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RN Nursing School · Fundamentals · 844 questions

Physiological Integrity 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 Physiological Integrity, practise in the app.

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  1. 1A 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. 2The 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. 3Which 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. 4A 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. 5The 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. 6A 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. 7A 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. 8A 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. 9The nurse reviewed the steps for obtaining a midstream clean-catch urine sample with a female client. Which action by the client indicates a need for further teaching?Answer →
  10. 10A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?Answer →
  11. 11The client has an order for acetaminophen 325mg PO. The pharmacy provides acetaminophen 650mg/5ml. How many mL per dose should the nurse administer?Answer →
  12. 12Most drugs are excreted through which organ?Answer →
  13. 13A nurse is inserting a catheter into a female patient. When the nurse inserts the catheter, no urine is obtained. The nurse suspects the catheter is not in the urethra. What should the nurse do?Answer →
  14. 14The patient is admitted with a cerebral vascular accident (CVA) (stroke). The outcome of this disorder is uncertain, but the patient is currently unable to move his right arm and right leg. What actions should the nursing take to prevent contractures of affected limbs and when should these interventions be started?Answer →
  15. 15Which laboratory test(s) should the nurse anticipate will be affected by the client's fluid imbalance? Select all that apply.Answer →
  16. 16A patient has been on strict bedrest for 2 weeks following spinal surgery. The nurse is assessing for complications of immobility. Which finding is the highest priority to address immediately?Answer →
  17. 17A medication ordered "stat" should be given:Answer →
  18. 18Which action should the nurse take first?Answer →
  19. 19The nurse is caring for a client with obstructive sleep apnea. The nurse should recognize the client is at greater risk for the development of which complication?Answer →
  20. 20A whey protein fat substitute has been prescribed for a client who is obese. Which client factor is the most important for the nurse to assess before the client starts the prescribed regimen?Answer →
  21. 21A client wants to increase intake of vitamin E. Which snack should the nurse encourage?Answer →
  22. 22Which type of intravenous (IV) tubing is used to administer blood?Answer →
  23. 23The nurse is providing instructions to a client who is taking the opioid codeine sulfate. What instruction should the nurse provide to the client?Answer →
  24. 24What must a nurse do each time medications are administered to ensure that medication errors do not occur?Answer →
  25. 25A nurse is preparing to obtain a sputum specimen for a client. Which of the following actions should the nurse plan to take?Answer →
  26. 26Which organ produces bile and metabolizes carbohydrates, lipids, protein, and vitamins?Answer →
  27. 27A nurse is caring for a client who is 24 hours postoperative following an abdominal surgery. Which of the following findings is the priority for the nurse to report to the provider?Answer →
  28. 28Which of the following actions should the nurse take to promote the client's respiratory status? Select all that apply.Answer →
  29. 29A malnourished child is receiving several nutritional supplements. Which statement by the child indicates that an adequate amount of vitamin A is being provided?Answer →
  30. 30Which factor has the greatest impact on energy expenditure?Answer →
  31. 31A nurse is preparing to administer the hepatitis B vaccine to a client. Which of the following techniques should the nurse use to locate the deltoid muscle?Answer →
  32. 32A nurse is caring for a 58-year-old patient admitted after three days of vomiting and diarrhea. The provider suspects fluid volume deficit, and the body's compensatory mechanisms are being assessed. Match each clinical scenario below to the best physiological response or expected finding from the options provided. Prompts: 1. The RAAS is activated. Aldosterone is released. Which electrolyte will the kidneys retain? 2. The posterior pituitary is stimulated. Which hormone is released to increase water reabsorption? 3. A nurse checks urine output. What finding is expected in this patient with fluid volume deficit? 4. The nurse assesses the patient. What finding is expected with fluid volume deficit?Answer →
  33. 33The nurse performs a neurovascular assessment on a client who is immobile because of a fracture to the right lower extremity when the client says, "I know it's my right leg that is broken, but my left heel sure feels uncomfortable." What is the priority action by the nurse?Answer →
  34. 34What independent nursing intervention can be implemented to stimulate appetite?Answer →
  35. 35A nurse is caring for a client who has a prescription for a incentive spirometer. Which of the following instructions should the nurse provide the client?Answer →
  36. 36Sufficient consumption of which component is necessary for efficient functioning and maintenance of the human body?Answer →
  37. 37A nurse is preparing to administer several medications via an NG tube to a client who is receiving a continuous tube feeding. Which of the following actions should the nurse take?Answer →
  38. 38A nurse is reviewing the morning labs for a patient admitted with chronic alcoholism. The serum magnesium level is 1.0 mEq/L (normal: 1.5-2.5 mEq/L). Which assessment findings should the nurse anticipate?Answer →
  39. 39Which assessment finding warrants removal of IV?Answer →
  40. 40An older adult client is confused and reports the onset of nausea, dysuria, and urgency with incontinence. Which action should the nurse implement?Answer →
  41. 41A nurse is collecting data on a client for manifestations of pain. Which of the following findings is an objective indicator of pain?Answer →
  42. 42A nurse is assisting with teaching a class about sleep. The nurse should include that which of the following hormones regulates the sleep-wake cycle?Answer →
  43. 43What is the first stored type of energy used by the body?Answer →
  44. 44A nurse is collecting data on a client who has a wound that is healing by first intention. Which of the following findings should the nurse expect?Answer →
  45. 45A high protein diet is prescribed for an adolescent client who is anemic. Which lunch is best for this client?Answer →
  46. 46A client is prescribed 1 gram of ceftriaxone to be infused in 75 mL of normal saline over 30 minutes. At what rate should the nurse set the IV infusion pump? mL/hr (if needed, round to the nearest whole number.)Answer →
  47. 47A nurse is assisting with teaching a class about the physiology of sleep. The nurse should include that which of the following occurs as a result of sleep?Answer →
  48. 48The provider wrote an order for furosemide 20mg po x 1 now for dependent edema. On the unit you have 10 mg scored tablets. How many tablets will you give to the patient for this dose?Answer →
  49. 49An adult male who is transferred to the medical unit following a myocardial infarction has a prescription for a cardiac diet. When the client complains about the flavorless hamburger that is on his lunch tray, which condiment should the nurse suggest that the client use to improve the taste of the hamburger?Answer →
  50. 50A low fat diet is prescribed for a client with heart disease. The nurse is reviewing the client's food journal that includes plums, cherries, avocado, and peaches as between meal snacks. Which action should the nurse implement?Answer →
  51. 51When conducting diet teaching for a client with hypokalemia, which breakfast items should the nurse encourage the client to eat? (Select all that apply.)Answer →
  52. 52What assessment finding warrants immediate action?Answer →
  53. 53A nurse is caring for a 72-year-old patient who has been on strict bedrest for 10 days following a hip fracture repair. The nurse is monitoring for early complications of immobility. Complete the paragraph below by selecting the ONE best answer for each blank. When a patient is immobilized, venous blood flow slows, a phenomenon called [blank1], which significantly increases the risk of [blank2]. To compensate for reduced venous return, the heart rate may [blank3] when the patient first stands after a period of immobility, a condition known as orthostatic hypotension.Answer →
  54. 54An unlicensed assistive personnel (UAP) reports to the nurse that a patient seems very anxious and vital sign measurement included a respiratory rate of 38 breaths/min. Which acid-base imbalance should the nurse suspect?Answer →
  55. 55A nurse is caring for a client who is receiving intravenous fluids. The nurse notes the client's skin around their peripheral IV site is taut and edematous. Which of the following complications is the client experiencing?Answer →
  56. 56The nurse is evaluating the fluid balance of a client who was admitted yesterday with dehydration and who has been receiving IV fluids since admission. An increase in which parameter indicates to the nurse that the client is rehydrating?Answer →
  57. 57The nurse is planning care for the 48-year-old client with muscle pain, fatigue, and insomnia. For each potential action, indicate whether it is Appropriate or Inappropriate.Answer →
  58. 58Which explanation is best for the nurse to provide a client who asks the purpose of using the log rolling technique for turning?Answer →
  59. 59Which assessment finding is consistent with TACO?Answer →
  60. 60A nurse is performing ostomy care for a patient with a sigmoid colostomy created 3 days ago. Which finding requires immediate notification of the provider?Answer →
  61. 61The nurse is administering an intradermal (ID) injection to a client. Which action should the nurse take?Answer →
  62. 62A nurse is teaching a client who has decreased mobility about passive range-of-motion exercises. Which of the following statements should the nurse make?Answer →
  63. 63What is the primary function of fats?Answer →
  64. 64The patient with lung cancer has received oxycodone 10mg orally for pain. When the student nurse assesses the patient, which finding would the nurse instruct the student nurse to report immediately?Answer →
  65. 65A nurse is assisting with teaching a newly licensed nurse about pain. Which of the following is an example of acute pain?Answer →
  66. 66A nurse is caring for a client with acute pancreatitis. Which is the priority lab?Answer →
  67. 67An older adult client with a history of alcohol abuse is admitted to the hospital due to dehydration. The client is 20 lb (9.1 kg) under ideal weight and assessment findings include nystagmus, ataxia, and tremors. The nurse knows that these symptoms were most likely caused by which nutritional deficiency?Answer →
  68. 68A nurse is reinforcing teaching with a client who has frequent urinary tract infections (UTIs). The nurse should identify that the client can use which of the following herbal supplements to help prevent UTIs?Answer →
  69. 69A nurse is teaching a client about progressing from a clear liquid diet to a full liquid diet. Which of the following food selections by the client indicates an understanding of the teaching?Answer →
  70. 70The 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 →
  71. 71A nurse is collecting data on a client who has respiratory alkalosis. Which of the following findings should the nurse expect?Answer →
  72. 72A nurse is conducting an interview for a health history. In addition to asking the client about medications being taken, what else should be asked to assess the risk for drug interactions?Answer →
  73. 73Following surgery, a client expresses concern to the nurse about being able to use the bedpan. After noting that the client's prescribed postoperative activity includes getting up to a chair three times a day, how should the nurse intervene?Answer →
  74. 74The prescriber ordered Heparin 5,000 units subcutaneously every 12 hours. The label on the 4 mL multi-dose vial reads 10,000 units/1 mL. How many milliliters will the nurse administer to the client per dose? Enter number Only.Answer →
  75. 75A nurse is caring for a client who has an indwelling urinary catheter for 6 days and notes blood-tinged urine in the catheter bag today. The nurse recognizes this finding can be a manifestation of which of the following urinary alterations?Answer →
  76. 76The nurse cares for an immobile, older adult client who was admitted from a long-term care facility. Today, the client reports pain in the left calf. Nursing assessment reveals redness and warmth to the area. How should the nurse proceed with further assessment of the client?Answer →
  77. 77A client with celiac disease selects a slice of rye bread toast with fresh fruit and skim milk, grapefruit juice, and coffee from the breakfast menu. Which action is most important for the nurse to implement?Answer →
  78. 78A client who suffers from chronic kidney disease (CKD) receives instructions regarding a low sodium diet. Which seasoning should the nurse teach this client to avoid?Answer →
  79. 79A nurse is caring for a client who is postoperative. When helping to manage the client's pain, which of the following principles should the nurse apply? (Select all that apply.)Answer →
  80. 80A nurse is planning education for a client about ways to prevent constipation. What constipation prevention measure should the nurse include in the education?Answer →
  81. 81A nurse is reviewing laboratory values for a group of clients at the beginning of their shift. Which of the following laboratory values is the nurse's priority?Answer →
  82. 82A nurse is caring for a client who is immobile and developing skin breakdown. Which of the following actions should the nurse take?Answer →
  83. 83A nurse is caring for a client who is postoperative following knee surgery. In addition to analgesia, the nurse suggests that the client imagine herself relaxing on a beach and enjoying the tropical breezes. Which of the following nonpharmacologic interventions for pain management is the nurse using?Answer →
  84. 84A nurse is caring for a female client who is postoperative and is having difficulty urinating after the removal of an indwelling urinary catheter. Which of the following techniques should the nurse teach the client to use to promote urination?Answer →
  85. 85Which actions support safe medication administration? (Select all that apply)Answer →
  86. 86Which breakfast selection should the nurse encourage a client to eat who is hospitalized with partial-thickness and full-thickness burns to both legs?Answer →
  87. 87A nurse is assessing a client with SLE. Which findings require immediate intervention? Select all that apply.Answer →
  88. 88A nurse is caring for a client who has dysphagia and is receiving oral medications. Which of the following actions should the nurse take?Answer →
  89. 89What would a nurse instruct a client to do after administration of a sublingual medication?Answer →
  90. 90The nurse instructs a client with type 2 diabetes mellitus (DM) to avoid refined sugar and carbohydrates. Choosing which food indicates that the client understands the diet teaching?Answer →
  91. 91The nurse is receiving a client from the post-anesthesia care unit who had a tracheostomy. What is the most important item for the nurse to place in the room?Answer →
  92. 92A nurse is preparing to administer clonazepam 1 mg PO. Available is clonazepam 0.5 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  93. 93A nurse is preparing to administer medications to a client. At which of the following times should the nurse compare the medication administration record and the medication label? (Select all that apply.)Answer →
  94. 94While performing passive range of motion exercises for a client with osteoarthritis, the nurse notes joint crepitus. Which action should the nurse take?Answer →
  95. 95Which antineoplastic, hormonal SERM therapy is used to treat receptor positive breast cancer?Answer →
  96. 96A nurse is implementing a plan of care for a postoperative client to prevent deep vein thrombosis (DVT). Which intervention(s) should be included to promote circulation? Select all that apply.Answer →
  97. 97When conducting diet teaching for a client who has iron-deficiency anemia, which food(s) should the nurse encourage the client to eat? Select all that apply.Answer →
  98. 98A medication was given but not documented, resulting in a double dose. What should the nurse do first?Answer →
  99. 99A nurse is caring for a client who has dysphagia and is receiving oral medications. Which of the following actions should the nurse take?Answer →
  100. 100When providing wound care for a client with burns, which of the following actions is the most effective strategy to prevent infection?Answer →
  101. 101A nurse is caring for a client with migraines. Which complementary therapy should the nurse suggest that involves observing and modifying bodily functions?Answer →
  102. 102A nurse is caring for an older adult who has been in bed most of the day and needs help turning. During the skin assessment, the nurse notes a nonblanchable red area on the sacrum, small open area with serous drainage, and the client reports tenderness at the site. The nurse writes the following nursing diagnosis: Impaired Skin Integrity related to prolonged pressure over bony prominence as evidenced by altered skin color, localized tenderness. Non-blanchable red area on the sacrum. Which of the following findings are the defining characteristics supporting this diagnosis?Answer →
  103. 103A nurse administers an incorrect medication to a client and identifies the error. Which of the following actions should the nurse take first?Answer →
  104. 104A 5' 3" (1. 6 meter) 113 pound (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? Reference Range: Total Cholesterol [less than 200 mg/dL (less than 5.2 mmol/L)] LDL [less than 130 mg/dL (less than 3.4 mmol/L)] HDL [greater than 45 mg/dL (greater than 0.75 mmol/L)] VLDL [12 to 30 mg/dL (0.31 to 0.78 mmol/L)] Triglycerides [40 to 160 mg/dL (0.45 to 1.81 mmol/L)]Answer →
  105. 105A nurse is caring for a client with phlebitis. The nurse notices that the client's forearm, which has the tubing, has become red and slightly warm. Which actions should the nurse perform to avoid further complications and provide relief to the client?Answer →
  106. 106Match the term with its definition.Answer →
