What action is correct when administering ear drops to a 2-year-old child?

The client is admitted with a diagnosis of rule-out tuberculosis. Which type of isolation procedures should the nurse implement?

A nurse is providing umbilical cord care to a newly delivered infant. What information should the nurse be aware of?

When administering an intramuscular gluteal injection in the superior-lateral quadrant, the healthcare provider would most likely avoid injury to which nerve?

The nurse is preparing an IM injection for an infant. Which site does the nurse identify for the administration of IM medication?

A patient's MAP is 82, and ICP is 15. What is the patient's cerebral perfusion pressure?

In which client does the nurse consider the presence of an S3 heart sound to be normal?

A patient is diagnosed with meningitis. Which type of isolation precaution is most appropriate?

The nurse is admitting a client in the first stage of labor with active genital herpes. Which type of birth will the nurse anticipate?

Which qualitative approach is most appropriate when studying the daily experience of women undergoing radiation treatment for breast cancer?

The nurse is assessing a patient diagnosed with Addison's disease. What would the nurse expect to find?

A patient with a T4 spinal cord injury develops a pounding headache, blurred vision, sweating above the injury, BP 198/108, and a kinked Foley catheter. What is the priority action?

The ultimate goal of therapy for a client with dissociative identity disorder is most likely achieved through which treatment?

Which of the following is NOT a common mode of HIV transmission?

A postpartum nurse is caring for a stable client 12 hours after delivery. What is the recommended frequency for assessing vital signs?

Which nursing action is contraindicated for a pregnant woman with vaginal bleeding until ultrasound rules out placenta previa?

A nurse is assessing a patient with suspected molar pregnancy. Which finding is most characteristic?

What position is commonly used for robotic surgery?

What is the correct chest-compression depth for an infant?

Infants of mothers with diabetes are at higher risk for developing:

The ECG shows regular sawtooth-shaped flutter waves with an atrial rate of 250/min. How should the nurse document this pattern?

A nurse is preparing to care for a child after a tonsillectomy. Which position is most appropriate?

In which position should the nurse place an infant to prevent sudden infant death syndrome?

Which hormone secreted by the corpus luteum prepares the endometrium for implantation?

A nurse is caring for a newborn with hydrocephalus. Which manifestation should the nurse expect?

A child is postoperative following insertion of a ventriculoperitoneal shunt. In which position should the nurse place the child?

An over-the-counter pregnancy test recognizes which hormone to confirm a positive result?

A new father states, ‘I know nothing about babies,’ but he seems to be interested in learning. What action by the nurse is best?

A community health nurse is planning a public service campaign to decrease the transmission of influenza. Which intervention should the nurse include as a primary prevention?

A patient with ventricular tachycardia (VT) has no pulse. What is the nurse's immediate action?

Which is the best response from the nurse when asked why a 4-month-old infant is having a cleft lip repair at such an early age?

While auscultating a client's trachea, the nurse hears a high, harsh sound with short inspiration and long expiration. How would the nurse document this finding?

A nurse is reviewing diagnostic findings for a client with early severe hyperemesis gravidarum. Which associated condition must be ruled out due to its link with markedly elevated human chorionic gonadotropin levels?

A client presents to the health care clinic for the first prenatal visit. The client's current weight is normal for height. In this situation, what recommendation for weight gain will the nurse provide?

You are taking care of an elderly patient with osteoporosis. Which dietary supplements would be most appropriate as a treatment regimen?

Which contraceptive device is most likely to prevent the transmission of sexually transmitted diseases?

Which cause of hemorrhage would be suspected in a client with a firm fundus?

The nurse is preparing to insert a urinary catheter. To perform this procedure, the nurse will use:

A nurse is caring for a child who is postoperative following ventriculoperitoneal (VP) shunt placement. In which of the following positions should the nurse place the client?

A pediatric patient weighing 22 kg is prescribed amoxicillin 50 mg/kg/day in divided doses every 8 hours. The medication is available as a suspension containing 125 mg/5 mL. How many mL should the nurse administer for each dose?

A charge nurse overhears a staff nurse talking to another nurse in the hallway about a client. Which response is appropriate?

Which action demonstrates proper medication documentation?

The nurse obtains a health history from a patient who is scheduled for elective hip surgery in 1 week. The patient reports use of garlic and ginkgo biloba. Which action by the nurse is most appropriate?

Ectopic pregnancies are commonly located in the:

A nurse leader is planning annual staff training for workplace violence prevention. Which topic is most appropriate to include?

Which action is an example of primary prevention?

The nurse finds the client to be in ventricular tachycardia and pulseless. What is the nurse's best first action?

A nurse is collecting data from a client who has manifestations of appendicitis. Where should the nurse palpate to monitor for pain at McBurney's point?

When caring for a client in hemorrhagic shock, how should the nurse position the client?

What infection control precaution is a client diagnosed with bacterial meningitis instituted?

A client with COPD is short of breath. Which position should the nurse encourage to ease the work of breathing?

Which major neonatal complication is carefully monitored after the birth of the infant of a diabetic mother?

The nurse is caring for a pediatric client scheduled for surgical removal of a Wilms tumor. Which action is contraindicated?

