NCLEX Practice Questions

What are strategies nurses could implement to help decrease the stressors in their lives? Select all that apply. 1) Setting realistic goals 2) Avoiding procrastination 3) Prioritizing tasks or issues 4) Setting boundaries 5) Multitasking of responsibilities

1, 2, 3, and 4

The nurse is reviewing the laboratory results of estimated glomerular filtration rate (eGFR). What are some conditions that can cause a decreased eGFR? Select all that apply. 1.Shock 2.Cystitis 3.Dehydration 4.Fluid overload 5.Heart failure (HF) 6.Cirrhosis with ascites

1, 3, 5, 6

The nurse creates a plan of care for a client with deep vein thrombosis. Which client position or activity in the plan should be included? 1) Out-of-bed activities as desired 2) Bed rest with the affected extremity kept flat 3) Bed rest with elevation of affected extremity 4) Bed rest with the affected extremity in a dependent position

3

A postoperative client has been placed on a clear liquid diet. The nurse should provide the client with which items that are allowed to be consumed on this diet? Select all that apply. 1) Broth 2) Coffee 3) Gelatin 4) Pudding 5) Vegetable juice 6) Pureed vegetables

Broth, coffee, and gelatin

In planning a low-sodium diet for a client who has recently been diagnosed with heart failure, the nurse should offer the client which food item? 1) Beef bouillon 2) Grilled cheese 3) Cottage cheese 4) Chicken breast

Chicken breast

The nurse is assessing the skin of a client with a history of malabsorption deficiency and discovers brittle nails. What type of nutritional deficiency should the nurse suspect based on this observation? 1) Iron deficiency 2) Protein deficiency 3) Fatty acid deficiency 4) Vitamin K deficiency

Iron deficiency

The nurse provides instructions to a client with a low potassium level about the foods that are high in potassium and tells the client to consume which foods? Select all that apply. 1) Peas 2) Raisins 3) Potatoes 4) Cantaloupe 5) Cauliflower 6) Strawberries

Raisins, potatoes, cantaloupe, and strawberries

The nurse is caring for a client who takes ibuprofen for pain. The nurse is gathering information on the client's medication history, and determines it is necessary to contact the health care provider (HCP) if the client is also taking which medications, that are contraindicated for use with ibuprofen? Select all that apply. 1.Warfarin 2.Glimepiride 3.Amlodipine 4.Simvastatin 5.Hydrochlorothiazide

1, 2, 3

The nurse is providing dietary instructions to a client with a diagnosis of irritable bowel syndrome. The nurse determines that education was effective if the client states the need to avoid which food? 1) Rice 2) Corn 3) Broiled chicken 4) Cream of wheat

Corn

The nurse is performing an assessment on a child with a head injury. The nurse notes an abnormal flexion of the upper extremities and an extension of the lower extremities. What should the nurse document that the child is experiencing? 1) Decorticate posturing 2) Decerebrate posturing 3) Flexion of the arms and legs 4) Normal expected positioning after head injury

Decorticate posturing

Which characteristics should be included in goals the nurse establishes with a client? Select all that apply. - Realistic - Challenging - Measurable - Patient-centered - Time frame

Realistic, measurable, patient-centered, and time frame

Which is true about the nurse delegating a task to an unlicensed assistive personnel (USP)? - The nurse retains accountability for client care - Clinical judgement is transferred to the UAP - Responsibility for the task is retained by the nurse - Clinical assessment is shared between the nurse and the UAP

The nurse retains accountability for client care

A client is receiving oral anticoagulant therapy with warfarin. The result of a newly drawn prothrombin time (PT) is 40 seconds. The nurse should anticipate which prescription to be prescribed for this client? 1) Hold the next dose of warfarin 2) Increase the next dose of warfarin 3) Administer the next dose of warfarin 4) Stop the warfarin, and administer heparin

1

The nurse is caring for a client with heart failure. Which signs and symptoms could indicate fluid overload? Select all that apply. 1) Bounding pulse 2) Difficulty breathing 3) increased urine output 4) Presence of dependent edema 5) Neck vein distension in the upright position

1, 2, 4, and 5

A client has been taking isoniazid for 2 months. The client complains to the nurse about numbness, paresthesias, and tingling in the extremities. The nurse interprets that the client is experiencing which problem? 1.Hypercalcemia 2.Peripheral neuritis 3.Small blood vessel spasm 4.Impaired peripheral circulation

2

A client is brought to the emergency room with a snake bite to the arm. Which treatment interventions should the nurse anticipate? Select all that apply. 1) Apply ice to the site 2) Deliver supplemental oxygen 3) Apply a tourniquet just above the site 4) Maintain the extremity at the level of the heart 5) Infuse crystalloid fluids through 2 large-bore intravenous (IV) lines 6) Immobilize the affected extremity in a position of function with a splint

2,4,5, and 6

During an assessment of skin turgor in an older client, the nurse discovers that skin tenting occurs when the skin is pinched on the client's forearm. What should the nurse do next? 1) Document this assessment finding 2) Call another nurse to verify this finding 3) Check skin turgor over the client's sternum 4) Call the health care provider to obtain a prescription for fluid replacement

3

A client needs to be placed on strict intake and output measurement. The nurse collects the data and then checks the client's skin turgor by taking which action? 1) Pinching the skin on the thigh 2) Pushing on the skin in the ankle area 3) Assessing the skin in the radial pulse area 4) Pulling up and releasing the skin on the sternal area

4

The nurse is preparing an intravenous (IV) set before starting the infusion. After removing the cap from the IV tubing port on the IV bag, the nurse removes the cover from the tubing insertion spike but then touches the spike with a finger. What should the nurse do next? 1) Discard the IV tubing and use a new set for the infusion 2) Continue with the procedure and then flush the tubing thoroughly 3) Clean the spike with an alcohol swab for 15 seconds and then continue 4) Clean the spike and the IV bag tubing port with alcohol and then continue

1

The nurse is providing instructions to a client and the family regarding home care after right eye cataract removal. Which statement by the client would indicate an understanding of the instructions? 1) "I should sleep on my left side." 2) "I should sleep on my right side." 3) "I should sleep with my head flat." 4) "I should not wear my glasses at any time."

