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RN Nursing School practice questions, by topic

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Fundamentals

2097 questions

Topic: Safe, Effective Care Environment

573 questions
  1. A nurse is assisting with triage following a mass casualty incident. Which client should be assigned a red tag?Answer →
  2. A newly licensed nurse has forgotten their password and asks another nurse to access the computer system for them so they can document care before transferring the client to another unit. Which of the following responses should the nurse make?Answer →
  3. A nurse is assisting with teaching a class on leadership. The nurse should include that which of the following are characteristics of laissez-faire leaders?Answer →
  4. The nurse manager is reviewing the unit census on a medical unit. Which action should concern the charge nurse?Answer →
  5. A nurse does not assist with ambulation of a postoperative client on the first day after surgery. The client falls and fractures a hip. What charge might be brought against the nurse?Answer →
  6. A new nurse plans care for a client with a brain injury who is experiencing increased intracranial pressure (ICP). The nurse has never cared for a client with ICP before, so the nurse refers to the policy and procedure manual on the hospital's intranet to determine appropriate care of the client. Which critical thinking attitude is reflected in the nurse's action?Answer →
  7. Select the 4 findings that require immediate follow-up.Answer →
  8. Which component of the MORAL decision-making model involves identifying all available alternatives?Answer →
  9. All 573 Safe, Effective Care Environment questions

Topic: Health Promotion

481 questions
  1. A nurse has accepted a position on a pediatric unit and is learning more about psychosocial development. Identify the order of Erikson's stages of psychosocial development from birth through 18 years of. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)Answer →
  2. A nurse is helping a client cope with the emotional impact of a new cancer diagnosis. Which domain of learning is the nurse addressing?Answer →
  3. What sound does the nurse anticipate auscultating if the patient was admitted to the hospital for carotid stenosis?Answer →
  4. A nurse on a pediatric unit is caring for a child and family. The child and their sister are cared for by their grandparents. This is an example of which type of family form?Answer →
  5. The nurse provides education for a group of clients about methods to estimate portion sizes when a measuring device is unavailable. What client statement indicates a need for additional teaching?Answer →
  6. The nurse is discharging an adult woman who was hospitalized for 5 days for treatment of pneumonia. While the nurse is reviewing the prescribed medications, the client appears anxious. Which action is most important for the nurse to implement?Answer →
  7. A nurse educator is teaching first-semester nursing students about Erikson's psychosocial stages. The educator describes a 24-year-old client who says "I want a close partner, but I'm afraid of being alone." and reports difficulty maintaining meaningful connections. Which developmental task should the students expect for this age group?Answer →
  8. The nurse is planning an educational program for a client with diabetes. What action should the nurse plan to take first?Answer →
  9. All 481 Health Promotion questions

Topic: Physiological Integrity

844 questions
  1. A client with a colostomy tells the nurse about making small pin holes in the drainage bag to help relieve the gas that collects. Which action should the nurse implement?Answer →
  2. The nurse is planning care for the client. They review the H and P, nurses' notes, flow sheet, and prescriptions. Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.Answer →
  3. Which statement related to dehydration made by a patient with hypovolemia is the best indicator to the nurse of the need for additional teaching?Answer →
  4. A nurse is caring for a patient who has not had a bowel movement in 4 days after abdominal surgery. The patient reports cramping and fullness. Bowel sounds are present in all four quadrants. Which is the most appropriate initial nursing intervention?Answer →
  5. The nurse is caring for a client with obstructive sleep apnea (OSA). The nurse should recognize the client is at greater risk for the development of which complication?Answer →
  6. A nurse is converting the dosage of a medication to a different unit in the metric system. The medication label specifies the drug as being 0.5 g per tablet. The order is for 500 mg. How many tablets will the nurse give?Answer →
  7. A nurse is caring for a client who has a prescription for a urinary catheterization. Which of the following actions should the nurse take?Answer →
  8. A nurse changes a dressing and notes the drainage is thick, green-yellow, has increased in amount since the last change 12 hours ago, and has a distinct foul odor. What is the nurse's priority action?Answer →
  9. All 844 Physiological Integrity questions

Pharmacology

1697 questions

Topic: Safe Medication Administration

242 questions
  1. A client who weighs 91 kg receives a prescription for a continuous infusion of dopamine at 3 mcg/kg/min. The solution is labeled Dopamine 400 mg in 5% Dextrose Injection 250 mL. How many mL/hr should the nurse program the infusion pump to deliver? Enter numeric value only. If rounding is required, round to the nearest tenth.Answer →
  2. The nurse is caring for a patient who is receiving an intravenous antibiotic. The nurse notes that the provider has ordered serum drug peak and trough levels. The nurse understands that these tests are necessary for which type of drugs?Answer →
  3. A nurse is monitoring a patient who is receiving a medication on a fixed schedule. The goal is to keep the drug's concentration in the blood consistent over time. Which term best describes this condition?Answer →
  4. A nurse is caring for a group of clients. For which the following situations should the nurse complete an incident report?Answer →
  5. A medication has a half-life of 12 hours. The prescriber orders it to be taken once daily. The nurse recognizes that this dosing schedule may be not therapeutic. Please choose the correct explanationAnswer →
  6. After realizing that she administered 0.25 mg of digoxin instead of the prescribed 0.125 mg, what should be the nurse's next step?Answer →
  7. The healthcare provider prescribes ampicillin 140 mg intravenously (IV) every 8 hours for a child with meningitis. The vial is labeled Ampicillin 250 mg for reconstitution with 8.3 mL sterile normal saline for injection to yield a total solution concentration of 30 mg/mL. How many mL should the nurse administer? Enter the numeric value only. If rounding is required, round to the nearest tenth.Answer →
  8. A nurse is preparing to administer an intradermal injection for a tuberculin screening. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)Answer →
  9. All 242 Safe Medication Administration questions

Topic: Medications Affecting the Cardiovascular System

167 questions
  1. A nurse in the emergency department is assessing multiple patients with conditions that can reduce oxygen delivery to the brain. Which of the following patients is most likely to experience global cerebral ischemia, a condition where blood flow to the entire brain is compromised?Answer →
  2. A client has a prescription for heparin 1000 units IV STAT Several prefilled syringes of low molecular weight heparin are available in the clients medication drawer Which action should the nurse implementAnswer →
  3. A nurse is caring for a client in a clinic. Complete the following sentence by using the lists of options. Upon analyzing the assessment findings, the nurse identifies that the client is at risk for _____ due to their _____Answer →
  4. The client experiencing chest pain arrives at the Emergency Department. Which of the following medications would the nurse prioritize asking about prior to administering nitroglycerin?Answer →
  5. The PR interval of a first-degree AV blockAnswer →
  6. The nurse is preparing for a community education program on hypertension. Which of these parameters determine the regulation of arterial blood pressure?Answer →
  7. A registered nurse in the emergency department is assessing a patient who has returned for the fourth time this year with signs and symptoms suggestive of myocardial infarction (MI). The patient has undergone repeated cardiac tests with negative results. The healthcare team suspects the patient's symptoms may have a psychological origin. Which of the following would support the hypothesis that the patient's signs and symptoms are psychosomatic?Answer →
  8. The nurse is caring for a client with heart failure receiving digoxin Which actions should the nurse anticipate performing to manage digoxin toxicity Select all that applyAnswer →
  9. All 167 Medications Affecting the Cardiovascular System questions

