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أغسطس 2026
478 سؤال مع الإجابات الصحيحة، مرتبة للقراءة والمراجعة استعدادا لاختبار التمريض SNLE.
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1
A 10-year-old child presents with joint pain, low-grade fever, and a history of untreated strep throat 3 weeks ago. Which complication should the nurse prioritize monitoring for?
A Pulmonary hypertension leading to increased peripheral resistanceB Pancarditis leading to long-term valve damage, especially the mitral valve الإجابة الصحيحةC Acute kidney injury leading to bladder insufficiencyD Coronary artery aneurysms arising from hypertension -
2
Several hours after delivery, a new mother expresses ambivalence regarding her infant. How will the nurse promote bonding between this mother and her newborn?
A Having the mother feed the infant الإجابة الصحيحةB Removing the infant from the mother's arms if it criesC Positioning the infant so the head rests on the mother's shoulderD Encouraging the mother to sleep for 4 to 6 hours before interacting with the infant -
3
A nurse observes a mother on her first postpartum day sitting in bed while her newborn lies awake in the bassinet. What action by the nurse is best?
A Realize that this situation is perfectly acceptableB Offer to hand the baby to the womanC Hand the baby to the woman الإجابة الصحيحةD Explain the taking-in phase to the woman -
4
Which type of skull fracture is associated with raccoon eyes and Battle sign?
A Linear FractureB Open FractureC Depressed FractureD Basilar Fracture الإجابة الصحيحة -
5
When assessing a client suspected of having Cushing syndrome, the nurse is aware that the most prominent clinical manifestation is:
A dehydration and hypotensionB bulking of skeletal musclesC hypoglycemia and intense hungerD weight gain with truncal obesity الإجابة الصحيحة -
6
A preoperative client wears a hearing aid and is extremely hard of hearing without it. Which action should the nurse take to help reduce the client's anxiety?
A Actively listen to the clientB Allow the client to wear the hearing aid to surgeryC Ask whether the client may wear the hearing aid until anesthesia is administered الإجابة الصحيحةD Explain the policy requiring removal of the hearing aid -
7
A nurse is reviewing laboratory results for a child with suspected acute rheumatic fever. Which diagnostic result provides the required evidence of a preceding streptococcal infection?
A Elevated C-reactive proteinB Elevated antistreptolysin O titer الإجابة الصحيحةC Prolonged PR intervalD Leukocytosis with a left shift -
8
A client who is gravida 1, para 0 is admitted in labor. Her cervix is 100% effaced, and she is dilated to 3 cm. Her fetus is at +1 station. The nurse is aware that the fetus' head is:
A Not yet engagedB Entering the pelvic inletC Below the ischial spines الإجابة الصحيحةD Visible at the vaginal opening -
9
Which recommendation should the nurse make to a client with mastitis who is concerned about breastfeeding?
A Continue breastfeeding because mastitis will not infect the neonate الإجابة الصحيحةB Do not take analgesics while breastfeedingC Stop breastfeeding until the antibiotic course is completeD Supplement all feedings with formula -
10
A two-year-old child is in the clinic for a well visit. The nurse notes that the patient's vaccinations are up to date. Which additional vaccination would the nurse suggest to the provider after noting a recent diagnosis of type one diabetes mellitus?
A Hepatitis B (Hep B)B Meningococcal vaccineC Human papillomavirus (HPV)D Pneumococcal polysaccharide (PPSV23) الإجابة الصحيحة -
11
A nurse palpates a postpartum uterus that is boggy. What is the first nursing action?
A Administer antibioticsB Perform fundal massage الإجابة الصحيحةC Insert urinary catheterD Administer magnesium sulfate -
12
A nurse assesses a client 2 hours postpartum and finds the fundus boggy and displaced to the right. Which action should the nurse take first?
A Notify the health care providerB Massage the fundusC Encourage the client to void الإجابة الصحيحةD Document the finding -
13
A client at 11 weeks of gestation has had slight, occasional, painless vaginal bleeding for 2 weeks. The fetus has died and the placenta, fetus, and tissues remain in the uterus. How should the nurse document these findings?
A Incomplete miscarriageB Complete abortionC Missed abortion الإجابة الصحيحةD Inevitable abortion -
14
A nurse is writing an article for his hospital's newspaper. Which action constitutes plagiarism?
A Using quotation marks for a word-for-word quotationB Referencing a paraphrased ideaC Reusing content from a previous article without acknowledging it الإجابة الصحيحةD Using common knowledge without a citation -
15
Which action should the nurse take first in response to an incorrect insulin dose given by a colleague?
A Assess the patient الإجابة الصحيحةB Notify the nurse managerC Complete an incident reportD Notify the health care provider -
16
A nurse is caring for a client diagnosed with paranoid personality disorder. Which behavior would the nurse expect to assess in this client?
A Emotional attention-seeking behaviorB Indifference to praise or criticismC Disregard for others with exploitationD Distrust and suspiciousness toward others الإجابة الصحيحة -
17
A client with suspected appendicitis asks for a laxative. Why should the nurse instruct the client not to take a laxative?
A It decreases the spread of infectionB It should not be taken before surgeryC The client is not truly constipatedD It may cause the appendix to rupture الإجابة الصحيحة -
18
Which manifestation should the nurse expect in a client with acute appendicitis?
A High feverB Nausea and vomitingC Rebound tenderness الإجابة الصحيحةD Pain relieved by ambulation -
19
Calcium gluconate is the antidote for:
A Magnesium sulfate toxicity الإجابة الصحيحةB HyperkalemiaC Digoxin toxicityD Heparin overdose -
20
Magnesium sulfate is administered to a patient with preeclampsia primarily to:
A Lower blood pressureB Prevent seizures الإجابة الصحيحةC Increase urine outputD Induce labor -
21
A client has stress urinary incontinence related to decreased pelvic muscle tone. Which therapeutic intervention should the nurse teach?
A Use adult diapersB Perform intermittent catheterizationC Take bethanecholD Perform Kegel exercises الإجابة الصحيحة -
22
A neonate is diagnosed with esophageal atresia and tracheoesophageal fistula (EA/TEF). The nurse prepares for emergency care. Which clinical sign would confirm this condition?
A Absence of meconium within 48 hours of birthB Currant jelly stools and abdominal distensionC Excessive frothy mucus, coughing, choking, and cyanosis with feeding الإجابة الصحيحةD Projectile vomiting and a palpable olive-shaped mass -
23
A nurse gave medication to the wrong patient after being interrupted. Which action should the nurse take first?
A Document the errorB Keep the error secretC Tell the immediate supervisor or charge nurse الإجابة الصحيحةD Keep the error secret and assess the patient hourly -
24
Which action by a newly licensed nurse should prompt intervention by the charge nurse?
A Verifying the medication labelB Scanning the client's identification barcodeC Checking the prescription and a medication referenceD Documenting the medication before administering it الإجابة الصحيحة -
25
A woman gave birth to a healthy term newborn about 2 hours ago. She asks the nurse about the appearance of her newborn's head. Assessment reveals swelling of the head that extends across the midline. Which response by the nurse would be appropriate?
A Your newborn has a collection of blood that was caused by tearing of the veins and is pushing on the brain. This collection of blood will need to be drained.B You must have had some problems during labor with keeping your blood pressure under control. Your newborn will need to be handled gently.C The swelling in your newborn's head is due to the head pressing against your cervix during labor and birth. It will go away on its own in a few days. الإجابة الصحيحةD The tiny blood vessels under your newborn's skull broke during labor and caused the swelling. It will get better in about 2 to 3 weeks. -
26
A hospital wants to reduce patient falls. Which action should the nurse expect first?