  107. 107The home health nurse is caring for an older adult client living alone at home who is incontinent of urine and changes the adult diaper (pad) daily. The nurse plans care based on which nursing concern?Answer →
  108. 108A nurse is caring for a client with a fracture. Which is a sign of compartment syndrome?Answer →
  109. 109A nurse is reviewing new prescriptions for a client. The nurse should identify that which of the following abbreviations used by the provider indicates "to administer medications before meals"?Answer →
  110. 110A nurse is teaching a client who can only bear weight on one leg how to ambulate using crutches. Which of the following crutch gaits should the nurse plan to instruct the client to use?Answer →
  111. 111The nurse is observing a client with type 2 diabetes choose simple and complex carbohydrates from the menu. For each food item, click to specify if the food item chosen by the client is a simple carbohydrate or a complex carbohydrate.Answer →
  112. 112The nurse receives a new prescription to administer oxygen at 3 L/minute via a nasal cannula to maintain an oxygen saturation between 90 and 100% for an adult client. The nurse obtains an oxygen saturation reading of 85% and, after repositioning the oximeter on a different finger, obtains a second reading of 87%. Which action should the nurse take next?Answer →
  113. 113The nurse is reviewing the client's findings. Click on the findings that require immediate follow-up.Answer →
  114. 114A nurse is caring for a client who is 4 hr postoperative following abdominal surgery. Which of the following findings should the nurse report to the provider?Answer →
  115. 115A nurse is teaching a client about progressing from a Clear liquid diet to a full liquid diet. Which of the following food selections by the client indicates an understanding of the teaching?Answer →
  116. 116Review the client's information in the exhibits. Click to highlight the findings that the nurse should report to the provider.Answer →
  117. 117A nurse is assisting with teaching a class about sleep disorders. The nurse should include that which of the following conditions can cause obstructive sleep apnea (OSA)?Answer →
  118. 118A young adult tells the nurse in the provider's office that he is concerned about the amount of sleep he is getting. The nurse should explain that which of the following durations is the average recommendation for sleep for a young adult?Answer →
  119. 119A nurse is teaching a client about progressing from a clear liquid diet to a full liquid diet. Which of the following food selections by the client indicates an understanding of the teaching?Answer →
  120. 120A nurse is providing teaching to a client who has a new prescription for enteral feedings. Which of the following statements should the nurse include in the teaching?Answer →
  121. 121A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the plan of care?Answer →
  122. 122The nurse should prepare to insert ___[blank1]__ and request a prescription for __[blank2]__.Answer →
  123. 123A nurse is preparing to provide tracheostomy care for a client. Which of the following actions should the nurse plan to take?Answer →
  124. 124The nurse is taking a medication history for a client with diabetes mellitus type 2. The pharmacist reports the client has been prescribed empagliflozin The nurse will provide instructions for which class of drug?Answer →
  125. 125A nurse is collecting data from a client. Which of the following findings should the nurse report to the charge nurse as an indicator of dehydration?Answer →
  126. 126A nurse is using the faces, legs, activity, cry, consolability (FLACC) scale to assess the need for PRN pain medication for a client who has cognitive impairment. Which of the following findings should the nurse identify as an indication the client is experiencing pain?Answer →
  127. 127Review H and P and nurse's notes. 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 →
  128. 128The nurse is planning care for the client. 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 →
  129. 129A nurse is caring for a client who has constipation and is bearing down to have a bowel movement. The nurse should monitor the client for which of the following?Answer →
  130. 130The nurse is caring for an older adult client that is exhibiting signs of confusion. Which intervention should the nurse implement?Answer →
  131. 131A nurse is caring for a client who is using a patient-controlled analgesia (PCA) pump for postoperative pain management. The nurse enters the room to find the client asleep and his partner pressing the button to dispense a dose of analgesia. Which of the following responses should the nurse make?Answer →
  132. 132A nurse is preparing to administer an intramuscular injection to a client. Which of the following sites should the nurse use for a 2-mL injection?Answer →
  133. 133A nurse is planning care for a client who is immobile. Which of the following actions should the nurse include in the plan of care?Answer →
  134. 134A nurse is planning to change a client's tracheostomy ties. Which of the following actions should the nurse take?Answer →
  135. 135A nurse is caring for a client who has nausea and is vomiting. The nurse should identify the client is at risk for which of the following acid-base imbalances?Answer →
  136. 136A client asks the nurse if there are any conditions that can exacerbate systemic lupus erythematosus (SLE). Which response by the nurse is the most appropriate?Answer →
  137. 137A client with Type 1 diabetes is found unresponsive and clammy. Which of the following is the priority nursing action?Answer →
  138. 138What is the likeliest reason a person would gain 2 pounds in one day?Answer →
  139. 139Before administering a dose of medication to a client, the nurse verifies the math calculations with another nurse. Which right of medication administration is the nurse displaying?Answer →
  140. 140The nurse is caring for a client one-week post-surgery. Which finding should the nurse expect to see if the surgical incision is healing properly?Answer →
  141. 141A nurse administers a dose of an oral medication for hypertension to a patient who immediately vomits after swallowing the pill. What action will the nurse take first?Answer →
  142. 142A nurse is caring for a client who has a colostomy. Which of the following actions should the nurse take?Answer →
  143. 143A patient has a pressure injury over the coccyx covered with thick yellow-tan slough obscuring the wound bed. The wound cannot be visually assessed for depth. Which answer correctly documents this pressure injury stage?Answer →
  144. 144A nurse is caring for a client who reports being unable to sleep due to shortness of breath. Which action should the nurse take?Answer →
  145. 145A nurse is preparing to provide tracheostomy care for a client. Which of the following actions should the nurse plan to take?Answer →
  146. 146Prior to receiving a 120 mL hypertonic enema, an ambulatory female client tells the nurse that she does not believe that she can walk all the way to the bathroom without expelling the enema. Which intervention is best for the nurse to implement?Answer →
  147. 147A nurse is caring for a client who is receiving oxygen therapy via a nasal cannula. The nurse explains to the client that this method of oxygen delivery does which of the following?Answer →
  148. 148A nurse is preparing to insert a peripheral IV catheter into a client's arm. Which of the following actions should the nurse take to help dilate the vein?Answer →
  149. 149Click to indicate whether the following actions would be effective or ineffective for this client to achieve energy balance. Each row must have one option selected.Answer →
  150. 150The nurse is teaching a client how to use crutches. Which action performed by the client demonstrates to the nurse a correct understanding of how to use the crutches?Answer →
  151. 151A client with a prescription for morphine sulfate 2 mg IV every 4 hours PRN for pain reports the pain is a 10 on a 0 to 10 scale one hour after receiving the last administration. Which intervention should the nurse implement?Answer →
  152. 152A nurse is caring for a client who is 4 hr postoperative following abdominal surgery. Which of the following findings should the nurse report to the provider?Answer →
  153. 153A nurse administers an opioid analgesic to a postoperative patient. Thirty minutes later, the patient has a respiratory rate of 7 breaths/min, is difficult to arouse with verbal stimuli, and SpO2 is 84%. What is the nurse's priority action?Answer →
  154. 154A client taking pantoprazole reports frequent diarrhea, balance problems, fatigue, and tingling in their hands and feet. These signs and symptoms are associated with which type of anemia?Answer →
  155. 155A patient who is starting PrEP asks how often they need follow-up HIV testing while taking the medication. Which response by the nurse is correct?Answer →
  156. 156The client is admitted to the nurse's unit with a diagnosis of heart failure. His heart is not pumping effectively, which is resulting in edema and coarse crackles in his lungs. The term for this condition is:Answer →
  157. 157Which of the following are potential causes of obstructive shock? Select All that Apply.Answer →
  158. 158A nurse is assisting with teaching a class about converting household measurements into metric measurements. Which of the following information should the nurse include?Answer →
  159. 159A nurse is teaching a client about meditation and progressive relaxation to reduce stress. Which of the following instructions should the nurse include?Answer →
  160. 160A nurse is assessing a client with a bowel obstruction. Which finding is expected?Answer →
  161. 161Select all that apply. Which nursing interventions are appropriate for Diane's condition?Answer →
  162. 162The nurse is evaluating arterial blood gases (ABGs) for 4 clients. Which of the following values would be considered fully compensated respiratory acidosis?Answer →
  163. 163A client expresses an interest in reducing intake of saturated fats and plans to stop eating hamburgers at lunch. Which menu item should the nurse suggest as an alternative source of protein?Answer →
  164. 164What term is defined as the process of taking food into the mouth, starting its journey through the digestive tract?Answer →
  165. 165The nurse is caring for a client with a history of neuropathy who reports increasing numbness and tingling in the lower extremities. Which problem should the nurse determine is the priority for promoting foot care at this time?Answer →
  166. 166Order: Infuse 1500 mL Lactated Ringers over 12 hours. Drip factor 15 gtt/mL. What is the flow rate?Answer →
  167. 167A nurse is caring for a client with a chest tube. The nurse notes continuous bubbling in the water-seal chamber. What does this finding indicate?Answer →
  168. 168A nurse is about to give a client a complete bed bath. Which of the following actions should the nurse take to maintain the client's privacy?Answer →
  169. 169A nurse is caring for an adult client who requires nasopharyngeal suctioning. Which of the following actions should the nurse take?Answer →
  170. 170Which finding indicates mild allergic transfusion reaction?Answer →
  171. 171While assessing placement of a nasogastric tube (NGT), the nurse aspirates cloudy green fluid into a syringe. Which intervention should the nurse implement?Answer →
  172. 172A nurse is caring for a client who has a prescription for a nasogastric tube insertion. Which of the following actions should the nurse take?Answer →
  173. 173Four hours after treatment begins, the nurse reassesses Diane. Which finding best indicates that treatment is effective AND safe?Answer →
  174. 174A client is being treated for tumor lysis syndrome. Which nursing intervention should the nurse prioritize to minimize complications associated with this condition?Answer →
  175. 175Clinical manifestations of pallor, fatigue, weakness, hypoxia, tachycardia, pica, glossitis, koilonychia, and lightheadedness are likely to occur in which of the following conditions?Answer →
  176. 176A nurse is performing passive range of motion (PROM) on an unconscious patient. Which action best reflects correct PROM technique?Answer →
  177. 177The nurse is reviewing the Nurses' Notes for a client admitted with pneumonia. Click to highlight the finding(s) in the Nurses' Notes that require follow-up by the nurse.Answer →
  178. 178A nurse hears a high-pitched inspiratory sound in a patient who is restless and using accessory muscles to breathe. The sound is audible without a stethoscope. What is the nurse's priority action?Answer →
  179. 179A nurse is teaching a patient with anxiety how to use guided imagery for relaxation. Which instruction best describes this technique?Answer →
  180. 180Place the body parts in the correct order that food passes through them in the gastrointestinal tract.Answer →
  181. 181The nurse develops a plan of care for a client who is being admitted with fluid overload. The client has 3+ edema to the bilateral lower extremities and generalized weakness. What is most important for the nurse to include in the plan of care?Answer →
  182. 182An older adult client from a long term care facility is admitted to the hospital because of dehydration. As the client is transferred from the stretcher to the bed, the nurse observes an area over the client's sacrum that is moist and the skin is broken. The nurse completes a full skin assessment. Which additional assessment finding takes priority?Answer →
  183. 183The charge nurse is observing a new graduate's performance of wound care. Which technique indicates that the employee is effectively cleansing the wound?Answer →
  184. 184The "5 Rights" of medication administration include all of the following except:Answer →
  185. 185A nurse is providing teaching to a client about reducing the adverse effects of immobility. Which of the following statements by the client indicates an understanding of the teaching?Answer →
  186. 186A nurse is planning care for a client with an indwelling urinary catheter. Which intervention should the nurse include to reduce the risk of catheter-associated urinary tract infection (CAUTI)?Answer →
  187. 187Which medication can reduce autoantibody levels, and help control disease activity for a client diagnosed with Systemic Lupus Erythematosus and Lupus Nephritis?Answer →
  188. 188A nurse is preparing to handwrite a prescription from a provider. Which of the following formats should the nurse use?Answer →
  189. 189The nurse is caring for a client experiencing dysphagia. Which intervention will decrease the risk of aspiration during feeding?Answer →
  190. 190A nurse is teaching a client how to self-administer heparin. Which of the following instructions should the nurse include in the teaching?Answer →
  191. 191The nurse is performing an initial mobility assessment with a new client. When should the nurse start the mobility assessment?Answer →
  192. 192A client has a serum sodium level of 155 mEq/L (155 mmol/L). The nurse should encourage the client to make which selection from the lunch menu?Answer →
  193. 193A nurse is reinforcing teaching with a client with bacterial conjunctivitis of the right eye and a prescription for an antibiotic ophthalmic ointment. Which of the following statements should the nurse make?Answer →
  194. 194A nurse administers a hypotonic IV solution to a patient. Based on principles of osmosis and fluid movement, the nurse anticipates this solution will:Answer →
  195. 195Drag from the choices area to specify which condition the client is most likely experiencing [blank1], two actions the nurse should take to address that condition [blank2] and [blank3], and two parameters the nurse should monitor to assess the client's progress [blank4] and [blank5].Answer →
  196. 196A nurse is caring for client who is 5 days postoperative after abdominal surgery. The client reports a sudden pulling sensation and pain in his surgical incision. The nurse checks the client's surgical wound and finds an evisceration. Which of the following interventions is appropriate?Answer →
  197. 197A nurse is planning care for several clients. Which client(s) is/are at an increased risk for malnutrition? Select all that apply.Answer →
  198. 198A nurse is preparing to administer packed RBCs to a client who has a low hemoglobin level. Which of the following actions should the nurse take prior to the start of the infusion?Answer →
  199. 199A nurse is preparing to administer a transdermal patch to a client. The nurse notes the client already has a patch that was applied 24 hr ago. Which of the following actions should the nurse take?Answer →
  200. 200A nurse in an urgent care center is reinforcing teaching with a client whose injury requires that he bear weight on only one foot. Which of the following crutch gaits should the nurse remind the client to use?Answer →
  201. 201A 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 →
  202. 202Drag from the choices area to specify which condition the client is most likely experiencing [blank1], two actions the nurse should take to address that condition [blank2] and [blank3], and two parameters the nurse should monitor to assess the client's progress [blank4] and [blank5].Answer →
  203. 203What is an ideal suction range for nasogastric tubes?Answer →
  204. 204A nurse is reviewing the laboratory results of a female client who has hypovolemia. Which of the following laboratory results would be a priority for the nurse to report to the provider?Answer →
  205. 205When educating a client with celiac disease, which food should the nurse instruct the client to avoid?Answer →
  206. 206The nurse is planning food selections with a client who has moderate hyponatremia. Which food choice should the nurse recommend to this client?Answer →
  207. 207When assessing a 22-year-old patient who required emergency surgery and multiple transfusions 3 days ago, the nurse finds that the patient looks anxious and has labored respirations at a rate of 38 breaths/min. The oxygen saturation is 90% with the oxygen delivery at 6L/min via nasal cannula. Which action is most appropriate?Answer →
  208. 208The nurse should prepare to insert A and request a prescription for BAnswer →
  209. 209A nurse is caring for a client who reports abdominal pain. The nurse asks the client to describe what the pain feels like. The nurse is using which of the following components of the PQRST mnemonic?Answer →
  210. 210A patient with chronic back pain asks: "Why do I need physical therapy AND cognitive-behavioral therapy - can't I just take pain medication?" Which response best reflects current pain management principles?Answer →
  211. 211An adult male who is transferred to the medical unit following a myocardial infarction has a prescription for a cardiac diet. When the client complains about the flavorless hamburger that is on his lunch tray, which condiment should the nurse suggest that the client use to improve the taste of the hamburger?Answer →