1

Which nursing task provides the best opportunity to complete a skin assessment? - Venipuncture - Bathing of a client - Wound care dressing - Admission assessment

Bathing of a client

A client has been given a prescription for gemfibrozil. The nurse should instruct the client to limit which food while taking this medication? 1) Fish 2) Beef 3) Spicy foods 4) Citrus products

Beef

A client with liver cancer receiving chemotherapy tells the nurse that some foods on the meal tray taste bitter. The nurse should try to limit which food that is most likely to cause this taste for the client? 1) Beef 2) Custard 3) Potatoes 4) Cantaloupe

Beef

A client who sustained a severe sprain of the ankle is told by the health care provider that the pain experienced is caused by muscle spasm and swelling in the area of the injury. Which interventions should the nurse anticipate will be included in the client's initial plan of care? Select all that apply. 1) Ice bags 2) Elevation 3) Heating pad 4) Compression bandage 5) Range of motion exercises

Ice bags, elevation, compression bandage

A client with sever back pain and hematuria is found to have hydronephrosis due to urolithiasis. The nurse anticipates which treatment will be done to relieve the obstruction? Select all that apply. 1) Peritoneal dialysis 2) Analysis of the urinary stone 3) Intravenous opioid analgesics 4) Insertion of a nephrostomy tube 5) Placement of a ureteral stent with ureteroscopy

Insertion of a nephrostomy tube and placement of a ureteral stent with ureteroscopy

What interventions should the nurse implement for a hospitalized client to help prevent falls? Select all that apply. - Leave the lights on in the client's room at night - Keep wheels of bed in the locked position - Place the client's call bell within easy reach - Make sure to return the bed to its lowest position - Ensure all four side rails of bed are in upright position

Keep wheels of bed in the locked position, place the client's call bell within easy reach, and make sure to return the bed to its lowest positions

The nurse is caring for a postoperative general surgery foreign-speaking client with a history of poor nutrition. What are some reasonable issues that can impact this client? Select all that apply. 1) Longer hospital stays and increased medical costs 2) Reduced quality of life and increased mortality rate 3) Lack of culturally specific foods related to the client's needs 4) Shortage of qualified nutritional staff in the dietary department 5) Impaired wound healing and increased risk of postoperative infection 6) Impaired functioning of the gastrointestinal tract, cardiovascular system, respiratory system, and immune system

Longer hospital stays and increased medical costs, reduced quality of life and increased mortality rate, impaired wound healing and increased risk of postoperative infection, and impaired functioning of the gastrointestinal tract, cardiovascular system, respiratory system, and immune system

The nurse is evaluating lab results in the client's electronic medical record. Which lab value may indicate a state of malnutrition? - Low level of sodium - Low level of albumin - Low level of hemoglobin - Low level of magnesium

Low level of albumin

The nurse mentor is describing the phases of the immune response to a recent nursing graduate. The mentor determines that the graduate needs additional information if the graduate states that which is a phase of the immune response? 1) Effector phase 2) Memory phase 3) Activation phase 4) Recognition phase

Memory phase

The nurse notes that the sire of a client's peripheral intravenous (IV) catheter is reddened, warm, painful, and slightly edematous proximal to the insertion point of the IV catheter. After taking appropriate steps to care for the client, the nurse should document in the medical record that which occurred? 1) Phlebitis of the vein 2) Infiltration of the IV line 3) Hypersensitivity to the IV solution 4) Allergic reaction to the IV catheter

Phlebitis of the vein

What actions should a nurse take when filling out an incident report? -Report the occurrence of the incident and analysis of who was at fault -Record the details in the report and in the client's medical record if the client was involved -Include family members in the report if they are involved in the incident -Make a notation in the client's medical record that the incident report was completed -Notify the client's family members and significant others of the report being initiated

Record the details in the report and in the client's medical record if the client was involved Include family members in the report if they are involved in the incident

A client is admitted to the emergency department with a wound that is draining green, purulent and odorous exudate. Which approach will most likely be used to close this wound? - Primary intention - Secondary intention - Tertiary intenion - Quadrant intention

Tertiary intention

The nurse is caring for a client having respiratory distress related to an anxiety attack. Recent arterial blood gas values are pH=7.53, Pao2=72mmHg, Paco2=32mmHg, and HCO3-=28mEq/L (28mmol/L). Which conclusion about the client should the nurse make? 1) The client has acidotic blood 2) The client is probably overreacting 3) The client is fluid volume overloaded 4) The client is probably hyperventilating

The client is probably hyperventilating

The nurse is assessing a client who has a fractured ankle. Which is the most reliable indicator of the level of pain the client is experiencing? - The client's self-report of the pain's presence - The non-verbal expressions presented by the client - The review of the client's past requests for pain medications - The use and interpreted results of pain assessment tools

The client's self-report of the pain's presence

The nurse is preparing to teach a client how to safely use crutches. Before initiating the teaching, the nurse performs an assessment on the client. The priority nursing assessment should include which information? 1) The client's fear related to the use of crutches 2) The client's feelings about the restricted mobility 3) The client's understanding of the need for increased mobility 4) The client's vital signs, muscle strength, and previous activity level

The client's vital signs, muscle strength, and previous activity level

The home care nurse visits a client at home who has been experiencing increased weakness. The client tells the nurse that he is using a cane that was purchased at a local pharmacy. The home care nurse assesses the client's use of the cane and determines that the cane is sized correctly if which observation is made? 1.The handle of the cane is even with the client's waist. 2.The client's elbow is straight when ambulating with the cane. 3.The client's elbow is flexed at a 15- to 30-degree angle when ambulating with the cane. 4.The client's elbow is flexed at a 50- to 75-degree angle when ambulating with the cane.

3

The nurse has been given a medication prescription to administer intravenous (IV) hydralazine. The nurse obtains which priority piece of equipment needed for use during administration of this medication? 1.Pulse oximetry 2.Cardiac monitor 3.Noninvasive blood pressure cuff 4.Nonrebreather oxygen face mask

3

The nurse in the medical unit is reviewing the laboratory test results for a client who has been transferred from the intensive care unit (ICU). The nurse notes that a cardiac troponin T assay was performed while the client was in the ICU. The nurse determines that this test was performed to assist in diagnosing which condition? 1.Heart failure 2.Atrial fibrillation 3.Myocardial infarction 4.Ventricular tachycardia

3

The nurse is providing instructions to the unlicensed assistive personnel (UAP) who will be caring for a client with hand restraints. The nurse asks the UAP to repeat the instructions to ensure that the UAP understands the care. Which statement, if made by the UAP, indicates an understanding of the care for this client? 1."I need to remove the restraints every 4 hours." 2."I need to make sure that the restraints are securely tied to the side rails." 3."If the family comes in to visit, I can tell them to take the restraints off if they want to." 4."I need to remove the restraints at least every 2 hours to perform range-of-motion exercises."