A Staff disciplineB Root cause analysis of previous falls الإجابة الصحيحةC Immediate policy terminationD Legal review -
27
The nurse is caring for a client with an acid-base imbalance secondary to prolonged vomiting. Which acid-base imbalance should the nurse monitor?
A Respiratory alkalosisB Respiratory acidosisC Metabolic acidosisD Metabolic alkalosis الإجابة الصحيحة -
28
A mother reports that her 3-day-old infant looks slightly yellow. Which explanation should the nurse provide?
A Physiologic jaundice is a normal finding that peaks at this age الإجابة الصحيحةB The infant's liver is not workingC The infant's bowels are not excreting bilirubinD The infant has brain damage -
29
A school nurse wants to decrease childhood obesity. Which community action would be most effective?
A Lobby for school lunch and snack legislationB Provide nutrition education programsC Involve the entire family in the intervention الإجابة الصحيحةD Offer after-school weight-loss camps -
30
A 25kg child needs fluids, what should the daily maintenance fluid requirement be?
A 900mL/dayB 1300mL/dayC 6700mL/dayD 1600mL/day الإجابة الصحيحة -
31
What percentage of pregnancies is affected by hyperemesis gravidarum?
A 0.5% الإجابة الصحيحةB 1%C 2%D 5% -
32
Which clinical manifestation should the nurse expect when a child with sickle cell anemia experiences an acute vaso-occlusive crisis?
A Circulatory collapseB Cardiomegaly, systolic murmursC Hepatomegaly, intrahepatic cholestasisD Painful swelling of hands and feet; painful joints الإجابة الصحيحة -
33
Which one of the following nursing interventions should take priority for a child with ADHD?
A Structured daily routineB Ensuring the child's safety and that of others الإجابة الصحيحةC Simplifying instructions and directionsD Improved role performance -
34
The nurse is caring for a 154-pound patient with 50% total body surface area (TBSA) burns. If using the Parkland formula, the nurse will calculate which amount of intravenous solution to provide this patient in the first 24 hours of care?
A 14,000 mL الإجابة الصحيحةB 42,000 mLC 3500 mLD 7000 mL -
35
A mother refuses the MMR vaccine because she believes having the diseases will help her child fight illness later. Which response should the nurse make?
A Honor the decision without discussionB Explain that antibodies fight many diseasesC Explain that not immunizing protects pregnant womenD Explain that these diseases can cause serious permanent complications الإجابة الصحيحة -
36
Which type of immunity does an infant receive from the mother in utero and through breast milk?
A Natural passive immunity الإجابة الصحيحةB Artificial active immunityC Artificial passive immunityD Natural active immunity -
37
Before enema administration, the nurse positions the client in a left lateral position. What is the rationale for using this position?
A It is more comfortable.B It facilitates the passage of stool.C It prevents a vasovagal response from occurring.D It facilitates instillation of the enema solution into the colon. الإجابة الصحيحة -
38
Why is it important for a pregnant woman to avoid supine positioning?
A Inferior vena cava pressure, hypotension الإجابة الصحيحةB Superior vena cava pressure, increased pulseC Liver compression, hypertensionD Lung compression, hypotension -
39
A client has difficulty remembering daily pills, wants highly reliable contraception for at least 3 years, and prefers to avoid a method associated with reduced bone mineral density. Which contraceptive method is best?
A Norethindrone tablets taken dailyB Etonogestrel implant placed once and removed in 3 years الإجابة الصحيحةC Medroxyprogesterone intramuscularly every 3 monthsD Ethinyl estradiol and norelgestromin patch weekly -
40
A public health nurse is providing a smoking cessation program to a group of community members. This is an example of which level of prevention?
A Primary prevention الإجابة الصحيحةB Secondary preventionC Tertiary preventionD Quaternary prevention -
41
What sign is commonly observed in a person with a basilar skull fracture?
A nystagmus (jerky eyeball movements)B partial loss of visual fieldsC pinpoint pupilsD periorbital bruising (raccoon eyes) الإجابة الصحيحة -
42
Which finding should the nurse expect in a patient with Cushing syndrome?
A Protruding abdomen with increased facial fat الإجابة الصحيحةB Hypoglycemia with decreased blood pressureC Dehydration with hyponatremiaD Anorexia with weight loss -
43
A patient going for surgery wants to give a hearing aid to the spouse. Which action should the nurse take?
A Encourage the patient to wear the hearing aid until anesthesia is administered الإجابة الصحيحةB Tape the hearing aid to the patient's earC Give the hearing aid to the spouse immediatelyD Tell the surgery nurse that the hearing aid was removed -
44
A charge nurse is preparing to admit a child with rubeola. Which factor should be of greatest concern?
A Children on the unit are receiving chemotherapyB Parents of other children do not want the admissionC The infection-control liaison is absentD No negative-airflow rooms are available الإجابة الصحيحة -
45
A 4 week old girl with projectile vomiting for 2 days is seen. She is jaundiced, and the physician is able to palpate an olive-shaped mass in the RUQ on physical examination. What is the most likely diagnosis?
A IntussusceptionB Pyloric stenosis الإجابة الصحيحةC RefluxD Ulcer -
46
The parents of a 4-week-old infant phone the pediatric clinic to report that their infant eats well but vomits after each feeding. To differentiate between normal regurgitating and pyloric stenosis, which is most important for the nurse to obtain?
A Degree of forcefulness of vomiting episodes. الإجابة الصحيحةB Level of infant's distress after vomiting.C Odor and texture associated with emesis.D Position of the infant when vomiting occurs. -
47
Which finding is the primary distinction between bulimia nervosa and anorexia nervosa?
A Condition of the dentitionB Body mass index الإجابة الصحيحةC Bingeing and purging behaviorD Distorted perception of weight -
48
A patient becomes unresponsive and the nurse takes control and directs the resuscitation team. Which leadership style is the nurse using?
A Autocratic الإجابة الصحيحةB DemocraticC Laissez-faireD Bureaucratic -
49
A client reports abrupt, sharp, right-sided lower quadrant abdominal pain, bright red vaginal bleeding, and a missed menstrual cycle while using an intrauterine device. Which condition should the nurse suspect?
A Missed abortionB Ectopic pregnancy الإجابة الصحيحةC Severe preeclampsiaD Hydatidiform mole -
50
A 4-month-old infant has undergone repair of an isolated cleft lip. In which position should the nurse place the infant immediately after surgery?
A Right side-lyingB Left side-lyingC Supine الإجابة الصحيحةD Prone -
51
Which instruction would the nurse provide to a patient diagnosed with gastroesophageal reflux disease (GERD)?
A Sleep only on your back.B Avoid eating 1 hour before going to sleep.C Elevate the head of your bed 6 to 12 inches. الإجابة الصحيحةD Avoid using continuous positive airway pressure (CPAP). -
52
Which description of a stool is characteristic of intussusception?
A Ribbon-like stoolsB Hard stools positive for guaiacC Currant jelly stools الإجابة الصحيحةD Loose, foul-smelling stools -
53
A neonate has not passed meconium within 48 hours and has abdominal distention and bilious vomiting. Which diagnostic test confirms Hirschsprung disease?
A Barium enemaB Anorectal manometryC Rectal suction biopsy الإجابة الصحيحةD Abdominal ultrasound -
54
A nursing assistant uses a forceful conflict style. Which action by the charge nurse is best?