Topic: Medications Affecting the Respiratory System

95 questions
  1. The nurse is caring for a client who is to be prescribed a mucolytic. Which of the following medications would be administered?Answer →
  2. A nurse is caring for a client on theophylline. Which finding requires immediate intervention?Answer →
  3. A patient presents with a common cold complaining only of nasal congestion. They ask about using an over-the-counter combination cold remedy. Which advice is MOST appropriate for this patient?Answer →
  4. Which medication is administered first to a patient who has acute dyspnea, wheezing, hypercapnea, and hypoxemia?Answer →
  5. A parent of an adolescent who started montelukast therapy 2 weeks ago reports the child has become increasingly irritable, is experiencing vivid nightmares, and "doesn't seem like himself." Which action should the nurse take first?Answer →
  6. A nurse is counseling clients at a community health fair about the safe use of over-the-counter medications. Which of the following clients should the nurse advise to consult a healthcare provider before taking antihistamines?Answer →
  7. A client is discharging from the hospital with treatment for tuberculosis. The client asks why they need to take pyridoxine (Vitamin B6) in addition to isoniazid (INH). Which of the following responses by the nurse best explains the drug combination to the client?Answer →
  8. A patient received albuterol 2 puffs with a repeat 2 puffs 10 minutes later for persistent wheezing. The nurse knows to look for which common adverse effect, particularly with repeated dosing.Answer →
  9. All 95 Medications Affecting the Respiratory System questions

Topic: Medications Affecting the Immune System

475 questions
  1. A female client was prescribed doxycycline. Other medications on the clients medication history include: ibuprofen, multivitamin, and birth control pills. What information should the nurse prioritize when teaching about this medication?Answer →
  2. A three-year-old patient is diagnosed with tinea capitis. Which oral antifungal medication would be MOST appropriate for treatment?Answer →
  3. A 72-year-old woman on gentamicin for a complicated UTI develops decreased urine output and rising creatinine in follow-up labs. What is the next step in primary care?Answer →
  4. Which statement BEST explains why topical cyclosporine is used in the treatment of dry eyes?Answer →
  5. Gynecomastia is most associated with which antifungal?Answer →
  6. Paxlovid® is a new medication on the market used to treat covid 19. It contains nirmatrelvir and ritonavir. What is the purpose of the ritonavir in this drug combination?Answer →
  7. A patient with a mild penicillin allergy (hives only, no anaphylaxis) requires treatment for otitis media. Which drug is the MOST appropriate option?Answer →
  8. A patient with HIV infection has been receiving antiretroviral therapy for 2 months. At the initiation of treatment, the patient had a viral load (VL) of 6000 copies/mL and a CD4 count of 350 cells/mm². Today's lab results reveal a viral load of 40 copies/mL and a CD4 cell count of 800 cells/mm³, which of these is the correct interpretation of this patient's lab result?Answer →
  9. All 475 Medications Affecting the Immune System questions

Topic: Vitamins, Minerals, and Immunizations

37 questions
  1. A nurse is providing information to a client who is about to receive an mRNA vaccine. Which of the following statements should the nurse include to accurately describe how mRNA vaccines work to protect against viral infections?Answer →
  2. A nurse is caring for a female client in a provider's office. The nurse notifies the client and provides teaching about the newly prescribed medication. For each of the statements made by the client, click to specify whether the statement indicates an understanding or no understanding of the teaching provided.Answer →
  3. A patient with mild illness and diarrhea is due for vaccination. What is the BEST response by the nurse practitioner?Answer →
  4. A nurse is teaching a client who is pregnant and has iron-deficiency anemia about taking ferrous sulfate elixir. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)Answer →
  5. A nurse is reviewing a client's medical record before administering a scheduled vaccine. The record indicates a history of Guillain-Barré syndrome (GBS) following a previous immunization. Which of the following actions should the nurse take in accordance with the client's medical history and vaccine contraindications?Answer →
  6. A nurse is teaching a client who has pernicious anemia to self-administer nasal cyanocobalamin. Which of the following information should the nurse include in the teaching?Answer →
  7. Vaccines given to treat viral disease include all of the following (select all that apply)Answer →
  8. A nurse is teaching a client who has a prescription for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching?Answer →
  9. All 37 Vitamins, Minerals, and Immunizations questions

Med-Surg

5420 questions

Topic: Cardiovascular Disorders

774 questions
  1. A patient with a history of myocardial infarction calls the clinic to report the onset of a cough and shortness of breath at night when lying down. Which instruction should the nurse give to the patient?Answer →
  2. The nurse is providing discharge education to a patient prescribed furosemide for heart failure. Which statement indicates the patient understands the teaching?Answer →
  3. A nurse in a clinic is caring for a client who has a prescription for digoxin. Which of the following statements indicates the client is experiencing digoxin toxicity?Answer →
  4. The nurse is assessing a client's ability to provide informed consent for an ablation procedure for intractable AFib. Which factor is most critical in determining the client's competence?Answer →
  5. A nurse is admitting a client who reports tightness in their chest that radiates to left arm. The nurse is reviewing the client's chart. Click to highlight the findings that require immediate follow-up.Answer →
  6. A patient with peripheral arterial disease (PAD) presents with cold, pale lower extremities, diminished peripheral pulses, and reports pain when walking that resolves with rest. The nurse notes the patient has a history of type 2 diabetes mellitus and hypertension. Which nursing priority intervention should the nurse implement first to prevent further complications?Answer →
  7. A nurse is collecting data from a client who has peripheral arterial disease (PAD). Which of the following findings should the nurse expect?Answer →
  8. A client diagnosed with coronary artery disease asks the nurse, "Why do I get chest pain?" Which statement would be the most appropriate response by the nurse?Answer →
  9. All 774 Cardiovascular Disorders questions

Topic: Respiratory Disorders

690 questions
  1. A nurse is caring for a patient diagnosed with chronic obstructive pulmonary disease (COPD) who is receiving 2 L/min of oxygen. Which oxygen delivery device is most appropriate for the nurse to administer the oxygen?Answer →
  2. A nurse is preparing to administer ceftriaxone 2 g via intravenous (IV) infusion over 60 minutes. Available is ceftriaxone 2 g in 50 mL. At what rate will the nurse set the infusion? (If needed, round to the nearest whole number.)Answer →
  3. A client with a chest tube suddenly becomes dyspneic. Which interventions should the nurse NOT implement? (Select all that apply.)Answer →
  4. Which of the following conditions can place a client at risk for acute respiratory distress syndrome (ARDS)?Answer →
  5. Warning signs of pulmonary embolism in a client with confirmed deep vein thrombosis include which symptoms? Select all that apply.Answer →
  6. 62-year-old woman reports worsening shortness of breath and a chronic morning cough. She has a 30-pack-year smoking history and works as a baker. The nurse begins collecting an environmental exposure history using the I PREPARE model. Which action should the nurse take FIRST to guide further respiratory assessment?Answer →
  7. Which finding indicates an adverse reaction to a beta2-agonist?Answer →
  8. The nurse is caring for a patient with pneumonia with a new nurse in orientation. Which of the following statements by the new nurse would indicate an understanding of the nature of this condition?Answer →
  9. All 690 Respiratory Disorders questions