4

The health care provider has prescribed a clear liquid diet for a postoperative client. The nurse prepares to deliver the lunch tray to the client and checks the tray to be sure that which has occurred? 1) Sodium foods are restricted 2) At least 1 serving of low-fat milk is served 3) All food items are lukewarm in temperature 4) All food items are liquid at body temperature

All food items are liquid at body temperature

The nurse is working with a client who is demonstrating delusional thinking. The client says to the nurse, "The leaders of a religious cult are being sent to assassinate me." Which is the best response by the nurse? 1) "I don't believe that what you are telling me is true." 2) "There are no religious cults in this area that are going to kill you." 3) "What makes you think that the cult members are being sent to hurt you?" 4) "I don't know about a religious cult. Are you afraid that people are trying to hurt you?"

"I don't know about a religious cult. Are you afraid that people are trying to hurt you?"

The nurse is caring for a client with a diagnosis of celiac disease. The nurse recognizes that client teaching has been effective when the client makes which statement? 1) "I can eat whatever I want." 2) "I will eat rice cereal for breakfast." 3) "I will eat beef barley soup for lunch." 4) "I will eat only wheat bread for a snack."

"I will eat rice cereal for breakfast."

A client is experiencing impotence after taking guanfacine. The client states, "I would sooner have a stroke than keep living with the effects of this medication." What is the most appropriate response by the nurse? 1) "I can understand completely." 2) "You wouldn't really want to have a stroke." 3) "You are concerned about the effects of your medication." 4) "The health care provider should change your prescription."

"You are concerned about the effects of your medication."

The nurse is assessing a client's postoperative pain using the PQRSTU method. Using this method, which questions would the nurse ask the client? Select all that apply. 1."Where is the pain located?" 2."Does pain medication help?" 3."What does the pain feel like?" 4."How does the pain affect you?" 5."Do you have the pain when you sleep?" 6."What makes your pain better or worse?"

1, 3, 4, 6

The nurse is caring for a client who needs a hypertonic intravenous solution. What solutions are hypertonic? Select all that apply. 1) 10% dextrose in water 2) 0.45% sodium chloride 3) 5% dextrose in 0.9% saline 4) 5% dextrose in 0.45% saline 5) 5% dextrose in 0.225% saline 6) 5% dextrose in lactated Ringer's solution

1, 3, 4, and 6

A client is to undergo weekly intravesical chemotherapy for bladder cancer for the next 8 weeks. What instruction should the nurse provide to the client regarding management of the urine as a biohazard? 1.Void into a bedpan and then empty the urine into the toilet. 2.Disinfect the toilet with bleach after voiding for 6 hours after a treatment. 3.Purchase extra bottles of scented disinfectant for daily bathroom cleansing. 4.Have one bathroom strictly set aside for the client's use for the next 2 months.

2

What is the public perception of a nurse who is well groomed, dressed appropriately, and clearly identified as a nurse? Select all that apply. 1) The nurse appears to be inhibited 2) The nurse appears to be credible 3) The nurse appears to be competent 4) The nurse appears to be capable 5) The nurse appears to be unapproachable

2, 3, and 4

The nurse is preparing to care for a client with esophageal varices who needs a Sengstaken-Blakemore tube inserted because other treatments were unsuccessful. The nurse gathers supplies, knowing that which item must be kept at the bedside at all times? 1) An obturator 2) A Kelly clamp 3) An irrigation set 4) A pair of scissors

4

The nurse is reviewing an adult male's serum creatinine level of 4.0 mg/dL (353 mcmol/L). What does this level indicate? 1.Low 2.Normal 3.Slightly elevated and needs referral 4.Very high, indicating severe renal failure

4

A child was seen in the health care clinic and received an immunization of DPT (diphtheria, pertussis, tetanus) vaccine. One hour later, the mother calls the clinic and tells the nurse that the injection site is painful and red. Which instruction should the nurse provide to the mother? 1) Call the health care provider 2) Monitor the child for a fever 3) Return to the health care clinic immediately 3) Apply cold compresses for 24 hours for 20 minutes at a time

Apply cold compresses for 24 hours for 20 minutes at a time

What is the most important action for the nurse who is implementing a standing order? - Compare the order with the client's current status - Confirm the order with the healthcare provider - Transcribe the order into the record - Verify the order with another nurse

Compare the order with the client's current status

The home care nurse is providing instructions to a client regarding the use of crutches. The client asks the nurse to demonstrate the method for going down the stairs with the crutches. How should the nurse accurately demonstrate this technique? 1) Crutches and the affected leg down, followed by the unaffected leg 2) Crutches and the unaffected leg down, followed by the affected leg 3) Unaffected leg down first, followed by the crutches and the affected leg 4) Affected leg down first, followed by the crutches and the unaffected leg

Crutches and the affected leg down, followed by the unaffected leg

The nurse has provided dietary instructions to a client regarding food items that are high in vitamin B complex. The client demonstrates understanding of the dietary instructions by stating the importance of including which food item in the diet? 1) Milk 2) Butter 3) Grains 4) Tomatoes

Grains

The nurse is caring for a child with heart failure (HF). The nurse provides instructions to the mother regarding the procedure for administration of the prescribed digoxin. Which statement by the mother indicates a need for further teaching? 1) "I will make sure to mix the medication with food." 2) "I need to take my child's pulse before administering the medication." 3) "if more than 1 dose is missed, I need to call the health care provider." 4) "If my child vomits after being given the medication, I should not repeat the dose."