A nurse overhears two staff members in a public hallway discussing a client's diagnosis. Which action should the nurse take?

Where should the nurse measure blood pressure after a unilateral mastectomy?

An infant who presents with a shrill or high-pitched cry should be evaluated for:

A hospitalized client who is paranoid believes all hospital food is poisoned. What is an appropriate nursing intervention?

A nurse is caring for a patient with decreased T3 and T4 and elevated TSH levels. The patient is likely suffering from what?

A nurse is preparing to administer vitamin K by IM injection to a newborn. Which muscle should be used?

A diabetic patient received morning NPH insulin and missed lunch. What is the best action to prevent hypoglycemia?

On the fourth postpartum day, a client experiences breast engorgement. Which nursing intervention is most effective?

What common health issue occurs in individuals with Down syndrome?

Which finding may lead a nurse to suspect spina bifida?

The nurse is giving a client with chronic obstructive pulmonary disease (COPD) information related to positions used to breathe more easily. The nurse teaches the client to assume which position?

Democratic leadership style involves:

A client with a history of myocardial infarction is prescribed aspirin. The nurse recognizes aspirin is given due to which action?

A community health nurse is planning a health promotion program for a population with a high prevalence of hypertension and type 2 diabetes. Which of the following interventions best exemplifies primary prevention?

A nurse sees multiple bruises in different stages of healing. What action should the nurse take?

A nurse is collecting data from a child with spina bifida occulta. Which finding should the nurse expect?

A nurse is teaching about neonatal complications of maternal diabetes. Which condition should be included?

A patient with diabetic ketoacidosis is brought to the emergency department. Which prescribed action should the nurse implement first?

A fully alert and oriented patient who opens eyes spontaneously and obeys commands has which Glasgow Coma Scale score?

When assessing a school-aged child, using an adult blood-pressure cuff will produce which value?

A patient with Addison disease presents with hyperpigmentation. What is the cause?

What is the antidote for Warfarin (Coumadin)?

The nurse is providing discharge teaching about the possibility of mastitis to a mother who is breastfeeding. Which statement by the client indicates a need for MORE teaching?

A nurse is caring for a newborn whose mother has diabetes mellitus. The nurse should recognize which of the following potential newborn complications as the priority focus of care?

A nurse is assessing a child and notes several bruises. Which of the following actions should the nurse take?

The nurse provides care to a client who is admitted for a sickle cell disease (SCD) crisis. Which of the following is the priority prescription for the nurse to Implement when providing patient care?

A nurse is caring for a postpartum client who reports feeling anxious, irritable, and unable to sleep despite extreme fatigue. The client also expresses feelings of inadequacy as a mother. Which of the following nursing interventions is the most appropriate?

The nurse prepares to administer an IM injection to a 2-month-old infant. The proper injection site is the:

What is the most common reason for late postpartum hemorrhage (PPH)?

When a client with cystic fibrosis is prescribed pancreatic enzymes, what is the best time for the nurse to administer them to the client?

A nurse on a medical-surgical unit is performing medication reconciliation for a newly admitted client. Which of the following actions should the nurse take?

A nurse in the emergency department is admitting a client who has diabetic ketoacidosis and a blood glucose level of 100 mg/dl. Which of the following interventions should the nurse initiate first?

A nurse understands that it is a priority to place a child in which position post-operative tonsillectomy.

The difference between systolic pressure and diastolic pressure is called

A nurse is caring for a client with pulmonary edema. Which finding is indicative of severe pulmonary edema and impaired gas exchange?

Which of the following best describes the initial step in the Evidence-Based Practice (EBP) process that is critical for guiding nursing interventions?

A client diagnosed with cholelithiasis is scheduled for a cholecystectomy. What should the nurse include in the preoperative education for the client?

A nurse is caring for a patient in the first stage of labor and assesses that the patient is 6 cm dilated, 75% effaced, and the baby is at 0 station. Based on these findings, the nurse would document that the patient is in what phase of the first stage of labor?

A nurse is caring for a client who is to undergo an amniotomy. Which of the following is the priority nursing action following this procedure?

A nurse is teaching a newly licensed nurse about implementing droplet precautions for a client who has influenza. Which statement indicates understanding?

A nurse leader who provides minimal direction and lets the team make decisions independently is using which leadership style?

The nurse caring for the pregnant patient understands that which hormone is essential for maintaining pregnancy?

Benefits to the mother associated with breastfeeding include all except:

A client comes to the emergency department with hypovolemic shock. Which findings would be expected based on this diagnosis?

The storming stage of team development involves:

A nurse wants to enhance their knowledge and skills to provide the best possible care for clients. Which is an example of continuing education?

The nurse is caring for a client with a history of gout. Which dietary recommendation should the nurse emphasize?

The nurse is performing care on a client. Which describes pulse pressure?

A home health care nurse is teaching about breast engorgement. Which statement indicates understanding?

A newborn has meconium aspiration at birth and increasing respiratory distress. What action takes priority?

A nurse is caring for a preterm infant with intraventricular hemorrhage. Which action prevents increased ICP?

A client presents with severe right upper quadrant abdominal pain, fever, and jaundice. Which condition should the nurse suspect?

