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RN Nursing School · Fundamentals · 481 questions

Health Promotion practice questions

Every question below is free to read with its full rationale. For timed sets, the rest of the bank and progress tracking on Health Promotion, practise in the app.

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  1. 1A 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. 2A 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. 3What sound does the nurse anticipate auscultating if the patient was admitted to the hospital for carotid stenosis?Answer →
  4. 4A 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. 5The 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. 6The 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. 7A 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. 8The nurse is planning an educational program for a client with diabetes. What action should the nurse plan to take first?Answer →
  9. 9During a routine physical exam, an older adult client expresses worries about aging and cognitive decline. Which is the most appropriate nursing response?Answer →
  10. 10Which activity related to respiratory health is an example of tertiary health promotion and illness prevention?Answer →
  11. 11A nurse is reinforcing teaching with a client who is at risk for heart disease. Which of the following instructions should the nurse include?Answer →
  12. 12A nurse is preparing to teach a female client about osteoporosis prevention. Which of the following recommendations should the nurse make for this client?Answer →
  13. 13Which instruction regarding the difference between benign and malignant tumors is appropriate for the nurse to provide to the patient who is being prepared to undergo a biopsy of a breast lump?Answer →
  14. 14A nurse is checking the apical pulse of a client who is taking several cardiovascular medications. Which of the following actions should the nurse take?Answer →
  15. 15Prior to taking the health history the nurse should first do which of the following?Answer →
  16. 16The nurse is caring for a client newly diagnosed with cardiovascular disease. What action should the nurse take to assess the economic factors that may impact maintaining a healthy lifestyle?Answer →
  17. 17Which data should the nurse collect as part of the general survey?Answer →
  18. 18A client's oxygen saturation level is 88% via a pulse oximeter probe placed on the client's third finger of the left hand. Which factor(s) can cause the nurse to question the accuracy of this value? Select all that apply.Answer →
  19. 19To assess a male client's muscle strength, the nurse first asks the client to extend his arms. Before asking the client to flex his arms, which should the nurse do?Answer →
  20. 20The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for heart disease? (Select all that apply.)Answer →
  21. 21The nurse teaches a parent to expect the weight of a 6.5 lb newborn to be approximately. at one year of ageAnswer →
  22. 22Which statement best describes health?Answer →
  23. 23The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for osteoporosis? Select all that apply.Answer →
  24. 24A nurse is preparing to administer the human papillomavirus (HPV) vaccine to a 15-year-old client. What important information should the nurse provide to the client and their caregiver?Answer →
  25. 25A nurse is reviewing the client's medical record. Which of the following findings places the client at risk for heart disease?Answer →
  26. 26What should the nurse do before conducting a physical examination of a patient? (Select all that apply.)Answer →
  27. 27While assessing a client's blood pressure using an aneroid sphygmomanometer, the nurse inflates the cuff to an initial reading of 160 mm Hg calibration. Upon release of the air valve, the nurse immediately hears loud Korotkoff sounds. Which action should the nurse implement next?Answer →
  28. 28Which information is accurate about Kohlberg's theory of development?Answer →
  29. 29The nurse is assessing pulses on a patient. Where does the nurse palpate the posterior tibial pulse?Answer →
  30. 30During the breast exam, the nurse educates the patient to use the following techniques: Select all that applyAnswer →
  31. 31Sort the following nursing interventions related to prevention into primary, secondary, or tertiary levels.Answer →
  32. 32An adult patient describes a change in his ability to see at a distance. Which equipment is used to assess this patient's visual acuity?Answer →
  33. 33The nurse is helping develop a meal plan based on nutritional guidelines for an older adult client being discharged to home with the client's spouse. Which statement by the client and spouse best indicates an understanding of the nutritional guidelines when planning meals?Answer →
  34. 34A nurse is collecting a blood pressure (BP) reading from a client who is sitting in a chair. The nurse determines that the client's BP is 158/96 mm Hg. Which of the following actions should the nurse take?Answer →
  35. 35A nurse is assessing a client for risk factors associated with head injuries. Which question should the nurse ask the client?Answer →
  36. 36A nurse is assisting with teaching a newly licensed nurse about heart sounds. Which of the following sounds is heard when the aortic and pulmonic valves close?Answer →
  37. 37What is a common health risk for middle-aged adults?Answer →
  38. 38A nurse is reviewing blood pressure classifications with a client who has been newly diagnosed with hypertension. Which of the following should the nurse include as an example of stage 1 hypertension?Answer →
  39. 39A nurse is caring for a client who returned to the health clinic for a follow-up visit for obesity. The client admits that they have been unsuccessful implementing the plan of care because of "life." What barrier(s) may have prevented the client from being successful? Select all that apply.Answer →
  40. 40The nurse is assessing the client's head and neck. For each finding, click to specify whether it is normal or abnormal:Answer →
  41. 41A nurse is providing care for a client who is to undergo a total laryngectomy. Which of the following interventions is the nurse's priority?Answer →
  42. 42A nurse is teaching a client how to self-administer daily low-dose heparin injections. Which of the following factors is most likely to increase the client's motivation to learn?Answer →
  43. 43A nurse is teaching an older adult client how to take their medications. Which of the following teaching techniques should the nurse use? (Select all that apply.)Answer →
  44. 44When performing blood pressure measurements to assess for orthostatic hypotension, which action should the nurse implement first?Answer →
  45. 45A 55-year-old female presents to the outpatient clinic describing irregular menstrual periods and hot flashes. Which information should the nurse share with the patient?Answer →
  46. 46A client who is sexually active presents to the clinic for an annual physical exam. Which information is a priority for the nurse to provide?Answer →
  47. 47A nurse is planning teaching for a client who will be discharged with a central venous access device. Which of the following actions should the nurse plan to take first?Answer →
  48. 48A nurse is preparing to teach a newly diagnosed hypertensive patient how to monitor blood pressure at home. Before beginning the teaching session, the nurse asks the patient, "Have you ever monitored your blood pressure before?" and "How do you prefer to learn, by reading, watching videos, or hands-on practice?" The nurse is in which phase of the teaching process?Answer →
  49. 49The nurse completes a general survey of a client. For each finding, click to specify whether the finding should be documented as body structure or behavior:Answer →
  50. 50The nurse notes that a client has cyanosis of the toes and fingertips. Which vital sign should the nurse obtain first?Answer →
  51. 51An adult female client arrives at the clinic for an annual physical exam expressing an interest in becoming pregnant and requests information about preventing neural tube defects during pregnancy. Which food should the nurse encourage the client to include in her diet?Answer →
  52. 52Which finding(s) will the nurse anticipate during a lung assessment for a healthy adult client? (Select all that apply.)Answer →
  53. 53The nurse is assessing the mood of an older adult patient; a nurse documents which finding as abnormal?Answer →
  54. 54A nurse is teaching about lifestyle changes for hypertension. Which should be included?Answer →
  55. 55When assessing the client's capillary refill status, which would be considered during the procedure? Select all that apply.Answer →
  56. 56A nurse is reinforcing teaching with a newly licensed nurse about documenting vital signs. Which of the following documentation made by the newly licensed nurse indicates an understanding of the teaching?Answer →
  57. 57A nurse is teaching a client about a low-sodium diet. Which of the following food choices by the client indicates an understanding of the teaching?Answer →
  58. 58A community health nurse is providing a seminar on adverse childhood experiences to community leaders. What statement by the nurse correctly describes the impact of adverse childhood experience?Answer →
  59. 59Which of the following reflects a subjective client finding?Answer →
  60. 60The nurse is conducting an interview with a male patient, a 17-year-old accompanied by his mother. Which statement by the nurse is an age-appropriate adjustment when conducting a health history on an adolescent?Answer →
  61. 61The nurse is reviewing a nutrition plan with a client newly diagnosed with hypertension. Which statement by the client indicates an understanding of the Dietary Approaches to Stop Hypertension (DASH) diet?Answer →
  62. 62The nurse is planning education for a group of clients on how to increase complex carbohydrate intake. What two meals have the highest amount of complex carbohydrates and should be included in the education?Answer →
  63. 63A nurse is caring for a client who has a prescription for a geriatric assessment. Which of the following actions should the nurse take?Answer →
  64. 64The nurse calculates a client's body mass index (BMI). The client's height is 6 feet 6 inches (198 cm), and the BMI is 30 kg/m². How should the nurse document the client's BMI?Answer →
  65. 65Pulse oximetry is used to: (Select 2 answer choices).Answer →
