sides of the body, and the legs are extended and internally rotated.

2.The client reports stiffness and soreness in the neck area. 3.The client reports pain in the vertebral column and passively flexes the hip and knee in response to neck flexion. 4.The client flexes a leg at the hip and knee and reports pain in the vertebral column when the leg is extended.

ID: 4072 | file: Adult Health_Respiratory The nurse is caring for a newly admitted client with pneumonia. The primary health care provider has prescribed a sputum specimen for culture and sensitivity. The nurse should perform the actions concerning the sputum collection in which priority order? Arrange the actions in the order that they should be performed. All options must be used.

Obtain and label a sterile container. Have the client brush teeth and rinse mouth with water. Have the client take several deep breaths before coughing. Have the client expectorate sputum (not saliva) into sterile container. Send the specimen immediately to the laboratory. Administer the prescribed antibiotics.