A 12-year-old girl has severe lower abdominal pain during menstruation. What is the recommended first-line treatment?

The nurse manager oversees several nurses. With which nurse should the manager review HIPAA?

The nurse calls the provider about a patient's condition. What is included in SBAR communication?

The nurse teaches a patient taking antiseizure drugs which method measures compliance and toxicity?

A nurse is assessing suspected hypovolemic shock after trauma. Which finding is most indicative?

Which feeding technique is most appropriate for an infant with a cleft palate?

What infection control precaution is instituted for bacterial meningitis?

A nurse caring for MRSA in an abdominal wound enters to check pulse. What PPE should be worn?

A nurse is educating a pregnant patient about nutritional deficiencies. Which nutrient deficiency is most associated with neural tube defects?

A client has been diagnosed with agoraphobia. Which behavior is most characteristic?

The nurse is preparing to administer ear drops to an adult client. Which action should the nurse take?

When using an otoscope to assess an adult tympanic membrane, pull the pinna in which direction?

A nurse is assessing the therapeutic INR range for a patient receiving warfarin. Which range is therapeutic?

A nurse is providing discharge teaching about lymphedema prevention after modified radical mastectomy. Which instruction should be included?

A nurse is preparing to collect a capillary blood specimen from the heel of a 4-month-old infant. Which action should be taken?

What is the most effective method of infection control?

In which position should a nurse place a child after tonsil and adenoidectomy?

A client overdosed on morphine and has respiratory rate 6/min. Which medication should be administered?

The antidote administered to reverse magnesium toxicity is?

A 1-day postpartum patient has red lochia with foul odor. What does this finding indicate?

A nurse caring for a newborn immediately after birth: which action reduces evaporative heat loss?

A newborn is placed skin-to-skin after birth. Which intervention increases risk for hypothermia?

A preschool child is fearful of a medical procedure. Which intervention is most appropriate?

A nursing manager is worried about hospital infections. What action is most effective?

A postpartum client has been diagnosed with mastitis in her right breast. Which self-care measure should the nurse recommend to help alleviate discomfort and improve drainage in the affected breast?

A nurse is reinforcing education about nutrition for a patient who has HIV and has a newborn. Which statement should the nurse provide?

A nurse assesses a patient's pressure injury and documents full-thickness skin and tissue loss with exposed muscle, tendon, and bone. At which stage is this pressure ulcer?

Pressure sores are categorized into four stages. Which stage is red with blistering or a shallow break in the skin?

The mother of an infant with hypertrophic pyloric stenosis asks about treatment. What should the nurse convey?

A nurse is reinforcing teaching with a female client about preventing urinary tract infections. Which instruction should the nurse include?

A patient admitted with acute kidney injury has oliguria, anemia, and hyperkalemia. Which prescribed action should the nurse take first?

An occupational health nurse is planning activities to prevent communicable disease. Which activity is a secondary level of prevention?

A nurse is assessing a client with suspected meningitis. Which sign is most indicative of meningitis?

Which of the following is a possible complication of deep vein thrombosis (DVT)?

A mother asks why her 20-hour-old newborn’s stool looks black and sticky. Which response is most appropriate?

A male client has active tuberculosis (TB). Which symptom cluster will be exhibited?

A nurse is reinforcing teaching about home care with a client who has mild preeclampsia. Which information should the nurse include?

A nurse is assessing a client who is 2 days postpartum. Which finding should the nurse expect?

A nurse is providing teaching about the Papanicolaou test. Which information should be included?

The nurse is monitoring a patient receiving a blood transfusion. For which symptoms should the nurse stop the transfusion but not administer normal saline?

A nurse is providing education to a client with diabetes on foot care. Which statement promotes foot health?

Which medication side effect is irreversible if not detected early?

Which technique prepares a child for surgery using role playing or hands-on activities?

A nurse is working with a client who has limited English proficiency and uses an interpreter. Which strategy facilitates effective communication?

A newborn is diagnosed with hypospadias and the parents request circumcision. Which response should the nurse provide?

A nurse is reviewing the medical record of a client who has hyperthyroidism (Graves disease). Which serum laboratory finding should be below the expected reference range?

The nurse is caring for a cyanotic and pulseless client. Which leadership style is most effective when managing the code blue?

A nurse is caring for a 10-month-old infant 8 hours after cleft palate repair. Which intervention should be included in the plan of care?

A patient taking aspirin for arthritis should report which adverse reaction to the healthcare provider?

A nurse at a health fair is assessing weight status. Which client is classified as overweight?

A community health nurse is planning a public service campaign to decrease influenza transmission. Which intervention is primary prevention?

During an admission interview, a client responds: ‘medications, abbreviations, deviations, mediations.’ Which speech pattern is demonstrated?

A nurse asks a client with schizophrenia, ‘How are you?’ Which response demonstrates echolalia?

Which PPE should be worn when entering the room of a patient with tuberculosis?

Which action is an example of primary prevention?

An infant born 2 days ago has not passed meconium and begins vomiting bilious secretions. Which action should the nurse take first?

A client with congestive heart failure is prescribed daily furosemide. Which potential adverse effect should the nurse monitor?

The nurse interviews a client who does not speak fluent English using an interpreter. Which action should the nurse implement?