A Confront the assistant in front of the registered nursesB Ask another nurse to handle the problemC Speak with the assistant privately and discuss other approaches الإجابة الصحيحةD Penalize the assistant immediately -
55
A newborn infant should have the first bath:
A ImmediatelyB Just prior to dischargeC After the vitamin K injectionD After temperature stabilization الإجابة الصحيحة -
56
A nurse is caring for a client who is breathing spontaneously. Which oxygen delivery device provides the highest concentration of oxygen?
A Partial rebreather maskB Nonrebreather mask الإجابة الصحيحةC Simple maskD Venturi mask -
57
Which action prevents radiant heat loss in a newborn?
A Dry the skin with a towelB Place the infant on a padded covered surfaceC Provide warmed humidified oxygenD Keep the bassinet away from windows الإجابة الصحيحة -
58
Which action is most effective in preventing evaporative heat loss in a newborn?
A Warm the crib padB Close the room doorsC Dry the newborn with a warm blanket الإجابة الصحيحةD Place the newborn under an overhead warmer -
59
A nurse is reinforcing discharge teaching regarding self-administration of regular insulin. Which instruction should the nurse include?
A Plan to eat a snack 6 hours after insulin administrationB Store opened insulin vials at room temperature for up to 4 weeks الإجابة الصحيحةC Warm the insulin vial to dissolve any crystalsD Keep unopened insulin vials in the freezer -
60
Which recommendation about an insulin injection site is most appropriate?
A Use the abdomen for rapid, consistent absorption and avoid the area within 2 inches of the umbilicus الإجابة الصحيحةB Use the thigh because it provides the fastest absorptionC Use the arm because it always provides the most consistent absorptionD Use the buttocks because they provide rapid absorption -
61
What is a common side effect of captopril?
A HypokalemiaB Lower extremity edemaC HypertensionD Dry cough الإجابة الصحيحة -
62
A 10-month-old infant has been confirmed with HIV. Which statement is correct?
A The infant should be immediately placed on antiretroviral therapy الإجابة الصحيحةB The infant should begin antiretroviral therapy after turning 12 months oldC Antiretroviral therapy should begin only after a manifestation of AIDSD The mother must be mandatorily tested -
63
Which pain-relief measure is appropriate for a laboring client whose cervix is dilated less than 4 cm?
A Administer naloxone intramuscularlyB Administer meperidine intramuscularly الإجابة الصحيحةC Administer promethazine intramuscularlyD Administer fentanyl by epidural -
64
Which antidote should be readily available before administering warfarin?
A PotassiumB Protamine sulfateC Vitamin K الإجابة الصحيحةD Naloxone -
65
Which instruction should the nurse give a client with COPD who has increased work of breathing?
A Lie proneB Avoid side-lyingC Sit with the arms supported on an overbed table الإجابة الصحيحةD Lie down with the hands on the abdomen -
66
Which position is appropriate for a child after tonsillectomy?
A SupineB TrendelenburgC Side-lying الإجابة الصحيحةD High Fowler's -
67
Which position will increase comfort for a client with appendicitis?
A ProneB Supine with the right knee flexed الإجابة الصحيحةC Upright in a chairD Left side-lying -
68
Which laboratory pattern should the nurse expect in a client with severe hyperthyroidism?
A High TSH, high T3, and high T4B Low TSH, high T3, and high T4 الإجابة الصحيحةC Low TSH, high T3, and low T4D Low TSH, low T3, and low T4 -
69
In which position should the nurse place a client with suspected hypovolemic shock?
A ProneB High Fowler'sC Left lateralD Supine with the legs elevated الإجابة الصحيحة -
70
A client's chest tube becomes dislodged. Which action is the priority?
A Activate the emergency response systemB Apply oxygen and transport the clientC Assess breathing and oxygen saturationD Cover the insertion site with a clean gloved hand الإجابة الصحيحة -
71
An occupational health nurse holds a flu vaccine clinic. This is an example of which level of prevention?
A Primary الإجابة الصحيحةB Policy developmentC TertiaryD Secondary -
72
A community offers annual tuberculosis screening and free treatment for people with positive results. Which level of prevention does this program represent?
A Primary preventionB Tertiary preventionC Secondary preventionD Secondary and tertiary prevention الإجابة الصحيحة -
73
Which type of isolation is required for a client with suspected bacterial meningitis?
A Contact precautionsB Droplet precautions الإجابة الصحيحةC Airborne precautionsD Protective isolation -
74
An infant of a diabetic mother is jittery 1 hour after birth. Which action should the nurse take first?
A Administer oxygenB Assess the blood glucose level الإجابة الصحيحةC Place the infant under a radiant warmerD Continue routine monitoring -
75
Which statement best explains phantom limb pain after a below-knee amputation?
A It has no physiological basis and is only in the client's mindB It originates in superficial subcutaneous tissueC It is pain experienced as if it arises from the amputated limb الإجابة الصحيحةD It arises only from deep internal receptors -
76
The nurse is teaching a breastfeeding mother about mastitis. Which statement by the client indicates a need for more teaching?
A I will take antibiotics for 2 to 3 days until the soreness subsides الإجابة الصحيحةB I can continue breastfeeding while the mastitis resolvesC I will take analgesics to relieve some of the discomfortD I need to wear a supportive bra -
77
Which food should a client taking a monoamine oxidase inhibitor avoid?
A Salami الإجابة الصحيحةB ScallopsC PineappleD Mashed potatoes -
78
A nurse provides rehabilitation and medication education to a client recovering from a stroke. Which level of prevention is this?
A PrimaryB SecondaryC Tertiary الإجابة الصحيحةD Quaternary -
79
What is the proper order of removal of soiled personal protective equipment when the nurse leaves the patient's room?
A Gown, goggles, mask, gloves, and exit the roomB Gloves, wash hands, remove gown, mask, and wash handsC Gloves, goggles, gown, mask, and wash hands الإجابة الصحيحةD Goggles, mask, gloves, gown, and wash hands -
80
The correct progression of steps of the nursing process is:
A assessment, diagnosis, planning, implementation, and evaluation. الإجابة الصحيحةB planning, assessment, diagnosis, evaluation, and implementation.C diagnosis, implementation, assessment, evaluation, and planning.D implementation, planning, evaluation, assessment, and diagnosis. -
81
A patient was admitted for a bowel obstruction and has had a nasogastric tube set to low intermittent suction for the past 3 days. The patient's respiratory rate has decreased to 12 breaths per minute. The nurse would expect the patient to have which of the following arterial blood gas values?
A pH 7.78, PaCO2 40 mm Hg, HCO3- 30 mEq/LB pH 7.52, PaCO2 48 mm Hg, HCO3- 28 mEq/L الإجابة الصحيحةC pH 7.35, PaCO2 35 mm Hg, HCO3- 26 mEq/LD pH 7.25, PaCO2 47 mm Hg, HCO3- 29 mEq/L -
82
The clinical nurse leader needs to identify the staff who must go home due to low census. Which answer below describes a democratic style of decision making?
A The clinical nurse leader identifies the staff person with the most vacation and asks them to go home.B The clinical nurse leader tells the last person to show up for their shift to go home.C The clinical nurse leader decides not to send anyone home because it is too difficult to decide who should lose hours.D The clinical nurse leader asks the group if any of them would like the opportunity to go home and selects staff who volunteer. الإجابة الصحيحة -
83
A client gives birth within an hour of arriving at the labor and delivery unit and delivers the placenta 5 minutes later. During assessment, the nurse notes that the uterus is midline and boggy. Which action should the nurse take first?