  212. 212A client is ambulating with a two wheeled walker by rolling the walker forward and then moving each foot forward. The nurse notes that the client's elbows are slightly flexed when grasping the hand bar. After the client returns to the chair, which action should the nurse implement?Answer →
  213. 213A nurse is caring for a client who is immobile and developing skin breakdown. Which of the following actions should the nurse take?Answer →
  214. 214A nurse is caring for a 6-year-old child who has a new prescription for cefoxitin 20 mg/kg/day administered intravenously every 6 hr. The child weighs 20 kg. How much cefoxitin should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  215. 215A nurse is caring for a client who has had a stroke and has limited movement of the left side. What nursing intervention will reduce the risk of the clients left ankle becoming fixed in plantar flexion?Answer →
  216. 216A nurse is caring for a female client who is postoperative and is having difficulty urinating after the removal of an indwelling urinary catheter. Which of the following techniques should the nurse teach the client to use to promote urination?Answer →
  217. 217A nurse is assessing a client who received an IM antibiotic injection 15 min ago. Which of the following findings should the nurse identify as an indication of a possible anaphylactic reaction to the medication?Answer →
  218. 218Prior to receiving a 120 mL hypertonic enema, an ambulatory female client tells the nurse that she does not believe that she can walk all the way to the bathroom without expelling the enema. Which intervention is best for the nurse to implement?Answer →
  219. 219The 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 →
  220. 220A nurse is reviewing the prescriptions for a client who is experiencing dysphagia following a stroke. Which of the following prescriptions should the nurse clarify?Answer →
  221. 221The nurse is assessing a client who has reported 7 episodes of diarrhea in the past 24 hours. Which question(s) would determine a possible causative factor of the diarrhea? Select all that apply.Answer →
  222. 222Which client is at most risk for developing autonomic dysreflexia?Answer →
  223. 223A nurse is caring for a client who reports that she has insomnia. Which of the following interventions is appropriate for the nurse to recommend?Answer →
  224. 224A nurse is preparing to remove an indwelling urinary catheter from a client. In what order should the nurse perform the following steps? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) Dry the perineal area. Withdraw the solution from the balloon. Slowly pull the catheter out of urethral canal. Attach the syringe to the balloon injection port. Don clean gloves.Answer →
  225. 225The nurse is providing discharge instructions to a client who underwent a laparoscopic cholecystectomy. Which instruction should the nurse include in the teaching?Answer →
  226. 226A nurse is preparing to administer an IV bolus of morphine. The nurse should monitor the client for which of the following adverse effects?Answer →
  227. 227A nurse in an outpatient clinic is caring for a client. Which of the following findings indicates the client is experiencing a hearing deficit?Answer →
  228. 228A nurse is preparing to administer packed RBCs to a client who has a low hemoglobin level. Which of the following actions should the nurse take prior to the start of the infusion?Answer →
  229. 229A nurse is caring for a client who has left lower-lobe atelectasis. In which of the following positions should the nurse place the client for postural drainage?Answer →
  230. 230A nurse is planning care for a client who has dysphagia. Which of the following actions should the nurse plan to take?Answer →
  231. 231A 2-year-old child arrives at the emergency department of a local hospital with difficulty breathing from an asthmatic attack. What is the priority nursing intervention?Answer →
  232. 232A nurse is caring for a client who has a prescription for a wound dressing change. Which of the following actions should the nurse take?Answer →
  233. 233A nurse is teaching a client how to self-administer heparin. Which of the following instructions should the nurse include in the teaching?Answer →
  234. 234A nurse is planning care for a client who has acute pain as a result of a pressure injury to the sacrum. Which of the following nonpharmacological interventions should the nurse include in the plan?Answer →
  235. 235A nurse is caring for a client receiving continuous enteral feeding via a nasogastric tube. The nurse notes that the client has abdominal distention and reports nausea. Which action should the nurse take first?Answer →
  236. 236A nurse is reinforcing teaching with a client about maintaining taste and smell. Which of the following statements should the nurse make?Answer →
  237. 237A nurse is delivering oxygen to a client via an oxygen mask. Which guideline is recommended for this procedure?Answer →
  238. 238A client who is receiving antineoplastic chemotherapy has lost 25% of total body weight and is having difficulty eating because of stomatitis. In planning care for this client, which diet should the nurse recommend?Answer →
  239. 239The nurse must suction a client with a tracheostomy. Which of the following must the nurse do to safely and effectively suction the client?Answer →
  240. 240A nurse reviews a client's food diary and notes consistently low energy intake. What is the most appropriate goal to include in the care plan?Answer →
  241. 241The nurse analyzes the blood gas results and determines the patient is experiencing respiratory acidosis. Which results validates the nurse's findings?Answer →
  242. 242A nurse is caring for a client who is postoperative and is on bed rest. Which of the following actions should the nurse take to decrease the client's risk of developing a pressure injury?Answer →
  243. 243A nurse is caring for a patient with pneumonia who has a productive cough and thick yellow sputum. Auscultation reveals coarse crackling sounds bilaterally that partially clear with coughing. An arterial blood gas (ABG) drawn this morning shows: pH 7.32, PaCO2 52 mmHg, HCO3-24 mEq/L. Which interpretation of these findings is correct?Answer →
  244. 244The 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 →
  245. 245A nurse is caring for a client who has a prescription for a clear liquid diet. Which of the following food items should the nurse offer the client?Answer →
  246. 246A nurse is collecting data on a client who has diarrhea. Which of the following findings is a manifestation of hypokalemia?Answer →
  247. 247The physician orders testosterone 170 mg IM weekly for hormone replacement. The medication is supplied in 200 mg/mL. How many milliliters will the nurse administer? Do not provide the unit of measurement. Only provide the number. Round to the nearest hundredth, 2nd decimal place.Answer →
  248. 248A nurse in a pediatric unit is planning care for a group of clients. Which of the following clients should the nurse plan to use the Crying, Requires oxygen. Increased vital signs. Expression. Sleeplessness (CRIES) pain scale?Answer →
  249. 249A client is receiving a secondary infusion of a new antibiotic. After 5 minutes of administration, the client reports itching and appears flushed. What is the first nursing intervention?Answer →
  250. 250During a home health visit, the nurse learns that an older adult client who lives alone is taking a daily laxative for chronic constipation. To develop a plan of care that addresses the client's constipation, which additional information is most important for the nurse to obtain?Answer →
  251. 251The nurse assesses a patient's sleep for NREM (non-rapid eye movement) sleep because this sleep has the characteristics of:Answer →
  252. 252A nurse is providing teaching to a client who is anxious about their mastectomy scheduled in 2 hr. Which of the following complementary therapies should the nurse recommend to the client?Answer →
  253. 253A nurse is reinforcing teaching with a client who has hyperlipidemia and is taking atorvastatin daily. Which of the following statements by the client indicates understanding?Answer →
  254. 254The nurse is caring for a client with diarrhea who is receiving intravenous (IV) fluids. Which finding indicates the client's improving?Answer →
  255. 255Convert 2 cups to milliliters. Round to the nearest whole number.Answer →
  256. 256A 78-year-old patient is in the recovery room after having a lengthy surgery on his hip. As he is gradually awakening, he requests pain medication. Within 10 minutes after receiving a dose of morphine sulfate, his GCS is 13 and his respirations are shallow, with a rate of 7 breaths/minute. The nurse prepares for which priority action at this time?Answer →
  257. 257The 5 "rights" of medication administration help to ensure accuracy when administering medications. What are some of these rights? Select all that apply.Answer →
  258. 258Place steps in order for administering PRBCs.Answer →
  259. 259The nurse is planning care for the client. Complete the following sentence by using the lists of options. The nurse should prepare to insert [blank] and request a prescription for [blank]Answer →
  260. 260A client presents with a partial-thickness burn covering 20% of their total body surface area (TBSA) after an industrial accident. What is the most appropriate initial action by the nurse to manage fluid resuscitation for this client?Answer →
  261. 261The nurse is preparing to insert a Foley catheter into a female patient. What is the preferred position for which the patient should be placed?Answer →
  262. 262A nurse is caring for a client who has dysphagia. When assisting the client during breakfast, which of the following actions by the client indicates the nurse should intervene?Answer →
  263. 263The healthcare provider (HCP) prescribes furosemide 50 mg IV bolus, and the nurse plans to administer this bolus over 3 minutes. Furosemide is available in a vial that contains "20 mg/mL." How many mL of furosemide should the nurse administer over 3 minutes? (Enter numeric value only. If rounding is required, round to the nearest tenth.)Answer →
  264. 264A nurse is caring for a client who has a chest tube with a closed drainage system. Which of the following actions should the nurse take?Answer →
  265. 265The nurse is caring for a client with left-sided homonymous hemianopsia resulting from a stroke. Which intervention should the nurse include in the plan of care?Answer →
  266. 266A nurse is educating a postoperative client on essential nutrition for healing. What statement by the client would indicate a need for more information?Answer →
  267. 267A nurse is caring for a client who is immobile. Which of the following actions should the nurse take to decrease the risk of foot drop?Answer →
  268. 268A nurse is caring for a client who is postoperative and is receiving opioid analgesics. Which of the following findings should the nurse report to the provider?Answer →
  269. 269Which client would be at highest risk for injury to the skin and mucous membranes?Answer →
  270. 270The nurse is planning the client's care. Which of the following actions should the nurse include? Select the 4 actions the nurse should include in the plan of care.Answer →
  271. 271A nurse is caring for a client with a hip replacement. Which precaution is vital?Answer →
  272. 272The statement made by a patient that would delay a scheduled CT scan would be:Answer →
  273. 273The healthcare provider inserts a subclavian central venous catheter (CVC) and prescribes total parenteral nutrition (TPN) for infusion via the CVC line. While waiting for the pharmacy to deliver the TPN, which action should the nurse take?Answer →
  274. 274A medication that causes extreme photosensitivity was recently prescribed for a client. In providing discharge instructions, the nurse should teach this client to increase intake of which foods?Answer →
  275. 275A nurse is caring for a client who is having a small bowel resection. The client asks about the function of the small intestine. Which is the best response by the nurse?Answer →
  276. 276What is the maximum amount of time a patient should have tracheostomy suctioning performed each suction pass?Answer →
  277. 277The nurse is caring for a frail, immobile patient. What is one of the best interventions to protect the patient's integument (skin)?Answer →
  278. 278A nurse is caring for a client who has dysphagia and is receiving oral medications. Which of the following actions should the nurse take?Answer →
  279. 279The health history of a young client with a seizure disorder reveals the use of medical marijuana to treat the seizures. When planning care for this client, how should the nurse proceed? Select all that apply.Answer →
  280. 280A client is discharged from the intensive care unit following a myocardial infarction, and the healthcare provider prescribes a low-sodium diet. Which lunch selection indicates to the nurse that this client understands the dietary restrictions?Answer →
  281. 281A nurse receives a telephone prescription from a provider for a client Who is experiencing pain. Which Of the following responses should the nurse make?Answer →
  282. 282A patient in the medical intensive care unit is receiving a heparin infusion for treatment of a pulmonary embolus. The nurse notices blood oozing from the IV site and pink urine in the indwelling catheter bag. Which medication does the nurse anticipate being ordered?Answer →
  283. 283A client's burns are estimated at 42% TBSA; fluid resuscitation has been ordered in the emergency department. The nurse should anticipate the administration of what fluid?Answer →
  284. 284A nurse is preparing to reposition a client who has a lower back injury. Which of the following actions should the nurse take?Answer →
  285. 285A patient has been taking ibuprofen 600mg every 4 hours for the previous 7 days for treatment of a sprained ankle. The nurse understands that which clinical manifestation may indicate an adverse effect from this medication?Answer →
  286. 286A nurse is caring for a client who has end-stage renal disease and must limit protein intake. Which of the following foods should the nurse plan to remove from the client's diet?Answer →
  287. 287A nurse is assessing a client who has left-sided weakness following a stroke. Which of the following findings is the nurse's priority?Answer →
  288. 288A nurse is caring for a client whose condition inhibits the release of cholecystokinin (CCK). Which process of digestion should the nurse expect to be compromised?Answer →
  289. 289A nurse is caring for a client with Addison's disease. Which of the following electrolyte imbalances is common in this condition?Answer →
  290. 290A nurse is assessing a client with pleural effusion. Which finding is expected?Answer →
  291. 291A nurse is caring for a client who reports that she has insomnia. Which of the following interventions is appropriate for the nurse to recommend?Answer →
  292. 292Which focused assessment technique should the nurse use for a client admitted with possible dehydration?Answer →
  293. 293A student nurse is collecting a sterile urine specimen from an indwelling catheter. How will the student correctly obtain the specimen?Answer →
  294. 294A client tells the nurse, "Every time I sneeze, I wet my pants." What is this type of involuntary escape of urine called?Answer →
  295. 295A patient is beginning treatment for pain with a transcutaneous electrical nerve stimulator (TENS) unit. The nurse will initially:Answer →
  296. 296Complete 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. Potential Conditions: Lobar pneumonia, Atelectasis, Acute bronchitis Actions to Take: Assess for muffled heart sounds, Assess for prolonged expiration, Assess for tactile fremitus Parameters to Monitor: Wheezing, Loud bronchial breathing, CracklesAnswer →
  297. 297A nurse is assessing a client with a pneumothorax. Which finding is expected?Answer →
  298. 298The nurse is preparing to administer an enteric-coated pain medication to an older adult client. Which instruction should the nurse provide to ensure optimal absorption?Answer →
  299. 299A nurse is caring for a client with a stroke. Which is the priority?Answer →
  300. 300Why should enteric-coated tablets not be crushed?Answer →
  301. 301The nurse is caring for a client experiencing severe diarrhea for the last three days and receives the results for a serum magnesium level of 1 mEq/L (0.41 mmol/L). Which intervention is most important for the nurse to implement? Reference Range: Magnesium [1.3 to 2.1 mEq/L (0.65 to 1.05 mmol/L)]Answer →
  302. 302A nurse is preparing to reposition a client who has a lower back injury. Which of the following actions should the nurse take?Answer →
  303. 303A patient recently diagnosed with polycystic kidney disease (PKD) questions how he developed the disease. The nurse correctly replies with which statement?Answer →
  304. 304Which action should a nurse prioritize when initially administering naloxone to a client suspected of opioid overdose?Answer →
  305. 305After the change of shift, the nurse is assigned to care for the following patients. Which patient should the nurse assess first?Answer →
  306. 306When measuring for nasogastric tube insertion, what is the proper sequence?Answer →
  307. 307The nurse is reviewing the client's medical record. Which of the following actions should the nurse take? Select all that apply.Answer →
  308. 308Which lipoproteins have been shown to protect against cardiovascular disease?Answer →
  309. 309Your patient weighs 132 pounds. How much does your patient weigh in kilograms? Round to the nearest whole number.Answer →
  310. 310A nurse is collecting data from a client who reports pain. Which of the following client findings should the nurse consider as the most reliable indicator of pain?Answer →
  311. 311A nurse is teaching about a gluten-free diet. Which food is safe?Answer →
  312. 312The physician orders vancomycin 400 mg oral every 6 hours for a child weighing 88 lb. The vancomycin is available in a 250 mg/5 ml concentration. The recommended dose is 40 mg/kg/24 h divided in four divided doses. Is the order safe? Type "Yes" or "No" in the answer box.Answer →
  313. 313The nurse is initiating a 24 hour urine collection for a client with an indwelling urinary catheter. After all the urine is emptied from the collection bag, which action is most important for the nurse to implement?Answer →
  314. 314A client is receiving phenytoin 0.2 gram orally twice daily. The medication is available in 100 mg capsules. How many capsules should the nurse administer? (Enter numeric value only.)Answer →