  66. 66A nurse is interviewing a 59-year-old female who expresses that she receives fulfillment from teaching her grandchildren how to bake. The nurse would determine that the patient is experiencing which Erikson's stage of development?Answer →
  67. 67During a clinic visit, the nurse assesses a client with type 2 diabetes mellitus. Which observation indicates the client will need education regarding foot care?Answer →
  68. 68To assess a client's dorsalis pedis pulse, the nurse applies firm pressure over the top of the foot between the extension tendons of the great and first toes, but does not feel a pulsation. Which action should the nurse take next?Answer →
  69. 69A nurse works with the local government to change policies that will improve housing conditions. What type of social determinant of health factor is this considered?Answer →
  70. 70A nurse is completing a SPICES assessment for an older adult client. Which finding should the nurse document under "C"?Answer →
  71. 71A nurse is preparing to assess the oxygen saturation level of a client with a history of peripheral vascular disease using pulse oximetry. The nurse plans to apply the sensor to the client's right index finger. Assessment reveals slow capillary refill and a weak pulse proximal to the planned site. Which action by the nurse is appropriate?Answer →
  72. 72A nurse is obtaining an oxygen saturation on a client. Which of the following actions should the nurse take?Answer →
  73. 73A nurse is assessing a client for pitting edema and notes an indentation of 6 mm (0.25 in) at the point of pressure. Which of the following notations should the nurse use to document the severity of the client's edema?Answer →
  74. 74An older adult client who recently started an exercise class, approved by the client's healthcare provider, reports to the nurse concerns that the client's heart rate does not return to normal as quickly as the younger people in the class. The nurse's response to this client should be based on which information?Answer →
  75. 75The nurse is assessing the client's eyes. For each finding, click to specify whether the finding is normal or abnormal.Answer →
  76. 76A client who has migraine headaches wants to decrease the intake of foods high in tyramine to see if that will reduce the occurrence of headaches. Which food should the nurse recommend that the client eliminate?Answer →
  77. 77Which outcome is the nurse most likely to observe in a client with low health literacy?Answer →
  78. 78An 82-year-old client is brought to the clinic by a family member who reports "a slow change in memory over the last year." Which finding is most consistent with dementia?Answer →
  79. 79The nurse is preparing education for a group of clients about their disease processes. Which client(s) should the nurse anticipate experiencing potential barriers to effective learning? Select all that apply.Answer →
  80. 80The nurse is conducting a focused cardiovascular health history. What question should the nurse ask?Answer →
  81. 81A nurse is conducting an assessment of an adolescent client during a routine health visit. Which question(s) should the nurse ask the client to assess for risk-taking behaviors? Select all that apply.Answer →
  82. 82The nurse is explaining the risk factors for breast cancer. What does the nurse teach the patient? Select all that apply.Answer →
  83. 83What is the most critical element to document regarding client education?Answer →
  84. 84A nurse is developing a weight management plan for an adult client who is currently sedentary. Which intervention should the nurse include in the plan to support energy balance and improve health?Answer →
  85. 85A nurse is reinforcing teaching with the spouse of a client about how to take a blood pressure. Which of the following actions by the spouse indicates a need for further instruction?Answer →
  86. 86A nurse is asked about the goal of patient education. What is the nurse's best response? The goal of educating patients is to help themAnswer →
  87. 87A client who had emergency gallbladder surgery yesterday is getting ready for discharge. The client speaks very little English. When teaching wound care, which method should the nurse use to evaluate the client's understanding of self-care at home?Answer →
  88. 88Which tool should the nurse use to perform a targeted vision screening assessment for an older adult client?Answer →
  89. 89An emergency room nurse is auscultating the chest of a child who is having an asthmatic attack. Auscultation reveals the presence of wheezes. During what part of respirations do wheezes occur?Answer →
  90. 90A nurse is providing discharge teaching for a client who has a new prescription for warfarin. Which of the following instructions should be included?Answer →
  91. 91Which method should the nurse use to assess response to painful stimuli for a client with a marked reduction in the level of consciousness (LOC)?Answer →
  92. 92A nurse is performing percussion as part of a head-to-toe assessment. Which sound would the nurse expect to hear over normal lung tissue?Answer →
  93. 93A nurse is completing an otoscopic examination on a 3-year-old child brought in with a fever and "pulling at the left ear for 2 days." What should the nurse anticipate on examination of the left ear?Answer →
  94. 94A nurse admits a patient newly diagnosed with heart failure. The nurse begins discharge teaching on diet, exercise, and medications shortly after admission. The patient asks, "Why are you telling me this now? I just got here." What is the nurse's best response?Answer →
  95. 95While examining the ear of an infant with an otoscope, the nurse pulls down on the ear for which reason?Answer →
  96. 96To assess for muscle atrophy in the legs, which action should the nurse take?Answer →
  97. 97A nurse observes that a 16-year-old client is experimenting with different hairstyles and peer groups. According to Erikson, how should the nurse interpret this behavior?Answer →
  98. 98The nurse is caring for a new diabetic client who is being taught how to administer insulin. The nurse knows that the patient care objectives have been met when the patient is able to?Answer →
  99. 99A nurse is planning education for a group of clients on mindful eating. Which client statement indicates an understanding of the education?Answer →
  100. 100The nurse is conducting a functional assessment on an older adult client who is reporting decreased activity due to reduced energy and strength. Which action should the nurse perform during the functional assessment?Answer →
  101. 101An older adult client with unintentional weight loss and a decline in physical health reports skipping meals to save money for prescribed medications. Which action is best for the home health nurse to take?Answer →
  102. 102The nurse plans to encourage a group of young adult clients to engage in problem solving strategies. Which action is most useful for the nurse to include during the teaching session?Answer →
  103. 103An 80-year-old patient on the coronary step-down unit tells the nurse "I do not need to take that docusate. I never get constipation!" Which action by the nurse is the most appropriate?Answer →
  104. 104The critical care nurse is assessing a patient whose baseline Glasgow Coma Scale (GCS) score in the emergency department was 5. The current GCS score is 3. What is the nurse's best interpretation of this finding?Answer →
  105. 105A nurse at a long-term care facility is assessing a client who just received hearing aids. Which of the following actions should indicate to the nurse that the client understands how to use the hearing aids? (Select all that apply.)Answer →
  106. 106Identify the specific vitamin injection given to newborns that reduces the risk of dangerous bleeding.Answer →
  107. 107The nurse is preparing to perform a client's abdominal assessment. What examination sequence should the nurse follow?Answer →
  108. 108The nurse plans education for a client who has high cholesterol levels and consumes a high-fat diet. What action should the nurse include during the teaching?Answer →
  109. 109A nurse is assisting with a teaching plan for a client who has hearing loss. Which of the following actions should the nurse include in the plan?Answer →
  110. 110The nurse provides education to a group of clients about preventing and managing hypertension. What client statement(s) indicate a need for additional education? Select all that apply.Answer →
  111. 111A nurse provided discharge education for a client with low health literacy who was just diagnosed with type 2 diabetes. What is the client at increased risk?Answer →
  112. 112Which middle-aged adult has successfully transitioned to Erikson's Generativity vs. Stagnation stage of development?Answer →
  113. 113A 20-year-old male patient comes to the clinic with a concern about a mass in his testicle. In addition to his age and a white male, which fact is a known risk factor for testicular cancer?Answer →
  114. 114The nurse is assessing a patient who arrived on the medical telemetry unit. The nurse documents this finding in which category of blood pressures with a reading of 164/98 mmHg?Answer →
  115. 115A client comes to the clinic due to "a change in mole size and color with itching, burning, and bleeding for the past month." How should the nurse interpret these findings?Answer →
  116. 116A nurse is observing an assistive personnel (AP) obtain a blood pressure reading from a client. Which of the following actions indicate proper technique by the AP?Answer →
  117. 117A nurse is assessing a young adult client with a BMI of 27. How should the nurse interpret this value?Answer →
  118. 118A nurse is collecting data from a 10-month-old infant. Which of the following findings should the nurse report to the provider?Answer →
  119. 119The nurse provides caregiver education for an 18-month-old child to reduce the risk of injury. Which instruction is most important?Answer →
  120. 120A nurse is performing an eye assessment for a newly admitted client. Which of the following findings should the nurse expect?Answer →
  121. 121The nurse is preparing to assess the client for a pulse deficit. Which step should the nurse take to accurately achieve this assessment?Answer →
  122. 122A nurse is caring for a client who lives a sedentary lifestyle. What alteration in health is associated with this lifestyle?Answer →
  123. 123What assessment finding should the nurse anticipate for a client with right lower lobe pneumonia?Answer →