A Check for pooled blood under buttocksB Increase IV oxytocin infusion rateC Monitor blood pressure and pulseD Perform firm fundal massage الإجابة الصحيحة -
84
A patient refuses a prescribed treatment. What is the nurse's best action?
A Tell the patient they must receive the treatment.B Ask the family to force the patient to agree.C Respect the patient's decision and provide education about risks and benefits. الإجابة الصحيحةD Ignore the patient's concerns. -
85
A couple is considered infertile after how many months of trying to conceive?
A 6 MONTHSB 12 MONTHS الإجابة الصحيحةC 18 MONTHSD 23 MONTHS -
86
A nurse is caring for a newborn who has hydrocephalus. Which of the following manifestations should the nurse expect to find?
A Over-riding suture linesB Dilated scalp veins الإجابة الصحيحةC HypertensionD A backward sloping appearance of the forehead. -
87
The nurse is assessing a group of patients to determine their risk of vitamin D deficiency. Which of the following patients has the highest risk for vitamin D deficiency?
A A Caucasian female who is 39 weeks gestation.B An African-American female who is breastfeeding. الإجابة الصحيحةC An Asian female diagnosed with hypoglycemia.D A Hispanic female who has a BMI of 24.1. -
88
A malnourished child is receiving several nutritional supplements. Which statement by the child indicates to the nurse that an adequate amount of Vitamin A is being provided?
A The bruises on my arms are all gone.B My feet don't tingle like they used to.C I can see at night when I wake up now. الإجابة الصحيحةD My tummy seems so much smaller now. -
89
The nurse is teaching a patient about how to take a sublingual nitroglycerin tablet. Which statement by the patient best demonstrates understanding of the teaching?
A I will take the tablet with plenty of water.B I will place the tablet inside my cheek.C I will put the tablet under my tongue. الإجابة الصحيحةD I will take the tablet while I am eating. -
90
A patient has an order for an analgesic medication to be given PRN. When would the nurse administer this medication?
A Every 3 hoursB Every 4 hoursC DailyD As needed الإجابة الصحيحة -
91
The nurse in the nursery is caring for a 24-hour-old infant. The nurse suspects the infant of having pyloric stenosis. Which of the following manifestations would support this finding?
A MelenaB Currant jelly stoolsC Projectile vomiting الإجابة الصحيحةD Steatorrhea -
92
Which newborn rash is BEST described as a benign, self-limited condition associated with retention of keratin in pilosebaceous follicles?
A Milia الإجابة الصحيحةB Erythema toxicum neonatorumC Neonatal pustular melanosisD Cutis marmorata -
93
The communication tool SBAR is an acronym for which words?
A Symptoms-Background-Alignment-ReferralB Site-Benefits-Agreement-ResolutionC Situation-Background-Assessment-Recommendation الإجابة الصحيحةD Situation-Background-Assignment-Reconciliation -
94
Lithium (Eskalith) is the drug of choice for which of the following disorders?
A Psychotic episodesB Obsessive compulsive disorders (OCDs)C Bipolar disorders الإجابة الصحيحةD Depressive disorders -
95
A woman at 12 weeks gestation comes to the ER with vaginal bleeding and a closed cervix. Which type of abortion should the nurse suspect?
A IncompleteB InevitableC Threatened الإجابة الصحيحةD Missed -
96
An ultrasound on a woman who is 32 weeks pregnant reveals the placenta implanted over the entire cervical os. What does the nurse understand best describes this condition?
A Low-lying placentaB Marginal placenta previaC Partial placenta previaD Total placenta previa الإجابة الصحيحة -
97
When should a premenopausal woman perform breast self-examination?
A At the end of her menstrual cycle.B On the same day each month.C On the 1st day of the menstrual cycle.D Immediately after her menstrual period. الإجابة الصحيحة -
98
The nurse is performing an Apgar assessment on a newborn client at 1 minute of life. The newborn is completely blue, has a heart rate of 110/min, and is emitting a weak cry. Active movement and flexion of extremities are noted and the newborn grimaces when nares are suctioned. Which Apgar score should the nurse assign this newborn?
A Apgar score of 4B Apgar score of 5C Apgar score of 6 الإجابة الصحيحةD Apgar score of 8 -
99
A nurse performing an assessment of a newborn in the neonatal unit records these findings: heart rate 85 bpm, irregular respiratory rate, normal muscle tone, weak crying, and bluish tint to skin. Using the APGAR scoring chart what would be the score for this newborn?
A 5 الإجابة الصحيحةB 7C 8D 10 -
100
Which statement accurately represents a characteristic of the third or fourth heart sound?
A S3 is considered normal in children and young adults and abnormal in middle-age and older adults. الإجابة الصحيحةB S3 is best heard with the stethoscope bell at the mitral area, with the client lying on the right side.C S4 is the fourth heart sound, represented by lub-dub-dee.D S4 is considered normal in children and adults, but abnormal in older adults. -
101
The nurse is caring for a child with intussusception. Which assessment finding is most characteristic of this condition?
A Constant, high-pitched cryingB Abdominal distension with decreased bowel soundsC Palpable sausage-shaped mass in the abdomen الإجابة الصحيحةD Frequent vomiting of formula -
102
A patient with cardiomyopathy is demonstrating signs of cardiogenic shock. The nurse realizes that this type of shock is due to:
A Reduced cardiac output الإجابة الصحيحةB Increased stroke volumeC Reduced blood volumeD Blood flow blocked in the pulmonary circulation -
103
The nurse admits an infant with vomiting and the diagnosis of hypertrophic pyloric stenosis. Which metabolic alteration should the nurse plan to assess for with this infant?
A Metabolic alkalosis الإجابة الصحيحةB Metabolic acidosisC Respiratory acidosisD Respiratory alkalosis -
104
A nurse is caring for a client after a supratentorial craniotomy. The nurse places a sign above the client's bed stating that the client should be maintained in which of the following positions?
A ProneB SupineC Semi-Fowlers الإجابة الصحيحةD Dorsal recumbent -
105
The nurse positions a neonate with an unrepaired myelomeningocele. Which position is most appropriate?
A Supine with the hips at 90-degree flexion.B Right side lying position with the knees flexed.C Prone with the hips in abduction. الإجابة الصحيحةD Supine in semi-Fowler's position with the chest and abdomen elevated. -
106
The nurse determines that it is necessary to implement airborne precautions for children with which infection?
A Measles الإجابة الصحيحةB Streptococcus group AC RubellaD Scarlet fever -
107
What is the client's pulse pressure when the nurse finds that his or her blood pressure is 148/86 mm Hg?
A 48 mm HgB 56 mm HgC 62 mm Hg الإجابة الصحيحةD 86 mm Hg -
108
On review of the clients' medical records, the nurse determines that which client is at risk for fluid volume excess?
A The client taking diuretics and has tenting of the skinB The client with an ileostomy from a recent abdominal surgeryC The client who requires intermittent gastrointestinal suctioningD The client with kidney disease and a 12-year history of diabetes mellitus الإجابة الصحيحة -
109
Maureen in her third trimester arrives at the emergency room with painless vaginal bleeding. Which of the following conditions is suspected?
A Placenta previa الإجابة الصحيحةB Abruptio placentaeC Premature laborD Sexually transmitted disease -
110
The nurse is providing medication instructions to an older client who is taking digoxin daily. The nurse explains to the client that decreased lean body mass and decreased glomerular filtration rate, which are age-related body changes, could place the client at risk for which complication with medication therapy?