I will make sure to mix the medication with food

A client is diagnosed with a moderate case of acute ulcerative colitis. The nurse doing dietary teaching should give the client examples of foods to eat that represent which therapeutic diet? 1) High fat with milk 2) Low fiber with milk 3) High protein with milk 4) Low fiber without milk

Low fiber without milk

The client is suspected of having a skeletal muscle disorder. Which isoenzyme value reported with the creatine kinase (CK) level should the nurse assess for elevation? 1) MM 2) MB 3) BB 4) MS

MM

The nurse is participating on a team writing the policy around sentinel events for the institution. Which topics should be included in the policy? -Criminal investigation and penal code of liability are applied to all events -The occurrence signals that an investigation must begin within 2 months of the client event -Near misses are considered sentinel events and should be reported -Changes in nursing practice are implemented to prevent recurrence of the event -Sentinel events will lead to employee disciplinary action and dismissal

Near misses are considered sentinel events and should be reported, and changes in nursing practice are implemented to prevent recurrence of the event

The nurse provides instructions to a client with a low magnesium level about the foods that are high in magnesium. The nurse should tell the client to consume which foods? Select all that apply. 1) Peas 2) Bacon 3) Oranges 4) Cauliflower 5) Peanut butter 6) Canned white tuna

Peas, Cauliflower, Peanut butter, and canned white tuna

What is the order for removing personal protective equipment (PPE) when the nurse finishes caring for a client? - Remove the cap, protective eyewear, gown, gloves and then the mask - Remove the protective eyewear, gown, mask, cap and then the gloves - Remove the cap, protective eyewear, mask, gloves and then the gown - Remove the gloves, protective eyewear, gown, mask, and then the cap

Remove the gloves, protective eyewear, gown mask and then the cap

During a woman's 38-week prenatal visit, the nurse assesses the fetal heart rate to be 180 beats/minute. What might the nurse suspect as the most likely cause of this tachycardia? 1.Maternal infection 2.Gestational hypertension 3.Gestational diabetes mellitus 4.Consumption of recent high-sugar snack

1

The nurse has just assisted a client back to bed after a fall. The nurse and health care provider have assessed the client and have determined that the client is not injured. After completing the incident report, the nurse should implement which action next? 1) Reassess the client 2) Conduct a staff meeting to describe the fall 3) Document in the nurse's notes that an incident report was completed 4) Contact the nursing supervisor to update information regarding the fall

1

The nurse is assessing a client with a suspected diagnosis of hypocalcemia. Which clinical manifestation would the nurse expect to note in the client? 1) Twitching 2) Hypoactive bowel sounds 3) Negative Trousseau's sign 4) Hypoactive deep tendon reflexes

1

The nurse is providing instructions to an unlicensed assistive personnel (UAP) who is assigned to care for a client with hemiparesis of the right arm and leg. Where should the nurse instruct the UAP to place personal articles for morning care? 1.Within the client's reach on the left side 2.Within the client's reach on the right side 3.Just out of the client's reach on the left side 4.Just out of the client's reach on the right side

1

The nurse reviews a client's laboratory report and notes that the client's serum phosphorus level is 1.8 mg/dL. Which condition most likely caused this serum phosphorus level? 1) Malnutrition 2) Renal insufficiency 3) Hypoparathyroidism 4) Tumor lysis sundrome

1

Which client is at risk for the development of a sodium level at 130 mEq/L? 1) The client who is taking diuretics 2) The client with hyperaldosteronism 3) The client with Cushing's syndrome 4) The client who is taking corticosteroids

1

The nurse notes that a client's total serum calcium level is 6.0 mg/dL. Which assessment findings should be anticipated in this client? Select all that apply. 1) Tetany 2) Constipated 3) Renal calculi 4) Hypotension 5) Prolonged QT interval 6) Positive Chvostek's sign

1, 4, 5, and 6

The nurse is presenting information on treatment of influenza and the use of oseltamivir. The nurse should provide which information on the use of oseltamivir? Select all that apply. 1) The incidence of flu complications is reduced 2) Oseltamivir is effective for all types of influenza 3) Dosing must being within 2 days after symptom onset 4) No interactions with other medications have been reported 5) It is best to begin dosing within the first 12 hours after symptom onset 6) Oseltamivir is highly toxic to the live, and liver function studies must be performed

1,2,3,4, and 5

A client has a cerebellar lesion. The nurse should plan to obtain which item for use by the client? 1.Walker 2.Slider board 3.Raised toilet seat 4.Adaptive eating utensils

1

A client presents to the urgent care center with complaints of abdominal pain and vomits bright red blood. Which is the priority nursing action? 1.Take the client's vital signs. 2.Perform a complete abdominal assessment. 3.Obtain a thorough history of the recent health status. 4.Prepare to insert a nasogastric tube and test pH and occult blood.

1

A client with a diagnosis of hyperphosphatemia has been treated with dietary management and phosphate binding gels. The client reports to the clinic, and the nurse is reviewing the laboratory results. Which reported serum phosphate level would indicate improvement in the client's condition? 1) 4.0 mg/dL (1.3 mmol/L) 2) 5.2 mg/dL (1.7 mmol/L) 3) 6.0 mg/dL (1.9 mmol/L) 4) 6.5 mg/dL (2.1 mmol/L)

1

The nurse has a prescription to hang a crystalloid intravenous solution of lactated Ringer's on a newly admitted client. The nurse notices that the client has a history of alcoholic cirrhosis. What action should the nurse take first? 1) Hang the solution 2) Contact the health care provider 3) Check the client's daily laboratory results 4) Ask the client if any liver study tests have ever been done

2

The nurse has administered diazepam 5 mg by the intravenous route to a client. The nurse should plan to maintain the client on bed rest for at least how long? 1) 1 hour 2) 3 hours 3) 12 hours 4) 30 minutes

2

The nurse is assigned the care of a client who experienced a myocardial infarction and is being monitored by cardiac telemetry. The nurse notes the sudden onset of this cardiac rhythm on the monitor. The nurse should immediately take which action? 1.Take the client's blood pressure. 2.Initiate cardiopulmonary resuscitation (CPR). 3.Place a nitroglycerin tablet under the client's tongue. 4.Continue to monitor the client for 1 minute and then contact the health care provider (HCP).

2

The nurse is caring for an infant with a diagnosis of tetralogy of Fallot. The infant suddenly becomes cyanotic, and the nurse recognizes that the infant is experiencing a hypercyanotic spell (blue or tet spell). The nurse immediately places the infant in what position? 1.Prone position 2.Knee-chest position 3.High Fowler's position 4.Reverse Trendelenburg's position

2

The nurse is caring for an older client who had a hip pinned after being fractured. Which should the nurse do to prevent further injury? 1.Respond to the call light within 10 minutes. 2.Use a night light in the hospital room and the bathroom. 3.Medicate the client with a sleeping pill to encourage him or her to sleep through the night. 4.Keep all four side rails in the up position, preventing the client from getting out of bed.