  315. 315A nurse is monitoring a postoperative client who is unable to respond to questions. Which of the following nonverbal behaviors should the nurse identify as an indication that the client is experiencing pain? (Select all that apply.)Answer →
  316. 316A nurse is preparing to administer several medications via an NG tube to a client who is receiving a continuous tube feeding. Which of the following actions should the nurse take?Answer →
  317. 317A client with severe cirrhosis presents with elevated ammonia levels. Which of the following dietary modifications should the nurse prioritize for the client to help manage ammonia levels?Answer →
  318. 318A client is in an urgent care center with an acute asthma attack. The nurse expects that which medication will be used for initial treatment?Answer →
  319. 319Which of the following interventions should a nurse include in the plan of care for a client who has a deep vein thrombosis (DVT) in the left leg?Answer →
  320. 320A nurse is caring for a client with a pulmonary embolism. Which is the priority intervention?Answer →
  321. 321A nurse is caring for a hospitalized client who reports difficulty sleeping. What action should the nurse take?Answer →
  322. 322A nurse is caring for a client with COPD. Which oxygen delivery device is best for precise concentration?Answer →
  323. 323A nurse is caring for a client who is postoperative and is on bed rest. Which of the following actions should the nurse take to decrease the client's risk of developing a pressure injury?Answer →
  324. 324Which statement regarding skeletal muscle is correct?Answer →
  325. 325A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect?Answer →
  326. 326A nurse is preparing to administer dextrose 5% in water IV to infuse at 100 mL/60 min. The drop factor on the manual IV tubing is 60 gtt/mL. The nurse should set the IV flow rate to deliver how many gtt/min? (Round to the nearest whole number.)Answer →
  327. 327A patient's serum albumin level is 2.0 g/dL (normal: 3.5-5.0 g/dL). The nurse recognizes the patient is at risk for edema primarily due to which mechanism?Answer →
  328. 328How many kilocalories are contained in a food item that has 25 g of carbohydrates, 11 g of protein, and 15 g of fat?Answer →
  329. 329A client has been taking antipsychotic medication for 20 years and develops repetitive movements of the mouth, tongue, jaw and facial grimacing. What do these behaviors indicate?Answer →
  330. 330A nurse is caring for a patient with suspected hyperkalemia. Select all assessment findings consistent with this electrolyte imbalance. Select all that apply.Answer →
  331. 331Which action should the nurse take first when the nurse notices that the patient's peripheral IV insertion site is red, warm to touch, and painful?Answer →
  332. 332An older adult resident of a long-term care facility is experiencing frequent episodes of urinary incontinence. Which intervention is best for the nurse to implement with this client?Answer →
  333. 333The nurse is helping the client create a medication schedule to follow after discharge. Which aspect(s) of a client's culture is/are most important for the nurse to consider when developing a medication administration schedule? Select all that apply.Answer →
  334. 334A nurse is assessing a client who is receiving a blood transfusion. The nurse notes lung crackles, hypoxia, and distended neck veins. Which of the following actions should the nurse take? (Select all that apply)Answer →
  335. 335A nurse is caring for a client who was administered more than the prescribed dose of a medication. Which of the following actions should the nurse take first?Answer →
  336. 336A client presents to the clinic with concerns of frequent abdominal cramping and nausea. The client reports having chronic constipation and not having a bowel movement in five days, despite trying several home remedies. Which intervention is most important for the nurse to implement?Answer →
  337. 337The nurse appreciates the principal advantage in using patient-controlled analgesia (PCA) is that it:Answer →
  338. 338A nurse is reviewing a client's admission laboratory findings that indicate the client has hyponatremia. Which of the following laboratory findings should the nurse also expect to be below the expected reference range?Answer →
  339. 339The nurse notes the following symptoms in a client taking escitalopram: agitation, confusion, high blood pressure and rapid heart rate, dilated pupils and loss of muscle coordination. The nurse suspects which of the following?Answer →
  340. 340A nurse puts elastic stockings on a patient following a major surgery. The patient should be taught that the stockings are used after surgery to:Answer →
  341. 341A nurse is caring for a client who has a prescription for a total parenteral nutrition (TPN). Which of the following actions should the nurse take?Answer →
  342. 342Drag words from the choices below to fill in each blank in the following sentence. The nurse should first follow up on the client's [Target 1] and [Target 2]Answer →
  343. 343Review of history and physical, flow sheet, prescriptions, laboratory results, and nurses' notes. Select the 2 findings that require immediate follow-up.Answer →
  344. 344A client who is taking an antibiotic develops diarrhea. As the client resumes a regular diet, the nurse offers yogurt and buttermilk, but also observes that the client has several small bruises. Which additional dietary change should the nurse offer?Answer →
  345. 345A nurse is preparing to administer a transdermal patch to a client. The nurse notes the client already has a patch that was applied 24 hr ago. Which of the following actions should the nurse take?Answer →
  346. 346The nurse is preparing to insert a Foley catheter into a male patient. What is the preferred position for which the patient should be placed?Answer →
  347. 347The nurse is to administer two different eye drops in the left eye of the same client. Which action is appropriate?Answer →
  348. 348A client has a physician's order for NPO (nothing by mouth) following abdominal surgery to repair a bowel obstruction. The client has a nasogastric tube inserted to low intermittent suction. The client requires intravenous therapy for what purpose?Answer →
  349. 349What is a function of proteins?Answer →
  350. 350Complete the following sentence by choosing from the list of options. The nurse is reviewing the consumption of dietary fat intake with a group of elderly clients at a community center. The client demonstrates understanding of the subject when they state, 'I should use oils with sunflower oil, when cooking, because it is the [1] fatty acids, such as [2]'Answer →
  351. 351A client is receiving oxygen at 8 L/min via Venturi mask. Which action is most important for the nurse to take to ensure the client receives adequate oxygenation?Answer →
  352. 352A nurse is collecting data on the mobility of a client. Which of the following actions should the nurse take first?Answer →
  353. 353A nurse in a pediatric unit is planning care for a group of clients. Which of the following clients should the nurse plan to use the Crying, Requires oxygen, Increased vital signs, Expression, Sleeplessness (CRIES) pain scale?Answer →
  354. 354A nurse is caring for a client in the oliguric phase of acute kidney injury. Which of the following is the nurse's priority assessment?Answer →
  355. 355What are the potential causes of a high pressure alarm when a client is on a ventilator? Select all that apply.Answer →
  356. 356The nurse shows a client how to read nutrition labels to determine the number of calories from added sugars. The nutrition label of a food product shows 38 grams of added sugars. How many calories should the client identify are from added sugars? ___ calories (If needed, round the answer to the nearest whole number.)Answer →
  357. 357A nurse is providing teaching to a client who is anxious about their mastectomy scheduled in 2 hr. Which of the following complementary therapies should the nurse recommend to the client?Answer →
  358. 358A nurse is collecting data from four clients who have wounds. The nurse should recognize that which of the following clients has a manifestation of a wound infection?Answer →
  359. 359The 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 →
  360. 360A 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 →
  361. 361A nurse is assessing a client with DKA. Which finding is classic?Answer →
  362. 362Which endocrine hormone, monitored by the nurse, may induce labor in the pregnant uterus?Answer →
  363. 363A client has a prescription to restrict fluids. What is one comfort measure nurses can implement for this client to alleviate a common problem?Answer →
  364. 364A nurse is preparing to administer medications to a client who has a gastrostomy tube. Which of the following actions should the nurse take?Answer →
  365. 365The client is prescribed methotrexate 15 mg subcutaneously. The available methotrexate concentration is 25 mg/mL. How many milliliters should the nurse administer? mL (if needed, round to the nearest tenth.)Answer →
  366. 366A nurse is caring for a client who has a chest tube with a closed drainage system. Which of the following actions should the nurse take?Answer →
  367. 367Which nursing action(s) is/are required when performing a transcutaneous electrical nerve stimulation (TENS) procedure with a client? Select all that apply.Answer →
  368. 368Dr. Tingle called the unit and asked the nurse to put his patient in Fowler's position. Which of the following correctly describes Fowler's position?Answer →
  369. 369Which of the following actions should the nurse take to manage increased intracranial pressure (ICP) for a client with a closed-head injury? Select all that apply.Answer →
  370. 370Eight months after the delivery of her first child, a 30-year-old woman has sought care because of occasional incontinence that she experiences when sneezing or laughing. Which measure should the nurse first recommend for correcting this incontinence?Answer →
  371. 371The nurse is planning food selections with a client who has moderate hyponatremia. Which food choice should the nurse recommend to this client?Answer →
  372. 372Which of the following provides the most efficient form of energy for the muscles and the brain?Answer →
  373. 373A nurse is preparing to administer an intradermal tuberculin test to a client. Which of the following actions should the nurse take?Answer →
  374. 374A patient with severe hemoglobin deficiency has an SpO2 of 97% but reports fatigue, dizziness, and dyspnea on exertion. How should the nurse best interpret these findings?Answer →
  375. 375When assessing a client, the nurse finds that the client is fatigued, and is experiencing muscle weakness, leg cramps, and cardiac dysrhythmias. Based on these findings, the nurse plans to check the client's laboratory values to validate the existence of which condition?Answer →
  376. 376The nurse is preparing to administer a prn medication that was given to a patient with hypertension. When reviewing the five rights, the nurse notices that the time is 5:43 PM. What is the corresponding military time for the traditional time 5:43 PM?Answer →
  377. 377Click to highlight the documentation in the client's medical record that require further action by the nurse? To deselect a finding, click on the finding again.Answer →
  378. 378A client expresses an interest in reducing intake of saturated fats and plans to stop eating hamburgers at lunch. Which menu item should the nurse suggest as an alternative source of protein?Answer →
  379. 379A nurse is teaching about a high-fiber diet. Which food is best?Answer →
  380. 380The nurse plans to administer naloxone 1 mg. The label of the 10 mL vial indicates that the drug concentration is "Naloxone 0.4 mg/mL." How many mL should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.)Answer →
  381. 381Review H and P, nurse's notes, flow sheet, and prescriptions. Which diagnostic test(s) would be appropriate for this client? Select all that apply.Answer →
  382. 382A nurse is caring for a client who is postoperative and is receiving opioid analgesics. Which of the following findings should the nurse report to the provider?Answer →
  383. 383A client with a history of difficulty sleeping is given a sedative at bedtime. Three hours later, the client remains unable to fall asleep, is wide awake, and pacing the floor with high energy. Which type of reaction should the nurse document in the electronic medical record?Answer →
  384. 384Drag from the choices area to specify which condition the client is most likely experiencing [blank1], two actions the nurse should take to address that condition [blank2] and [blank3], and two parameters the nurse should monitor to assess the client's progress [blank4] and [blank5].Answer →
  385. 385What is the priority nursing concern for a patient experiencing a migraine headache?Answer →
  386. 386Select the 4 findings that require immediate follow-up.Answer →
  387. 387A nurse is assisting with teaching a client who has a new prescription for zolpidem. The nurse should instruct the client that which of the following is an adverse effect of zolpidem?Answer →
  388. 388A nurse is reinforcing teaching with a client who has urinary incontinence about avoiding foods and beverages that can cause bladder irritation. The nurse should include that which of the following foods and beverages is a bladder irritant?Answer →
  389. 389The nurse is inserting a Foley catheter into a male patient. The nurse should follow which protocol to guide her?Answer →
  390. 390The healthcare provider (HCP) prescribes epoetin alfa 8,200 units subcutaneously for a client with chronic kidney disease (CKD). The 2 mL multidose vial is labeled, "Each 1 mL of solution contains 10,000 units of epoetin alfa." How many mL should the nurse administer? (Enter the numerical value only. If rounding is required, round to the nearest tenth).Answer →
  391. 391While planning care for a client experiencing pain, which outcome statement should the nurse include in the plan of care (POC)?Answer →
  392. 392The correct method for determining the vastus lateralis site for IM injection is to:Answer →
  393. 393A client is prescribed lansoprazole 30 mg daily. Which instruction should the nurse give to ensure maximum effectiveness of the medication?Answer →
  394. 394A nurse is assessing a wound on post-operative day 5 and observes a beefy-red, granular wound base with new pink tissue forming at the wound margins. The drainage is minimal and serosanguineous. The nurse correctly identifies this wound as:Answer →
  395. 395When educating a client with celiac disease, which food should the nurse instruct the client to avoid?Answer →
  396. 396Which mechanism explains how valproic acid (Depakote) helps prevent seizures?Answer →
  397. 397A patient reports a new ankle sprain from a fall that occurred an hour ago. The nurse is preparing to apply a treatment to reduce pain and swelling. Which is the most appropriate intervention?Answer →
  398. 398What priority action should the nurse take?Answer →
  399. 399A nurse is preparing to administer amoxicillin 500 mg PO to a client. The amount available is amoxicillin suspension 250 mg/5 mL. How many mL should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  400. 400A nurse is planning care for a client who is immobile. Which of the following actions should the nurse include in the plan of care?Answer →
  401. 401Which are correct NG-tube medication practices? (Select all that apply)Answer →
  402. 402A patient 6 hours post-abdominal surgery is lying rigidly still, has a clenched jaw, is guarding the abdomen on palpation, and states "I'm fine, I don't want to bother anyone." What is the nurse's most appropriate response?Answer →
  403. 403Review H and P and nurse's notes. 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 →
  404. 404A nurse is caring for a patient who is NPO after abdominal surgery and has not had oral nutrition for 5 days. The provider prescribes total parenteral nutrition (TPN). The nurse understands that TPN is indicated in this patient primarily because:Answer →
  405. 405The nursing student must perform a skin assessment on an older adult patient and observe for signs of skin breakdown. What does the student do to meet the clinical objective for effective time management?Answer →
  406. 406Select the 2 findings that require immediate follow-up.Answer →
  407. 407A client is admitted to the medical unit for severe dehydration. The client reports a 3-day history of nausea and vomiting, binge alcohol drinking, and poor nutritional intake. Nursing assessment reveals poor skin turgor and dry mucous membranes. In keeping the client safe and improving quality of life, what must the nurse consider when planning care and discharge teaching for this client? Select all that apply.Answer →
  408. 408A client who is 2 days postoperative for thoracic surgery is reporting incisional pain 2 hours after receiving pain medication. The client rates the pain as 5 on a 0 to 10 scale. After placing a call to the healthcare provider (HCP), which action should the nurse implement?Answer →
  409. 409The nurse monitors for which adverse effect in a client with systemic lupus erythematosus (SLE) who is taking hydroxychloroquine?Answer →
  410. 410A client arrives at the emergency department (ED) with severe right upper quadrant pain. To assess the quality of the client's pain, which approach should the nurse use?Answer →
  411. 411The nurse attaches a pulse oximeter to a client's finger and obtains an oxygen saturation reading of 91%. Which assessment finding most likely contributes to this reading?Answer →
  412. 412A prescription reads: lisinopril 10 mg PO daily. This is what type of order?Answer →
  413. 413The nurse provided discharge instructions on the proper diet for a client recovering from pancreatitis. Which meal choice by the client indicates an understanding of the education?Answer →
  414. 414A clear liquid breakfast is prescribed for a client who is scheduled for surgery later today. The client asks the nurse for a small cup of chocolate ice cream. Which action should the nurse take?Answer →
  415. 415A client has been prescribed a clear liquid diet. Which food or fluids should the nurse serve the client?Answer →
  416. 416A client diagnosed with ARDS is in respiratory distress and the ventilator is malfunctioning. Which intervention should the nurse implement first?Answer →
  417. 417What food(s) are high in insoluble fiber? Select all that apply.Answer →
  418. 418An older adult client, who fell off of a ladder and broke both ankles, has been hospitalized for 4 days. Which action should the nurse take to prevent complications of immobility?Answer →
  419. 419Which meal selection by a client who is lacto-ovo-vegetarian indicates to the nurse that the client understands the use of complete proteins in the diet?Answer →