A Decreased absorption of digoxinB Increased risk for digoxin toxicity الإجابة الصحيحةC Decreased therapeutic effect of digoxinD Increased risk for side effects related to digoxin -
111
The nurse is preparing to perform a focused assessment of the patient's abdomen. Which of the following choices is the correct order in which the focused assessment is performed?
A Palpation, Auscultation, Inspection, PercussionB Inspection, Palpation, Percussion, AuscultationC Percussion, Palpation, Inspection, AuscultationD Inspection, Auscultation, Percussion, Palpation الإجابة الصحيحة -
112
A mother who is breastfeeding puts ice packs on her breast 15 minutes before feeding in order to "relieve the pain." The nurse should teach the mother that:
A this is an appropriate action.B cold packs should not be used on the breasts of breastfeeding mothers.C cold packs can be used after feeding to reduce pain. الإجابة الصحيحةD hot packs can be used before feeding to reduce pain. -
113
A nurse admits a patient who has chronic pain and has been taking morphine sulfate for 4 months. The nurse should anticipate which of the following long-term effects in the patient?
A Tolerance الإجابة الصحيحةB Psychosomatic symptomsC WithdrawalD Respiratory depression -
114
In assessing a patient with a vitamin A deficiency, the nurse should determine if the patient has which manifestation?
A Excessive sweatingB Impaired night vision الإجابة الصحيحةC Tender, bleeding gumsD Disturbed sleep patterns -
115
The nurse is caring for a client who is receiving morphine via a patient-controlled analgesia (PCA) pump. The nurse notes that the client's respiratory rate is 10 breaths per minute. The client is somnolent, with minimal response to physical stimulation. Which medication will the nurse administer immediately?
A intravenous naloxone الإجابة الصحيحةB intravenous flumazenilC oral modafinilD nebulized albuterol -
116
The nurse is caring for a 6-year-old child with hypovolemic shock. The child is a Jehovah's Witness. The child needs an immediate blood transfusion, but the child's parents refuse to provide consent. Which action would be most appropriate?
A Administer blood to the child. الإجابة الصحيحةB Administer intravenous fluids.C Provide oral hydration and nutrition.D Seek a court order for blood transfusion. -
117
A nurse is calculating maintenance fluids for a child who weighs 18 kg. According to the Holliday-Segar method, what would be the total maintenance fluid requirement for this child?
A Total maintenance fluids = 1800 mL/day.B Total maintenance fluids = 1200 mL/day.C Total maintenance fluids = 1600 mL/day.D Total maintenance fluids = 1400 mL/day. الإجابة الصحيحة -
118
A 58-year-old male patient with a history of chronic anemia is scheduled to receive a red blood cell transfusion. The patient has been properly identified using two identifiers and the blood product has been verified by two nurses. During the transfusion, the patient begins to exhibit signs of distress including facial flushing, itching, and shortness of breath. What is the FIRST action the nurse should take?
A Administer an antihistamine to the patientB Slow the rate of the transfusionC Stop the transfusion immediately الإجابة الصحيحةD Notify the healthcare provider -
119
Which root cause analysis tool is also known as the Ishikawa or fishbone diagram?
A Five whys techniqueB Cause-and-effect diagram الإجابة الصحيحةC Pareto analysisD Brainstorming -
120
Which client statement would the nurse recognize as indicating that the client understands dietary teaching related to lithium carbonate (Lithobid) treatment?
A I will limit my intake of fluids daily.B I will maintain normal salt intake. الإجابة الصحيحةC I will take Lithobid on an empty stomach.D I will increase my caloric intake to prevent weight loss. -
121
Which pain scale would the nurse use when assessing a 4-year-old child?
A CRIESB FLACCC NumericalD Wong-Baker الإجابة الصحيحة -
122
One week after beginning therapy with thiothixene (Navane), the client demonstrates muscle rigidity, a temperature of 103°F, an elevated serum creatinine phosphokinase level, stupor, and incontinence. The nurse should notify the physician because these symptoms are indicative of:
A acute dystonic reaction.B extrapyramidal side effects.C neuroleptic malignant syndrome. الإجابة الصحيحةD tardive dyskinesia. -
123
The nurse is admitting a child with rheumatic fever. Which therapeutic management should the nurse expect to implement?
A Administering penicillin الإجابة الصحيحةB Avoiding salicylates (aspirin)C Imposing strict bed rest for 4 to 6 weeksD Administering corticosteroids if chorea develops -
124
Which of the following best describes marasmus?
A A protein deficiency with edema and fatty liverB A type of overnutrition with excess fat storesC Protein-calorie malnutrition with severe fat and muscle wasting الإجابة الصحيحةD A vitamin A deficiency disorder -
125
The nurse is assessing a client immediately following a thoracentesis. The nurse understands that the most common complication following this procedure is a:
A Pleural effusionB PneumoniaC Pulmonary embolismD Pneumothorax الإجابة الصحيحة -
126
A client presents to the emergency department in sickle cell disease crisis. What intervention by the nurse takes priority?
A Administer oxygen. الإجابة الصحيحةB Initiate pulse oximetry.C Give pain medication.D Start an IV line. -
127
What should the nurse look for when reviewing a patient's chart to determine whether she has progressed from HIV disease to AIDS?
A CD4+ count below 500, chronic fatigue, night sweatsB HIV-positive test result, CD4+ count below 200, history of opportunistic disease الإجابة الصحيحةC Weight loss, persistent generalized lymphadenopathy, chronic diarrheaD Fever, chills, CD4+ count below 200 -
128
An infant with bronchiolitis is hospitalized. The causative organism is RSV. The nurse knows that a child infected with this virus requires the following isolation:
A Airborne precautionsB Contact Precautions and droplet precautionsC Standard Precautions and droplet precautions الإجابة الصحيحةD Positive pressure isolation and airborne isolation -
129
A woman in week 34 of gestation reports that she is very uncomfortable because of heartburn. The nurse suggests that the woman:
A Substitute other calcium sources for milk in her dietB Lie down after each mealC Reduce the amount of fiber she consumesD Eat five small meals daily الإجابة الصحيحة -
130
A client undergoes a right below-the-knee amputation. After surgery, the client reports right foot pain. The healthcare provider tells the client they are suffering from "phantom pain" in the amputated extremity. The client asks the nurse to explain phantom pain. What is the appropriate response by the nurse?
A Phantom pain occurs because nerves continue to send messages. الإجابة الصحيحةB Phantom pain only exists in your mind.C I can't answer that. You'll have to ask the provider.D Phantom pain occurs when you think about your loss. Keep your mind occupied. -
131
The 2 thumb-encircling hands technique for the infant:
A generates less blood pressure than the 2-finger technique.B is the preferred chest compression technique for 1-rescuer CPR.C is the preferred chest compression technique for 2-rescuer CPR. الإجابة الصحيحةD produces less blood flow than the 2-finger technique. -
132
What is the correct order of the 5 stages of grief according to Kubler Ross?
A Shock & Denial, bargaining, anger, depression, acceptanceB Acceptance, anger, shock & denial, bargaining, depressionC Anger, depression, acceptance, bargaining, shock & denialD Shock & Denial, anger, bargaining, depression, acceptance الإجابة الصحيحة -
133
Which EKG findings can occur in hypermagnesemia?