2

The nurse obtains a prescription from a health care provider to restrain a client and instructs an unlicensed assistive personnel (UAP) to apply the safety device to the client. Which observation of unsafe application of the safety device would indicate that further instruction is required by the UAP? 1.Placing a safety knot in the safety device straps 2.Safely securing the safety device straps to the side rails 3.Applying safety device straps that do not tighten when force is applied against them 4.Securing so that 2 fingers can slide easily between the safety device and the client's skin

2

An adult client trapped in a burning house has suffered burns to the back of the head, the upper half of the posterior trunk, and the back of both arms. Using the rule of nines, what percentage does the nurse determine the extent of the burn injury to be?

22.5%

A client with known cardiac disease has been admitted to the postpartum care unit after an uneventful delivery. The nurse instructs the client to use the call button for assistance whenever she needs to get out of bed or wishes to care for her infant. Which postpartum complication is the nurse most concerned about for this client? 1.Postpartum infection 2.Maternal attachment 3.Maternal overexertion 4.Postpartum newborn-mother bonding

3

A nursing student is caring for a client with a stroke (brain attack) who is experiencing unilateral neglect. The nurse would intervene if the student plans to use which strategy to help the client adapt to this deficit? 1.Telling the client to scan the environment 2.Placing the bedside articles on the affected side 3.Approaching the client from the unaffected side 4.Moving the commode and chair to the affected side

3

The nurse is assessing the client's condition after cardioversion. Which observation should be of highest priority to the nurse? 1.Heart rate 2.Skin color 3.Status of airway 4.Peripheral pulse strength

3

The nurse is assisting in the care of a client with pheochromocytoma who has been experiencing clinical manifestations of hypermagnesmia. When evaluating the client, the nurse should determine that the client's status is returning to normal if which is no longer exhibited? 1) Tetany 2) Tremors 3) Areflexia 4) Muscular excitability

3

The nurse is caring for a client at risk for fat embolism because of a fracture of the left femur and pelvis sustained in a fall. The client also sustained a head injury, is comatose, and is unable to communicate verbally. Which assessment findings should the nurse identify as early signs of possible fat embolism? 1.Decreased heart rate and increased restlessness 2.Decreased heart rate and decreased respiratory rate 3.Increased heart rate and adventitious breath sounds 4.Increased heart rate and increased oxygen saturation

3

The nurse is caring for a client with a nasogastric tube who has a prescription for NG tube irrigation once every 8 hours. To maintain homeostasis, which solution should the nurse use to irrigate the NG tube? 1) Tap water 2) Sterile water 3) 0.9% sodium chloride 4) 0.45% sodium chloride

3

The nurse reviews a client's arterial blood gas results and notes that the pH is 7.30 (7.30), the Paco2 is 52 mm Hg (50 mm Hg), and the HCO3 is 22 mEq/L (22 mmol/L). The nurse interprets these results as indicating which condition? 1.Metabolic acidosis, compensated 2.Respiratory alkalosis, compensated 3.Metabolic alkalosis, uncompensated 4.Respiratory acidosis, uncompensated

4

The nurse is preparing to care for a client with esophageal varices who needs a Sengstaken-Blakemore tube inserted because other treatments were unsuccessful. The nurse gathers supplies, knowing that which item must be kept at the bedside at all times? 1) An obturator 2) A Kelly clamp 3) An irrigation set 4) A pair of scissors

A pair of scissors

A client is being admitted to the hospital for treatment of acute cellulitis of the lower left leg. During the admission assessment, the nurse expects to note which finding? 1) An inflammation of the epidermis only 2) A skin infection of the dermis and underlying hypodermis 3) An acute superficial infection of the dermis and lymphatics 4) An epidermal and lymphatic infection cause by Staphylococcus

A skin infection of the dermis and underlying hypodermis

Along with appropriate hand hygiene and respiratory etiquette, what nursing actions should be done next to prevent spread of a communicable disease from an infected client? - Notify the client's healthcare providers and known contacts - Alert the public health authorities about the infection - Assist with rapidly identifying the disease and immediately isolating - Make a public announcement of the identified infectious disease

Assist with rapidly identifying the disease and immediately isolating

A nursing student is caring for a client who has been admitted to the hospital with malnutrition. The nursing instructor determines that the student has made a correct assessment of malnutrition consequences if the student documents which noted findings? Select all that apply. 1) Cachexic 2) Lethargic 3) Lean extremities 4) Intolerant to heat 5) Dry, flaking skin 6) Poor wound healing

Cachexic, lethargic, dry and flaking skin, and poor wound healing

A client who is recovering from surgery has been advanced from a clear liquid diet to a full liquid diet. The client is looking forward to the diet change because he has been "bored" with the clear liquid diet. The nurse should offer which full liquid item to the client? 1) Tea 2) Gelatin 3) Custard 4) Ice pop

Custard

The nurse is caring for a client who is on strict bed rest. The nurse develops a plan of care and develops goals related to the prevention of deep vein thrombosis and pulmonary emboli. Which nursing action is appropriate to prevent these disorders from developing? 1) Restricting fluids 2) Placing a pillow under the knees 3) Encouraging active range-of-motion exercises 4) Applying a heating pad to the lower extremities

Encouraging active range-of-motion exercises

Which subject should the nurse address in preparing for the orientation phase of the therapeutic relationship? 1) Facilitating behavioral change 2) Promoting self-esteem in the client 3) Promoting problem solving skills in the client 4) Establishing the parameters of the relationship

Establishing the parameters of the relationship

What qualities should a profession nurse possess? -Ethical -Advocacy -Cheerfulness -Flamboyancy -Accountability

Ethical, Advocacy, and Accountability

Which rights of medication administration are ensured with "bar-coding technology" which requires the nurse to scan the medication, client's identification bracelet and nurse's identification badge prior to administrating medication? -Right reason -Right dose -Right time -Right route -Right client

Right dose, right time, and right client

What is the wound closure called that occurs when the healing is prolonged because the skin or wound edges cannot be approximated? - Primary intention - Secondary intention - Tertiary intention - Quadrant intention

Secondary intention

The school nurse is providing a nutritional counseling session to a group of adolescents. The school nurse should instruct the adolescents that which item is a good source of vitamin C? 1) Eggs 2) Milk 3) Sweet potatoes 4) Green leafy vegetables

Sweet potatoes

The nurse is reviewing an adult male's serum creatinine level of 4.0 mg//dL (353 mcmol/L). What does this level indicate? 1) Low 2) Normal 3) Slightly elevated and needs referral 4) Very high, indicating severe renal failure

Very high, indicating severe renal failure

Which has been shown to be the most effective intervention a nurse can perform to prevent most hospital-acquired infections? - Maintaining sterile technique during procedures - Washing hands before and after each client contact - Abiding by the hospital's established isolation room protocols - Assuring nurses assigned to surgical clients do not care for infectious clients

Washing hands before and after each client contact

Which questions are best for the nurse to ask to assess for "disuse syndrome" in clients diagnosed with neuromuscular diseases such as muscular dystrophy or multiple sclerosis? Select all that apply. - What is included in a typical day for you? - Do you feel you are financially stable? - In what part of town is your home located? - How much assistance do you need to move around? - On a scale of 1-10, how would you rate overall pain level?