  420. 420A nurse is teaching a client how to self-administer heparin. Which of the following instructions should the nurse include in the teaching?Answer →
  421. 421The client has vancomycin 250 mL intravenously prescribed daily. The vancomycin is to be administered over 90 minutes through an IV administration pump. How many mL/hr would the nurse set the IV administration pump to administer the vancomycin?Answer →
  422. 422The patient in the skilled nursing facility who is to have a colonoscopy tomorrow complains about his limited diet prior to the examination. The nurse may offer the patient:Answer →
  423. 423The nurse is performing a routine dressing change for a client with a stage 3 pressure injury that is red with significant granulation. The wound has a gauze dressing covering the area. Which action should the nurse implement?Answer →
  424. 424What action should the nurse take?Answer →
  425. 425When initiating oxygen therapy for a client with respiratory failure and monitoring their response, which assessment finding would most warrant immediate intervention?Answer →
  426. 426The home health nurse is visiting an older adult client who was discharged from the hospital 3 days ago following hip pinning surgery. The client lives with her daughter, who prepares the family meals. In discussing nutrition for postoperative healing, which food choices should the nurse suggest for this client's diet? Select all that apply.Answer →
  427. 427A nurse is preparing to administer several medications via an NG tube to a client who is receiving a continuous tube feeding. Which of the following actions should the nurse take?Answer →
  428. 428A nurse is teaching a client who can only bear weight on one leg how to ambulate using crutches. Which of the following crutch gaits should the nurse plan to instruct the client to use?Answer →
  429. 429Complete the following sentence by using the list of options. The recommendation for healthy adults is to consume _____ percent of their daily calories from carbohydrates.Answer →
  430. 430A nurse is teaching a group of nursing students about the stages of sleep. Which stage of sleep is known as the deepest and most restorative, when the body focuses on healing and tissue repair?Answer →
  431. 431A nurse is caring for a client who is receiving enteral feedings through a nasogastric tube and has developed diarrhea. Which of the following actions should the nurse take?Answer →
  432. 432A nurse caring for a post-stroke patient with left-sided hemiplegia is positioning the patient in bed. Which positioning principle is most important to implement for the affected extremities?Answer →
  433. 433A client with a chest tube for a pneumothorax is experiencing sudden respiratory distress. Client says, "I'm having a hard time breathing." The water-seal chamber shows no tidaling. Which action should the nurse take first to address this situation?Answer →
  434. 434A nurse is planning to change a client's tracheostomy ties. Which of the following actions should the nurse take?Answer →
  435. 435The nurse is planning care for the client. 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 →
  436. 436Which dosing routes are acceptable for the nurse to administer fentanyl to a client diagnosed with cancer who is suffering with chronic pain? Select all that apply.Answer →
  437. 437The client is at risk for [blank1], as evidenced by the client's [blank2].Answer →
  438. 438A nurse is collecting data on a client who reports acute pain at a level of 7 on a scale of 0 to 10. Which of the following findings should the nurse expect?Answer →
  439. 439A client with diabetes mellitus tells the nurse of using cranberry juice to help prevent urinary tract infections. Which instruction should the nurse provide?Answer →
  440. 440A client is discharged from the intensive care unit following a myocardial infarction, and the healthcare provider prescribes a low-sodium diet. Which lunch selection indicates to the nurse that this client understands the dietary restrictions?Answer →
  441. 441A whey protein fat substitute has been prescribed for a client who is obese. Which client factor is the most important for the nurse to assess before the client starts the prescribed regimen?Answer →
  442. 442A nurse is caring for a client who requests pain medication. Which of the following actions should the nurse perform first?Answer →
  443. 443The nurse is planning to provide mouth care for an unconscious client. Which statement is accurate in regard to implementing mouth care for this client?Answer →
  444. 444The 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 →
  445. 445The prescribing clinician orders 1000 mL D5 1/2 NS to infuse at 125 mL/hr. The nurse starts the IV at 0700. Calculate the completion time of the IV. Document your answer in military time.Answer →
  446. 446An isotonic salt solution contains which concentration of salt?Answer →
  447. 447A nurse is reinforcing teaching with a client about using a PCA for postoperative pain management. Which of the following statements should the nurse make?Answer →
  448. 448A nurse is caring for a 6-month-old infant who is postoperative following a myringotomy. Which of the following pain assessment scales should the nurse use to determine the infant's pain level?Answer →
  449. 449The client has an order for testosterone 100 mg intramuscular (IM). The medication available is testosterone 250 mg/mL. How many mL will the nurse administer? (If needed, round to the nearest tenth.)Answer →
  450. 450The physician orders acyclovir 400 mg po three times a day for herpes. The medication is supplied in 200-mg tablets. How many tablets will the nurse administer per dose? Do not provide the unit of measurement. Only provide the whole number.Answer →
  451. 451The nurse is using guided imagery with a client who is experiencing chronic pain. The nurse should direct the client's attention on which focus?Answer →
  452. 452The home health nurse visits a client who has a serum sodium level of 123 mEq/L (123 mmol/L). To explore possible etiologies for this value, which question should the nurse ask the client? Reference Range: Sodium [135 to 145 mEq/L (135 to 145 mmol/L)]Answer →
  453. 453A nurse is collecting data on a client who is nonverbal for acute pain. Which of the following findings is a manifestation of pain?Answer →
  454. 454A nurse is teaching a class about manual therapies. The nurse should include that which of the following treatments is part of chiropractic medicine?Answer →
  455. 455Select all the correct associations related to cardiac drugs. Select all that apply.Answer →
  456. 456Which nursing diagnosis is the HIGHEST priority for Diane at this time?Answer →
  457. 457A nurse receives a telephone prescription from a provider for a client who is experiencing pain. Which of the following responses should the nurse make?Answer →
  458. 458A nurse is planning to change a client's tracheostomy ties. Which of the following actions should the nurse take?Answer →
  459. 459A client experienced a 33% TBSA burn 72 hours ago. The nurse observes that the client's hourly urine output has been steadily increasing over the past 24 hours. How should the nurse best respond to this finding?Answer →
  460. 460A nurse is preparing to administer digoxin to a client. Which of the following actions should the nurse take prior to administration?Answer →
  461. 461A client admitted to the ICU after opioid overdose is placed on a ventilator. The nurse assesses the following lab results to be consistent with which metabolic state: pH 7.25, PaCO2 60, HCO3- 24Answer →
  462. 462The client is requesting juice to take with a buccal medication dose. Which action should the nurse implement?Answer →
  463. 463An adult with diabetes receives 20 units of insulin each morning and evening. How will the nurse teach the client to administer the insulin?Answer →
  464. 464Which breakfast selection should the nurse encourage a client to eat who is hospitalized with partial-thickness and full-thickness burns to both legs?Answer →
  465. 465When performing tracheostomy care, where should the nurse align the knot of the tracheostomy tie?Answer →
  466. 466The nurse discusses the need to balance energy intake and output to maintain weight. Drag from Word Choices to complete the sentence. The nurse should recommend that the client [blank1] or [blank2] to maintain an energy balance.Answer →
  467. 467The nurse is planning care for a client with stress incontinence. Which action should the nurse plan to take?Answer →
  468. 468A nurse is caring for a client who has impaired renal function. For which of the following findings should the nurse notify the provider?Answer →
  469. 469A patient who has been taking antihypertensive drugs for a few months states that a new, persistent dry cough is very bothersome. The nurse knows that this cough is an adverse effect of which class of antihypertensive drugs?Answer →
  470. 470A nurse is preparing to administer dextrose 5% in water (D5W) 100 mL to infuse over 1 hr. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number.)Answer →
  471. 471What food has the highest amount of dietary fiber?Answer →
  472. 472A client is ambulating with a two wheeled walker by rolling the walker forward and then moving each foot forward. The nurse notes that the client's elbows are slightly flexed when grasping the hand bar. After the client returns to the chair, which action should the nurse implement?Answer →
  473. 473A nurse is assisting in preparing an in-service program about preventing medication errors when transcribing a prescription. The nurse is using a dosage example of two tenths of a milligram. Which of the following transcription examples should the nurse use?Answer →
  474. 474When performing tracheostomy suctioning for the NUR 1132 lab check-off, the student nurse knows that the correct suctioning parameters for an adult patient is which of the following?Answer →
  475. 475A nurse is planning care for a client who is scheduled for an intravenous pyelogram. Which of the following actions is appropriate for the nurse to include?Answer →
  476. 476Which two findings should the nurse address first? Select 2 answers.Answer →
  477. 477A nurse is caring for a client who has an oxygen saturation of 88%. Which of the following actions should the nurse take?Answer →
  478. 478The nurse is providing discharge instructions to a client who underwent a laparoscopic cholecystectomy. Which instruction should the nurse include in the teaching?Answer →
  479. 479A nurse is teaching a client who can only bear weight on one leg how to ambulate using crutches. Which of the following crutch gaits should the nurse plan to instruct the client to use?Answer →
  480. 480The following foods are a part of a client's daily diet: high-fiber cereals, fruits, vegetables, ten 8-oz glasses of fluids. What would the nurse tell the client to change?Answer →
  481. 481An oral medication is ordered for a patient with an NG tube. What is the priority nursing action?Answer →
  482. 482The nurse educates the client about the recommended dietary allowance (RDA) for protein. What client statement indicates an understanding of the teaching?Answer →
  483. 483A nurse evaluates a client with benign prostatic hyperplasia (BPH) who voided 60 mL four hours after removal of an indwelling catheter. The client reports suprapubic discomfort. A bladder scan reveals 400 mL of retained urine. Which conclusion should the nurse make from this finding?Answer →
  484. 484The nurse is performing a routine dressing change for a client with a stage 3 pressure injury that is red with significant granulation. The wound has a gauze dressing covering the area. Which action should the nurse implement?Answer →
  485. 485Which factor should the nurse assess as directly influencing a client's current body weight?Answer →
  486. 486Which IV solution should the nurse question based on client's condition?Answer →
  487. 487A nurse is prioritizing care for a client. Which of the following procedures should the nurse perform first?Answer →
  488. 488A client asks the nursing assistant for a bedpan. When the client is finished, the nursing assistant notifies the nurse that the client has bright red streaking of blood in the stool. The nurse's assessment should focus on what potential cause?Answer →
  489. 489A nurse is preparing to provide tracheostomy care for a client. Which of the following actions should the nurse plan to take?Answer →
  490. 490If a patient weights 220 lbs. How many kilograms does the patient weight?Answer →
  491. 491A client with hemorrhoids tells the nurse they understand the need to avoid eating nuts and seeds to prevent inflammation. How should the nurse respond?Answer →
  492. 492Antilipemic drug therapy is prescribed for a patient, and the nurse is providing instructions to the patient about the medication. Which instructions will the nurse include? (Select All that Apply.)Answer →
  493. 493A nurse is reinforcing teaching about pain control with a client who has acute pain following a subtotal gastric resection. Which of the following client statements indicates an understanding of pain control?Answer →
  494. 494A nurse is teaching a client who has decreased mobility about passive range-of-motion exercises. Which of the following statements should the nurse make?Answer →
  495. 495A patient with COPD is receiving supplemental oxygen via nasal cannula at 4 L/min. The nurse is most concerned about which complication specific to COPD patients receiving high-flow oxygen?Answer →
  496. 496The nurse prepares to administer ear drops to a client as seen in the picture. Which should the nurse do next?Answer →
  497. 497A nurse is planning care for a client who is immobile. Which of the following actions should the nurse include in the plan of care?Answer →
  498. 498A client with glomerulonephritis is preparing for discharge and asks the nurse which kind of diet to follow upon returning home. Which dietary teaching should the nurse include in the discharge instructions?Answer →
  499. 499A charge nurse is observing a staff nurse performing a wound irrigation for a client who has a pressure injury. Which of the following actions by the staff nurse indicates an understanding of the procedure?Answer →
  500. 500Which medication is the drug of choice for Supraventricular Tachycardia (SVT)?Answer →
  501. 501After insertion of a nasogastric tube, which finding is most concerning?Answer →
  502. 502A nurse is preparing to administer morphine 15 mg subcutaneously. The amount available is morphine injection 10 mg/mL. How many mL should the nurse administer? (Round to the nearest tenth. 1st decimal place. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  503. 503A nurse is planning care for a client who has acute pain as a result of a pressure injury to the sacrum. Which of the following no pharmacological interventions should the nurse include in the plan?Answer →
  504. 504Which client is the BEST candidate for Post-Exposure Prophylaxis treatment for HIV?Answer →
  505. 505A 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 →
  506. 506The patient's intravenous site develops blistering and necrosis at the site after instilling a vesicant drug. The nurse should develop a plan of care for which condition?Answer →
  507. 507A nurse is teaching a client about progressing from a clear liquid diet to a full liquid diet. Which of the following food selections by the client indicates an understanding of the teaching?Answer →
  508. 508A client receives a prescription for amoxicillin 2 g/clavulanate 125 mg by mouth every 12 hours for 10 days. The medication is available in 1000 mg/62.5 mg extended-release tablets. How many tablet(s) should the nurse administer? (Enter numerical value only.)Answer →
  509. 509A client with lupus is taking corticosteroids and presents with a temperature of 100.9°F. What is the nurse's priority action?Answer →
  510. 510A malnourished child is receiving several nutritional supplements. Which statement by the child indicates that an adequate amount of vitamin A is being provided?Answer →
  511. 511The nurse assesses a child that has just been placed in the foster care system. The child has a swollen abdomen, legs, and arms, and full cheeks. The nurse should recognize these findings as being consistent with which condition?Answer →
  512. 512The nurse is caring for an older adult client who does not have teeth. What is the client at greatest risk for?Answer →
  513. 513A nurse is assisting with teaching a client who is preoperative for a sigmoid colostomy. Which of the following statements should the nurse include?Answer →
  514. 514A nurse in an outpatient clinic is caring for a client. Which of the following findings indicates the client is experiencing a hearing deficit?Answer →
  515. 515When conducting diet teaching for a client who has iron-deficiency anemia, which food(s) should the nurse encourage the client to eat? Select all that apply.Answer →
  516. 516A nurse is reinforcing teaching with a client about the use of transcutaneous electrical nerve stimulation (TENS) to manage chronic pain. Which of the following statements by the client indicates the need for further teaching?Answer →
  517. 517When conducting diet teaching for a client with hypokalemia, which breakfast items should the nurse encourage the client to eat? Select all that apply.Answer →
  518. 518When working with a client who is hearing impaired, the nurse can enhance communication by which of the following?Answer →
  519. 519A nurse is caring for a client admitted with dehydration. What finding does the nurse most likely expect to assess?Answer →
  520. 520The nurse places the diaphragm of a warmed stethoscope on a client's abdomen to auscultate the bowel sounds. Which finding is considered normal?Answer →
  521. 521A nurse assesses a client with an indwelling urinary catheter. Which finding should concern the nurse?Answer →
  522. 522The nurse should develop a plan of care for which condition when a patient develops shortness of breath, respiratory rate increased to 24, BP elevated to 100/76, and jugular vein distention after receiving TPN therapy?Answer →
  523. 523Select the 4 findings that require immediate follow-up.Answer →
  524. 524A nurse is planning care for a client who is scheduled for an intravenous pyelogram. Which of the following actions is appropriate for the nurse to include?Answer →
  525. 525When preparing to establish peripheral IV (PIV) access, which intervention is most important for the nurse to implement?Answer →
  526. 526A nurse preparing medication for a client is called away to an emergency. What should the nurse do?Answer →
  527. 527A nurse is assessing a client with left-sided heart failure. Which finding is expected?Answer →