A Shortened PR interval and ST elevationB Prolonged PR and QT intervals, wide QRS الإجابة الصحيحةC Pathologic Q waves and sinus tachycardiaD Prominent U waves and QT shortening -
134
A client asks the nurse at the family planning clinic whether contraception is needed while she is breastfeeding. How should the nurse reply?
A As long as you aren't having periods, you won't need a contraceptive.B It would be best to delay sexual relations until you have your first period.C You should use contraceptives, because ovulation may occur without a period. الإجابة الصحيحةD Breastfeeding suppresses ovulation, so you don't need to worry about pregnancy. -
135
A newly admitted client diagnosed with bipolar I disorder is experiencing a manic episode. Which nursing diagnosis is a priority at this time?
A Risk for violence: other-directed R/T poor impulse control. الإجابة الصحيحةB Altered thought process R/T hallucinations.C Social isolation R/T manic excitement.D Low self-esteem R/T guilt about promiscuity. -
136
The nurse is preparing to discharge a client who has been treated for fecal impaction due to chronic constipation. Which of the following foods can the nurse recommend that will act as a laxative?
A All whole wheat productsB Substituting beans for meatC All dried fruit for snacksD Unprocessed wheat bran الإجابة الصحيحة -
137
A nurse is identifying tertiary prevention. Which example is correct?
A VaccinationsB Blood pressure screeningC Rehabilitation after stroke الإجابة الصحيحةD Health education -
138
A nurse hears a client calling out for help, hurries down the hallway to the client's room, and finds the client lying on the floor. The nurse performs an assessment, assists the client back to bed, notifies the health care provider of the incident, and completes an incident report. Which statement should the nurse document on the incident report?
A The client fell out of bedB The client climbed over the side railsC The client was found lying on the floor الإجابة الصحيحةD The client became restless and tried to get out of bed -
139
A breastfeeding patient asks, "What hormone actually makes the milk?" Which response is most accurate?
A OxytocinB Prolactin الإجابة الصحيحةC EstrogenD Cortisol -
140
An infant has just returned to the nursing unit after surgical repair of a cleft lip on the right side. The nurse should place the infant in which best position at this time?
A Prone positionB On the stomachC Left lateral position الإجابة الصحيحةD Right lateral position -
141
A new parent expresses concern to the nurse regarding sudden infant death syndrome (SIDS). She asks the nurse how to position her new infant for sleep. In which position should the nurse tell the parent to place the infant?
A Side or proneB Back or proneC Stomach with the face turnedD Back rather than on the stomach الإجابة الصحيحة -
142
Which finding indicates a Stage 2 pressure injury?
A Intact skin with rednessB Partial-thickness skin loss الإجابة الصحيحةC Exposed muscleD Black eschar -
143
While auscultating heart sounds on a 7-year-old child for a routine physical, the nurse hears an S3, a soft murmur at left midsternal border, and a venous hum when the child is standing. Which of these would be a correct interpretation of these findings?
A S3 is indicative of heart disease in children.B These findings can all be normal in a child. الإجابة الصحيحةC These findings are indicative of congenital problems.D The venous hum most likely indicates an aneurysm. -
144
Which of the following definitions BEST describes a systematic literature review?
A Secondary analysis of individual studies with similar characteristics الإجابة الصحيحةB Secondary analysis of individual studies with divergent characteristicsC Aggregation of raw data from multiple studies to increase the sample sizeD Aggregation of raw data from multiple studies to generate new hypotheses -
145
A nurse is caring for a patient with an indwelling catheter. Which nursing action may increase the risk for a catheter-associated urinary tract infection?
A Collecting specimens via a port in the tubingB Keeping the drainage bag above the level of the bladder الإجابة الصحيحةC Allowing the patient to wear a leg bag while ambulatingD Monitoring the drainage system to prevent backflow of urine -
146
The nurse is preparing for a vaginal delivery by a multipara who has a history of shoulder dystocia. The nurse explains to the student nurse that one of the maneuvers used for shoulder dystocia involves having the patient flex her hips while pulling her thighs straight up to her abdomen to help rotate the symphysis pubis anteriorly and dislodge the fetus's anterior shoulder. What is the name of this maneuver?
A Suprapubic pressureB Rubin's maneuverC Zavanelli maneuverD McRoberts maneuver الإجابة الصحيحة -
147
A newborn's cord begins to bleed 1 day following birth. What measures would the nurse take to address this problem?
A Inspect the clamp to insure that it is tightly closed and applied correctly. الإجابة الصحيحةB Clean the cord with soap and water, as oozing of blood is a common finding.C Remove the clamp and replace with another one just above the old one.D Notify the doctor to come suture the site of the bleeding. -
148
A mother expresses concern about breastfeeding her newborn, who is receiving phototherapy for jaundice. The nurse should teach the mother that:
A Breastfeeding is discontinued during phototherapy, but she should pump her breasts.B Breastfeeding can continue after the newborn has been under the light for 12 hours.C Breastfeeding should continue and the newborn can be removed from the light to be fed. الإجابة الصحيحةD Breastfeeding can continue after the bilirubin level decreases. -
149
A nurse is caring for a newborn who was delivered by vacuum extraction and has swelling on his head that crosses the suture line. The newborn's mother asks about the swelling on her newborn's head. Which of the following responses should the nurse make?
A This is a caput succedaneum, which is a collection of fluid from pressure of the vacuum extractor. الإجابة الصحيحةB This is a cephalhematoma, which will resolve on its own in 3 to 5 days.C This is a Mongolian spot, which is found on many newborns.D This is erythema toxicum, which is a transient allergic reaction that causes edema in the skin. -
150
The nurse is providing discharge teaching to parents about cord care. Which statement by the parent indicates correct understanding?
A We will apply alcohol to the cord daily until it falls off.B We should keep the cord dry and open to air. الإجابة الصحيحةC We should pull on the cord gently once it's dry.D We should cover the cord stump with the diaper to protect it. -
151
A nurse is teaching a female patient how to prevent urinary tract infections (UTIs). Which instruction is most important?
A Drink less fluid to reduce the frequency of urination.B Wipe from back to front after using the toilet.C Wipe from front to back after using the toilet. الإجابة الصحيحةD Take a bath rather than a shower every day. -
152
Which position would be best for the client in the early postoperative period after a hemorrhoidectomy?
A High Fowler's.B Supine.C Side-lying. الإجابة الصحيحةD Trendelenburg's. -
153
A client is admitted with fever, myalgia, and a papular rash on the face, palms, and soles of the feet. What action should the nurse take first?
A Obtain cultures of the lesions.B Place the client on Airborne Precautions. الإجابة الصحيحةC Prepare to administer antibiotics.D Provide comfort measures for the rash. -
154
The gold standard for definitive diagnosis of sickle cell anemia is:
A Reticulocyte countB Sickle cell testC Hemoglobin electrophoresis الإجابة الصحيحةD Peripheral smear -
155
A patient with anemia receives a new prescription for oral iron supplements. What should the nurse include in the medication education related to improving the absorption of the supplement?
A Take the supplement with meals.B Take the supplement one hour after eating.C Take the supplement one hour before breakfast with orange juice. الإجابة الصحيحةD Take the supplement on an empty stomach with a full glass of water. -
156
The nurse cares for a client with bacterial meningitis. Which isolation precaution will the nurse apply?
A Standard precautionsB Contact precautionsC Droplet precautions الإجابة الصحيحةD Airborne precautions -
157
A client in the prenatal clinic complains of nausea and vomiting. Which intervention should the nurse suggest?