Topic: Neurological Disorders

428 questions
  1. A nurse is caring for a patient with myasthenia gravis who becomes suddenly weak and has shallow respirations. Which action should the nurse AVOID?Answer →
  2. The charge nurse taught a group of new nursing students about assessing and managing patients with eye and vision disorders. The charge nurse knows the students understand the clinical manifestations of glaucoma when they: (Select all that apply)Answer →
  3. A nurse is caring for a client with a C5 spinal cord injury. Which of the following activity limitations should the nurse anticipate for this client?Answer →
  4. A 16-year-old patient is admitted to the emergency room with a complaint of neck discomfort after being hit from behind by another person at full force. He is complaining of neck discomfort, numbness in both of his upper extremities and tingling in his lower extremities. Vital signs: BP 100/64, HR 58, Resp 16, and Pulse ox 95%. He also states, "I have to urinate badly". Based on this assessment data, the nurse understands that the patient is experiencing:Answer →
  5. Which of the following actions should the nurse AVOID when administering pyridostigmine to a patient with myasthenia gravis?Answer →
  6. Which nursing action is LEAST appropriate when a patient with myasthenia gravis reports increasing difficulty swallowing?Answer →
  7. A nurse is caring for a client who has hypertension and recently developed drooping facial features. When contacting the provider, which of the following statements should the nurse include as part of the background component of the SBAR communication tool?Answer →
  8. When assisting a patient who is legally blind, which intervention would not be appropriate?Answer →
  9. All 428 Neurological Disorders questions

Topic: Endocrine Disorders

662 questions
  1. A nurse is caring for a client who has diabetes insipidus and is receiving vasopressin. The nurse should identify which of the following findings as an indication that the medication is effective?Answer →
  2. A client presents with symptoms of confusion, lethargy, and increased thirst. Laboratory tests reveal elevated serum calcium levels. Which intervention should the nurse prioritize based on the client's condition?Answer →
  3. A nurse is collecting data on a client who is receiving levothyroxine for treatment of hypothyroidism. Which of the following findings should the nurse recognize as a therapeutic response to this medication?Answer →
  4. A nurse is caring for a client who has capillary blood glucose 48 mg/dL. Which of the following findings should the nurse expect?Answer →
  5. To help reduce the risk for neural tube defects, the nurse recommends the expectant mother should eat which foods high in folic acid?Answer →
  6. During patient teaching, a nurse explains the genetic nature of a client's diabetes. The client has a diagnosis of Maturity-Onset Diabetes of the Young (MODY). What teaching point is most appropriateAnswer →
  7. A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) and a sodium level of 123 mEq/L. Which of the following prescriptions should the nurse anticipate?Answer →
  8. A nurse is teaching a client who has hypothyroidism. Which of the following information should the nurse include in the teaching? (Select all that apply.)Answer →
  9. All 662 Endocrine Disorders questions

Topic: Renal and Urinary Disorders

836 questions
  1. Electrolytes are charged ions dissolved in body fluids. Below are several statements regarding electrolytes. Please select 3 correct answer choices.Answer →
  2. A nurse is assisting in the post-dialysis plan of care for a client who is receiving hemodialysis treatment for chronic kidney disease. Which of the following interventions should the nurse include in the plan of care?Answer →
  3. Which element of intermittent self-catheterization will the nurse emphasize as most important for infection control when providing teaching to a patient with chronic urinary tract infections (UTIs) because of incomplete bladder emptying?Answer →
  4. A nurse is caring for a client admitted with vomiting and diarrhea for 3 days. The nurse reviews the client's trend in assessment findings. Based on the trend in data, which action should the nurse take first?Answer →
  5. A nurse is reinforcing teaching about renal transplant with a newly licensed nurse. Which of the following clients should the nurse identify as having a contraindication for this procedure?Answer →
  6. A nurse is collecting data for a client who has fluid volume deficit. Which of the following is an expected finding?Answer →
  7. A nurse is reviewing the medical record of a client and identifies a serum potassium 6.8 mEq/L. Which of the following medications should the nurse expect to administer?Answer →
  8. A nurse is planning on teaching a client who is scheduled for an intravenous pyelogram (IVP). Which of the following statements should the nurse include in the teaching?Answer →
  9. All 836 Renal and Urinary Disorders questions

Topic: Musculoskeletal Disorders

220 questions
  1. Which type of fracture is seen in an x-ray when the shaft of a long bone is splintered into several pieces?Answer →
  2. What is a complication of immobility?Answer →
  3. A nurse cares for a client with an ankle sprain. The ankle is swollen and painful with weight bearing. Which interventions should the nurse reinforce for the first 24–48 hours? (Select all that apply.)Answer →
  4. A nurse in a medical clinic is providing teaching to an older adult client who has osteoarthritis that is affecting her knees. Which of the following client statements indicates an understanding of the teaching?Answer →
  5. A nurse is teaching a client about risk factors for osteoarthritis. Which of the following risk factors should the nurse include in the teaching? (Select all that apply.)Answer →
  6. The nurse is caring for a client with a long bone fracture who developed fat embolism syndrome (FES). The client begins to experience respiratory distress and confusion and develops facial and axillary petechiae. Which of the following interventions would the nurse prioritize?Answer →
  7. Which of the following instruction should a nurse provide to promote the safe use of a cane as an assistive device for a client who is recovering from a musculoskeletal injury of the left lower extremity?Answer →
  8. A client has been placed in skeletal traction following a lower-extremity fracture. The nurse recognizes that prolonged immobility places the client at risk for which complications? (Select all that apply.)Answer →
  9. All 220 Musculoskeletal Disorders questions

Topic: Hematological Disorders

253 questions
  1. A nurse is assessing a client who reports fatigue, low blood cell count, and pallor, which risk factor most likely contributes to the client's iron deficiency anemia?Answer →
  2. A client is admitted to the medical unit with an absolute neutrophil count of 470 cells/uL. What are appropriate nursing considerations? Select all that apply.Answer →
  3. A patient is to receive a subcutaneous injection of Heparin 3000 units. On hand the vial label reads Heparin 5000 units/1 mL. How many mL will the nurse administer? (Provide answer as number only, round to the nearest tenth)Answer →
  4. Shortly after starting the transfusion of red blood cells, the patient complains of anxiety, urticaria and wheezing. The patient's blood pressure drops quickly. Which condition should the nurse plan care?Answer →
  5. A nurse is preparing to administer heparin 2,000 units by IV bolus. Available is heparin injection 5,000 units/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  6. A nurse is providing care to a child diagnosed with chronic immune thrombocytopenia. Which intervention should take priority?Answer →
  7. A patient with chronic iron-deficiency anemia develops chest pain and tachycardia during minimal exertion. What is the nurse's priority assessment?Answer →
  8. An adult patient with thalassemia presents to the clinic reporting increased fatigue, shortness of breath on exertion, and palpitations. Vital signs are BP 110/70 mm Hg, HR 120/min, RR 22/min, and oxygen saturation 95% on room air. Laboratory results reveal a hemoglobin level of 6.5 g/dL (normal 12-16 g/dL). Which nursing action should be prioritized to address the patient's current condition?Answer →
  9. All 253 Hematological Disorders questions