  124. 124The nurse is conducting a nutritional class on foods that have been linked to help decrease the development of some forms of cancer. Which meal selection is the best choice to help reduce the risk of some cancers?Answer →
  125. 125While obtaining routine vital signs for a client on a telemetry unit, the nurse connects a sensor to the ear or finger to obtain which finding?Answer →
  126. 126Which should the nurse do immediately? Select all that apply.Answer →
  127. 127Which of the following sinuses are palpable on examination?Answer →
  128. 128A nurse is educating parents of a toddler about promoting safe growth and development. Which topic is most appropriate?Answer →
  129. 129The nurse is conducting a physical assessment. Which are the primary examination techniques used for assessing the musculoskeletal system?Answer →
  130. 130A nurse is conducting the Weber's test on a client. Which of the following is an appropriate action for the nurse to take?Answer →
  131. 131A nurse is measuring an adult client's tympanic temperature. Which of the following actions should the nurse take?Answer →
  132. 132A nurse is teaching a client how to self-administer daily low-dose heparin injections. Which of the following factors is most likely to increase the client's motivation to learn?Answer →
  133. 133The nurse is educating a client diagnosed with hypertension about the importance of exercise. What level of prevention is the nurse implementing?Answer →
  134. 134A client comes to the clinic reporting chronic low back pain. He asks the nurse to recommend specific exercises for him. Which of the following activities should the nurse suggest?Answer →
  135. 135Select the following findings that require follow-up. (Select all that apply)Answer →
  136. 136A nurse is teaching an older adult client about reducing the risk for osteoporosis. Which of the following statements by the client indicates an understanding of the teaching?Answer →
  137. 137A nurse is performing a neurologic examination on a patient, which of the following assessments should the nurse perform to test the patient's balance? (Select 2 answer choices)Answer →
  138. 138Which of the following is the most important consideration when recommending an exercise program for an older adult client?Answer →
  139. 139A nurse is assessing a patient with suspected meningitis. Which finding indicates a positive Brudzinski's sign?Answer →
  140. 140Your patient's temperature is 36.6 degrees Celsius. What is their temperature in Fahrenheit? Round to the nearest tenth, 1st decimal place.Answer →
  141. 141A nurse is teaching a client how to self-administer daily low-dose heparin injections. Which of the following factors is most likely to increase the client's motivation to learn?Answer →
  142. 142Which behavior best indicates that an 11-month-old client is developing appropriate fine motor skills?Answer →
  143. 143A nurse is caring for an older adult client who is struggling with activities of daily living. Which of the following techniques should the nurse use to support the client's independence?Answer →
  144. 144The nurse is assessing an older female adult's nutritional status. Which finding indicates that the client has a nutritional deficiency? Reference Range: Hemoglobin [12 to 16 g/dL (120 to 160 g/L)] Hematocrit [37% to 47% (0.37 to 0.47 volume fraction)] Albumin [3.5 to 5 g/dL (35 to 50 g/L)] Serum transferrin [250 to 380 mg/dl (2.5 to 3.8 g/L)]Answer →
  145. 145A nurse is preparing to obtain a blood pressure measurement for an adult client during a routine assessment. Which of the following actions should the nurse plan to take to promote an accurate reading?Answer →
  146. 146A nurse is preparing a presentation for the pediatric nursing staff about Piaget's cognitive developmental theory, focusing on the preoperational stage. Which of the following behaviors should the nurse emphasize as characteristic of preschool-age children in this stage?Answer →
  147. 147Which finding, obtained during a skin assessment, should the school nurse report to the healthcare provider (HCP)?Answer →
  148. 148A nurse is counseling a patient about reducing cardiovascular risk through dietary changes. Which statement about dietary fats is accurate and should be included in the teaching?Answer →
  149. 149A nurse is assessing a client who has a diagnosis of hyperthyroidism. Which of the following findings should the nurse expect?Answer →
  150. 150Which of the following is considered primary prevention?Answer →
  151. 151A nurse is teaching a client identified as having low health literacy about asthma. What action should the nurse take to promote effective education?Answer →
  152. 152The nurse instructing a parent group states that, "the primary task of adolescence is developingAnswer →
  153. 153The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for heart disease? (Select all that apply.)Answer →
  154. 154The nurse is providing education to caregivers about health maintenance for their 9-year-old child. Which information should the nurse include?Answer →
  155. 155What is Kohlberg's theory based on?Answer →
  156. 156When assessing tactile fremitus, which technique should the nurse use?Answer →
  157. 157A nurse is assisting with teaching a class about long-term effects of childhood obesity. The nurse should include which of the following conditions as a potential complication of childhood obesity?Answer →
  158. 158While taking the health history of a 22-year-old female patient, the nurse considers the risk factors for STDs. Which data from the patient suggests a need for patient education?Answer →
  159. 159The emergency department (ED) nurse provides hand-off report to the floor nurse on a client being admitted for a broken right leg, laceration to the right arm, and head injury sustained in a motor vehicle accident. The ED nurse reports that the client is oriented, somewhat drowsy, right arm dressing with 2 cm (0.79 in) of serosanguinous drainage, and 5/10 right leg pain. What is a priority for the floor nurse upon the client's arrival?Answer →
  160. 160The nurse is providing discharge teaching for the client and their caregiver. Which of the following information should the nurse include? Select all that apply.Answer →
  161. 161A nurse is caring for an older adult client who is having difficulty preparing healthy meals at home. Which local resource should the nurse recommend to the client's family?Answer →
  162. 162A school nurse is planning a health education lesson for elementary-aged students. Which teaching approach is appropriate for the development level of school-aged children?Answer →
  163. 163The nurse plans discharge teaching for a client admitted with congestive heart failure. What is important for the nurse to include in the teaching to help the client maintain fluid balance and promote better health?Answer →
  164. 164With the patient lying supine, a nurse raises the patient's leg to flex the hip. The patient complains of pain when the leg is raised to 40 degrees. The nurse correlates this finding with which disorder?Answer →
  165. 165A patient asks the nurse about the purpose of a FIT-DNA test (Cologuard). Which response by the nurse is most accurate?Answer →
  166. 166Based on the client's current status, which should the nurse include in a focused assessment? Select all that apply.Answer →
  167. 167What finding(s) should the nurse expect to find in a client with bacterial pneumonia in the left lower lobe? (Select all that apply.)Answer →
  168. 168A student nurse is caring for a client with normal BMI, a pulse oximetry value of 95%, R 16, BP 122/72. Which assessment finding is most likely for this client?Answer →
  169. 169Which modifiable risk factors contribute to the development of coronary artery disease? Select All that Apply.Answer →
  170. 170When performing blood pressure measurements to assess for orthostatic hypotension, which action should the nurse implement first?Answer →
  171. 171A client tells the home health nurse about being very health conscious and primarily buying groceries at health food stores and farmers' markets. It is most important for the nurse to provide the client with information related to the safety of which of the foods that the client might purchase?Answer →
  172. 172A nurse is reviewing a client's medical record. Select the 3 findings that place the client at risk for hearing impairment.Answer →
  173. 173A nurse is obtaining a health history from a client. Which of the following factors places the client at risk for cardiovascular disease?Answer →
  174. 174A patient is experiencing pyrexia. Which piece of equipment will the nurse obtain to monitor this condition?Answer →
  175. 175The nurse is providing discharge education for a client who is at risk for cardiovascular disease. Which statement by the client indicates a need for additional education?Answer →
  176. 176A post-menopausal female client with osteopenia tells the nurse that she has increased her physical activity and hopes to participate in a charity walk event. How should the nurse respond?Answer →
  177. 177A nurse is assessing a client who has risk factors for developing heart disease. Which of the following factors does the nurse recognize as a modifiable risk factor?Answer →
  178. 178A nurse is observing skin integrity of an older adult. Which finding will the nurse document as a normal finding?Answer →
  179. 179The nurse is admitting an older adult client with possible malnutrition. Which parameters are most indicative of the client's nutritional status?Answer →
  180. 180The nurse is assessing the perianal area of a female client who reports she has chronic constipation and has bright red blood on the toilet paper after having a bowel movement. Which finding should the nurse report to the healthcare provider (HCP) that is most consistent with the client's report?Answer →
  181. 181A nurse is assisting with teaching a class about motor skills that develop in the first year of life. The nurse should include that which of the following motor skills develops first?Answer →
  182. 182The student nurse is assessing the abdomen for bruits. Identify the correct auscultation points for arteries that the student nurse is assessing. Select all that apply.Answer →
  183. 183The nurse is inspecting the legs of a 63-year-old patient. Identify the correct nursing assessment test for this patient.Answer →
  184. 184The charge nurse is observing a new nurse assess for tactile fremitus. What action by the new nurse requires intervention?Answer →