A community health nurse plans a health-promotion program for a population with high hypertension and diabetes prevalence. Which intervention best exemplifies primary prevention?

A nurse assesses a client who said they do not want to live anymore and plan to end their life. Which action should the nurse take?

A nurse is providing education to a client and their reproductive partner when the client asks about testing for hereditary genetic disorders, particularly the type their partner has. Which response should the nurse provide?

A nurse is caring for a school-age child with ADHD who is throwing wooden building blocks against a wall. Which action should the nurse take?

A nurse is preparing an injection using a single-dose glass ampule. Which action should the nurse take?

A charge nurse on an obstetrical unit is preparing the shift assignment. Which client should be assigned to an RN who has floated from a medical-surgical unit?

Which practice is recommended to prevent human immunodeficiency virus transmission?

A nurse is obtaining a health history from a client suspected of having early tuberculosis. Which manifestations should the nurse ask about?

A nurse is documenting and completing an incident report after a client falls out of bed. Which action should the nurse take when documenting the event?

An adolescent diagnosed with ADHD has difficulty maintaining concentration. Which intervention should the nurse recommend to improve task performance?

The nurse finds a client unresponsive and pulseless with a flat cardiac rhythm. Which action should the nurse take first?

A nurse overhears two staff members in a public hallway discussing the diagnosis of a client. Which action should the nurse take to promote confidentiality?

A nurse is working with a client who has limited English proficiency and is using an interpreter. Which strategy should the nurse use to facilitate communication?

A nurse enters an adult client's room and finds the client unresponsive, not breathing, and without a pulse. Which action should the nurse take first?

A patient is recovering from coronary artery bypass graft surgery. Which nursing intervention is crucial during the early postoperative period?

A client weighs 250 pounds and needs to be transferred from the bed to a chair. Which instruction should the nurse give to assistive personnel?

A nurse manager is scheduling a meeting to address a conflict between staff members and a client's family. Staff and family members will identify common goals and express their concerns. Which conflict resolution strategy is the manager implementing?

A nurse is teaching a male adolescent recently diagnosed with type 1 diabetes mellitus about self-injecting insulin. Which approach is best to evaluate the effectiveness of the teaching?

An 8-year-old patient is having problems adjusting to daily radiation treatments. Which action is most appropriate for the nurse to take?

A nurse is working with a client who has limited English proficiency and is using an interpreter. Which strategy should the nurse use to facilitate communication?

The nurse plans discharge education for an older adult client. Which topic should the nurse prioritize?

A nurse determines that a client does not understand a surgical procedure before witnessing the informed consent. Which action should the nurse take?

A practical nurse is caring for a client with gestational diabetes mellitus. Which complication is the greatest risk to the fetus if euglycemia is not maintained?

Which medication is typically prescribed for the treatment of hyperthyroidism?

A nurse is caring for a patient with decreased T3 and T4 and elevated TSH levels. Which condition is most likely?

Select the proper order of the phases of the nursing process.

Which action by a nurse indicates a breach of a patient's right to privacy?

What is the definition of patient autonomy?

During admission to a psychiatric unit, a client is extremely anxious. Which intervention is most important during admission?

A nurse is planning a presentation about lifelong learning. Which information should the nurse include?

A home health nurse visits a client with a new diagnosis of diabetes mellitus. Which action should the nurse take first?

A child with suspected rheumatic fever is prescribed an antistreptolysin O titer. Which explanation should the nurse give the parent?

The nurse manager asks a staff nurse to work an extra shift. Which response is assertive?

A nurse teaches Kegel exercises to clients in the third trimester. Which statement indicates understanding?

A pregnant woman has gestational diabetes mellitus. The fetus is at greatest risk for which complication?

Four hours after birth, a neonate of a diabetic mother is jittery, irritable, and has a high-pitched cry. What is the priority nursing action?

The autocratic leadership style is most appropriate in which situation?

A healthcare provider wants to share a patient's story publicly. What should the nurse do first?

Magnesium sulfate is commonly administered to pregnant women with preeclampsia for which primary purpose?

The nurse is assessing a client with suspected appendicitis. Which finding is most indicative of this condition?

A patient experiences a panic attack with hyperventilation. What acid-base disorder are they most at risk for?

The nurse overhears two nurses talking about a client's condition in the hospital cafeteria. This could lead to which complaint?

Which action by a nurse demonstrates correct use of electronic health records to protect client confidentiality?

A nurse assesses a client who states that they plan to end their life. Which action should the nurse take?

A client prescribed haloperidol develops extrapyramidal side effects. Which medication should the nurse expect to administer?

What is the definition of patient autonomy?

A nurse is conducting the Weber test on a client. Which action is appropriate?

Which action by the school nurse is important in preventing rheumatic fever?

When caring for a patient on droplet precautions, which action is most important?

A client has a new diagnosis of methicillin-resistant Staphylococcus aureus. Which transmission-based precautions should the nurse initiate?

A new mother asks how to care for the umbilical cord until it falls off. Which advice should the nurse provide?

The nurse is assessing a first-day postpartum client. Which finding is most indicative of postpartum infection?

The nurse assesses a fetal heart rate of 82 beats/min at 30 weeks of gestation. What is the first action?