Topic: Integumentary Disorders

101 questions
  1. Based on the patient's current vital signs and lab values, which nursing action should be prioritized first?Answer →
  2. According to the Parkland formula, fluid replacement should be completed within 24 hours from the time of the burn. Your nursing order reads to administer "4mL x TBSA x kg". Following the Parkland formula and Rule of Nines, calculate the first 8 hour IV rate to be administered to a 176 lb female with burns to the anterior trunk, anterior right leg and posterior right leg.Answer →
  3. A nurse cares for a client at high risk for pressure injuries. Which intervention is most effective for prevention?Answer →
  4. A camp nurse cares for a child with contact dermatitis caused by poison ivy. Which is the nurse's first action?Answer →
  5. A 45-year-old male presents to the emergency department with burns after a house fire. He has partial-thickness burns covering 27% of his total body surface area, a circumferential burn of his right arm, and a history of uncontrolled diabetes. Which of the following factors indicate that this patient should be referred to a burn center? (Select all that apply)Answer →
  6. In addition to calling 911, what is the appropriate nursing response when a client calls the telehealth nurse to report being bitten on the arm by an unknown type of snake?Answer →
  7. A nurse is providing education to a patient with contact dermatitis from a nickel watch band. Which instruction is the priority?Answer →
  8. A 47-year-old female patient was brought to the emergency room with a diagnosis of a radiation burns, from radiation for thyroid cancer. As the nurse caring for the client, the most important and immediate response is to completely assess which body systems first?Answer →
  9. All 101 Integumentary Disorders questions

Topic: Immune and Infectious Disorders

298 questions
  1. A nurse is reviewing the tacrolimus levels of a patient post renal transplant. The level is above the therapeutic range. What is the nurse's priority action?Answer →
  2. Which client exposure is most likely to require the nurse to have post-exposure prophylaxis if the client is HIV positive?Answer →
  3. A nurse is planning discharge to home for a client who has a high risk of developing sepsis. Which of the following instructions should the nurse include in the teaching?Answer →
  4. A 54-year-old male is 3 days postoperative following a colon resection. The nurse has delegated to the assistive personnel (AP) to obtain morning vital signs. At 8:00 AM, the AP reports that the client's oral temperature is 101.8°F. Upon assessment, the nurse notes that the client is flushed and slightly diaphoretic. He appears lethargic, but responds to simple questions. His vital signs are now BP 92/42, HR 132, RR 28 and deep, and his temperature has risen to 102.6°F. Lungs are clear throughout. The surgical wound has a dressing that is moist with a moderate amount of purulent drainage. Five minutes later, the nurse contacts the surgeon to report the abnormal findings, who prescribes: A. Tylenol 650 mg PO prn q6h for a temperature above 101°F B. Blood cultures x 2, taken 5 minutes apart C. C&S of abdominal wound drainage D. Vancomycin 750 mg IVPB over 1 hour every 24 hours In what order will the nurse implement these interventions?Answer →
  5. A patient is prescribed corticosteroid therapy. What would be priority information for the nurse to give the patient who will be on long-term corticosteroid therapy?Answer →
  6. Which patient problems are most commonly encountered by the health care team in the emergency department? Select all that apply.Answer →
  7. A patient receiving IV vancomycin (Vancocin) complains of facial pruritus. Which action should the nurse implement to prevent pruritus associated with vancomycin?Answer →
  8. The nurse prepares to administer IV amphotericin B (Fungizone). What action should the nurse implement before administering this medication to prevent adverse effects of therapy?Answer →
  9. All 298 Immune and Infectious Disorders questions

Topic: Oncological Disorders

166 questions
  1. A client scheduled for an open radical prostatectomy for prostate cancer tells the nurse, "I'm worried that I won't be able to have sex with my partner after this surgery." Which response by the nurse is most appropriate?Answer →
  2. How should the nurse respond?Answer →
  3. A patient who has unrelenting bone pain as a result of metastatic cancer contracts an infection requiring treatment with nafcillin. Which nursing intervention can help decrease the needed dosage of nafcillin?Answer →
  4. The nurse is caring for a client who has been recently diagnosed with late-stage pancreatic cancer. The client appears not to accept the diagnosis and has not agreed to adhere to the treatment plan. What is the most likely psychosocial reason for this client's behavior? The client:Answer →
  5. A client is being treated for tumor lysis syndrome. Which nursing intervention should the nurse prioritize to minimize complications associated with this condition?Answer →
  6. Which types of medications are not commonly involved in severe medication errors?Answer →
  7. A nurse is reinforcing teaching about the frequency of breast self-examination (BSE) with a young adult client. Which of the following statements by the client indicates an understanding of the teaching?Answer →
  8. A nurse is about to perform postmortem care of a client. The family wishes to view the body. Which of the following actions should the nurse take? (Select all that apply)Answer →
  9. All 166 Oncological Disorders questions

Topic: Perioperative Care

374 questions
  1. A nurse is caring for a client who is 1 day postoperative following coronary artery bypass graft (CABG) surgery. The nurse notes the following assessment data: temperature 38.1° C (100.6° F), chest tube drainage of 150 mL in 1 hour, blood glucose of 252 mg/dL, and a pain rating of 5 on a 0 to 10 scale. Which finding should the nurse report to the provider immediately?Answer →
  2. A nurse is preparing to administer 1.3 mg of morphine sulfate to a client experiencing pain. The medication solution on the unit is 5 mg in 10 mL. How many mL should the nurse administer? ___ mL (If needed, round the answer to the nearest tenth.)Answer →
  3. What type of nonpharmacologic pain relief measure uses electrical stimulation to inhibit transmission of painful impulses?Answer →
  4. A nurse is caring for a client in the recovery room who has just undergone thoracic surgery. Which of the following actions by the client indicates that additional education is required on how to properly perform deep breathing exercises?Answer →
  5. A nurse is assisting with the care for a client who is scheduled for surgery. The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for delayed wound healing? Select all that apply.Answer →
  6. A nurse is providing teaching to a client who has been diagnosed with a complete molar pregnancy. Which of the following statements by the client indicates understanding?Answer →
  7. The nurse pauses preparations and notifies the surgeon, who returns to the bedside and re-explains the procedure, long-term management, and expected outcomes. Ms. Davis verbalizes understanding, agrees to lifelong follow-up, and states she is comfortable continuing with surgery. Ms. Davis is transported to the OR. The surgical time-out is performed, anesthesia is started, and the team prepares to begin the procedure. What is the nurse's action after the patient is taken to PACU?Answer →
  8. A nurse is collecting data on a client who has a surgical wound healing by secondary intention. Which of the following findings should the nurse report to the charge nurse?Answer →
  9. All 374 Perioperative Care questions