  185. 185A nurse is attempting to provide medications to a patient who has a history of a past cerebrovascular accident (CVA). Prior to administering the medications, the nurse needs to perform a swallowing evaluation. Which Cranial Nerve will be tested?Answer →
  186. 186The nurse completes percussion of the abdomen on an adult client. Which finding is considered normal?Answer →
  187. 187A nurse is educating a group of caregivers about Kohlberg's stages of moral development. Which statement describes the conventional level of Kohlberg's theory?Answer →
  188. 188A nurse is reinforcing teaching with a client about the Rinne test. Which of the following client statements indicates an understanding of the teaching?Answer →
  189. 189The nurse must teach a preschool-aged client to take an oral medication twice daily during hospitalization. Which strategy is most likely to promote adherence?Answer →
  190. 190A nurse is assessing an older adult client for problems with eating or feeding. Which assessment is most valuable?Answer →
  191. 191A 51-year-old female patient has found a small lump in her breast. Which data from her history are risk factors for breast cancer?Answer →
  192. 192When performing the confrontation test, the client is not able to see the object at the same time it is seen by the nurse performing the test. How should the nurse interpret this finding?Answer →
  193. 193A nurse is assisting with teaching a class about documenting blood pressure. The nurse should include to document which of the following information?Answer →
  194. 194A nurse is caring for a client with Graves' disease. Which finding is expected?Answer →
  195. 195A nurse is caring for a group of clients. For which client should the nurse provide education about the Supplemental Nutrition Assistance Program (SNAP)?Answer →
  196. 196Which statement by a client with Parkinson's disease requires correction?Answer →
  197. 197An older adult client with a history of heart failure (HF) comes to the clinic troubled by awakening during the night in a cold sweat, accompanied by difficulty breathing, and a racing heartbeat. Which assessment should the nurse complete first?Answer →
  198. 198A nurse is using the domains of learning to provide teaching to a client who has diabetes mellitus. Which of the following actions should the nurse take to utilize psychomotor learning?Answer →
  199. 199The nurse is evaluating the client's understanding of managing her condition. Which statements made by the client indicate an understanding of the teaching? Select all that apply.Answer →
  200. 200A nurse is caring for a client with a suspected myocardial infarction. Which of the following laboratory tests is the most specific for cardiac muscle damage?Answer →
  201. 201The nurse is teaching a patient about breast self-examination, why does the nurse emphasize palpation of the axillary areas?Answer →
  202. 202A nurse needs to take the blood pressure of a client who appears visibly angry and is clenching their fists. What is the best action by the nurse?Answer →
  203. 203A 4-month old in a Pavlik harness has skin redness in the groin area. What is the nurse's priority?Answer →
  204. 204When assessing an older adult client with a history of cardiovascular disease, dyspnea, and peripheral edema, which method is best for the nurse to use to assess the client's pulse rate?Answer →
  205. 205During a routine physical examination of a 70-year-old patient, a blowing sound is auscultated over the carotid artery. Which assessment finding will the nurse report to the health care provider?Answer →
  206. 206The nurse is inspecting the mouth of a 70-year-old male patient, the nurse observes a red lesion at the base of his tongue. What additional information does the nurse need to obtain from this patient?Answer →
  207. 207A nurse is obtaining an oxygen saturation on a client. Which of the following actions should the nurse take?Answer →
  208. 208The nurse is assessing a client with coronary artery disease. Which question should the nurse ask to assess for angina?Answer →
  209. 209A community health nurse works in an underserved urban community. Many clients miss appointments because they cannot afford transportation and have unstable housing. Which nursing action best addresses barriers related to social determinants of health?Answer →
  210. 210A nurse is caring for a client who has an oral temperature of 39.5°C (103.1°F). Which of the following actions should the nurse take?Answer →
  211. 211The school nurse is teaching a group of female students about the female reproductive system. A student asks how she will know she is starting puberty. Which information should the nurse discuss?Answer →
  212. 212The nurse is conducting a home visit for an older adult client who lives alone, whose spouse recently died. Which nursing action best promotes nutritional health?Answer →
  213. 213The nurse assessing the patient's pedal pulse and is unable to locate and palpate. What action should the nurse do at this time?Answer →
  214. 214Which preventive measures should a nurse teach parents to help reduce the risk of sudden infant death syndrome (SIDS)? (Select All that Apply.)Answer →
  215. 215A high-protein diet is prescribed for an adolescent client who is anemic. Which lunch is best for this client?Answer →
  216. 216A patient has an elevated temperature. The nurse assesses the patient and finds the skin flushed and very warm. The patient is oriented to person, place, time, and situation, and expresses severe fatigue. The most appropriate nursing action at this time would be to do which of the following?Answer →
  217. 217The nurse is helping develop a meal plan based on nutritional guidelines for an older adult client being discharged to home with the client's spouse. Which statement by the client and spouse best indicates an understanding of the nutritional guidelines when planning meals?Answer →
  218. 218Which patient should be advised to have an annual clinical breast examination?Answer →
  219. 219A nurse is counting a client's apical pulse rate. Identify where the nurse should place the stethoscope to auscultate the apical pulse. (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)Answer →
  220. 220The 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 →
  221. 221A nurse in an emergency department is assessing a client who reports right lower quadrant pain, nausea, and vomiting for the past 48 hr. Which of the following actions should the nurse take first?Answer →
  222. 222A nurse is reinforcing teaching with the spouse of a client about how to take a blood pressure. Which of the following actions by the spouse indicates a need for further instruction?Answer →
  223. 223A nurse is obtaining a health history from a client. Which of the following factors places the client at risk for cardiovascular disease?Answer →
  224. 224Review H and P, nurse's notes, flow sheet, and prescriptions. Drag from Word Choice to complete the sentence. The client is experiencing [Blank1] and [Blank2].Answer →
  225. 225An older adult woman comes to the clinic because of vaginal bleeding. The healthcare provider (HCP) finds a vaginal tear, which the client reports is likely to have occurred during unprotected sexual intercourse. Which content is most important for the nurse to include in this client's teaching plan?Answer →
  226. 226A nurse is assisting with teaching a client how to walk using a walker. After showing the client the procedure, the nurse asks the client to perform the skill. Which of the following strategies is the nurse utilizing?Answer →
  227. 227Which statements regarding risk factors are accurate? Select all that apply.Answer →
  228. 228A nurse is reinforcing teaching with a newly licensed nurse about orthostatic hypotension. Which of the following information should the nurse include?Answer →
  229. 229Which factor should the nurse identify as increasing the risk of falls in older adults?Answer →
  230. 230To perform the Weber test, you would first strike the tines of a 512 Hz tuning fork on the ulnar border of the palm of your hand and then place the stem firmly.Answer →
  231. 231A patient tells the nurse, "I read on a blog that I can stop taking my blood pressure medicine if I drink celery juice daily." What is the nurse's best initial response?Answer →
  232. 232A nurse is planning care for young-adult clients. Which information should the nurse consider when planning care?Answer →
  233. 233A nurse is teaching a group of caregivers about safety risks associated with sleep disorders in older adults. Which condition should the nurse highlight as a common cause of confusion and disorientation that worsens in the evening?Answer →
  234. 234A nurse is analyzing the learning needs of several clients. Which client should the nurse prioritize for health maintenance education?Answer →
  235. 235The student nurse is inspecting the abdomen. Identify an abnormal assessment finding with inspection.Answer →
  236. 236A nurse is measuring the vital signs of a client he suspects has hypovolemic shock. Which of the following findings should the nurse expect?Answer →
  237. 237A patient has multiple solid, red, raised lesions on her legs and groin that she describes as "itchy insect bites." How does the nurse document these lesions?Answer →
  238. 238The nurse is providing education to caregivers on infant safety. Which should the nurse include in the teaching?Answer →
  239. 239On auscultation of a patient's lungs, the nurse hears a low-pitched, coarse, loud, and raspy sounds that clears when coughing. Which term does the nurse use to document this finding?Answer →
  240. 240A nurse is preparing to measure a client's oral temperature. The client states that he has just had some ice chips in his mouth. Which of the following actions should the nurse take?Answer →
  241. 241A nurse is performing a comprehensive health assessment on an older adult female client. The client reports "urine leaking" when sneezing or laughing. Which action should the nurse take?Answer →
  242. 242Which would the nurse assess as being most at risk for altered family health?Answer →
  243. 243A nurse in an emergency department is assessing a client who reports right lower quadrant pain, nausea, and vomiting for the past 48 hr. Which of the following actions should the nurse take first?Answer →
  244. 244While assessing a client, the nurse notices that the client's legs are asymmetrical. Which additional physical data should the nurse collect?Answer →