A Eat dry crackers or toast before arising. الإجابة الصحيحةB Consume liquids with meals.C Eat foods high in fiber.D Brush the teeth immediately after eating. -
158
To prevent pressure injuries in a patient who spends most of the day in bed, which intervention should the nurse include?
A Allow the patient to determine the repositioning schedule.B Reposition the patient every hour. الإجابة الصحيحةC Do not reposition the patient when a thick foam mattress is used.D Use a doughnut-shaped ring under pressure areas. -
159
In girls, what is the initial indication of puberty?
A MenarcheB Growth spurtC Growth of pubic hairD Breast development الإجابة الصحيحة -
160
A client under lithium medication suffered from diarrhea and vomiting. Which nursing intervention should be implemented first?
A Recognize a drug interaction.B Give benztropine.C Reassure the client that these are common effects.D Hold the next dose and obtain a stat lithium level. الإجابة الصحيحة -
161
Which statement by the parent indicates understanding of a newborn's feeding capacity during the first few days of life?
A My newborn can take up to 60 mL on the first day.B On day 3, my baby's stomach can hold about 22-27 mL. الإجابة الصحيحةC By day 1, I should expect my baby to finish a 4-ounce bottle.D If my baby vomits, I should double the next feeding to make up for it. -
162
Which food should a client with gout avoid?
A Low-fat milkB Whole-grain breadC Fresh fruitD Chicken liver الإجابة الصحيحة -
163
A nurse is providing discharge instructions to a client after TURP surgery. The client asks, "When can I resume normal activities like heavy lifting and strenuous exercises?" What is the nurse's best response?
A You can resume heavy lifting and strenuous exercises immediately after discharge.B You should avoid heavy lifting and strenuous exercises for at least one week after surgery.C You can resume heavy lifting and strenuous exercises two days after surgery.D You should avoid heavy lifting and strenuous exercises for six to eight weeks after surgery. الإجابة الصحيحة -
164
A nurse is in charge of care for a client who has methicillin-resistant Staphylococcus aureus (MRSA). Which guideline is accurate for using transmission-based precautions when caring for this client?
A Keep visitors 3 feet from the client.B Wear gloves whenever entering the client's room. الإجابة الصحيحةC Place the client in a private negative-pressure room.D Use respiratory protection when entering the room. -
165
Which student statement indicates that learning has occurred regarding electroconvulsive therapy (ECT)?
A During ECT, a state of euphoria is induced.B ECT induces a grand mal seizure. الإجابة الصحيحةC During ECT, a state of catatonia is induced.D ECT induces a petit mal seizure. -
166
A post-MI patient develops ventricular fibrillation (VF). The nurse should first:
A Check for carotid pulseB Start CPR immediately الإجابة الصحيحةC Administer lidocaineD Prepare for synchronized cardioversion -
167
The nurse is giving instructions to parents of a 4-month-old infant with tetralogy of Fallot. Which teaching point should the nurse include?
A If the infant becomes blue and is breathing deeply, put the infant in the knee-chest position. الإجابة الصحيحةB If the infant becomes blue and is breathing deeply, put the infant in the Trendelenburg position.C Feed the infant every 2 hours around the clock.D Add rice cereal to the infant's formula to increase calories. -
168
The nurse is preparing to insert a nasogastric tube. Which measurement determines the correct insertion length?
A Nose to xiphoid plus 20 cmB Chin to ear to xiphoidC Nose to ear to xiphoid الإجابة الصحيحةD Earlobe to nose to umbilicus -
169
What is the AMDR for carbohydrates for adults, as a percentage of total daily calories?
A 10-35%B 20-35%C 45-65% الإجابة الصحيحةD 50-70% -
170
A child with acute glomerulonephritis has peripheral edema and urine output of 35 mL/hr. Which diet should the nurse expect?
A Low sodium with fluid restriction الإجابة الصحيحةB Regular diet with no added saltC Low carbohydrate and low proteinD Low protein and low potassium -
171
A client with type 1 diabetes has rapid deep respirations and fruity-smelling breath. Which condition should the nurse suspect?
A HypoglycemiaB Diabetic ketoacidosis الإجابة الصحيحةC Hyperosmolar hyperglycemic stateD Hyperglycemia without ketosis -
172
At 39 weeks of gestation, which finding indicates true labor?
A Contractions fluctuate in length.B Contractions are continuous with no relaxation.C Contractions are related to rupture of membranes.D Progressive cervical dilation occurs. الإجابة الصحيحة -
173
Which finding should the nurse expect in a client with placenta previa?
A Severe occipital headacheB History of thyroid cancerC Previous premature deliveryD Painless vaginal bleeding الإجابة الصحيحة -
174
An infant has swelling and redness at the DTaP injection site. Which intervention should the nurse recommend?
A Monitor the infant for fever.B Bring the infant to the clinic immediately.C Apply a hot pack to the site.D Apply a cold pack to the site. الإجابة الصحيحة -
175
A client with schizophrenia speaks using unrelated words and phrases. How should the nurse document this finding?
A Pressure of speechB Word salad الإجابة الصحيحةC NeologismD Clang association -
176
When assessing a patient's telemetry monitor, the nurse notes a sawtooth pattern of flutter waves at a rate of 300/min. What rhythm is this most likely indicative of?
A Sinus bradycardiaB Atrial fibrillationC Atrial flutter الإجابة الصحيحةD Ventricular tachycardia -
177
A client is diagnosed with deep vein thrombosis (DVT). Which nursing diagnosis should receive highest priority at this time?
A Impaired gas exchange related to increased blood flowB Ineffective peripheral tissue perfusion related to venous congestion الإجابة الصحيحةC Risk for injury related to edemaD Excess fluid volume related to peripheral vascular disease -
178
During the interview process, the nurse obtains which type of data from the client?
A Secondary dataB Oral dataC Primary data الإجابة الصحيحةD Objective data -
179
The nurse reviews ABG results showing pH 7.30, PaCO2 58 mm Hg, PaO2 80 mm Hg, and HCO3 27 mEq/L. Which acid-base disturbance is present?
A Metabolic acidosisB Metabolic alkalosisC Respiratory acidosis الإجابة الصحيحةD Respiratory alkalosis -
180
The nurse is providing nutrition counseling for a patient planning pregnancy. Which nutrient should be emphasized to prevent neural tube defects?
A Folic acid الإجابة الصحيحةB CalciumC ProteinD Vitamin D -
181
The prenatal clinic nurse assesses a woman at 15 weeks gestation. Her blood pressure is 146/96 mm Hg on two measurements one hour apart. Which condition does the nurse suspect?
A Chronic hypertension الإجابة الصحيحةB Gestational hypertensionC PreeclampsiaD Transient hypertension -
182
An infant with esophageal atresia and tracheoesophageal fistula is awaiting surgery. Which preoperative nursing diagnosis is the priority?
A Ineffective tissue perfusion: gastrointestinalB Ineffective feeding patternC Acute painD Risk for aspiration الإجابة الصحيحة -
183
A pregnant client after 20 weeks has painless bright-red vaginal bleeding and normal vital signs. Which condition should the nurse suspect?
A EclampsiaB PreeclampsiaC PyelonephritisD Placenta previa الإجابة الصحيحة -
184
A hypertensive pregnant client receiving magnesium sulfate develops drowsiness, slurred speech, and depressed respirations. Which medication should the nurse anticipate administering?
A Intravenous diazepamB NifedipineC HydralazineD Calcium gluconate الإجابة الصحيحة -
185
Tuberculosis is transmitted by which mode?