A nurse is assessing a patient who has sustained a burn injury. The affected area is dry, white, and charred, with no pain present. Based on burn classification, this burn is:

A nurse administers lactulose to a client with cirrhosis. Lactulose is used to decrease which bloodstream component?

Eight minutes after a vaginal birth, the nurse observes lengthening of the umbilical cord and a gush of blood. These findings indicate what?

The nurse is assessing a 4-year-old child with spina bifida occulta. Which finding would the nurse expect?

A preschool child is hospitalized and becomes fearful of a medical procedure. Which nursing intervention is most appropriate?

When teaching a patient a skill such as self-injection of insulin, what is the best way to set up the teaching session?

Which research report title indicates a qualitative rather than quantitative study?

How does an experimental research design differ from a nonexperimental design?

A nurse assesses a wound healing by primary intention. Which finding should the nurse expect?

A liquid medication is ordered at 15 mg PO. Available is 30 mg/3 mL. How many milliliters should be administered?

A young child has severe dehydration secondary to acute diarrhea and vomiting. Therapeutic management begins with which intervention?

A client exposed to COVID-19 has fever, cough, and shortness of breath. Which action is most important?

Medication order: Augmentin 0.25 g PO every 8 hours. Available: 125 mg per 5 mL. How much should the nurse administer?

Which action is an example of primary prevention?

The electronic medication system alerts that the scanned dose is twice the prescribed dose. Which action should the nurse implement?

Interpret these ABGs: pH 7.48, PaCO2 28 mmHg, PaO2 55 mmHg, HCO3 24 mEq/L, SaO2 87%.

A nurse reviews true versus false labor. Which client statement indicates effective teaching?

A client with diabetes uses cranberry juice to help prevent urinary tract infections. Which instruction should the nurse provide?

A nurse is caring for a client who has tuberculosis. Which precautions should be implemented?

Which leadership style encourages nursing staff to participate in decisions and activities?

A nurse removes PPE after giving direct care to a client in isolation. Which item should be removed first?

When planning care for an adolescent with anorexia nervosa, which nursing problem has the highest priority?

The nurse is assessing a 1-day old neonate and notes white raised spots on the baby's nose. What is the priority response?

Democratic leadership style involves:

The nurse is caring for a client diagnosed with bipolar disorder. During a manic episode, which takes priority?

An adolescent with type 1 diabetes has soccer practice. Which action should the school nurse recommend to prevent hypoglycemia?

A nurse is planning discharge instructions for a patient with hepatitis A and their family. Which infection transmission measure should be included?

A nurse is teaching a client who is to start taking phenelzine. Which food should the client avoid?

While caring for a client one day following a thyroidectomy, the practical nurse notes that the client's voice is hoarse. What action should the nurse take?

A nurse is using the FLACC scale for a client with cognitive impairment. Which finding indicates pain?

A client opens eyes to sound, makes incomprehensible sounds, and withdraws an arm from pain. What is the total Glasgow Coma Scale score?

Which action is an example of primary prevention?

The storming stage of team development involves:

A nurse enters an adult client's room and finds the client unresponsive, not breathing, and without a pulse. Which action should the nurse take first?

A nurse is caring for a client who has heart failure and respiratory arrest. Which action should the nurse take first?

A nurse finds a client's blood pressure to be 140/90 mmHg on multiple occasions. What action should the nurse take?

Which statement demonstrates understanding of nutrition and weight gain in pregnancy?

A newborn is choking and turning cyanotic with the first sucks of sterile water and may have a tracheoesophageal fistula. Which intervention should be implemented until diagnosis is confirmed?

A newborn is suspected of having esophageal atresia with tracheoesophageal fistula. Which finding most strongly supports the diagnosis?

A nurse is teaching a child with type 1 diabetes mellitus how to self-inject insulin. Which method should be recommended for regular doses?

A nurse is caring for a client with a T-4 spinal cord injury. Which intervention helps prevent autonomic dysreflexia?

A patient's ABG results include pH 7.32, PaCO2 56 mm Hg, and HCO3 24 mEq/L. Which acid-base imbalance is present?

Which infant weight pattern is normal for age?

A client is receiving oral calcium supplements. Which additional vitamin would enhance absorption of calcium from the GI tract?

A patient 1 day postoperative after abdominal surgery has incisional pain, a temperature of 99.5°F, slight erythema, and 30 mL serosanguineous drainage. What conclusion should the nurse make?

Which method of data collection is most appropriate for a nurse researcher to use in a survey study?

Preventive measures such as immunizations and water fluoridation are examples of which type of prevention?

Which action is an example of primary prevention?

A pediatric nurse is calculating a child's medication dosage. The child weighs 30 kg and the prescribed dosage is 0.2 mg/kg. How many milligrams should be administered?

Which statement by a nursing student warrants re-education about transmission-based precautions?

The nurse made an error in a narrative documentation of an assessment finding. Which action should the nurse take to correct it?

While shopping for an over-the-counter cough suppressant, the nurse identifies that the medication will be classified as a:

Which action is an example of primary prevention?

A nurse is working with an interprofessional team in caring for a client. Which action will improve client outcomes?