  245. 245When performing blood pressure measurements to assess for orthostatic hypotension, which action should the nurse implement first?Answer →
  246. 246An 80-year-old on the coronary step-down unit tells the nurse, "I do not need to take that stool softener. I never get constipated." Which action by the nurse is the most appropriate?Answer →
  247. 247The nurse recognizes which symptom as commonly associated with prostate enlargement?Answer →
  248. 248Based on a 28-day menstrual cycle and using Naegele's rule, estimate the due date for the following pregnancy. The client's last menstrual period began on October 9, 2025.Answer →
  249. 249A nurse educator is planning a teaching session for a group of students. One patient says, "I learn best when I can try things out myself." Based on this response, which learning style does this patient most likely have?Answer →
  250. 250A nurse is caring for a group of clients. Which client(s) are at greatest risk for orthostatic hypotension? Select all that apply.Answer →
  251. 251A nurse is caring for a client who has a cloudy, opaque area over the lens of one eye. The nurse should identify that this is a manifestation of which of the following visual impairments?Answer →
  252. 252A nurse is preparing to perform an anthropometric assessment on a client. Which of the following client data should the nurse include?Answer →
  253. 253A nurse is teaching caregivers about evidence-based safety and nutrition practices for an infant younger than 1 year. Which instruction(s) should the nurse include? Select all that apply.Answer →
  254. 254The nurse is conducting a nutrition class for a group of high school athletes. Which recommendation is best for the nurse to provide for the athletes before playing sports?Answer →
  255. 255Which factor is considered a social determinant of health?Answer →
  256. 256A nurse is collecting data on client who has a heart rate of 56/min. Which of the following findings should the nurse expect?Answer →
  257. 257When conducting a wellness class for clients with a history of cardiovascular disease, which dietary instruction should the nurse suggest to promote healthy living?Answer →
  258. 258A nurse in an emergency department is assessing a client who reports right lower quadrant pain, nausea, and vomiting for the past 48 hr. Which of the following actions should the nurse take first?Answer →
  259. 259A client comes to the clinic due to shoulder discomfort and intermittent pain while swimming laps. To identify normal range of motion (ROM) of the client's shoulder, which assessment technique should the nurse ask the client to perform?Answer →
  260. 260A nurse is teaching a postoperative adult client how to use an incentive spirometer to prevent pulmonary complications. Which teaching method best demonstrates mastery of the psychomotor domain of learning?Answer →
  261. 261The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for osteoporosis? (Select all that apply.)Answer →
  262. 262Which disorder, if any, does the nurse screen for when examining a healthy adolescent patient?Answer →
  263. 263A nurse is educating a patient with type 2 diabetes about food choices. Which statement best explains why low-glycemic foods are preferred for blood glucose management?Answer →
  264. 264Which strategy might a nurse use to increase compliance with education?Answer →
  265. 265A nurse is assisting with teaching a class about oxygen transport in the cardiopulmonary system. Which of the following cells transports oxygen in the blood?Answer →
  266. 266Which patient behavior indicates to the nurse that the patient's facial cranial nerve (CN VII) is Intact?Answer →
  267. 267Which behavior demonstrates a successful resolution of Erikson's Trust vs. Mistrust stage in an infant?Answer →
  268. 268A nurse is preparing an older adult client for a physical examination the provider is about to perform. Which of the following actions should the nurse take?Answer →
  269. 269A nurse is assessing a client's cardiovascular system. Where is the location of the apex of the heart, the location where you palpate the apical impulse, and the location where you auscultate the apical pulse?Answer →
  270. 270A public health nurse is preparing an educational session at a community health center about the social determinants of health (SDOH). Which of the following information should the nurse include?Answer →
  271. 271Which part of the hand is used to palpate a superficial mass in the skin?Answer →
  272. 272The nurse is developing an exercise program for elderly patients living in a nursing home. To develop a beneficial health promotion program for the elderly, what does the nurse need to understand?Answer →
  273. 273A patient who is to have a stress test at 11:00 AM today should not consume:Answer →
  274. 274A client has remarried and has children from both their previous and current marriage. What type of family structure does this describe?Answer →
  275. 275Which methods promote safety in a toddler? (Select all that apply)Answer →
  276. 276An overweight male client tells the nurse that he plans to monitor the glycemic index of the foods he eats to ensure that he receives an adequate intake of vitamins and nutrients while he is trying to lose weight. Which action should the nurse implement?Answer →
  277. 277A patient is undergoing testing to see if he has a pleural effusion. Which of the nurse's respiratory assessment findings would be most consistent with this diagnosis?Answer →
  278. 278A patient wants to know what was meant when the doctor said that his white blood cell (WBC) count had a shift to the left. The nurse explains that a shift to the left indicates:Answer →
  279. 279A nurse is preparing to teach a client about the benefits of smoking cessation. What is the primary goal of this client education session?Answer →
  280. 280A nurse is preparing to teach a female client about osteoporosis prevention. Which of the following recommendations should the nurse make for this client?Answer →
  281. 281A nurse is assessing a client's bowel sounds. At which of the following points in the assessment should the nurse auscultate the client's abdomen?Answer →
  282. 282A middle-aged patient tells the nurse that he has recently had frequent fainting spells. After palpating the radial pulse, 13 pulsations are counted in 15 seconds with a regularly irregular rhythm. What is the most appropriate action for the nurse to take at this time?Answer →
  283. 283Which factors are included in the ABCDE features associated with skin cancer? (Select all that apply).Answer →
  284. 284The nurse calculates a client's body mass index (BMI). The client's height is 6 feet and 6 inches (198 cm) and the BMI is 30 (kg/m²). How should the nurse document the client's BMI?Answer →
  285. 285A nurse cares for clients with diabetes. Which is a characteristic of diabetes being a chronic illness?Answer →
  286. 286A nurse is preparing to measure a client's oxygen saturation and notes edema of the client's hands and thickened toenails. The nurse should apply the pulse oximeter probe to which of the following locations?Answer →
  287. 287The nurse is caring for an older adult client that is exhibiting signs of confusion. Which intervention should the nurse implement?Answer →
  288. 288A nurse instructs a client to tell the nurse about the side effects of a medication. What learning domain is the nurse evaluating?Answer →
  289. 289A client who has a body mass index (BMI) of 30 kg/m² is requesting information on the initial approach to a weight loss plan. Which action should the nurse recommend? Reference Range: Body mass index (BMI) [18.0 to 24.9 kg/m2]Answer →
  290. 290A nurse is reinforcing teaching with the mother of a 14-month-old child about safe food choices. Which of the following food choices should the nurse recommend?Answer →
  291. 291A nurse is teaching young adults about health risks. Which statement from a young adult indicates a correct understanding of the teaching?Answer →
  292. 292A nurse is preparing to teach a female client about osteoporosis prevention. Which of the following recommendations should the nurse make for this client?Answer →
  293. 293A nurse is assessing an adult client with severe abdominal pain using the PQRST framework. Which question should the nurse ask to address the "Q" (Quality) component?Answer →
  294. 294The General Inspection Includes: (Select all that apply):Answer →
  295. 295Which activity by a school-age child illustrates reversibility?Answer →
  296. 296A nurse is obtaining a health history from a client. Which of the following findings should the nurse identify as a non-modifiable risk factor for disease?Answer →
  297. 297The nurse provides education about risk factors for coronary artery disease to a group of clients. For each risk factor, click to specify whether the risk factor is modifiable or non-modifiable.Answer →
  298. 298An assistive personnel (AP) reports a client's vital signs as tympanic temperature 37.1°C (98.8°F), pulse 92/min, respiratory rate 18/min, and BP 98/58 mm Hg. Which of the following vital signs should the nurse re-measure?Answer →
  299. 299A nurse is reinforcing teaching with a newly licensed nurse about age-related changes to vision in older adult clients. Which of the following should the nurse include as an example of an expected age-related change?Answer →
  300. 300A nurse is conducting the Weber's test on a client. Which of the following is an appropriate action for the nurse to take?Answer →
  301. 301The nurse is assessing a 78-year-old female client. Which of the following is common finding in a patient who has osteoporosis?Answer →
  302. 302Which level of Maslow's Hierarchy of needs does the nurse address when teaching a patient how to use the call bell?Answer →
  303. 303A nurse is reinforcing teaching with a newly licensed nurse about documenting vital signs. Which of the following documentation made by the newly licensed nurse indicates an understanding of the teaching?Answer →
  304. 304A nurse is teaching a client how to self-administer daily low-dose heparin injections. Which of the following factors is most likely to increase the client's motivation to learn?Answer →
  305. 305A nurse is caring for a client who has a rectal temperature of 35°C (95°F). Which of the following actions should the nurse take?Answer →
  306. 306When conducting a wellness class for clients with a history of cardiovascular disease, which dietary instruction should the nurse suggest to promote healthy living?Answer →