What is included in a typical day for you? How much assistance do you need to move around? On a scale of 1-10, how would you rate overall pain level?

The home care nurse is visiting a male client who is recovering at home after suffering a brain attack (stroke) 2 weeks ago. The client's wife states that the client has difficulty feeding himself and difficulty with swallowing food and fluids. Which would be the initial nursing action? 1) Observe the client feeding himself 2) Observe the wife feeding the client 3) Arrange for a home health aide to assist at mealtimes 4) Instruct the wife in the use of a feeding syringe to feed the client

Observe the client feeding himself

A client is admitted to a long-term care facility with the diagnosis of weight loss secondary to anorexia. The health care provider prescribes an enteral tube feeding of a standard formula to run at 40mL/hour. A nursing student is assigned to care for the client, and the nursing instructor asks the student to describe the nursing considerations related to a tube feeding. Which statement, if made by the student, indicates an understanding of this dietary treatment? 1)"Enteral tube feedings frequently cause sepsis." 2) "Enteral feedings should be refrigerated until just before use." 3) "The caloric value of enteral feedings is generally 5 to 10 calories per milliliter." 4) "Enteral feedings require the normal digestive capabilities of the gastrointestinal tract."

"Enteral feedings require the normal digestive capabilities of the gastrointestinal tract."

The nurse is reviewing the results of the rubella screening (titer) with a pregnant client. The test results are positive, and the mother asks if it is safe for her toddler to receive the vaccine. What is the nurse's best response? 1) "Most children do not receive the vaccine until the are 5 years of age." 2) "You are still susceptible to rubella, so your toddler should receive the vaccine." 3) "It is not advised for children of pregnant women to be vaccinated during their mother's pregnancy." 4) "Your titer supports your immunity to rubella, and it is safe for your toddler to receive the vaccine at this time."

"Your titer supports your immunity to rubella, and it is safe for your toddler to receive the vaccine at this time."

A client in the later stages of chronic kidney disease (CKD) has hyperkalemia. With CKD, what other factors besides tissue breakdown can cause high potassium levels? Select all that apply. 1) Blood transfusions 2) Metabolic alkalosis 3) Bleeding or hemorrhage 4) Decreased sodium excretion 5) Ingestion of potassium in medications 6) Failure to restrict dietary potassium

1, 3, 5, and 6

The nurse is providing dietary instructions to a client regarding a high-protein diet. The nurse should instruct the client to consume which food item that is highest in protein content? 1) 1 cup of cottage cheese 2) 1 ounce of Swiss cheese 3) 2 tablespoons of peanut butter 4) 1 cup of evaporated whole milk

1 cup of cottage cheese

The nurse is reviewing a list of clients following change of shift report. In which order should the nurse assess the clients? (Arrange in order of priority, with the most immediate care at the top, and the least priority care at the bottom.) -Client preparing for abdominal surgery -Client that fell -Client ready for discharge that day -Client scheduled for rotator cuff repair surgery

1) client that fell 2) client preparing for abdominal surgery 3) Client scheduled for rotator cuff repair surgery 4) Client ready for discharge that day

A client is undergoing a series of diagnostic tests. The laboratory results indicate an increased blood urea nitrogen (BUN) to creatinine ratio. The nurse determines that which potential conditions could contribute to these results? Select all that apply. 1.Dehydration 2.Catabolic state 3.High-protein diet 4.Fluid volume excess 5.Obstructive uropathy 6.Acute renal tubular acidosis

1, 2, 3, 5

The nurse is updating the client's plan of care based on the new onset of hypokalemia. Which priorities of care should the nurse include? Select all that apply. 1) Ensure adequate oxygenation 2) Provide assistance to prevent falls 3) Monitor medication administration of diuretics 4) Monitor for numbness and tingling around the mouth 5) Prevent complications during potassium administration

1, 2, 3, and 5

The nurse is creating a plan of care for a client with hypokalemia. Which interventions should be included in the plan of care? Select all that apply. 1) Ensure adequate fluid intake 2) Implement safety measures to prevent falls 3) Encourage low-fiber foods to prevent diarrhea 4) Instruct the client about foods that contain potassium 5) Encourage the client to obtain assistance to ambulate

1, 2, 4, and 5

The nurse is assessing an older adult who was just admitted to the emergency department with a possible hip fracture. What typical complaints of types and/or locations of pain might the nurse expect? Select all that apply. 1) No pain 2) Groin pain 3) Sciatic pain 4) Pain referred to the lower leg 5) Pain referred to the lower back 6) Pain referred to the back of the knee

1, 2, 5, 6

Which clients are most likely to be at risk for the development of third spacing? Select all that apply. 1) The client with cirrhosis 2) The client with liver failure 3) The client with diabetes mellitus 4) The client with a minor burn injury 5) The client with chronic kidney disease

1, 2, and 5

A client is receiving an intravenous infusion of 1000 mL of normal saline with 40 mEQ of potassium chloride. The care unit nurse is monitoring the client for signs of hyperkalemia. Which finding initially will be noted in the client if hyperkalemia is present? 1) Confusion 2) Muscle weakness 3) Mental status changes 4) Depressed deep tendon reflexes

2

A client who had abdominal surgery is receiving epidural analgesia. The nurse monitors the client closely, knowing that which is a potential complication of this therapy? 1.Constipation because of the location of the epidural catheter 2.Dislodgment of the epidural catheter because the catheter is not sutured in place 3.Permanent lower motor weakness because of the proximity of the catheter to the sciatic nerve 4.Chronic addiction to the epidural medication because epidural analgesia is a more powerful means of pain relief than patient-controlled analgesia therapy

2

The nurse is reviewing the results of the electrolyte panel for a client seen in the health care clinic. The nurse determines that the client's potassium level is normal if which value is noted? 1. 2.0 mEq/L (2.0 mmol/L) 2. 4.0 mEq/L (4.0 mmol/L) 3. 5.3 mEq/L (5.3 mmol/L) 4. 6.0 mEq/L (6.0 mmol/L)