Mental Health

1420 questions

Topic: Foundations of Mental Health Nursing

351 questions
  1. A nurse is preparing to administer 1,000 mL of lactated Ringer's IV over 6 hr. The drop factor of the manual IV tubing is 10 gtt/ml. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  2. A nurse is caring for a client who has a new prescription for an antidepressant medication. The client states, "I don't want to take medication." Which of the following responses by the nurse demonstrates client advocacy?Answer →
  3. A client with a history of physically abusing his spouse and children is admitted for alcohol/drug dependency. Which nurse will likely have difficulty establishing a therapeutic relationship?Answer →
  4. A nurse is caring for a client who has no past medical history. The client states, "Getting old is so painful. I wish I could be young and healthy again." Which of the following responses should the nurse make?Answer →
  5. A client tells the nurse of being seriously concerned about dying since the healthcare provider (HCP) diagnosed the client with heart failure (HF). How should the nurse respond?Answer →
  6. The nurse is caring for a client who has been admitted involuntarily for psychiatric treatment. Which of the following information about involuntary commitment should the nurse explain to the client's family?Answer →
  7. A nurse explains to a family how the nurse-client relationship differs from social relationships. What is the best explanation?Answer →
  8. A nurse in an acute care facility is caring for an older adult client who is being discharged to an extended-care nursing facility the next day. The client asks, "Why do I have to go to that place?" Which of the following responses should the nurse make?Answer →
  9. All 351 Foundations of Mental Health Nursing questions

Topic: Mental Health Disorders

598 questions
  1. A nurse is caring for a client who has a binge-eating disorder. Which of the following statements should the nurse expect from this client?Answer →
  2. A nurse is discussing schizophrenia spectrum disorders with a client. The client states, "My friend says that before I started hearing voices, I stopped hanging out with them. Why is that?" Which of the following responses should the nurse make?Answer →
  3. A nurse is assessing a client who has bipolar disorder. Which of the following findings should the nurse expect?Answer →
  4. A nurse is caring for a client who has anorexia nervosa and insists on exercising three times each day. Which of the following actions should the nurse take?Answer →
  5. The nursing diagnosis for a client with mania is Imbalanced nutrition: less than body requirements related to insufficient caloric intake to balance with hyperactivity as evidenced by 5 lb weight loss in 4 days. Select the most appropriate short-term outcome for mentioned nursing diagnosis.Answer →
  6. A nurse is educating a client about panic disorder. Which statement indicates understanding?Answer →
  7. In an art therapy session, a client with anorexia nervosa is asked to draw a picture of herself. Which drawing would likely depict her view of herself?Answer →
  8. Client A: reports losing a small amount of urine whenever she sneezes or lifts her heavy grocery bags. Client B: reports a sudden, intense need to void that is so strong she cannot reach the bathroom in time, resulting in large volume leakage. Based on these clinical manifestations, which documentation by the nurse is most accurate?Answer →
  9. All 598 Mental Health Disorders questions

Topic: Crisis and Safety

191 questions
  1. A nurse is caring for a client who is in physical restraints after demonstrating aggressive behavior. Which of the following criteria must be met before the nurse can remove the restraints?Answer →
  2. Which of the following statements provide the best rationale for why the school nurse should have closely monitored this severely depressed client during his therapy? a. Because as depression lifts, physical energy becomes available to carry out suicide. b. Because suicidal clients have difficulty using social supports. c. Because suicide may be precipitated by a variety of internal and external events. d. Because suicide is an impulsive act and a call for attention.Answer →
  3. A nurse is conducting a suicide risk assessment for a client who exhibits warning signs such as withdrawing from friends and talking frequently about death. Which approach best demonstrates the nurse's understanding of effective communication about suicide?Answer →
  4. A nurse is providing care to a child during a routine wellness check-up. Which of the following client statements should indicate to the nurse that the client is at a higher risk for experiencing abuse and violence?Answer →
  5. A nurse is caring for an older adult client who reports their caregiver has been writing checks in their name without their consent. Which of the following types of abuse is the client experiencing?Answer →
  6. A co-worker nurse tells you that based on her assessment of a 7-year-old client, she suspects that the client has been physically and sexually abused, she is not sure if she has to report it. Which of the following is the most accurate information to share with her regarding reporting child abuse in Kentucky?Answer →
  7. A nurse is conducting a home health visit for an older adult client who lives with family members. The nurse notices that the client has multiple unusual bruises, and, based on several other factors, the nurse suspects that the client has been physically abused. Which of the following actions should the nurse take first?Answer →
  8. A client with OCD tells the nurse, "I don't know if I can continue to live this way." Which assessment question shows the nurse understands the client's priority risk?Answer →
  9. All 191 Crisis and Safety questions

Topic: Treatment Modalities

280 questions
  1. Which of the following drugs is classified as an analeptic?Answer →
  2. A psychiatric nurse is caring for a client newly prescribed an SSRI for depression. Which combination of roles best represents the nurse's responsibilities to ensure effective treatment and client progress?Answer →
  3. A patient is prescribed haloperidol 2 mg orally twice daily for schizophrenia. If haloperidol is available in 1 mg tablets, how many tablets will the patient need for one week?Answer →
  4. A nurse is caring for a client who is being prescribed electroconvulsive therapy by the provider. The client states they do not want this treatment. Which of the following statements should the nurse make to the client?Answer →
  5. The physician orders heparin IV drip at 1050 units/h. The medication is supplied in 25,000 units/500 mL of NS. Calculate the flow rate in milliliters per hour. Round your answer to the nearest whole number.Answer →
  6. A nurse is preparing to administer olanzapine 20 mg PO daily. Available is olanzapine 10 mg orally-disintegrating tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  7. A nurse is teaching a newly licensed nurse about electroconvulsive therapy (ECT). Which of the following statements by the newly licensed nurse indicates understanding?Answer →
  8. The prescriber writes this order, "Give amantadine (Symmetrel) 100 mg per PEG tube twice a day. The medication is available in a liquid form with a concentration 50 mg/5 mL. Identify how many milliliters the nurse will give with each dose.Answer →
  9. All 280 Treatment Modalities questions

Leadership

218 questions

Topic: Communication and Informatics

17 questions
  1. A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict?Answer →
  2. During a busy shift, two nurses are arguing about patient assignments in the nurses' station. The charge nurse wants to intervene and promote effective conflict resolution. Which of the following strategies is most appropriate?Answer →
  3. A nurse is orienting a newly licensed nurse about receiving telephone prescriptions. Which of the following statements by the newly licensed nurse should indicate a need for further teaching?Answer →
  4. Which actions demonstrate compliance with HIPAA? (Select All that Apply.)Answer →
  5. Mrs. Smith with a new colostomy refuses to look at or care for it. What is the priority nursing diagnosis?Answer →
  6. A newly licensed nurse tells the nurse manager, "I can't decide whether to accept a job in the emergency department or stay on the medical-surgical unit where I completed my preceptorship. I feel stressed thinking about both options." Which type of conflict is the nurse experiencing?Answer →
  7. A new graduate nurse is struggling with communication when providing shift reports. Which strategy should the preceptor recommend to improve message accuracy?Answer →
  8. A nurse is working with a diverse patient population. Which of the following is a common barrier to effective communication?Answer →
  9. All 17 Communication and Informatics questions