  307. 307A nurse is planning to collect data about the abdomen of a client who reports "stomach pain". Which of the following actions should the nurse take first?Answer →
  308. 308Nurse reviews data. For each joint, click to specify which type of range of motion (ROM) was being assessed based on findings. Each category will have one response.Answer →
  309. 309Which of the following is the primary reason for constant supervision of infants as they gain motor development and curiosity?Answer →
  310. 310A nurse at a health fair assessed a client's body mass index (BMI) to be 25. How should the nurse describe the client's nutritional status?Answer →
  311. 311The nurse is performing a nutritional assessment on a client who is a professional dancer. Which issue reported by the client should alert the nurse to perform further assessment?Answer →
  312. 312Which assessment finding places a client at risk for problems associated with impaired skin integrity?Answer →
  313. 313Which statement is the best example of a psychomotor learning outcome?Answer →
  314. 314A male client tells the nurse that he is taking large doses of a fish oil supplement to lower his triglyceride level. Which action should the nurse take?Answer →
  315. 315The nurse on the neurologic acute care unit is assessing the orientation of a patient with severe headaches. Which questions would the nurse use to determine orientation? Select all that apply.Answer →
  316. 316A nurse is caring for a client who has a new diagnosis of insulin-dependent diabetes mellitus. The client states, "I am concerned about being able to monitor my blood glucose regularly due to my busy schedule." Which of the following responses should the nurse make?Answer →
  317. 317During the initial inspection of a client admitted with COPD exacerbation, what should the nurse expect to observe?Answer →
  318. 318A client visits the health care facility for a scheduled physical assessment. What should the nurse do when physically assessing the quality of the client's oxygenation? Select all that apply.Answer →
  319. 319During your pulse assessment in an adult, the student nurse identifies that the pulse is irregular and determines that an apical pulse must be taken. Identify the correct anatomical location for an apical pulse on an adult.Answer →
  320. 320Which factor within the family has the greatest impact on an individual's healthy habits?Answer →
  321. 321In reviewing the dietary teaching for a young adult client with hyperthyroidism, the nurse learns that the client has increased the intake of protein and calories. Which action should the nurse take?Answer →
  322. 322A nurse is using the domains of learning to provide teaching to a client who has diabetes mellitus. Which of the following actions should the nurse take to utilize psychomotor learning?Answer →
  323. 323A nurse is preparing to obtain an electronic blood pressure measurement on a client. Which of the following actions should the nurse plan to take?Answer →
  324. 324A nurse is collecting data from the mother of a toddler. Which of the following activities should the nurse expect the toddler to be able to perform?Answer →
  325. 325A nurse is educating a group of nursing students about Erikson's psychosocial theory. Which statement(s) by a student indicate effective learning has occurred? Select all that apply.Answer →
  326. 326A nurse is teaching a class about the effects of nutrition on fetal growth and development. A pregnant patient asks the nurse how much weight should normally be gained over the pregnancy. Which information should the nurse share with the patient?Answer →
  327. 327Which food group recommendation(s) are consistent with MyPlate guidelines? Select all that applyAnswer →
  328. 328What is the appropriate portion size of food for a preschool-aged client?Answer →
  329. 329A nurse is caring for a client who has a prescription for a pediatric assessment. Which of the following actions should the nurse take?Answer →
  330. 330A nurse in a pediatrician's office is reinforcing teaching with the parents of a 24-month-old toddler. Which of the following activities should the nurse recommend?Answer →
  331. 331The nurse is planning to administer a recommended live vaccine to an infant. Which information should the nurse verify prior to administration? Select all that apply.Answer →
  332. 332An unlicensed assistive personnel (UAP) charts a client's vital signs in the electronic health record. After reviewing the vital signs, which vital sign should the nurse reassess?Answer →
  333. 333The nurse is providing education on physical activity to a group of parents that have school-aged children. Which activity would be most appropriate for this age group?Answer →
  334. 334Which common biological change occurs in middle adulthood?Answer →
  335. 335The nurse examines the hips of an older client with osteoarthritis to determine range of motion (ROM) and evaluate the client's risk for falls. Which technique should the nurse perform to determine hip movement and instability?Answer →
  336. 336When a nurse obtains an unusually low blood pressure measurement for a client whose blood pressure is generally elevated, she considers the possibility of a problem with her technique. Which of the following sources of error should she consider as a possible cause of the low reading?Answer →
  337. 337A nurse is teaching an adult client who is newly diagnosed with hypertension. Which teaching method uses the affective domain of learning?Answer →
  338. 338The nurse should recognize which physiologic parameter provides the best measurement of the heart's pumping ability?Answer →
  339. 339A nurse is assessing a preschool-aged child during a routine well-child visit. Which nursing action should the nurse take to best support the child's growth and development needs at this age?Answer →
  340. 340A nurse is performing Weber's test for a client who has hearing loss. Which of the following actions should the nurse take?Answer →
  341. 341A nurse is caring for a client with atelectasis in the right middle lobe. The nurse should compare the lung sounds in the right middle lobe with which lung field?Answer →
  342. 342The school nurse is caring for a preschool child. Which statement(s) by the child illustrate animism? Select all that apply.Answer →
  343. 343A nurse documents that a client is exhibiting Kussmaul's breathing. What assessment finding leads the nurse to this conclusion?Answer →
  344. 344A nurse is providing education to a middle-aged client experiencing sadness after their last child left home for college. Which term describes this?Answer →
  345. 345A nurse is collecting data on a client who has an oral temperature of 39°C (102.2°F). Which of the following findings should the nurse expect?Answer →
  346. 346A nurse discusses the importance of vaccinations at a community health fair. Which factor increases the need for vaccination in older adults?Answer →
  347. 347What is the primary purpose of the teach-back method in client education?Answer →
  348. 348A client who has a body mass index (BMI) of 29 kg/m² expresses a desire to lose weight. Which action should the nurse implement?Answer →
  349. 349A nurse is teaching an older adult client about reducing the risk for osteoporosis. Which of the following statements by the client indicates an understanding of the teaching?Answer →
  350. 350Where should the nurse auscultate the aortic valve? Select your answer by clicking the desired location on the image below.Answer →
  351. 351A nurse is counting a client's apical pulse rate. Identify where the nurse should place the stethoscope to auscultate the apical pulse. (You will find hot spots to select in the artwork below.)Answer →
  352. 352Which nutrient is essential for skeletal growth and bone mineralization during adolescence?Answer →
  353. 353When conducting a wellness class for clients with a history of cardiovascular disease, which dietary instruction should the nurse suggest to promote healthy living?Answer →
  354. 354What is true of health promotion in the preschool-aged child?Answer →
  355. 355During the admission assessment, the nurse observes that a client has a limping gait. Which assessment should the nurse complete next?Answer →
  356. 356The nurse assesses the client's vital signs. Which finding(s) should the nurse know to be outside the expected reference range for an adult client? (Select all that apply.)Answer →
  357. 357A nurse is completing a client's history and physical examination. Which information should the nurse consider subjective data?Answer →
  358. 358A nurse is assisting with providing teaching to a client who has a new prescription for an antibiotic. Which of the following statements should the nurse make?Answer →
  359. 359A caregiver states, "My child is a very picky eater, the only thing I can get them to eat is chicken nuggets. What should I do to make it healthier for them?" How should the nurse respond?Answer →
  360. 360A nurse is providing teaching for a client who has a recent diagnosis of type 2 diabetes mellitus. Which of the following information should the nurse prioritize in the teaching for a diabetic diet?Answer →
  361. 361The nurse understands that a client's ability to learn can be negatively influenced by which of the following?Answer →
  362. 362A nurse is reinforcing teaching with a newly licensed nurse about measuring body temperature in clients. The nurse should instruct to obtain an oral temperature in which of the following clients? (Select all that apply.)Answer →
  363. 363A nurse explains the concept of health to a client when establishing health promotion goals with the client. Which statement by the client indicates that the nurse's teaching has been effective?Answer →
  364. 364A nurse is assessing a client with hypothyroidism. Which finding is expected?Answer →
  365. 365The nurse discusses the need to balance energy intake and output to maintain weight. Drag from Word Choices to complete the sentence(s). The nurse should recommend that the client_____________ or __________Answer →
  366. 366What finding should the nurse anticipate upon inspection of a client with chronic obstructive pulmonary disease (COPD)?Answer →
  367. 367The nurse is reviewing a nutrition plan with a client newly diagnosed with hypertension. Which statement by the client indicates an understanding of the Dietary Approaches to Stop Hypertension (DASH) diet?Answer →
  368. 368A nurse has a prescription for a newborn assessment. Which of the following actions should the nurse take?Answer →