2

When administering an intramuscular injection in the ventrogluteal muscle, how should the nurse position the client to best relax the muscle? 1.Semi Fowler's position 2.Prone with a toe-in position 3.On the side with the hip and knee of the uppermost leg flexed 4.On the side with the hip and knee of the lowermost leg flexed

3

The nurse is instructing a client about administering medication upon returning home from the hospital. Which recommendations support the client's adherence to the prescribed plan of care? 1) Dispose unused or discontinued medicines down the sink or toilet 2) Try using a pill organizer or automated phone reminder system 3) Keep an updated medication list to bring to healthcare appointments 4) Schedule medication administration times at the same time as other daily activities 5) Alter current lifestyle to avoid missing any doses of prescribed medications

2, 3, and 4

Which nursing actions are required when performing a transcutaneous electrical nerve stimulation (TENS) procedure with a client? 1) Place clients with pacemakers on cardiac monitors during procedure 2) To avoid trauma, do not place the electrodes over or near injury site 3) Instruct the client to adjust the intensity of TENS stimulation for pain relief 4) Ensure and review there is a healthcare provider's prescription for the TENS 5) Remove any hair or lotions from the skin where the electrodes are to be placed

3, 4, and 5

What is the best description of evidence-based practice (EBP) in nursing? - Nurses measure the effects of interventions on populations to determine individual client care - Nurses implement interventions which have already been determined to be safe and effective in clinical practice - Nurses generate answers to questions about interventions not already used in the care of clients - Nurses exchange traditional interventions and established clinical nursing practice for alternative, non-traditional approaches

Nurses implement interventions which have already been determined to be safe and effective in clinical practice

The nurse is caring for a pregnant client who is iron deficient. What groups are vulnerable to this condition? Select all that apply. 1) Diabetes 2) Alcoholics 3) Vegetarians 4) People with hemochromatosis 5) Women of childbearing years 6) Older people who consume poor diets

Alcoholics, vegetarians, women of childbearing years, and older people who consume poor diets

A client with diabetes mellitus taking daily NPH insulin has been started on therapy with dexamethasone. The nurse anticipates that which adjustments in medication dosage will be made? 1) An increased dose of NPH insulin 2) A change to oral diabetic medications 3) A lower dose of dexamethasone than usual 4) An increase in the amount of daily dietary calories

An increased dose of NPH insulin

The nurse is interviewing a middle-aged client. Which factors indicate that the client is in a state of well-being? Select all that apply. - Positive social relationships - Financial wealth - Good health with regular exercise - Has multiple roles and responsibilities - Sense of control over life issues

Positive social relationships, good health with regular exercise, and sense of control over life issues

A four day old infant with no family members present is crying while lying in a bassinet in the nursery. What should the nurse do prior to implementing therapeutic touch? 1) Assess the cultural beliefs of the infant's parents 2) Verify if the infant is receptive to being touched 3) Don't touch and allow the infant to self-soothe first 4) Dim the light, pick up the infant and rock the infant slowly

2

The nurse is leading a committee which is evaluating sentinel events across all nursing units. Which situation should the committee review as a sentinel event? 1) Needlstick injuries when they have occurred at least 10 times in a year 2) Hemolytic transfusion reactions involving major blood group incompatibilities 3) Loss of power to the surgical suites during an electrical storm 4) Dissatisfaction comments noted on client surveys

2

The nurse is planning to instruct a client with chronic vertigo about safety measures to prevent exacerbation of symptoms or injury. Which instruction should the nurse plan to include in the client's teaching plan? 1) Turn the head slowly when spoken to 2) Remove throw rugs and clutter in the home 3) Go to the bedroom and lie down when vertigo is experienced 4) Drive only when feelings of dizziness have not been experienced for several hours

2

The ambulatory care nurse is reviewing an adult client's laboratory test results and notes that the hematocrit level is 60% (0.60). The nurse recognizes that this level is most likely to be found in clients with which diagnosis? 1) Leukemia 2) Hemolytic anemia 3) Pernicious anemia 4) Iron deficiency anemia

3

The nurse is caring for a group of clients on the clinical nursing unit. Which client should the nurse plan to monitor for signs of fluid volume deficit? 1) Client in heart failure 2) Client in acute kidney injury 3) Client with diabetes insipidus 4) Client with controlled hypertension

3

The nurse is reinforcing instructions to a hospitalized client with heart block about the fundamental concepts regarding the cardiac rhythm. The nurse explains to the client that the normal site in the heart responsible for initiating electrical impulses is which site? 1.Bundle of His 2.Purkinje fibers 3.Sinoatrial (SA) node 4.Atrioventricular (AV) node

3

A client has frequent runs of ventricular tachycardia. The health care provider has prescribed flecainide. What is the best nursing action related to the effects of this medication while the client is hospitalized? 1.Monitor the client's urinary output. 2.Assess the client for neurological changes. 3.Keep the call bell within the client's reach. 4.Monitor vital signs and cardiac rhythm frequently.

4

A client is being discharged to home after 2 weeks with a diagnosis of tuberculosis and is worried about the possibility of infecting family members and others. How should the nurse respond to provide reassurance? 1.The family does not need therapy, and the client will not be contagious after 1 month of medication therapy. 2.The family does not need therapy, and the client will not be contagious after 6 consecutive weeks of medication therapy. 3.The family will be treated prophylactically, and the client will not be contagious after 1 continuous week of medication therapy. 4.The family will be treated prophylactically, and the client will not be contagious after 2 to 3 consecutive weeks of medication therapy.