Maternal-Newborn

1734 questions

Topic: Intrapartum

370 questions
  1. A nurse is performing a vaginal exam on a client who is in labor. The nurse palpates the presenting part and determines the fetus is in a face presentation. Which of the following should the nurse expect to occur during labor?Answer →
  2. A labor and delivery nurse is teaching a nursing student about the anticipated care of a maternal client with ruptured membranes during active labor. Which of the following statements by the student indicates an understanding of the teaching?Answer →
  3. A nurse wishes to assess fetal heart tones and has determined the fetal position is left occiput anterior (LOA). To which of the following areas of the patient's abdomen should the nurse apply the ultrasound transducer to assess the point of maximum intensity (PMI) of the fetal heart?Answer →
  4. The nurse is assessing a client who states, "I think I'm in labor." Which of the following findings would positively confirm the client's belief?Answer →
  5. Which of the following symptoms is most indicative of lightening in a nulliparous client?Answer →
  6. A nurse places a tocodynamometer (TOCO) transducer on the client's fundus and secures it in place. The client asks the nurse to explain the purpose of the monitoring device. Which of the following responses should the nurse make?Answer →
  7. A client is experiencing prolonged labor, with ruptured membranes. What is the nurse's priority concern?Answer →
  8. A nurse is caring for a primigravid client who is at 36 weeks of gestation and asks, "How will I know if I am in labor?" Which of the following manifestations of true labor should the nurse discuss with the client? (Select All that Apply.)Answer →
  9. All 370 Intrapartum questions

Topic: Postpartum

293 questions
  1. A nurse is providing teaching to a postpartum client about lactation suppression. Which statement indicates understanding?Answer →
  2. A nurse is preparing educational material for new mothers on the role of infant suckling in lactation. Which statement is most accurate to include?Answer →
  3. The nurse is discussing involution with a postpartum client. Which statement best indicates that the client understands the effect of breastfeeding on the resumption of a menstrual cycle?Answer →
  4. A postpartum patient who delivered vaginally 8 hours ago reports worsening pain and pressure in the perineal area, describing severe discomfort in their 'bottom.' Vital signs are stable, and lochia is within expected limits. During assessment, the nurse observes a 7 cm × 5 cm tense, reddish-purple mass protruding from the right side of the vulva, with taut overlying tissue. Which complication should the nurse suspect?Answer →
  5. The nurse is caring for a primigravida client who delivered vaginally 48-hours ago. The client's laboratory results are: hemoglobin 12.5 g/dL (125 g/L), hematocrit 34% (0.34 volume fraction), hepatitis B surface antigen negative, rubella non-immune, group B Streptococcus positive. Which prescription should the nurse prepare to administer? Reference range: Hemoglobin [Pregnant female: greater than 11 g/dL (greater than 110 g/L)] Hematocrit [Pregnant female: greater than 33% (greater than 0.33 volume fraction)] Hepatitis B surface antigen (Negative) Rubella [Immune] Group B Streptococcus [Negative]Answer →
  6. While caring for a client with postpartum hemorrhage, which of the following findings indicates clinical deterioration and requires immediate priority intervention?Answer →
  7. A nurse notes that a postpartum client has a firm fundus at the midline with continuous bright red bleeding. What is the most likely cause?Answer →
  8. A nurse is teaching a client about formula feeding their newborn. Which of the following instructions should the nurse include?Answer →
  9. All 293 Postpartum questions

Topic: Newborn

345 questions
  1. How can nurses prevent evaporative heat loss in the newborn?Answer →
  2. A newborn was born in a cool delivery room and has amniotic fluid remaining on the skin. The nurse notices the newborn's temperature is 36.2°C (97.2°F) and the newborn appears pale and lethargic. Which intervention should the nurse implement immediately to prevent further heat loss due to evaporation?Answer →
  3. A nurse is planning care for a 38 weeks newborn from a diabetic client who is large for gestational age (LGA) 10 lbs. Which of the following is the priority Intervention the nurse should include in the newborn's plan of care?Answer →
  4. A nurse observes a newborn who has a pink trunk, bluish discoloration in plantar and palmar areas, FHR 135 bpm, strong crying, and some flexion in all extremities. The newborn cries vigorously in response to suctioning. The nurse should document which 1 minute APGAR score for this newborn?Answer →
  5. A full-term infant is admitted to the newborn nursery 2 hours after delivery. The delivery record indicates the mother is positive for HIV and received zidovudine IV during labor. Which action should the nurse implement?Answer →
  6. What physiological change triggers closure of the ductus venosus?Answer →
  7. All of the following activities are important in the immediate care of the premature neonate in the delivery room. Which one should have the greatest priority?Answer →
  8. The nurse frequently assesses the respiratory status of a preterm newborn based on the understanding that the newborn is at increased risk for respiratory distress syndrome because of:Answer →
  9. All 345 Newborn questions

Topic: Maternal-Newborn

22 questions
  1. A nurse is assessing an elderly patient in the clinic. In the course of the assessment, the nurse learns that this patient smokes one pack of cigarettes per day. What is the first step the nurse should take to help the patient stop smoking?Answer →
  2. Your elderly patient has a headache but has difficulty swallowing pills. The physician orders acetaminophen 1000 mg PO every 4 to 6 hours PRN pain. You have acetaminophen elixir 160 mg in 5 mL. How much will you administer? Record your answer using 1 decimal place.Answer →
  3. Which symptoms are consistent with hypermagnesemia?Answer →
  4. The nurse is caring for an elderly patient who has traditional Native American beliefs about health and illness. Which action by the nurse is most appropriate for health promotion?Answer →
  5. A client has been receiving 3% saline at 50 mL/hr to correct a serum sodium of 115 mEq/L. The client is now reporting feeling tired and short of breath. Which is the priority nursing action?Answer →
  6. A provider orders 1,000 mL of Lactated Ringer's (LR) to infuse over 8 hours. The IV tubing has a drop factor of 20 gtt/mL. What should the drip rate (in gtt/min) be to ensure the IV runs for the full 8 hours?Answer →
  7. A nursing student is performing a urinary catheterization for the first time on a female client and inadvertently contaminates the catheter by touching the bed linens. What should the nurse do next to maintain surgical asepsis for this procedure?Answer →
  8. A client rings their call bell and states they are having a sudden onset of chest pain and shortness of breath. The nurse assesses that the client is grossly cyanotic and restless. What oxygen device should the nurse apply?Answer →
  9. All 22 Maternal-Newborn questions

Pediatrics

866 questions

Topic: Safe, Effective Care Environment

87 questions
  1. A nurse is assessing a child and notes several bruises. Which of the following actions should the nurse take?Answer →
  2. A nurse has just received hand-off communication at the start of their shift. After reviewing each client's status, which of the following clients should the nurse see first?Answer →
  3. The MD orders 200mg of Colace. On hand, the RN has 1mg/10mL of docusate (Colace). How many would the RN administer per dose?Answer →
  4. The nurse is reviewing the chart of a child. Which findings would lead the nurse to suspect Munchhausen syndrome by proxy Select all that apply:Answer →
  5. A mother brings in her 4-month-old for immunizations, stating, "I'm not sure if she needs them this early. Aren't vaccines for older kids?" How should the nurse respond to educate the mother?Answer →
  6. A nurse is providing education to a group of parents of toddlers about household items that can be swallowed and block the airway of their child. The nurse should include which of the following items as posing a risk for aspiration?Answer →
  7. A nurse is performing a pre-college physical assessment on an adolescent. Which of the following immunizations should the nurse anticipate administering?Answer →
  8. The pediatric unit is extremely busy when the admission office notifies the charge nurse that a child who has acute lymphocytic leukemia (ALL) needs to be admitted to the unit. The parents brought prescriptions from the healthcare provider (HCP) for their child to have a chest x-ray and blood work drawn on admission. Which action should the charge nurse take?Answer →
  9. All 87 Safe, Effective Care Environment questions