  369. 369For each potential client finding, indicate whether it represents a Readiness to Learn or a Barrier to Learn.Answer →
  370. 370A nurse is assessing an older adult client at risk for osteoporosis. Which diagnostic test is commonly used to measure bone density?Answer →
  371. 371A nurse is assisting with teaching a class about expected developmental milestones in 2-year-old toddlers. The nurse should include which of the following milestones? (Select All that Apply.)Answer →
  372. 372A nurse is teaching an older adult client about reducing the risk for osteoporosis. Which of the following statements by the client indicates an understanding of the teaching?Answer →
  373. 373The parents of a child with prediabetes reports to the nurse that the child wants to join a soccer team. Which action is best for the nurse to implement?Answer →
  374. 374Which finding does the nurse recognize as abnormal when examining a male patient?Answer →
  375. 375A nurse plans a physical examination of an infant who is sleeping. What action should the nurse plan to perform first?Answer →
  376. 376Which statement by a client with SLE (Systemic Lupus Erythematosus) indicates a need for further teaching?Answer →
  377. 377What finding would lead the nurse to suspect that a child is beginning to develop increased intracranial pressure?Answer →
  378. 378A client grimaces while performing range of motion of the left knee during an annual health assessment. Which movements should the nurse utilize to assess the client's ability to normally perform range of motion on the right knee?Answer →
  379. 379An adult female client arrives at the clinic for an annual physical exam expressing an interest in becoming pregnant and requests information about preventing neural tube defects during pregnancy. Which food should the nurse encourage the client to include in her diet?Answer →
  380. 380A nurse is caring for a patient scheduled for a bone marrow aspiration. The patient asks why the test is needed. Which response by the nurse best explains the purpose of this procedure?Answer →
  381. 381A nurse is obtaining an oxygen saturation on a client. Which of the following actions should the nurse take?Answer →
  382. 382The nurse plans discharge education for a client newly diagnosed with congestive heart failure. What instruction should the nurse plan to provide in the teaching?Answer →
  383. 383An older adult client reports missing all immunizations for the past five years while residing in a long-term care facility. Which action should the nurse take?Answer →
  384. 384A client is admitted to the hospital with abrupt symptoms of increasing shortness of breath, fever, and a productive cough with green sputum. Upon further exam, the client is diagnosed with chronic obstructive pulmonary disease (COPD) exacerbation. The nurse identifies this as which type of illness?Answer →
  385. 385A nurse is assisting with teaching a class about nutrition and prenatal development. The nurse should instruct that folic acid supplements taken during pregnancy decrease the risk for which of the following conditions?Answer →
  386. 386The nurse is teaching a group of adolescents about dealing with bullying. Which is the best strategy for teaching interpersonal skills?Answer →
  387. 387A client arrives at the clinic and describes having rectal pressure, burning, and itching around the anus. During the health assessment, which technique should the nurse implement to determine if the client has hemorrhoids?Answer →
  388. 388A nurse is assessing a client's cranial nerves as part of a neurological examination. Which of the following actions should the nurse take to assess PERRLA?Answer →
  389. 389A nurse is performing Weber's test for a client who has hearing loss. Which of the following actions should the nurse take?Answer →
  390. 390A female patient has been admitted to the emergency department with severe abdominal pain. She is lying on a stretcher quietly, with very little movement. The nurse preparing to assess her abdomen should expect to see which behavior when it is time to palpate this patient's abdomen?Answer →
  391. 391A nurse is performing an eye assessment for a newly admitted client. Which of the following findings should the nurse expect?Answer →
  392. 392A nurse is preparing to teach a client how to use oxygen safely at home. The nurse plans to use discussion as well as a pamphlet that will reinforce the key points of safe home oxygen therapy. Which domain of learning does the nurse plan to utilize?Answer →
  393. 393A nurse is completing the health history of an adult client. Which question should the nurse ask to assess the client's health promotion practices?Answer →
  394. 394A nurse is teaching a client how to self-administer daily low-dose heparin injections. Which of the following factors is most likely to increase the client's motivation to learn?Answer →
  395. 395The nurse is planning to assess for the presence of lower pitch sounds when examining a patient's heart. Which item of equipment would the nurse use to make this assessment?Answer →
  396. 396A client who had emergency gallbladder surgery yesterday is getting ready for discharge. The client speaks very little English. When teaching wound care, which method should the nurse use to evaluate the client's understanding of self care at home?Answer →
  397. 397A nurse is preparing to perform a physical assessment on a client with chest pain. What is the first technique the nurse should use when performing a physical assessment?Answer →
  398. 398A nurse is assessing a client's circulatory system. Which of the following pulse sites should the nurse avoid assessing bilaterally at the same time?Answer →
  399. 399The parents of an infant with apnea need to be educated on the apnea monitor and cardiopulmonary resuscitation. What should the nurse assess first regarding the parents?Answer →
  400. 400Which 2 health conditions are most commonly associated with obesity in school-aged children? Select two health conditions.Answer →
  401. 401A 5 ft 3 in (1.6 meter), 113 lb (51.3 kg) client has a lipid profile of total cholesterol 267 mg/dL (6.92 mmol/L), LDL 167 mg/dL (4.33 mmol/L), HDL 85 mg/dL (2.2 mmol/L), triglycerides 79 mg/dL (0.89 mmol/L), and VLDL 16 mg/dL (0.41 mmol/L). Based on these findings, it is most important for the nurse to teach the client to make every effort to completely avoid which foods?Answer →
  402. 402A nurse is reinforcing teaching with a newly licensed nurse about documenting vital signs. Which of the following documentation made by the newly licensed nurse indicates an understanding of the teaching?Answer →
  403. 403Before palpating the abdomen during an assessment, the nurse should do which of the following?Answer →
  404. 404A 49-year-old client with pneumonia is receiving IV antibiotics, high-protein nutritional support, and 3 L/min oxygen via nasal cannula. Initially, the vital signs are HR 124/min, BP 156/92 mm Hg. RR 30/min, T 39.2°C (102.6°F), and SpO2 90%. Six hours later, which set of vital signs best indicates a positive response to treatment and clinical improvement?Answer →
  405. 405A postpartum client who is Rh-negative just delivered an Rh-positive baby. The nurse explains that RhoGAM (Rho(D) immune globulin) is administered to prevent which complication?Answer →
  406. 406The parents of a child with prediabetes report to the nurse that the child wants to join a soccer team. Which action is best for the nurse to implement?Answer →
  407. 407During a wellness visit, a nurse determines that a middle-aged client is ready to adopt healthier behaviors. Which recommendation(s) support disease prevention and optimal function? Select all that apply.Answer →
  408. 408The nurse provides education to a client about low-fat diets. What client statement indicates a need for additional education?Answer →
  409. 409Which assessment finding calls for the most immediate action by the nurse?Answer →
  410. 410A nurse is reinforcing teaching with a client about diagnostic vision tests. The nurse should include that which of the following tests is performed to diagnose macular degeneration?Answer →
  411. 411The nurse is planning discharge education for a client with limited English proficiency. What 2 actions should the nurse prioritize? Select two priority actions.Answer →
  412. 412The nurse is assessing a patient and suspects a viral infection due to upper respiratory allergens when the patient describes the drainage as being which color?Answer →
  413. 413A nurse is teaching an older adult patient how to use an inhaler at home. Which action by the nurse demonstrates effective implementation of patient teaching?Answer →
  414. 414A nurse is caring for a client with a diagnosis of pheochromocytoma. Which of the following is the priority assessment?Answer →
  415. 415The nurse reviews landmarks for assessing the apical pulse at the point of maximal impulse (PMI). Click to highlight the landmarks that are used to find the PMI to auscultate the apical pulse.Answer →
  416. 416A nurse auscultates a client's peripheral lung fields and notes low-pitched, soft breath sounds. How should the nurse document this finding?Answer →
  417. 417A newborn has an APGAR score of 2 at one minute. What is the priority nursing intervention?Answer →
  418. 418The nurse observes a newly employed unlicensed assistive personnel (UAP) checking the temperature of an adult client using a tympanic thermometer. The UAP pulls the client's auricle up and back and prepares to insert the thermometer. Which action should the nurse implement?Answer →
  419. 419An older adult woman comes to the clinic because of vaginal bleeding. The healthcare provider (HCP) finds a vagina tear, which the client reports is likely to have occurred during sexual intercourse. Which content is most important for the nurse to include in this client's teaching plan?Answer →
  420. 420A nurse is assisting with teaching a class about expected physiological changes in older adult clients. Which of the following changes should the nurse include?Answer →
  421. 421The nurse is having difficulty auscultating a patient's blood pressure during the general survey. What can the nurse do to improve hearing the patient's korotkoff sounds?Answer →
  422. 422When interviewing an adolescent client, which nursing action promotes trust and open communication?Answer →
  423. 423A nurse is providing care for a client who is to undergo a total laryngectomy. Which of the following interventions is the nurse's priority?Answer →