  528. 528A client with celiac disease selects a slice of rye bread toast with fresh fruit and skim milk, grapefruit juice, and coffee from the breakfast menu. Which action is most important for the nurse to implement?Answer →
  529. 529A nurse is collecting data on a client who has obstructive sleep apnea. Which of the following findings should the nurse expect?Answer →
  530. 530A nurse is preparing to administer a medication to a client for the first time. Which of the following actions should the nurse take to help ensure safe medication administration?Answer →
  531. 531The client is ordered Amikacin 20 mg/kg IV once daily. Which of the following is correct regarding timing for an aminoglycoside trough level?Answer →
  532. 532A 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 →
  533. 533The nurse is initiating a 24-hour urine collection for a client with an indwelling urinary catheter. After all the urine is emptied from the collection bag, which action is most important for the nurse to implement?Answer →
  534. 534Which term is applied to the medication process of absorption, distribution, metabolism, excretion?Answer →
  535. 535A charge nurse is observing a staff nurse performing a wound irrigation for a client who has a pressure injury. Which of the following actions by the staff nurse indicates an understanding of the procedure?Answer →
  536. 536A nurse is assisting with the care of a 3-month-old infant following a surgical procedure. Which of the following pain scales should the nurse use to determine the infant's pain level?Answer →
  537. 537A nurse is caring for a patient receiving intermitting enteral feedings. Which nursing intervention should the nurse implement to reduce the risk of aspiration?Answer →
  538. 538When assessing a client, the nurse finds that the client is fatigued, and is experiencing muscle weakness, leg cramps, and cardiac dysrhythmias. Based on these findings, the nurse plans to check the client's laboratory values to validate the existence of which condition?Answer →
  539. 539A nurse is preparing to administer a medication to a client by the intradermal route. After applying gloves and cleaning the site with an antiseptic swab, in what order should the nurse take the steps below to administer the medication? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)Answer →
  540. 540The nurse is assessing the degree of pain or discomfort a patient is feeling. The nurse knows that this will be dependent primarily on theAnswer →
  541. 541A charge nurse is observing a staff nurse performing a wound irrigation for a client who has a pressure injury. Which of the following actions by the staff nurse indicates an understanding of the procedure?Answer →
  542. 542A nurse is preparing to administer a medication to a client for the first time. Which of the following actions should the nurse take to help ensure safe medication administration?Answer →
  543. 543Which client would be most at risk for developing Disseminated Intravascular Coagulation (DIC)?Answer →
  544. 544A nurse is caring for a client who has constipation and is bearing down to have a bowel movement. The nurse should monitor the client for which of the following?Answer →
  545. 545A nurse is assessing a client with bacterial meningitis. Which sign is classic?Answer →
  546. 546A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?Answer →
  547. 547A nurse is reinforcing discharge teaching with a client who has hyperlipidemia and a prescription for niacin. Which of the following statements should the nurse include in the teaching?Answer →
  548. 548A client is receiving magnesium sulfate for preeclampsia. Which finding is the priority?Answer →
  549. 549The nurse is admitting an older adult client with possible malnutrition. Which parameters are most indicative of the client's nutritional status?Answer →
  550. 550A nurse is caring for a client who has dysphagia. When assisting the client during breakfast, which of the following actions by the client indicates the nurse should intervene?Answer →
  551. 551A patient with a 7 mm renal calculus reports severe flank pain, nausea, and vomiting. Which provider order should the nurse implement first?Answer →
  552. 552Which is the best method for the nurse to use to prepare the skin prior to administration of a topical ointment?Answer →
  553. 553A nurse is reinforcing teaching about promoting rest and sleep with a client who reports insomnia. Which of the following statements should the nurse identify as an indication that the client understands the teaching?Answer →
  554. 554A nurse is planning care for several clients. Which client(s) is/are at an increased risk for malnutrition? Select all that apply.Answer →
  555. 555The nurse is caring for an older adult client who needs to limit sodium intake. Which food should the nurse encourage the client to avoid?Answer →
  556. 556A nurse is caring for an adult client who requires nasopharyngeal suctioning. Which of the following actions should the nurse take?Answer →
  557. 557A nurse is applying a cold compress for pain and minor swelling for a client who has a sutured laceration on the forearm. Which of the following data-collection activities should the Nurse use to determine whether the treatment is effective?Answer →
  558. 558The home health nurse observes that a female client is using a topical preparation that contains echinacea to treat a canker sore. Her husband expresses concern regarding the effectiveness and safety of using herbs. How should the nurse respond?Answer →
  559. 559What is the function of water in the body?Answer →
  560. 560A nurse is providing teaching to a client about reducing the adverse effects of immobility. Which of the following statements by the client indicates an understanding of the teaching?Answer →
  561. 561A nurse is reinforcing teaching with a client who has COPD about purse-lipped breathing. Which of the following statements should the nurse make?Answer →
  562. 562A nurse is caring for a client who has a colostomy. Which of the following actions should the nurse take?Answer →
  563. 563A nurse is preparing teaching for a client who needs to maintain a positive nitrogen balance for wound healing. Which instruction should the nurse prioritize in their teaching for this client?Answer →
  564. 564A nurse is reinforcing preoperative teaching about pain management using a patient-controlled analgesia (PCA) system with a client. Which of the following three statements should the nurse include?Answer →
  565. 565What disease is caused by protein deficiency?Answer →
  566. 566The 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 →
  567. 567A patient with heart failure is being monitored for fluid volume excess. The nurse understands that which assessment finding is the most sensitive EARLY indicator of fluid retention?Answer →
  568. 568A nurse is caring for a client who reports that she has insomnia. Which of the following interventions is appropriate for the nurse to recommend?Answer →
  569. 569A nurse is caring for a client who is receiving enteral feedings through a nasogastric tube and has developed diarrhea. Which of the following actions should the nurse take?Answer →
  570. 570A client presents to the clinic with concerns of frequent abdominal cramping and nausea. The client reports having chronic constipation and not having a bowel movement in five days, despite trying several home remedies. Which intervention is most important for the nurse to implement?Answer →
  571. 571Review H and P and nurse's notes. 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 →
  572. 572A nurse is collecting data from a client who is postoperative and receiving IV morphine 1 mg every 10 min via PCA. For which of the following manifestations should the nurse withhold the morphine?Answer →
  573. 573The nurse is caring for a client undergoing chemotherapy. Current laboratory values are as follows: hemoglobin 12.5 g/dL, platelets 20,000/mm³, WBC 4,500/mm³, and ANC count 2,500/mm³. Based upon this information, which intervention is most appropriate by the nurse?Answer →
  574. 574What is needed to emulsify fat for digestionAnswer →
  575. 575A nurse is caring for a client who is unable to void 3 hr following the removal of an indwelling urinary catheter. Which of the following actions should the nurse take?Answer →
  576. 576A nurse is collecting data on a client who has circulatory overload. Which of the following findings should the nurse expect?Answer →
  577. 577A nurse is performing a nutritional assessment. The patient's serum albumin is 2.8 g/dL (normal: 3.5-5.0 g/dL). How should the nurse interpret this finding?Answer →
  578. 578A nurse is assessing a client who has obstructive sleep apnea (OSA). Which of the following findings should the nurse expect?Answer →
  579. 579A nurse is reinforcing teaching with a client who is obese and has obstructive sleep apnea about how to decrease the number of apneic episodes he has each night. Which of the following statements should the nurse identify as an indication that the client understands the instructions?Answer →
  580. 580A client has a serum sodium level of 155 mEq/L (155 mmol/L). The nurse should encourage the client to make which selection from the lunch menu? Reference Range: Sodium [136 to 145 mEq/L (136 to 145 mmol/L)]Answer →
  581. 581A client reports taking laxatives every day but the client is still constipated. The nurse's response is based on which reasoning?Answer →
  582. 582Which meal selection by a client who is lacto-ovo-vegetarian indicates to the nurse that the client understands the use of complete proteins in the diet?Answer →
  583. 583The nurse is caring for the client receiving peripheral parenteral nutrition containing 30% dextrose. The client is confused and suddenly pulls out the peripheral line catheter, and a second intravenous line is not available at the moment. Shortly afterward, the nurse notices the client develops diaphoresis and mild shakiness. Which condition should the nurse assess first?Answer →
  584. 584Which organ secretes hormones to regulate blood glucose levels?Answer →
  585. 585A nurse is inserting an indwelling urethral catheter. Which action does the nurse take to prepare the client to cooperate during the insertion of a catheter?Answer →
  586. 586A nurse is preparing to administer packed RBCs to a client who has a low hemoglobin level. Which of the following actions should the nurse take prior to the start of the infusion?Answer →
  587. 587Complete the following sentence by using the lists of options. The nurse should prepare to ingest prescription for Select... and request a prescription for Select...Answer →
  588. 588Complete 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 →
  589. 589A nurse is preparing to administer an intradermal tuberculin test to a client. Which of the following actions should the nurse take?Answer →
  590. 590The nurse is planning care for the client and has reviewed the H and P, nurses' notes, laboratory results, flow sheet, prescriptions, and imaging studies. 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 →
  591. 591Complete the sentence. The first step before administering a blood transfusion is to verify the client's 1 and 2.Answer →
  592. 592The nurse is implementing the plan of care to increase mobility. Complete the diagram by dragging from the choices area to specify which type of exercises the client needs, two actions the nurse should take to facilitate the exercises, and two parameters the nurse should monitor to assess the client's progress.Answer →
  593. 593Complete the pathophysiology statement below by selecting the correct word or phrase for each blank. Use the word bank provided. Each option is used only once. Diane has been vomiting and experiencing diarrhea for 4 days, leading to significant [blank1]. The kidneys respond by conserving water, causing urine to appear [blank2] in color and oliguria (output < [blank3] mL/hr). Her serum sodium of 118 mEq/L is critically low, classifying this as severe [blank4]. When serum sodium falls rapidly, water shifts [blank5] brain cells, where [blank6] the sodium concentration is greater than serum concentration. This increases intracranial pressure and leads to the neurological signs observed.Answer →
  594. 594A nurse is caring for a client who has left lower-lobe atelectasis. In which of the following positions should the nurse place the client for postural drainage?Answer →
  595. 595A nurse is reviewing the laboratory results of a client who has chronic kidney disease. Which of the following findings should the nurse expect?Answer →
  596. 596A nurse is assessing a patient in respiratory distress. Select all assessment findings that indicate significantly increased work of breathing. Select all that apply.Answer →
  597. 597A nurse is preparing to administer penicillin IM to an adult client with a BMI of 19. Which of the following angles should the nurse use for injection into the client's ventrogluteal muscle?Answer →
  598. 598Which statement by a nurse best explains the action of antiepileptic drugs?Answer →
  599. 599The nurse is working with a nursing student and is teaching the student to apply the nasal cannula. Mark whether the statements by the nursing student indicate understanding or no understanding of nasal cannula application. Each row must have one option selected.Answer →
  600. 600The medical chart of a newly admitted client notes a penicillin allergy, yet the physician has just written an order for an antibiotic in the same drug family after reviewing the client's wound culture and sensitivity. How should the nurse respond to this situation?Answer →
  601. 601A nurse is teaching about a low-residue diet. Which food is best?Answer →
  602. 602A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?Answer →
  603. 603A nurse is caring for a client who was administered more than the prescribed dose of a medication. Which of the following actions should the nurse take first?Answer →
  604. 604A client who is two days post abdominal surgery has been having mild to moderate pain. This evening, the client requests pain medication for severe abdominal pain. Which assessments must the nurse conduct before administering the pain medication? Select all that apply.Answer →
  605. 605What type of seizure affects a small area of the brain, resulting in twitching of an extremity?Answer →
  606. 606In evaluating an HIV-positive patient's response to anti-retroviral therapy, which data indicates a positive response?Answer →
  607. 607A nurse is reinforcing dietary teaching with a client who has a burn injury and adheres to a strict vegan diet. Which of the following food choices should the nurse recommend?Answer →
  608. 608A nurse is caring for a client who has a colostomy. Which of the following actions should the nurse take?Answer →
  609. 609A client who is admitted for malnutrition and severe dehydration receives a prescription for liquid feedings through a feeding tube. After the feeding tube is inserted and placement confirmed, which assessment is most important for the nurse to complete before starting the feeding?Answer →
  610. 610Which medication history question promotes safe administration?Answer →
  611. 611A nurse is teaching a client about progressing from a clear liquid diet to a full liquid diet. Which of the following food selections by the client indicates an understanding of the teaching?Answer →
  612. 612A nurse in an emergency department is assessing an adult client who reports acute abdominal pain and rates it 7/10 on a 0-10 pain scale. Which of the following findings should the nurse most likely expect?Answer →
  613. 613The nurse is planning the client's care. Which of the following actions should the nurse include? Select the 4 actions the nurse should include in the plan of care.Answer →
  614. 614A nurse is planning care for a client who will receive parenteral nutrition (PN) in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the plan of care?Answer →
  615. 615A nurse is reinforcing teaching with a client who has a prescription for simvastatin. Which of the following instructions should the nurse provide?Answer →
  616. 616What angle is used for intradermal injection?Answer →
  617. 617A nurse assesses a client who presents to the urgent care center with an asthma exacerbation. What assessment finding(s) should the nurse expect? (Select all that apply.)Answer →
  618. 618The nurse is caring for a client with a fluid volume deficit. Which assessment finding should the nurse recognize as indicating the client is improving?Answer →
  619. 619A client admitted with acute diverticulitis is experiencing a sudden increase in abdominal tenderness. On assessment, the client's abdomen is rigid on palpation. What is the nurse's best response?Answer →
  620. 620A nurse is assisting with the food tray for a client who is partially blind following a left-sided stroke. Which of the following nursing interventions promotes client independence?Answer →
  621. 621The nurse auscultates the lungs of a client with a new placement of an endotracheal tube. Breath sounds over the left lung field are absent. What does the nurse suspect?Answer →
  622. 622A client with dehydration is being administered IV fluids. During rounds, the nurse noticed that the skin immediately surrounding the IV site was reddish in color and showing signs of inflammation. The nurse recognizes that what phenomenon is likely responsible?Answer →
  623. 623A nurse is reinforcing teaching about promoting rest and sleep with a client who reports Insomnia. Which of the following statements should the nurse identify as an indication that the client understands the teaching?Answer →
  624. 624A nurse in a provider's office is assessing a client who is 2 days postoperative following abdominal surgery. Which of the following findings should the nurse report to the provider?Answer →
  625. 625A nurse is reinforcing teaching for with a client about healthful sleep habits. Which of the following statements should the nurse identify as an indication that the client needs further instructions?Answer →
  626. 626A nurse is caring for a client who has a prescription for a 24-hour urine collection. Which of the following actions should the nurse take?Answer →
  627. 627A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the plan of care?Answer →
  628. 628The nurse is planning to provide mouth care for an unconscious client. Which statement is accurate in regard to implementing mouth care for this client?Answer →
  629. 629The nurse educates the client and family on pain management. Post Education understanding was evaluated. The nurse should include which items when educating the client and family about pain management and assessment? Select all that apply.Answer →
  630. 630Which injection route is used for allergy testing?Answer →
  631. 631Which explanation is best for the nurse to provide a client who asks the purpose of using the log rolling technique for turning?Answer →