A client has been taught to restrict dietary sodium. Which food selection indicates effective teaching?

A postoperative client is at risk for venous stasis. Which intervention is most effective?

An adolescent with type 1 diabetes has soccer practice. Which action should prevent hypoglycemia during practice?

A child is admitted with suspected Hirschsprung disease. Which provider order should the nurse question?

Which statement describing physiologic jaundice is incorrect?

Which nursing intervention is most important for a client with antisocial personality disorder?

A patient presents with a missed abortion at 10 weeks. What complication is she at risk for if the products of conception are retained for a prolonged period?

You are the nurse providing teaching to a pregnant woman on how to do kick counts. You will tell her all of the following except:

A nurse is providing teaching to parents about newborn genetic screening. Which information should the nurse include?

The nurse keeps in mind which of the following when collecting a urine specimen for routine urinalysis from a client?

A nurse is planning care for a 10-month-old infant who is 8 hours postoperative following cleft palate repair. Which intervention should the nurse include?

A nurse is providing discharge teaching to the guardian of a preschooler who had a tonsillectomy. Which statement should the nurse include?

A nurse is preparing to administer a vaccine to a 4-year-old child. Which vaccine should the nurse administer?

The prenatal clinic nurse is monitoring women for preeclampsia. Which client should the nurse see first?

A nurse is giving discharge instructions to a new mother. What is the most important instruction to prevent postpartum infection?

A nurse implements annual influenza vaccination clinics for community members across the lifespan. This intervention represents:

A school is providing education about the spread of COVID-19 across national boundaries and throughout the world in 2020, which prompted disease control measures in most countries. Which of the following terms should the nurse use to describe this level of disease?

A nurse is preparing to pass medications to a group of clients. The nurse notices a possible misspelling of a medication on the medication administration record (MAR). What should the nurse do first?

The prescriber has written admission orders, and the nurse is transcribing them. The nurse is having difficulty transcribing one order because of the prescriber's handwriting. Which is the best action for the nurse to take?

A nurse can assist a father in his transition to parenthood by:

While performing a sterile dressing change, the nurse contaminates the right sterile glove. What is the most appropriate action?

What blood pressure measurement is indicative of preeclampsia with severe features?

A pregnant patient reports experiencing severe, persistent headaches and blurred vision at 34 weeks gestation. Which of the following conditions should the nurse immediately suspect?

A newborn's arm is limp, adducted, internally rotated, with the elbow extended and wrist flexed. Which condition does this suggest?

When performing a postpartum assessment, the nurse notes clots in the lochia that are larger than 1 cm. Which nursing action is most appropriate?

Which situation is an example of shared governance?

The unlicensed nursing assistant is viewing the electronic medical record of an assigned client. When the assistant tries to access notes made by the social worker, an error message appears that reads, 'You are not authorized to view this information.' What response should the nurse make?

A child with rubeola is admitted to the hospital. Which type of precautions should the nurse initiate?

A nurse is preparing a client for electroconvulsive therapy (ECT). Which client statement indicates an understanding of the procedure?

A nurse is caring for a patient receiving hemodialysis who becomes confused and complains of a headache. Which condition should the nurse suspect?

Which client should the nurse suspect of having pyloric stenosis?

A child has returned from surgery after placement of a shunt for hydrocephalus. Which position should the nurse use?

A nurse is assisting a child to bed after a tonsillectomy. How should the nurse position the child until fully awake?

The practical nurse notes that a UAP is ambulating a client who had a stroke and has right-sided weakness. The UAP is walking on the client's left side. Which action should the nurse take?

A 1-year-old child is scheduled for repair of hypospadias and chordee. The preferred timing is based on which rationale?

A client with an acute myocardial infarction develops cardiogenic shock. Which finding should the nurse expect?

The nurse is reviewing menu selections for a patient on a low-cholesterol diet. Which meal item should the nurse question?

In quantitative studies, researchers make a formal statement about the expected relationship between two or more variables in a specified population. This formal statement is called a research:

A nurse is preparing to administer aspirin 650 mg PO. Available is aspirin 325 mg tablets. How many tablets should the nurse administer?

A 15-month-old toddler with pneumonia weighs 11 kg. The safe amoxicillin dose is 20 to 40 mg/kg/day. Which dose is safe?

What is required for the diagnosis of preeclampsia?

Before administering a scheduled opioid, the nurse notes a respiratory rate of 8/min, pulse 80/min, and blood pressure 108/60 mmHg. Which action should the nurse take first?

A 6-month-old infant with meningitis flexes the knees and hips when the neck is flexed. This is referred to as:

What are the four components of PICO?

What do the initials MMR represent?

A child has ingested an unknown poison. What should the parents do first?

The nurse would prepare to screen clients for gestational diabetes at which time during pregnancy?

What is the best way to prevent an incorrect dose caused by a calculation error?

Which action should the nurse take when receiving a telephone order?

A nurse is assessing a client who has Graves' disease. Which laboratory result should the nurse expect?

A client with pulmonary edema is dyspneic and anxious. Which intervention is the priority?

The patient tells the nurse, 'You helped me learn how to recognize my own health needs without telling me how I should think.' Which nursing caring behavior or process is the patient describing?