Topic: Health Promotion

91 questions
  1. An infant weighs 9 pounds 6 ounces at birth. How many kilograms would this be? Round to the nearest hundredth kilogram.Answer →
  2. A nurse is assessing a 3-year-old's development. The parents express concern that their child is smaller than peers. The nurse wants to evaluate the child's growth comprehensively. Which initial step would best assist the nurse in assessing this child's growth and development?Answer →
  3. A nurse is providing discharge teaching to the parents of a newborn diagnosed with Down syndrome. The nurse explains that children with this condition require ongoing monitoring for several associated health complications. Which statement by the parent indicates the need for further teaching?Answer →
  4. A nurse in a family care clinic is obtaining the height, weight, and head circumference of a 1-year-old child. As the nurse documents the findings on a growth chart, the nurse notes that the child is below the 5th percentile for both their height and weight. Which of the following actions should the nurse perform?Answer →
  5. They are preparing a teaching tool about primary sex characteristics for a community education program. Which information about boys would you include?Answer →
  6. A nurse is reinforcing teaching about nutritional considerations with the parents of a toddler. Which of the following statements by the parents indicates an understanding of the teaching?Answer →
  7. A nurse is planning care for a group of adolescents. Which of the following objectives should the nurse include to help the adolescents achieve psychosocial development? (Select All that Apply.)Answer →
  8. A nurse is providing teaching to the parents of a toddler who is exhibiting negativism during mealtimes. Which of the following statements by the nurse is appropriate?Answer →
  9. All 91 Health Promotion questions

Topic: Psychosocial Integrity

104 questions
  1. A 5-year-old child with severe cognitive impairment is hospitalized for pneumonia. The child frequently rocks back and forth and hums softly while sitting in bed. The nurse observes that these behaviors decrease the child's agitation, do not interfere with medical treatment, and pose no risk of injury. The child becomes visibly distressed when staff attempt to stop the behaviors.Answer →
  2. A nurse is caring for a 17-year-old client who is experiencing a relapse of leukemia and is refusing treatment. The client's mother insists that the client receive treatment. Which of the following actions should the nurse take?Answer →
  3. A nurse is discussing the plan of care with the parents of a 7-year-old child recently diagnosed with stage 3 osteosarcoma and is receiving care from a pediatric oncologist team. Which of the following information regarding therapeutic relationships between the healthcare team and the client's parents should the nurse discuss with the parents? (Select all that Apply.)Answer →
  4. An 11-year-old hospitalized child is acting out. What nursing intervention is most appropriate?Answer →
  5. Providing age-appropriate explanations to a child going for a procedure helps to reduce anxiety and assures them that the procedure is not punishment. Which approach should the nurse take when describing an electrode to a 4-year-old?Answer →
  6. A nurse is discussing the plan of care with the parents of a 7-year-old child recently diagnosed with stage 3 osteosarcoma and is receiving care from a pediatric oncologist team. Which of the following information regarding therapeutic relationships between the healthcare team and the client's parents should the nurse discuss with the parents? (Select all that Apply.)Answer →
  7. ring for an adolescent following a suicide attempt. After reviewing the client's history, the nurse should determine that which of the following is the priority risk factor for suicide completion?Answer →
  8. During the admission procedure of a school age child, the child states, "I'm going to have an operation." Which response is best for the nurse to provide to this child?Answer →
  9. All 104 Psychosocial Integrity questions

Topic: Physiological Integrity

584 questions
  1. A nurse is preparing to perform an abdominal assessment on a child. Identify the sequence the nurse should follow. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)Answer →
  2. The nurse is providing teaching to a parent of a newborn with hypospadias. What should the nurse include in the teaching plan?Answer →
  3. The nurse is evaluating a child with nephrotic syndrome's response to treatment. Which finding indicates an expected outcome?Answer →
  4. A nurse in a pediatric clinic assesses an 8-year-old client with a history of recurrent epistaxis. The child develops a nosebleed while in the exam room. Which initial nursing action is the priority?Answer →
  5. The nurse is taking care of a child with streptococcal pharyngitis and is aware that untreated strep can lead to serious sequelae which includes?Answer →
  6. A nurse is teaching the guardians of a school-age child who has cystic fibrosis about dietary needs. Which of the following statements should the nurse make?Answer →
  7. A nurse is providing discharge teaching to the parent of a 13-year-old child who had surgical repair of unilateral cryptorchidism in early childhood. Which statement by the nurse is most appropriate?Answer →
  8. The nurse is counseling a young adult male patient who is gay about human immunodeficiency virus (HIV) prevention. Which statement by the patient indicates an understanding?Answer →
  9. All 584 Physiological Integrity questions

Community Health

451 questions

Topic: Community Health Settings

59 questions
  1. A nurse is participating in a quality improvement committee for home health clients. Which of the following topics should the nurse recommend for the committee to review?Answer →
  2. A home health nurse is visiting a client who has right-sided weakness following a recent stroke. The client states, "I'm not sure how I will buy my groceries since I can't go back to work." Which of the following actions should the nurse take?Answer →
  3. A home health nurse is providing teaching to a client who has diabetes mellitus about proper disposal of insulin syringes. Which of the following statements by the client indicates an understanding of the teaching?Answer →
  4. A nurse is providing teaching to a client about directives regarding end-of-life care. Which of the following information should the nurse include in the teaching?Answer →
  5. Which of the following actions are anticipated or contraindicated by nurses to address health policy challenges specific to rural health systems?Answer →
  6. A school nurse is planning safety education for a group of adolescents. The nurse should give priority to which of the following topics as the leading cause of death for this age group?Answer →
  7. A nurse is participating in a quality improvement committee for home health clients. Which of the following topics should the nurse recommend for the committee to review?Answer →
  8. A school nurse is assessing a child who has bruising on the child's arm. The nurse should submit a referral for suspected child maltreatment based on which of the following additional findings? (Select all that apply.)Answer →
  9. All 59 Community Health Settings questions