  632. 632A nurse is administering a cleansing enema to an adult patient before a colonoscopy. Which action by the nurse reflects correct technique?Answer →
  633. 633What is basal metabolism?Answer →
  634. 634After a nasogastric tube is inserted, which assessment finding is cause for greatest concern?Answer →
  635. 635Which IV fluid should nurse anticipate administering?Answer →
  636. 636A nurse is caring for a client who has left lower-lobe atelectasis. In which of the following positions should the nurse place the client for postural drainage?Answer →
  637. 637A low-fat diet is prescribed for a client with heart disease. The nurse is reviewing the client's food journal that includes plums, cherries, avocado, and peaches as between-meal snacks. Which action should the nurse implement?Answer →
  638. 638Complete 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 →
  639. 639A patient with an indwelling urinary catheter develops dark amber, cloudy urine with a strong foul odor. The patient's temperature is 38.8 degrees C (101.8°F) and they report suprapubic discomfort. Which nursing action takes priority?Answer →
  640. 640A client tells the nurse about doing a high intensity workout program to help with losing weight but now describes having difficulty getting to sleep at night. Which action should the nurse implement?Answer →
  641. 641A nurse is caring for a client who has a prescription for a peripherally inserted central catheter (PICC). Which of the following actions should the nurse take?Answer →
  642. 642Drag words from the choices below to fill in each blank in the following sentence. The client is at risk of developing [blank1] and [blank2].Answer →
  643. 643A client with glomerulonephritis is preparing for discharge and asks the nurse which kind of diet to follow upon returning home. Which dietary teaching should the nurse include in the discharge instructions?Answer →
  644. 644Which patient receiving IV therapy should the nurse assess first?Answer →
  645. 645A nurse is planning care for a client who has an endotracheal tube and is being ventilated by a ventilator. Which of the following should the nurse plan to prevent ventilator-associated pneumonia?Answer →
  646. 646The nurse is collaborating with the dietitian about a patient with a Stage III pressure ulcer. Which nutrient will the nurse expect to be increased after collaboration with the dietitian?Answer →
  647. 647A nurse planning nutritional support for a patient recovering from a severe burn injury. Which nutrient is MOST critical to prioritize for wound healing and tissue repair?Answer →
  648. 648A nurse is assessing a client with appendicitis. Where is the pain typically located?Answer →
  649. 649The nurse is caring for a client admitted with chronic kidney disease advancing to stage 4. The nurse should instruct the client to limit the ingestion of which type of foods?Answer →
  650. 650Click to highlight the findings that indicate therapy has been ineffective. To deselect a finding, click on the finding again.Answer →
  651. 651What food naturally contains high amounts of omega-3 fatty acids?Answer →
  652. 652Which client should the nurse anticipate an order for a CVAD?Answer →
  653. 653When placing a client with ARDS in a prone position, which information obtained by the nurse indicates that the positioning is effective?Answer →
  654. 654A client who has a body mass index (BMI) of 29 kg/m² expresses a desire to lose weight. Which action should the nurse implement? Reference range: Body mass index (BMI) [normal 18.0 to 24.9 kg/m²]Answer →
  655. 655The nurse takes into consideration that when the patient has an order for a patient-controlled analgesia (PCA), the pump will be programmed by the:Answer →
  656. 656A nurse is caring for a client who has pneumonia. The client's oxygen saturation is 85%. Which of the following actions should the nurse take first?Answer →
  657. 657A nurse is teaching a client who has decreased mobility about passive range-of-motion exercises. Which of the following statements should the nurse make?Answer →
  658. 658A client with Alzheimer's dementia has become increasingly agitated and physically aggressive despite environmental and behavioral interventions. The nurse anticipates an order for which medication that is specifically FDA-approved for this purpose?Answer →
  659. 659A nurse is caring for an older adult client who has chronic pain related to peripheral neuropathy. Which of the following medications should the nurse expect the provider to prescribe for this client?Answer →
  660. 660A nurse is preparing to administer medications to a client. At which of the following times should the nurse compare the medication administration record and the medication label? (Select all that apply.)Answer →
  661. 661The healthcare provider inserts a subclavian central venous catheter (CVC) and prescribes total parental nutrition (TPN) for infusion via the CVC line. While waiting for the pharmacy to deliver the TPN, which action should the nurse take?Answer →
  662. 662A nurse is caring for a client who has a prescription for a clear liquid diet. Which of the following items is appropriate for the nurse to provide?Answer →
  663. 663A nurse is reviewing the prescriptions for a client who is experiencing dysphagia following a stroke. Which of the following prescriptions should the nurse clarify?Answer →
  664. 664A client who is training for a first marathon arrives at the clinic reporting an increase in the frequency of leg cramps. Which recommendation should the nurse provide to help decrease the frequency of leg cramps?Answer →
  665. 665A nurse receives an order to remove a nasogastric (NG) tube used for gastric decompression. Which action should the nurse take during the removal?Answer →
  666. 666The nurse is reviewing newly prescribed medications for several clients with mental health conditions. Which prescription is most concerning to the nurse?Answer →
  667. 667Why does the nurse check tube placement and residual volume?Answer →
  668. 668A client being treated for neurogenic shock has a mean arterial pressure (MAP) of 55 mmHg. Which laboratory finding should the nurse prioritize as the most sensitive indicator of the onset of acute kidney injury (AKI)?Answer →
  669. 669A patient recovering from a leg fracture reports dull pain rated 7/10 and is unable to ambulate with crutches due to leg discomfort. Considering the patient's pain level and mobility limitations, what is the priority nursing intervention?Answer →
  670. 670A nurse is caring for a patient who has chronic pain. Which of the following psychological signs should the nurse expect to see in this patient?Answer →
  671. 671A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the plan of care?Answer →
  672. 672A nurse is caring for a client who reports that she has insomnia. Which of the following interventions is appropriate for the nurse to recommend?Answer →
  673. 673A nurse is reviewing lab results for a client suspected of having SLE (Systemic Lupus Erythematosus). Which finding is most specific for confirming the diagnosis?Answer →
  674. 674A neurologic condition decreases peristalsis. What problem is anticipated?Answer →
  675. 675The nurse is performing passive range of motion (ROM) with the client. Which is the purpose of performing active and passive range of motion (ROM) exercises?Answer →
  676. 676A nurse is reinforcing teaching about vancomycin with a client who has an infection. Which of the following information should the nurse include in the teaching?Answer →
  677. 677A client with diabetes mellitus tells the nurse of using cranberry juice to help prevent urinary tract infections. Which instruction should the nurse provide?Answer →
  678. 678A depressed older adult client is being treated with desipramine. Which clinical manifestations should the nurse monitor?Answer →
  679. 679A nurse is caring for a client in a wound center. Click to highlight the findings that indicate therapy has been ineffective. To deselect a finding, click on the finding again.Answer →
  680. 680A nurse finds a patient unresponsive with slow, shallow breathing after receiving morphine for pain. The patient's oxygen saturation is 82%, and the pupils are pinpoint. Which medication should the nurse prepare to administer immediately?Answer →
  681. 681A client arrives at the emergency department after an accident. The nurse notes periorbital ecchymosis and bruising behind the ears. What type of injury does the nurse suspect?Answer →
  682. 682A client who has been taking lithium complains of diarrhea and nausea. The last lithium level was 1.0 mEq/L. Which action should the nurse take FIRST?Answer →
  683. 683A nurse notices that the patient has gained 11 pounds since a visit last month. If this weight gain is due to fluid retention, how much fluid has the patient retained?Answer →
  684. 684The nurse is administering an intradermal (ID) injection to a client. Which action should the nurse take?Answer →
  685. 685The charge nurse is observing a new graduate's performance of wound care. Which technique indicates that the employee is effectively cleansing the wound?Answer →
  686. 686A nurse is preparing to administer ibuprofen 600 mg by mouth every 8 hours. Available is ibuprofen 200 mg per tablet. How many tablet(s) should the nurse administer per dose? tablet(s) (if needed, round to the nearest whole number.)Answer →
  687. 687After providing perineal care and donning sterile gloves, the nurse should first [blank1], followed by [blank2].Answer →
  688. 688The nurse has just inserted an NG tube in a client who is to begin tube feedings. The nurse is concerned about the risk of pulmonary aspiration. What action should the nurse take?Answer →
  689. 689A nurse is teaching a client who is having difficulty sleeping. Which of the following interventions should the nurse suggest?Answer →
  690. 690A nurse is caring for a client who constantly requests pain medication. What should the nurse consider when assessing the client's pain?Answer →
  691. 691A nurse is implementing a pressure injury prevention plan for an immobile patient. Which interventions are appropriate to include? Select all that apply.Answer →
  692. 692A client receives a prescription for amoxicillin 2 g/clavulanate 125 mg by mouth every 12 hours for 10 days. The medication is available in 1000 mg/62.5 mg extended release tablets. How many tablet(s) should the nurse administer? (Enter numerical value only.)Answer →
  693. 693A nurse is caring for a client who has been diagnosed with Cushing's syndrome. Which of the following findings should the nurse expect?Answer →
  694. 694What teaching is appropriate for older adults taking medications?Answer →
  695. 695The nurse is assessing a client with fluid overload related to renal failure. What assessment finding requires immediate follow-up by the nurse?Answer →
  696. 696The nurse receives a new prescription to administer oxygen at 3 L/minute via a nasal cannula to maintain an oxygen saturation between 90 and 100% for an adult client. The nurse obtains an oxygen saturation reading of 85% and, after repositioning the oximeter on a different finger, obtains a second reading of 87%. Which action should the nurse take next?Answer →
  697. 697A client complains of inability to sleep through the night since admission three days ago. Which of the following factors is most likely to negatively affect patient's sleep patterns?Answer →
  698. 698Which statement indicates that the patient understands the use of the patient-controlled analgesia (PCA) in managing pain?Answer →
  699. 699The client with stage 3 HIV has candidiasis. Which nursing intervention is the best for this client?Answer →
  700. 700A patient has heparin ordered at 1,000 units/HR. The concentration is heparin 10,000 units in 500 mL of D5W. How many milliliters per hour should the IV pump be programmed for? (Round to the nearest whole number. Only include the numerical answer)Answer →
  701. 701A client is training for a 3-mile run and asks the nurse what should be included in their diet to meet their energy needs. Which response by the nurse is appropriate?Answer →
  702. 702When administering 0900 medications to four clients, which prescription should the nurse administer first?Answer →
  703. 703Which assessment finding places a client at risk for problems associated with impaired skin integrity?Answer →
  704. 704The nurse is planning to provide mouth care for an unconscious client. Which statement is accurate in regard to implementing mouth care for this client?Answer →
  705. 705A nurse is calculating the total fluid intake for a client during an 8-hr period. The client had an IV bolus of 150 mL and consumed 4 oz of juice, 6 oz of hot tea, 100 mL of water, and 8 oz of clear broth. The nurse should record how many mL of intake on the client's record? (Round the answer to the nearest whole number.)Answer →
  706. 706The nurse is providing perineal care to an uncircumcised male patient. Which action will the nurse take?Answer →
  707. 707How should a client administer 20 units of insulin?Answer →
  708. 708A nurse prepares to assist a client of average size to ambulate. The patient has right-sided weakness. How should the nurse be positioned to assist the client to walk?Answer →
  709. 709A nurse is preparing to remove an indwelling urinary catheter from a client. In what order should the nurse perform the following steps? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)Answer →
  710. 710A nurse is caring for a client with hyperkalemia. Which medication should the nurse anticipate?Answer →
  711. 711Which of the following actions should the nurse take to promote the client's respiratory status? Select all that apply.Answer →
  712. 712When caring for an older adult client with limited mobility, which intervention is most important for the nurse to include in the client's plan of care?Answer →
  713. 713What assessment question should nurse ask before starting IV?Answer →
  714. 714A nurse is planning care for a client who has acute pain as a result of a pressure injury to the sacrum. Which of the following nonpharmacological interventions should the nurse include in the plan?Answer →
  715. 715A nurse has been assigned to provide morning care to a client. The plan of care includes information that the client requires partial care. What will the nurse do?Answer →
  716. 716A nurse is preparing to administer a medication to a client for the first time. Which of the following actions should the nurse take to help ensure safe medication administration?Answer →
  717. 717A nurse is assessing a 6-year-old child who points to their stomach area and says, "It hurts so bad." Which pain assessment tool should the nurse use?Answer →
  718. 718A patient on a patient-controlled analgesia (PCA) pump is sleeping. The patient's family member asks if they can press the PCA button since the patient looks uncomfortable. The nurse's response should be:Answer →
  719. 719A client with hemorrhoids tells the nurse they understand the need to avoid eating nuts and seeds to prevent inflammation. How should the nurse respond?Answer →
  720. 720A medication that causes extreme photosensitivity was recently prescribed for a client. In providing discharge instructions, the nurse should teach this client to increase intake of which foods?Answer →
  721. 721The health care provider writes a prescription for ampicillin 1 gram every 6 hours for a client. What would cause the nurse to question this medication prescription?Answer →
  722. 722What should the nurse do FIRST before administering medications?Answer →
  723. 723The nurse plans discharge education about the causes of fluid volume excess for a client with heart failure. What causes should the nurse include in the teaching? Select all that apply.Answer →
  724. 724Which food is a source of complete protein?Answer →
  725. 725A clear liquid breakfast is prescribed for a client who is scheduled for surgery later today. The client asks the nurse for a small cup of chocolate ice cream. Which action should the nurse take?Answer →
  726. 726An older adult client is brought to the emergency department (ED) by an adult child. The client reports experiencing abdominal pain and the inability to urinate, except for small amounts of incontinence. Which action should the nurse implement?Answer →
  727. 727A nurse is planning education for a client who is prescribed several oral medications. For each client instruction, click to specify if the instruction is appropriate or not appropriate.Answer →
  728. 728The nurse is assessing the patency of a patient's left arm arteriovenous (AV) fistula prior to initiating hemodialysis. Which finding indicates that the fistula is patent?Answer →
  729. 729The nurse is caring for a client who has been on bed rest. The primary care provider has just written a new order for the client to sit in the chair 3 times per day. Which action will be most effective to transfer the client safely into the chair?Answer →
  730. 730Based on the client's condition, the nurse should [1] to address [2].Answer →
  731. 731The nurse is reviewing the client's medication orders. Highlight the medication that requires follow-up due to a potential concern.Answer →
  732. 732After a client voids, 150 mL of residual urine is measured. Which nursing problem should be included in this client's plan of care?Answer →
  733. 733A nurse is assisting a client with a recent stroke and right-sided hemiparesis to transfer using a gait belt. The client expresses fear of falling. Which action should the nurse take to ensure client safety?Answer →
  734. 734While suctioning a client's nasopharynx, the nurse observes that the client's oxygen saturation remains at 94%, which is the same reading obtained prior to starting the procedure. Which action should the nurse take in response to this finding?Answer →
  735. 735What is the reason for maintaining a moist wound environment?Answer →
  736. 736A nurse is collecting data on a client for manifestations of pain. Which of the following findings is a subjective indicator of pain?Answer →
  737. 737The nurse is caring for a client with type 1 diabetes. The client asks, "What is the best food or drink to consume when I get hypoglycemic and need to increase my blood sugar quickly?" How should the nurse respond?Answer →
  738. 738A nurse is preparing to administer fluoxetine 10 mg PO to an older adult client. Available is fluoxetine oral solution 20 mg/5 ml. How many mL should the nurse administer? (Round the answer to the nearest tenth/1st decimal place. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  739. 739A nurse is caring for a client who has an oxygen saturation of 88%. Which of the following actions should the nurse take?Answer →