A nurse is preparing a client for electroconvulsive therapy (ECT). Which client statement indicates an understanding of the procedure?

Which virus is the leading cause of gastroenteritis in infants and young children?

During a cleansing enema, the client reports abdominal cramping. Which action should the nurse take?

Which action should the nurse take for a newborn receiving phototherapy?

Which task is appropriate for the nurse to delegate to assistive personnel?

Which task can the nurse delegate to a nursing assistant?

In caring for an infant diagnosed with pyloric stenosis, which intervention should the nurse anticipate?

A client is using a primary prevention strategy to prevent infectious disease. Which action is the client most likely taking?

An experienced nurse is asked to float to a pediatric ICU but feels uncomfortable. Which negotiation approach is most appropriate?

A charge nurse hears a provider speaking angrily to a staff nurse about incorrect supplies. Which statement by the charge nurse is appropriate?

A nurse is caring for a client with terminal cancer who wants to go home to be with family. Which action should the nurse take?

A nurse is preparing to care for a child after a tonsillectomy. Which position is most appropriate?

A client arrives with facial burns, singed nasal hairs, a hoarse voice, and drooling. What is the nurse's priority?

A client taking lithium reports tremors and nausea. What is the nurse's best action?

A fetus is experiencing shoulder dystocia during delivery. Which action should the nurse assist with?

A pregnant client after 20 weeks has new severe hypertension, headache, and proteinuria with no previous history of elevated blood pressure. Which hypertensive disorder should the nurse suspect?

A pregnant client at 16 weeks of gestation has a history of hypertension and a blood pressure of 169/94 mm Hg. Which diagnosis is most likely?

Which assessment on the third postpartum day indicates uterine subinvolution?

A laboring client has 7-cm cervical dilation, 100% effacement, a +1 station, intact membranes, and an urge to push. In which stage and phase of labor is the client?

Which list correctly identifies the four categories of postpartum hemorrhage causes known as the four Ts?

What is a primary goal of shared governance in nursing?

An assistive personnel member receives a message stating, 'You are not authorized to view this information.' Which response by the nurse is appropriate?

A client decides not to have surgery after signing the consent form. Which action should the nurse take?

After signing a surgical consent form, a client asks the nurse about the procedure's risks and benefits. Which action should the nurse take?

A community health nurse is planning a public service campaign to decrease the transmission of influenza. Which intervention should the nurse include as a primary prevention?

Which life stage pertains to a 65-year-old patient?

A nurse is monitoring a patient after surgery. Which finding indicates a potential postoperative complication?

A breastfeeding client with mastitis is worried about nursing her infant. Which instruction should the nurse provide?

An occupational health nurse holds an influenza vaccine clinic. This is an example of which level of prevention?

A client receiving morphine by patient-controlled analgesia has a respiratory rate of 10/min and is somnolent. Which medication should the nurse administer immediately?

ST-segment elevation in leads II, III, and aVF indicates which type of myocardial infarction?

Which action by a student nurse violates HIPAA?

In acute respiratory distress syndrome, damage to surfactant-producing cells most directly leads to which complication?

Which assessment finding is indicative of fluid in the lungs in a client with pulmonary edema?

Surgical repair of a cleft palate should ideally be completed before which age?

Which finding in an infant 6 hours after cleft lip repair requires immediate nursing intervention?

Which laboratory result best indicates that antiretroviral therapy is effective?

After two unsuccessful attempts to insert a short peripheral IV catheter in an older adult, what should the nurse do?

An older adult with lung cancer has a daughter who is a nurse and asks to view the client's chart. Which response is appropriate?

Which nursing action is a breach of client privacy?

A nurse discovers that narcotics are missing and reports the discrepancy. Which ethical principle obligates the nurse to report it?

Which technique is used to perform the Weber test?

Which finding supports a diagnosis of esophageal atresia with tracheoesophageal fistula in a neonate?

A nurse is caring for a 3-month-old infant with suspected Hirschsprung disease. Which action should the nurse anticipate?

Clients with hyperemesis gravidarum are at risk for which complication?

Which beverage should a client take with an oral iron supplement to improve absorption?

A 10-year-old child is dehydrated and has received an IV fluid bolus. Before adding potassium to the IV fluids, which assessment is most important?

A laboring client who received spinal anesthesia develops a severe headache that worsens when sitting upright. Which action should the nurse take?

Which staffing strategy best addresses shortages while maintaining patient safety and cost effectiveness?

A researcher examines pertussis rates in the same children before age 1 and again at age 6 in relation to immunization status. Which research design is this?

A postpartum client has a firm, midline uterus and an empty bladder but continues to have bright-red vaginal bleeding. Which cause should the nurse suspect?

A near miss involving duplicate anticoagulant orders was not reported. Which quality-improvement conclusion is most appropriate?

Which postpartum finding should the client report immediately?

Which statement best defines pathophysiology?

Which client should not receive a live vaccine?

Which statement by the nurse best uses the teach-back method to verify understanding?

Which staff activity should a nurse manager report for peer review?

A postpartum client says that in her culture the family provides most infant care. Which response is culturally competent?

When should a client perform breast self-examination?