  424. 424A nurse is collecting data on a client was brought to the emergency department with an ankle injury. Which of the following manifestations should the nurse identify as localized inflammation of the tissues?Answer →
  425. 425A nurse is completing discharge teaching about ostomy care With a client Who has a new stoma. Which Of the following instructions should the nurse include in the teaching? (Select all that apply.)Answer →
  426. 426A client with ductal carcinoma of the breast in situ is scheduled for a breast lumpectomy. Which pathophysiological process supports client teaching when the nurse is preparing the client for surgery?Answer →
  427. 427The nurse is providing education to an adult client about cancer prevention and early detection. The nurse discusses modifiable and non-modifiable factors that contribute to cancer development. The client demonstrates that teaching has been effective when the client correctly identifies which of the following as modifiable risk factors for cancer?Answer →
  428. 428A patient with a body mass index of 28 wants to lose weight. What can the nurse recommend to this patient?Answer →
  429. 429A nurse is collecting a blood pressure (BP) reading from a client who is sitting in a chair. The nurse determines that the client's BP is 158/96 mm Hg. Which of the following actions should the nurse take?Answer →
  430. 430The nurse slides a temporal artery temperature scanner across a client's forehead to the location seen in the picture. Which action should the nurse perform next?Answer →
  431. 431Narrowing of the bronchi creates which adventitious sounds?Answer →
  432. 432The critical care nurse is caring for a client who has been experiencing bradycardia after cardiovascular surgery. The nurse knows that the heart rate is determined by myocardial cells with the fastest inherent firing rate. Under normal circumstances, where are these cells located?Answer →
  433. 433The nurse is planning a nutritional class for adequate daily intake of water. Which population of clients should drink the most amount of water to remain adequately hydrated?Answer →
  434. 434A nurse is assessing an 85-year-old female client during a routine check-up. Which of the following physiological changes should the nurse expect to find in this client due to aging? (Select All that Apply.)Answer →
  435. 435Which risk factor for cardiopulmonary disease should the nurse describe as modifiable?Answer →
  436. 436Which set of vital signs should the nurse recognize as out of the expected range?Answer →
  437. 437Most people older than the age of 75 have at least one chronic health concern. Which of the following is not a health concern of the older adult?Answer →
  438. 438A patient comes to the ER for abdominal pain. The nurse is assessing the location of pain and the patient points to the right upper quadrant. The nurse knows it could be which of the following problems:Answer →
  439. 439The nurse is providing discharge teaching for the client and their caregiver. Which of the following information should the nurse include? Select all that apply.Answer →
  440. 440A nurse is collecting data about a client's circulatory system. Which of the following pulse sites should the nurse avoid checking bilaterally at the same time?Answer →
  441. 441A nurse is caring for a client who has a prescription for a community health assessment. Which of the following actions should the nurse take?Answer →
  442. 442A nurse is preparing to obtain an electronic blood pressure measurement on a client. Which of the following actions should the nurse plan to take?Answer →
  443. 443A nurse is planning teaching for a client who will be discharged with a central venous access device. Which of the following actions should the nurse plan to take first?Answer →
  444. 444A nurse in an emergency department is assessing a client who reports right lower quadrant pain, nausea, and vomiting for the past 48 hr. Which of the following actions should the nurse take first?Answer →
  445. 445A client who has a body mass index (BMI) of 30 kg/m² is requesting information on the initial approach to a weight loss plan. Which action should the nurse recommend? Reference range: Body mass index (BMI) 18.0 to 24.9 kg/m²Answer →
  446. 446A nurse is caring for a 4-year-old client who insists on choosing their own clothes. According to Erikson's stages of psychosocial development, which nursing response supports the child's developmental needs?Answer →
  447. 447The nurse is assessing a client who reports that the client's hands are numb and constantly hurt. Which intervention is best for the nurse to implement to complete a focused assessment?Answer →
  448. 448A nurse is reviewing the documentation of a client's blood pressure by a newly licensed nurse. The documentation states, "Blood pressure 102/58 mm Hg, client sitting up in a chair." Which of the following information should the nurse clarify?Answer →
  449. 449The nurse is assessing a patient at the clinic for changes in the breasts. Which characteristics do you document as potential concerning findings of breast mass characteristics? (Select all that apply).Answer →
  450. 450The nurse is caring for a young adult male client who is a professional cyclist. Which self-screening should the nurse recommend to the client?Answer →
  451. 451A nurse is conducting a community health assessment. Which finding(s) indicate the presence of health disparities in the community? Select all that apply.Answer →
  452. 452A nurse is collecting a complete health history of a client. What is the purpose of the review of systems?Answer →
  453. 453A nurse is planning dietary education for a client recently diagnosed with coronary artery disease. Which nutritional strategy should the nurse include in the plan to reach cardiovascular risk?Answer →
  454. 454The nurse is planning smoking cessation education for a client diagnosed with lung cancer. Which teaching method will address the cognitive domain of learning?Answer →
  455. 455A client presents to a primary care clinic with difficulty breathing when lying down. Which clinical finding should the nurse document?Answer →
  456. 456A nurse is collecting a blood pressure (BP) reading from a client who is sitting in a chair. The nurse determines that the client's BP is 158/96 mm Hg. Which of the following actions should the nurse take?Answer →
  457. 457A nurse is educating a young parent on meal preparation for good nutrition. Which statement by the client reflects an understanding of the MyPlate food guide?Answer →
  458. 458The nurse notes that all of the following are physical changes of aging, except:Answer →
  459. 459The nurse observes that an older adult client is becoming increasingly confused and measures the client's oxygen saturation at 80%. Which assessment should the nurse perform?Answer →
  460. 460Which finding does the nurse expect during auscultation of the heart?Answer →
  461. 461The nurse is caring for a client with a long history of smoking who denies any intention to quit. What stage of the Transtheoretical Model of Change does this reflect?Answer →
  462. 462A nurse is conducting the Weber's test on a client. Which of the following is an appropriate action for the nurse to take?Answer →
  463. 463The nurse is conducting a nutrition class for a group of high school athletes. Which recommendation is best for the nurse to provide for the athletes before playing sports?Answer →
  464. 464When assessing a client's radial pulse, the nurse notes an irregular rhythm with a rate of 62 beats per minute. What intervention should the nurse implement next?Answer →
  465. 465A nurse is providing teaching for a client who has a recent diagnosis of type 2 diabetes mellitus. Which of the following information should the nurse prioritize in the teaching for a diabetic diet?Answer →
  466. 466A nurse is obtaining a health history from a client. Which of the following factors places the client at risk for cardiovascular disease?Answer →
  467. 467A nurse is conducting the Weber's test on a client. Which of the following is an appropriate action for the nurse to take?Answer →
  468. 468When assessing a client's skin, which finding should the nurse report to the healthcare provider (HCP)?Answer →
  469. 469A client tells the home health nurse about being very health conscious and primarily buying groceries at health food stores and farmers' markets. It is most important for the nurse to provide the client with information related to the safety of which of the foods that the client might purchase?Answer →
  470. 470A nurse is checking the apical pulse of a client who is taking several cardiovascular medications. Which of the following actions should the nurse take?Answer →
  471. 471The nurse auscultates a grade 4 murmur at the left second intercostal space sternal border. This location corresponds to which heart valve?Answer →
  472. 472A nurse observes a toddler client refusing to put on shoes and repeatedly saying "no." The caregiver appears frustrated. What action should the nurse take?Answer →
  473. 473A nurse is assessing the respiratory pattern of a client and notes a cyclic respiratory pattern that increases and decreases in rate and depth with periods of apnea. How should the nurse document this finding?Answer →
  474. 474A nurse is assessing a patient who has Wernicke's aphasia following a stroke. Which observation by the nurse is most consistent with this condition?Answer →
  475. 475Which of the following accurately describes the impact of education on a client's health outcomes?Answer →
  476. 476The nurse is caring for a client with left-sided heart failure. What manifestations should the nurse expect to assess?Answer →
  477. 477Which is an example of a community risk factor that may affect health?Answer →
  478. 478A nurse is planning care for an adult patient who lives in a rural area with limited access to health care and has low health literacy, which nursing action is most appropriate to support this patient's health outcomes?Answer →
  479. 479Linda is a nurse who is trying to teach her mother, an older adult. ways to improve her life. She tries to encourage her mother to do all of the following except:Answer →
  480. 480A nurse is conducting the Weber's test on a client. Which of the following is an appropriate action for the nurse to take?Answer →
  481. 481The nurse is performing a nutritional assessment on a client who is a professional dancer. Which issue reported by the client should alert the nurse to perform further assessment?Answer →