  740. 740The nurse is providing discharge teaching to the 48-year-old client with fatigue, insomnia, and muscle pain. Which instructions should the nurse include? Select all that apply.Answer →
  741. 741What finding should the nurse prioritize to determine effectiveness of oxygen therapy?Answer →
  742. 742The nurse plans education for a client who is prescribed an albuterol metered-dose inhaler (MDI) for the treatment of asthma symptoms. What information should the nurse plan to include? Select all that apply.Answer →
  743. 743The nurse is caring for a client diagnosed with tuberculosis. Which finding should the nurse address first?Answer →
  744. 744A nurse is teaching a patient about chronic pain. Which of the following should the nurse teach?Answer →
  745. 745An 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 →
  746. 746A nurse is assisting with teaching a class about herbal supplements that can decrease nausea. Which of the following supplements should the nurse include?Answer →
  747. 747A nurse is reinforcing teaching for a client who has rheumatoid arthritis and a new prescription for aspirin 650 mg orally every 6 hr. The nurse should instruct the client to monitor for which of the following adverse effects of aspirin therapy?Answer →
  748. 748The nurse would recognize which of these devices as an open drainage system?Answer →
  749. 749A dietitian is providing an in-service for the nurses on a medical-surgical unit. During the in-service, the dietitian informs the group that there are six classes of nutrients, and three supply the body with energy. What are the three sources of energy?Answer →
  750. 750An older adult client with a history of alcohol abuse is admitted to the hospital due to dehydration. The client is 20 lb (9.1 kg) under ideal weight, and assessment findings include nystagmus, ataxia, and tremors. The nurse knows that these symptoms were most likely caused by which nutritional deficiency?Answer →
  751. 751Which laboratory finding should the nurse report immediately in the patient with multiple myeloma who reports fatigue, loss of appetite, and pain?Answer →
  752. 752A 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 →
  753. 753Based on the client's nursing notes, complete the following sentences by choosing from the lists of options.Answer →
  754. 754Which type of intravenous (IV) fluid should the nurse anticipate the healthcare provider will order?Answer →
  755. 755Why is milk often fortified with vitamin D?Answer →
  756. 756A nurse is collecting data from a client while changing his ileostomy pouch. Which of the following data should the nurse report immediately?Answer →
  757. 757A client who is receiving antineoplastic chemotherapy has lost 25% of total body weight and is having difficulty eating because of stomatitis. In planning care for this client, which diet should the nurse recommend?Answer →
  758. 758A nurse is assessing pain in a patient with advanced dementia who cannot communicate verbally, which approach is most appropriate?Answer →
  759. 759Infuse Vancomycin 1 gm IVP in 250 mL D5W in 1.5 hr. The administration set is 60 drops per milliliter. Calculate the flow rate in drops per min. Enter number only.Answer →
  760. 760The nurse is assessing the nutritional status of several clients. Which client has the greatest risk for health problems related to nutritional deficits?Answer →
  761. 761The nurse notices a client grimacing while moving from the bed to a chair, but when asked about the pain the client denies having any pain. Which intervention should the nurse implement first?Answer →
  762. 762The nurse is assessing the nutritional status of several clients. Which client has the greatest risk for health problems related to nutritional deficits?Answer →
  763. 763Upon inspection of a client's skin, a nurse identifies a stage 3 pressure ulcer on the sacrum. Which of the following statement by the nurse describes a stage 3 pressure ulcer?Answer →
  764. 764A nurse is assessing a client who is receiving a blood transfusion. The nurse notes lung crackles, hypoxia, and distended neck veins. Which of the following actions should the nurse take? (Select all that apply.)Answer →
  765. 765The nurse observes that the skin over the sacral area is clean and intact. The client has experienced intermittent fecal incontinence over the past three days. The nurse identifies the nursing diagnosis of Risk for Impaired Skin Integrity. Which of the following is an appropriate outcome for this client?Answer →
  766. 766A nurse is caring for a client who reports that she has insomnia. Which of the following interventions is appropriate for the nurse to recommend?Answer →
  767. 767A nurse withdraws medication from a multidose vial. What is necessary to facilitate withdrawal?Answer →
  768. 768A client who is taking an antibiotic develops diarrhea. As the client resumes a regular diet, the nurse offers yogurt and buttermilk but also observes that the client has several small bruises. Which additional dietary change should the nurse offer?Answer →
  769. 769The nurse is teaching a patient at risk for pressure injuries and their family about preventing pressure injuries. What information is correct to include in the discussion? Select all that apply.Answer →
  770. 770A nurse is caring for a client who has a moderate vision impairment. Which of the following actions should the nurse take?Answer →
  771. 771A nurse in a long-term care facility is caring for a client who is unresponsive. When performing oral hygiene for the client, which of the following actions should the nurse take?Answer →
  772. 772A nurse is assessing a client who has left-sided weakness following a stroke. Which of the following findings is the nurse's priority?Answer →
  773. 773A nurse is collecting data from a client who has insomnia. The nurse should identify that which of the following findings is affecting the client's sleep?Answer →
  774. 774A nurse is caring for a client who is on a heart healthy diet and is reviewing their food journal for the last month. Which of the following findings requires the nurse to intervene?Answer →
  775. 775A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?Answer →
  776. 776Which pathophysiological change provides the etiology for a patient with polycythemia who is experiencing chest pain?Answer →
  777. 777The nurse identifies several problems for an older adult client experiencing diarrhea and fecal incontinence who is confined to bed and being cared for by a primary caregiver. In planning care, the nurse should determine which nursing problem is the highest priority?Answer →
  778. 778In 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 →
  779. 779The nurse identifies several nursing problems for a client who is incontinent and immobile after a stroke and is now experiencing diarrhea. The client resides at home and the spouse is the primary caregiver. While planning care, the nurse should determine which problem has the highest priority?Answer →
  780. 780A nurse is caring for a client who is immobile and developing skin breakdown. Which of the following actions should the nurse take?Answer →
  781. 781The nurse is caring for a client admitted with chronic kidney disease advancing to stage 4. The nurse should instruct the client to limit the ingestion of which type of foods?Answer →
  782. 782A nurse is assessing a client with a hip fracture. Which of the following signs are classic indicators of this injury?Answer →
  783. 783To convert 0.8 grams to milligrams, the nurse should:Answer →
  784. 784A nurse is assisting with evaluating teaching with a client who reports insomnia. Which of the following client statements indicates an understanding of the teaching?Answer →
  785. 785The home health nurse is visiting an older adult client who was discharged from the hospital 3 days ago following hip pinning surgery. The client lives with her daughter, who prepares the family meals. In discussing nutrition for postoperative healing, which food choices should the nurse suggest for this client's diet? Select all that apply.Answer →
  786. 786A client with chronic fecal incontinence is crying because of being embarrassed for not getting to the bathroom in time to avoid soiling the bed and clothing. When establishing a bowel training regimen, which intervention should the nurse implement?Answer →
  787. 787A client tells the nurse about doing a high intensity workout program to help with losing weight but now describes having difficulty getting to sleep at night. Which action should the nurse implement?Answer →
  788. 788A patient has pitting edema. What are the potential nutritional deficits?Answer →
  789. 789A nurse is planning care for a client who is scheduled for an intravenous pyelogram. Which of the following actions is appropriate for the nurse to include?Answer →
  790. 790The nurse is caring for an older adult client who needs to limit sodium intake. Which food should the nurse encourage the client to avoid?Answer →
  791. 791The nurse is planning care for the client. Complete the following sentence by using the lists of options. The nurse should prepare to insert A and request a prescription for BAnswer →
  792. 792The nurse notices that in the WBC differential, the patient's neutrophils were elevated. The nurse knows this means:Answer →
  793. 793A nurse is caring for a client who is immobile. Which of the following interventions should the nurse plan to take to prevent plantar flexion contractures?Answer →
  794. 794A nurse is caring for a client on a medical surgical unit. Drag words from the choices below to fill in each blank in the following sentence. The nurse should first follow up on the client's Target 1 and Target 2Answer →
  795. 795The charge nurse is observing a new graduate's performance of wound care. Which technique indicates that the employee is effectively cleansing the wound?Answer →
  796. 796A nurse is assessing a client who received an IM antibiotic injection 15 min ago. Which of the following findings should the nurse identify as an indication of a possible anaphylactic reaction to the medication?Answer →
  797. 797The nurse is caring for a client with a diagnosis of venous thrombosis in the left lower leg who is receiving heparin sodium by continuous intravenous (IV) infusion. The nurse should monitor the client for which manifestation indicating an adverse effect of this therapy?Answer →
  798. 798The nurse instructs a client with type 2 diabetes mellitus (DM) to avoid refined sugar and carbohydrates. Choosing which food indicates that the client understands the diet teaching?Answer →
  799. 799A nurse is caring for a client who is postoperative and is on bed rest. Which of the following actions should the nurse take to decrease the client's risk of developing a pressure injury?Answer →
  800. 800What is a local manifestation of influenza?Answer →
  801. 801A nurse is planning preventive care for a client who is at risk for pressure ulcers and requires bed rest. Which of the following actions should the nurse take?Answer →
  802. 802The nurse is implementing the plan of care to increase mobility. Complete the diagram by dragging from the choices area to specify which type of exercises the client needs, two actions the nurse should take to facilitate the exercises, and two parameters the nurse should monitor to assess the client's progress.Answer →
  803. 803A nurse performs a bedside urinalysis and notes the presence of nitrites, leukocyte esterase, and cloudy appearance. What is the most appropriate interpretation?Answer →
  804. 804A nurse is administering IV mannitol to a client diagnosed with cerebral edema. Which of the following actions should the nurse perform prior to the administration of mannitol?Answer →
  805. 805Which finding indicates a healthy colostomy stoma?Answer →
  806. 806A nurse is preparing to administer a client's antihypertensive medication. When using clinical judgment, which of the following findings indicates the nurse should collect further data from the client before administering medication?Answer →
  807. 807The nurse receives a report that a client with an indwelling urinary catheter has an output of 150 ml for the previous 8-hour shift. Which intervention should the nurse implement first?Answer →
  808. 808A client is admitted and the nurse assesses that the client is unable to move his right arm and leg. The nurse understands that the following intervention is needed for the right side?Answer →
  809. 809A nurse is caring for a patient who is incontinent of stool and has developed a stage 3 pressure wound on the buttocks. What intervention will the nurse set as the priority of care?Answer →
  810. 810Diphenhydramine 50 mg every 4 hours PRN is prescribed orally for a client who has the flu and is coughing. In the medication dispensing system is diphenhydramine 10 mg/mL. How many milliliters (mL) should the nurse administer with each dose? Do not round.Answer →
  811. 811What should the nurse expect to occur when assisting a patient with passive range of motion exercises?Answer →
  812. 812A clear liquid breakfast is prescribed for a client who is scheduled for surgery later today. The client asks the nurse for a small cup of chocolate ice cream. Which action should the nurse take?Answer →
  813. 813An older adult client is receiving an IV infusion of 5% dextrose in 0.45% sodium chloride at 75 mL/hour. Which assessment finding indicates to the nurse that the client is developing a complication from this therapy?Answer →
  814. 814A nurse is planning care for a client who reports insomnia. Which of the following actions should the nurse perform shortly before bedtime?Answer →
  815. 815Based on the client's manifestations, they developed target 1 and Target 2Answer →
  816. 816A client is prescribed 50 mg diphenhydramine PO q 4-6 hours PRN for allergy symptoms. The medicine is available as diphenhydramine liquid 12.5 mg/5 ml. How many tsp will the nurse administer per dose.Answer →
  817. 817What may occur in the body due to excessive protein intake resulting in increased deamination?Answer →
  818. 818The nurse assesses that a client who is disoriented drank eight glasses of water in two hours and is continuing to drink excessive amounts of water. Because the nurse is concerned about water intoxication, which laboratory value should the nurse monitor?Answer →
  819. 819A nurse is caring for a client who has an NG tube set to low-intermittent suction for gastric decompression. The nurse observes that the NG tube is not draining. Which of the following actions should the nurse take?Answer →
  820. 820A nurse is providing postoperative teaching to a patient who had abdominal surgery 4 hours ago. The patient refuses to use the incentive spirometer, stating 'it hurts too much to breathe deeply.' Which response by the nurse is most appropriate?Answer →
  821. 821An older adult client is admitted to the hospital after 24 hours of acute diarrhea. To determine fluid status, which initial data is most important for the nurse to obtain?Answer →
  822. 822A nurse is teaching a client about meditation and progressive relaxation to reduce stress. Which of the following instructions should the nurse include?Answer →
  823. 823A patient reports involuntary urine leakage that occurs only when she coughs, laughs, or sneezes. She has never experienced a sudden urge to void before the leakage. The nurse correctly documents this as:Answer →
  824. 824A nurse administers a large-volume cleansing enema. The patient reports severe cramping. What should the nurse do next?Answer →
  825. 825A nurse is caring for a client who is immobile. Which of the following interventions should the nurse plan to take to prevent plantar flexion contractures?Answer →
  826. 826A nurse is assisting with teaching a class of newly licensed nurses about the first phase of wound healing. Which of the following processes should the nurse include?Answer →
  827. 827Which healthcare provider order should the nurse question?Answer →
  828. 828A patient with kidney stones is scheduled for extracorporeal shock wave lithotripsy (ESWL). The patient asks the nurse to explain what will be done. What is the nurse's best response?Answer →
  829. 829A nurse is reinforcing teaching with a newly licensed nurse about a nonrebreather mask. Which of the following instructions should the nurse include?Answer →
  830. 830A client wants to increase intake of vitamin E. Which snack should the nurse encourage?Answer →
  831. 831Select the condition, actions, and priority parameters.Answer →
  832. 832A nurse is reviewing the care plan for a patient with chronic cancer pain. Which components are appropriate for a comprehensive, evidence-based pain management plan? Select all that apply.Answer →
  833. 833A nurse is changing the dressing on a client's wound. The nurse should recognize that which of the following findings is an indication of a wound infection?Answer →
  834. 834The home health nurse visits a client who has a serum sodium level of 123 mEq/L (123 mmol/L). To explore possible etiologies for this value, which question should the nurse ask the client?Answer →
  835. 835A patient is experiencing persistent bronchoconstriction despite attempts to treat with medications. Ventilation-perfusion matching is grossly uneven. Which of the following is the patient most likely experiencing?Answer →
  836. 836The nurse is teaching a client how to use crutches. Which action performed by the client demonstrates to the nurse a correct understanding of how to use the crutches?Answer →
  837. 837A nurse is caring for an older adult client who has chronic pain related to peripheral neuropathy. Which of the following medications should the nurse expect the provider to prescribe for this client?Answer →
  838. 838Which cerebrospinal fluid (CSF) finding is consistent with bacterial meningitis?Answer →
  839. 839A client with an acute exacerbation of Ulcerative Colitis is prescribed a low-residual diet. Which meal selection indicates understanding?Answer →
  840. 840Which of the following nursing interventions are essential for a client receiving mechanical ventilation to ensure safety and effectiveness? Select All that Apply.Answer →
  841. 841A charge nurse is reviewing endotracheal suctioning with a newly licensed nurse. Which of the following statements should the charge nurse include in the review?Answer →
  842. 842A nurse is planning care for a client who reports insomnia. Which of the following actions should the nurse perform shortly before bedtime?Answer →
  843. 843A nurse is caring for a client who is receiving intravenous fluids. The nurse notes the client's skin around their peripheral IV site is taut and edematous. Which of the following complications is the client experiencing?Answer →
  844. 844A nurse is caring for a client who has dysphagia. When assisting the client during breakfast, which of the following actions by the client indicates the nurse should intervene?Answer →