Critical Care

42 questions

Topic: Mechanical Ventilation

8 questions
  1. A nurse is caring for a client diagnosed with flail chest after a motor vehicle collision. The client has severe chest pain, paradoxical chest wall movement, and oxygen saturation decreasing from 95% to 90% on 2 L nasal cannula. What is the nurse's priority action to address the client's respiratory status?Answer →
  2. A nurse is caring for a patient with a newly inserted chest tube connected to a closed drainage system after a pneumothorax. The nurse notes continuous bubbling in the suction control chamber but no tidaling in the water seal chamber during inspiration and expiration. What is the priority nursing action?Answer →
  3. A patient presents to the emergency department after a motor vehicle collision with suspected flail chest and associated pulmonary contusion. Which of the following nursing assessments and interventions are appropriate to prioritize in the care of this patient? (Select all that apply)Answer →
  4. A nurse is caring for a client who sustained a penetrating chest trauma and is showing signs of respiratory distress, including tachypnea, hypotension, and distended neck veins. Which nursing action should the nurse prioritize to effectively manage a suspected tension pneumothorax?Answer →
  5. Your assigned patient has been transferred to ICU after an acute respiratory arrest. The healthcare provider has intubated the patient. Which of the following are used to confirm the endotracheal tube (ET tube) proper placement? (Select all that apply)Answer →
  6. A nurse is caring for a client who has a chest tube connected to a dry suction system. Which of the following actions should the nurse take to ensure proper functioning of the suction chamber?Answer →
  7. A nurse is caring for a client who has a tracheostomy. Which of the following interventions should the nurse implement when performing tracheostomy care?Answer →
  8. Client in ICU is intubated on a mechanical ventilator. To avoid complications this client's ET tube cuff pressure should be maintained between which of the following ranges?Answer →

Topic: Organ System Failure

29 questions
  1. A nurse is caring for a patient who has developed anaphylactic shock after exposure to a known allergen. The patient's blood pressure is dropping rapidly, respiratory distress is worsening, and swelling around the airway is increasing. Which pathophysiological mechanism best explains the critical priority for administering epinephrine in this scenario?Answer →
  2. A nurse is teaching a client who has septic shock about the development of disseminated intravascular coagulation (DIC). Which of the following statements should the nurse make?Answer →
  3. A patient with Acute Respiratory Distress Syndrome (ARDS) is receiving mechanical ventilation. The patient's oxygen saturation has decreased to 85%. Which intervention should the nurse prioritize to improve oxygenation?Answer →
  4. A nurse is evaluating laboratory results for a patient diagnosed with disseminated intravascular coagulation (DIC). Which of the following laboratory values would the nurse expect to be elevated, indicating ongoing fibrinolysis and coagulation abnormalities? (Select all that apply)Answer →
  5. A client with prolonged vomiting reports weakness, dizziness, and muscle cramps. ABG: PH 7.45, PaCO2 43 mmHg, HCO3 35. Which acid-base disorder is present?Answer →
  6. An intensive care nurse is aware of the need to identify clients who may be at risk of developing disseminated intravascular coagulation (DIC). Which ICU client most likely faces the highest risk of DIC?Answer →
  7. A nurse is caring for a patient with multiple organ dysfunction syndrome (MODS) and is preparing to communicate with the patient's family about the patient's critical condition and potential organ donation. Which nursing action best demonstrates effective therapeutic communication to support the family during this process?Answer →
  8. A nurse is reviewing the laboratory values of a client who has respiratory acidosis. Which of the following findings should the nurse expect?Answer →
  9. All 29 Organ System Failure questions

Gerontology

30 questions

Topic: Normal Aging

5 questions
  1. An 80-year-old client reports ongoing problems with urinary frequency. The client's history and physical examination are unremarkable. Because the nurse identifies this concern as a normal age-related change, which change is the likely cause?Answer →
  2. Case Study: Diverticulosis vs. Diverticulitis Mr. Thomas Reed, a 68-year-old male presents to the outpatient clinic with complaints of intermittent abdominal discomfort. He reports a history of chronic constipation and states, "I've always had to strain during bowel movements." He denies fever, nausea, or vomiting. For each finding, indicate whether it is associated with Diverticulosis, Diverticulitis, or Not Applicable/Neither Condition.Answer →
  3. A gerontological nurse is working to develop programs to address the major chronic illnesses in the local older adult population. A review of this population reveals that the most common chronic illnesses affecting this group correlated with those identified nationally. Which condition would the nurse identify as the priority?Answer →
  4. A nurse is conducting a class for a group of nurses who are employed at the local community health center that serves a large older adult population. As part of the class, the nurse discusses the impact of the older adult's financial status on their life. The nurse determines that the teaching was successful based on which statement from the group?Answer →
  5. A nurse at an assisted living facility is promoting the value of fiber to a patient. Which statement by the nurse would be appropriate to include in this teaching?Answer →

Topic: Geriatric Syndromes

15 questions
  1. The nurse in the emergency department assesses a 76-year-old female patient. The patient's bladder is visibly distended and she has not voided since the previous evening. Which assessment question would be most important to determine the source of the patient's condition?Answer →
  2. A nurse is developing a teaching plan for a 90-year-old patient about ways to prevent urinary tract infection. Which will the nurse include? Select all that ApplyAnswer →
  3. A nurse is conducting a class for a group of older adult women. For which client will the nurse recommend Kegel exercises?Answer →
  4. A nurse is conducting a presentation for a group of older adults at the local community center about chronic illnesses. When describing the effect of chronic illness on this population, which concept would be most important for the nurse to integrate into the discussion?Answer →
  5. A nurse is caring for a 77-year-old male patient who has not voided urine since the beginning of the shift. The patient states that this has happened before, but he is unable to void even though he feels like he needs to. An ultrasound bladder scan indicates that there is 780 mL of urine in the patient's bladder. The nurse would suspect which condition as the most likely cause of the urinary retention?Answer →
  6. How should the nurse assess functioning in a patient with moderate cognitive deficits?Answer →
  7. The nurse, visiting a client living in an adult child's home, finds the client in a hospital bed that has bilateral full-length side rails. Which action by the nurse would be most appropriate?Answer →
  8. A male, elderly patient who has an enlarged prostate is being treated for depression with a medication known for anticholinergic side-effects. The nurse should assess the patient for which type of incontinence?Answer →
  9. All 15 Geriatric Syndromes questions

Topic: End-of-Life Care

8 questions
  1. One of your patients is dying. You sit and have a quiet talk with the relatives in the room, and they request that after death, they will want the body washed by a religious person. You check the patient's chart and the computer, and conclude that this practice is consistent with which religion?Answer →
  2. A 70-year-old patient who has had a number of strokes refuses further life sustaining interventions, including artificial nutrition and hydration. She is competent, understands the consequences of her actions, is not depressed, and persists in refusing treatment. Her healthcare provider is adamant that she cannot be allowed to die this way, and her daughter agrees. An ethics consult has been initiated. Who would be the appropriate decision maker?Answer →
  3. The family of an elderly patient with end stage Alzheimer's disease asks about hospice services. What is the most appropriate explanation by the nurse?Answer →
  4. A home-healthcare nurse has been visiting an older patient with AIDS who says "I'm no longer afraid of dying. I think I've made my peace with everyone, and I'm actually ready to move on." This reflects the patient's progress to which Kubler-Ross stage of death and dying?Answer →
  5. A patient who is very close to death is very restless and repeats, "I am not ready to die." The most appropriate intervention by the nurse is to:Answer →
  6. The nurse is caring for a dying patient who becomes very agitated. What is the nurse's priority action?Answer →
  7. Which nursing action can best facilitate a "good death"?Answer →
  8. There are 5 Stages of the Dying Process according to theorist Elisabeth Kubler-Ross, in 1969. During which stage might you find the patient or the family attempting to negotiate with God or a higher power to have a possible extension of life?Answer →