A couple has been diagnosed with infertility after trying to conceive for one year. Which diagnostic test is usually performed first?

Which condition is a common cause of a newborn being small for gestational age?

A client appears hesitant to answer personal health questions while a family member is present. Which action best facilitates an accurate history?

What is the most common cause of secondary amenorrhea?

A nurse is caring for a client who asks about the purpose of a Papanicolaou test. Which response should the nurse make?

Which action should the nurse take when providing preoperative teaching to a 9-year-old child?

Which nursing statement best demonstrates use of distraction for a child experiencing pain?

Which intervention is the priority for a newborn with a meningocele?

Which nursing action is appropriate when initiating phototherapy for a newborn?

Which instruction should a nurse provide about bottle feeding a newborn with a cleft lip using a special valve feeding device?

A patient has a bowel perforation and develops peritonitis. Which serious complication should the nurse anticipate?

A nurse is caring for a child who is postoperative following ventriculoperitoneal shunt placement. In which position should the nurse place the child?

A nurse is caring for a child who is postoperative following a tonsillectomy. Which finding indicates hemorrhage?

The parent of an infant asks when the baby's first immunization for measles, mumps, and rubella should be given. Which age should the nurse provide?

Which method is used by the nurse to prevent heat loss in a newborn through evaporation?

A nurse enters a patient's room and finds that the patient has fallen. What should the nurse do first?

A grievance brought by a staff nurse against the unit manager requires mediation. Which action is most appropriate?

A charge nurse is making client assignments in the intensive care department. Which client is most appropriate to assign to a newly graduated nurse?

A nurse realizes that the wrong medication was administered to a client. Which action should the nurse take first?

A primigravida in active labor requests bilateral pudendal block anesthesia. Which location identified by the client as the area of pain relief indicates that the teaching was effective?

On her second postpartum day, a mother notices that her newborn is jaundiced. Which explanation best describes physiologic jaundice?

A nurse is conducting Weber's test. Which action will the nurse take?

A child weighs 75 lb. A medication has a therapeutic dosage range of 33 to 48 mg/kg/day and is given four times daily. Which single dose is appropriate?

A nurse is caring for an adolescent who is scheduled for surgery. Which action should the nurse take to prepare the adolescent based on the developmental stage?

A provider gives a telephone order but refuses to remain on the line for read-back. What should the nurse do?

A breastfeeding client reports sore, cracked nipples. Which action should the nurse take?

A nurse is educating a client about bariatric surgery. Which statement indicates a need for further teaching?

The nurse states, 'I will stay with you until you go for your electroconvulsive therapy treatment.' Which therapeutic communication technique is used?

A nurse is assessing pain in a 10-year-old child who can communicate. Which pain scale is most appropriate?

A child with thalassemia major receives frequent blood transfusions. Which complication should the nurse monitor for?

How is rotavirus primarily transmitted?

A nurse is collecting data from a child who has spina bifida occulta. Which finding should the nurse expect?

Both parents are heterozygous for sickle cell disease. What is the probability that their child will have sickle cell anemia?

At what age should an infant receive the first hepatitis B vaccine?

What is the term for a laboratory-verified infection that causes no apparent symptoms?

A client has a serum potassium level of 7.5 mEq/L. Which assessment is the priority?

Which mechanism explains how combined oral contraceptives prevent pregnancy?

A newborn has small raised pearly white spots on the nose and chin. Which condition is this?

A nurse plans to administer haloperidol to a client with acute psychosis. Which adverse effect should the nurse monitor for?

A staff nurse works on a unit where decisions and activities are shared between the leader and staff. Which leadership style is practiced?

Which statement indicates correct understanding of sublingual nitroglycerin use?

The clinical instructor interprets the development of mutual goals and guidelines as which stage of group development?

In which stage of group formation is it possible that members will experience conflict?

Which description defines a nullipara?

Against which condition is a 6-month-old infant with up-to-date immunizations not protected?

Which statement by a pregnant client indicates understanding of the importance of folic acid?

When caring for patients, what is the single most important technique to prevent and control transmission of infection?

Why should a nurse perform hand hygiene before entering a patient's room?

Which staff action when implementing infection-control measures should the nurse report?

Which transmission-based precaution should the nurse implement for a client with a wound infected by MRSA?

Some managers tend to rate all employees as average. What is this appraisal error called?

Which should be the primary focus of nursing care in the active phase of labor for a client who anticipates an unmedicated delivery?

Which sequence reflects the normal progression of postpartum vaginal discharge?

A primigravida at 39 weeks has dark red vaginal bleeding, pain between contractions, and a rigid uterus. Which condition is most likely?

Which major neonatal complication is carefully monitored after the birth of the infant of a diabetic mother?

When is the most appropriate time to screen a pregnant client for gestational diabetes?

What is the primary purpose of measuring fundal height after 20 weeks of gestation?

Which information should a nurse include when teaching about chlamydia?

A client has unilateral mastitis and discomfort in the affected breast. Which instruction should the nurse include?

Magnesium sulfate is given to women with preeclampsia and eclampsia to accomplish which goal?

Which clinical manifestation supports pyloric stenosis in an infant?

An infant with tetralogy of Fallot is experiencing a tet spell. Which position should the nurse use?