4

The nurse is administering a dose of triamterene to an assigned client. What is the most significant adverse effect of this medication for which the client should be monitored? 1) Edema 2) Bradycardia 3) Hypertension 4) Hyperkalemia

4

The nurse is caring for an infant with a diagnosis of congenital heart disease. Which finding, on physical assessment, does the nurse attribute to chronic hypoxia? 1.Tachypnea 2.Tachycardia 3.Sucking on the fingers 4.Clubbing of the fingers

4

The nurse is monitoring the fluid balance of a client with a burn injury. The nurse determines that the client is less than adequately hydrated if which information is noted during assessment? 1) Urine pH of 6 2) Urine that is pale yellow 3) Urine output of 40 mL/hr 4) Urine specific gravity of 1.032

4

The nurse caring for a client with heart failure is notified by the hospital laboratory that the client's serum magnesium level is 1.0 mEq/L. Which would be the most appropriate nursing action for this client? 1) Monitor the client for dysrhythmias 2) Encourage increased intake of phosphate antacids 3) Discontinue any magnesium-containing medications 4) Encourage intake of foods such as ground beef, eggs, or chicken breast

1

The nurse has been assigned to the care of four adult clients who are receiving continuous intravenous (IV) infusions. How often should the nurse plan to check the IV infusions and IV sites of these clients? 1.Every 1 hour 2.Every 2 hours 3.Every 3 hours 4.Every 4 hours

1

The nurse is assigned to care for a group of clients. On review of the clients' medical records, the nurse determines that which client is most likely at risk for a fluid volume deficit? 1) A client with an ileostomy 2) A client with heart failure 3) A client on long-term corticosteroid therapy 4) A client receiving frequent wound irrigations

1

A registered nurse (RN) asks a licensed practical nurse (LPN) to set up a hospital room for a client who is being admitted with a diagnosis of tonic-clonic seizures and asks the LPN to institute seizure precautions. The RN checks the client's room before the arrival of the client and determines that which item placed in the room by the LPN is unsafe? 1) Restraints 2) Nasal cannula 3) Suction catheter 4) Padding for side rails

1

During an assessment of a newly admitted client, the nurse notes that the client's heart rate is 110 beats/minute, his blood pressure shows orthostatic changes when he stands up, and his tongue has a sticky, paste-like coating. The client's spouse tells the nurse that he seems a little confused and unsteady on his feet. Based on these assessment findings, the nurse suspects that the client has which condition? 1) Dehydration 2) Hypokalemia 3) Fluid overload 4) Hypernatremia

1

The nurse is working an illness prevention clinic. An important component of the nurse's practice is to advise high-risk clients to receive an influenza vaccination. Which clients are at high risk for influenza and would benefit from vaccination? Select all that apply. 1) A 47-year-old mother of a child with cystic fibrosis 2) A 54-year-old man scheduled for a routine diabetes check 3) A 43-year-old factory worker with symptoms of influenza 4) A 35-year-old registered nurse scheduled for an annual pelvic exam 5) An 87-year-old woman from a nursing home scheduled for a surgical follow-up

1,2,4, and 5

The nurse is reading a computer printout of the results of a cerebrospinal fluid (CSF) analysis performed on an adult client who has undergone lumbar puncture. The nurse determines that which is an abnormal finding? 1) Red blood cells (negative) 2) Protein 100 mg/dL (1 g/L) 3) Glucose 52 mg/dL (2.9 mmol/L) 4) White blood cells 3 cells/mcL (3 x 10^6/L)

2

The nurse provides home care instructions to a client with sickle cell anemia. Which statement by the client indicates a need for further instruction? 1) "I'm going to take a painting class." 2) "I've learned to knit and sew my own clothes." 3) "When I'm feeling better, I'm returning to the soccer team." 4) "I'm using a schedule to maintain my increased fluid intake."

3

A pregnant primigravida is seen in the health care clinic and asks the nurse what causes the breasts to change in size and appearance during pregnancy. The nurse plans to base the response on which facts? Select all that apply. 1) The breasts become stretched because of the weight gain 2) The increased metabolic rate causes the breasts to become larger 3) The breast changes occur because of the secretion of estrogen and progesterone 4) Cortisol secreted by the adrenal glands plays a role in increasing the size and appearance of the breasts 5) Blood vessels beneath the skin often appear as a blue, intertwining network, especially in a primigravida

3 and 5

The nurse is preparing to initiate an intravenous (IV) puncture on a client and obtains the prescribed solution of 1000 mL of normal saline for the infusion. The nurse sets up the IV infusion and checks which before performing the venipuncture? 1.The client's temperature 2.The client's blood pressure 3.The client's electrolyte values 4.The IV solution for particles or contamination

4

The nurse is reviewing the record of a client admitted to the hospital with a diagnosis of pheochromocytoma. The nurse reads the assessment findings and expects to note documentation of which major symptom associated with this condition? 1.Glycosuria 2.Diaphoresis 3.Weight loss 4.Hypertension

4

The nurse provides instructions to the parent of a newborn to bring the infant to the well-baby clinic for a phenylketonuria rescreening blood test. The nurse determines that the parent understands the need for the test when which statement is made? 1."It can detect heart disease in my baby." 2."It will discover the presence of cancer in my baby." 3."It will check for the presence of a genetic condition in my infant." 4."It will allow me to institute measures to prevent complications if the level is elevated."

4

The registered nurse is observing a newly hired nurse perform a dressing change on a client with a leg ulcer. An enzymatic agent is being used to treat the ulcer. Which observation, if made by the registered nurse, would indicate a need for further teaching with the newly hired nurse? 1) Cleans the wound with a sterile normal saline solution 2) Tapes gauze dressing in place over ulcer 3) Applies enzymatic agent to the area of necrosis 4) Leaves the ulcer open to the air after the enzymatic agent is applied

4

The school nurse prepares a list of home care instructions for the parents of schoolchildren diagnosed with pediculosis capitis. Which instruction should the nurse include in the list? 1) Soak combs and brushes in warm water 2) Use anti-lice sprays on all bedding and furniture 3) Take all bedding and linens to the cleaners to be dry cleaned 4) Vacuum floors, play areas, and furniture to remove any hairs that might carry live nits

4

Shortly after receiving epidural anesthesia, a laboring woman's blood pressure drops to 95/43 mm Hg. Which immediate actions should the nurse take? Select all that apply. 1.Prepare for delivery. 2.Administer a tocolytic. 3.Administer an opioid antagonist. 4.Turn the woman to a lateral position. 5.Increase the rate of the intravenous infusion. 6.Administer oxygen by face mask at 10 L/minute.

4, 5, and 6

The nurse is explaining the process of bariatric surgery to a severely obese client who has attended a medically supervised weight loss program for approximately 6 months. The client is considering this procedure. What are some conditions that may interfere with a client's commitment to lifelong behavioral changes and that may lead to poor surgical outcomes? Select all that apply. 1) Anxiety 2) Untreated depression 3) Binge eating disorders 4) Drug and alcohol abuse 5) Lack of family resources 6) Inability to comply with nutritional recommendations

Untreated depression, binge eating disorders, drug and alcohol abuse, and inability to comply with nutritional recommendations