A Airborne transmission الإجابة الصحيحةB Droplet transmissionC Direct contactD Indirect contact -
186
A client in the second trimester reports low back pain and ankle edema. Which measure can relieve both symptoms?
A Lie on the left side with the feet dorsiflexed.B Soak in a hot bath and perform pelvic tilts.C Lie on the right side with the feet elevated and apply heat.D Lie on the floor with the legs elevated on a couch and hips and knees at right angles. الإجابة الصحيحة -
187
A nurse is preparing to insert an oropharyngeal airway in an emergency. Which patient is the most appropriate candidate?
A An alert patient with mild dyspneaB An unconscious patient with tongue obstruction الإجابة الصحيحةC A conscious patient who is drowsyD A patient who can follow commands -
188
The provider orders 1500 mL of lactated Ringer's solution to infuse over 12 hours. What rate should the nurse set on the IV pump?
A 100 mL/hrB 125 mL/hr الإجابة الصحيحةC 150 mL/hrD 175 mL/hr -
189
The nurse assesses a laboring client who is dilated 6 cm and is becoming more intense and more tired. Which phase of labor represents this response?
A Transition phaseB Latent phaseC Second stageD Active phase الإجابة الصحيحة -
190
Postoperatively, a client who had a thyroidectomy complains of tingling and numbness of the fingers and toes, and the nurse observes muscle twitching. Which complication does the nurse suspect?
A HypokalemiaB Hypocalcemia الإجابة الصحيحةC Thyrotoxic crisisD Hypovolemic shock -
191
A nurse at an outpatient surgery center is caring for a patient who had a hemorrhoidectomy. What discharge education topic should the nurse address?
A The appropriate use of antibiotics to prevent postoperative infectionB The correct procedure for taking a sitz bath الإجابة الصحيحةC The need to eat a low-residue, low-fat diet for the next 2 weeksD The correct technique for keeping the perianal region clean without water -
192
A nurse is reinforcing teaching with a client who asks which diagnostic test is the preferred method for detecting cervical cancer. Which response is appropriate?
A An endometrial biopsyB CA 125C Papanicolaou test الإجابة الصحيحةD Transvaginal ultrasound -
193
A client with a closed head injury is unconscious and has an intracranial pressure monitor. Which position is most appropriate after nursing care activities?
A High-Fowler's positionB Semi-Fowler's position الإجابة الصحيحةC Right lateral recumbent positionD Supine position -
194
A client in labor is receiving oxytocin. The nurse observes fetal heart rate decelerations that are not associated with contractions. Which action should the nurse take?
A Discontinue the oxytocinB Start oxygen by tight face maskC Increase the IV fluid rateD Change the client's position الإجابة الصحيحة -
195
A patient is receiving magnesium sulfate for severe preeclampsia. Which finding should the nurse report immediately?
A Patellar and biceps reflexes of +4B Urinary output of 50 mL/hrC Respiratory rate of 10 breaths/min الإجابة الصحيحةD Serum magnesium level of 5 mg/dL -
196
The nurse is caring for a newborn with hypospadias. His parents ask if circumcision is an option. Which is the nurse's best response?
A Circumcision can never be performed in a child with hypospadias.B Circumcision is an option, but it cannot be done at this time. الإجابة الصحيحةC Circumcision is a fading practice and is now contraindicated in most children.D Circumcision in children with hypospadias is recommended because it prevents urinary tract infections. -
197
Which of the following would be essential to implement to prevent late postpartum hemorrhage?
A Inspecting the placenta after delivery for intactness. الإجابة الصحيحةB Manually removing the placenta at delivery.C Administering broad-spectrum antibiotics prophylactically.D Applying traction on the umbilical cord to speed up separation of the placenta. -
198
Which of the following interventions are used to treat congenital diaphragmatic hernia?
A I and III onlyB II and IV onlyC I, II, and IV only الإجابة الصحيحةD II, III, and IV only -
199
The nurse should make which statement to a pregnant client found to have a gynecoid pelvis?
A Your type of pelvis has a narrow pubic arch.B Your type of pelvis is the most favorable for labor and birth. الإجابة الصحيحةC Your type of pelvis has a wide pelvis with a short diameter.D You will need a cesarean birth because this type of pelvis is not favorable for a vaginal delivery. -
200
A patient is admitted with anemia, hypotension, malnutrition, and confusion. Which intervention should be used to prevent the patient from developing pressure ulcers?
A Ensure all meals are protein-rich.B Administer 2 units of packed red blood cells.C Infuse medication to increase blood pressure.D Reposition every 1–2 hours. الإجابة الصحيحة -
201
The nurse is caring for a neonate born with a myelomeningocele. Surgery to repair the defect is scheduled the next day. What is the most appropriate way to position and feed this neonate?
A Prone with the head turned to the side الإجابة الصحيحةB On the sideC Supine in an infant carrierD Supine, with defect supported with rolled blankets -
202
A nurse is caring for a child after a tonsillectomy. In which position should the nurse place the child?
A SupineB Side-lying الإجابة الصحيحةC High-FowlerD Trendelenburg -
203
Which instruction should the nurse give to a pregnant client with genital herpes?
A Abstain from intercourse throughout pregnancy.B Use sitz baths daily throughout pregnancy.C Take acyclovir every day throughout pregnancy.D A cesarean birth will be needed if lesions are present at the onset of labor. الإجابة الصحيحة -
204
The process of EBP begins with a specific and answerable question typically in a PICO-format. What does PICO stand for?
A Population of interest, Intervention, Carryover, Other problems identifiedB Population of interest, Intervention, Comparison, Outcomes الإجابة الصحيحةC Population of interest, Internal Validity, Carryover, OutcomesD Population of interest, Intervention, Comparison, Other problems identified -
205
The nurse is monitoring a 10-year-old client post-op following a tonsillectomy. Which assessment finding should the nurse immediately report to the healthcare provider?
A DroolingB Frequent swallowing الإجابة الصحيحةC SneezingD Moaning -
206
Evidence based practice questions are typically formatted as PICO questions. What does PICO stand for?
A Patient, Intervention, Comparison, Outcome الإجابة الصحيحةB Patient, Investigation, Comparison, OutlierC Population, Intervention, Counter intervention, OutlierD Problem, Investigation, Counter intervention, Outcome -
207
The nurse notes a bluish discoloration of the skin across the infant's sacral area. Which should the nurse do in response to this finding?
A Assess the infant for cold stress.B Refer the parent to the care of a pediatric specialist.C Document this finding in the record. الإجابة الصحيحةD Evaluate the infant's neurological status. -
208
The nurse is caring for a hospitalized patient. Which of the following behaviors alerts the nurse to consider the need for restraint?
A The patient refuses to call for help to go to the bathroom.B The patient continues to remove the nasogastric tube. الإجابة الصحيحةC The patient gets confused regarding the time at night.D The patient does not sleep and continues to ask for items. -
209
What would the nurse do to determine the correct distance to insert a nasogastric tube?
A Measure from the center of the forehead to the umbilicus.B Measure from the tip of the nose to the earlobe to the xiphoid process. الإجابة الصحيحةC Measure from the lips to the ear to the umbilicus.D Measure from the ear to midway between the sternum and umbilicus. -
210
A client in end-stage renal disease is prescribed epoetin alfa and oral iron supplements. Before administering the next dose of epoetin alfa and oral iron supplement, what is the priority action taken by the nurse?
A Assesses the hemoglobin level الإجابة الصحيحةB Questions the administration of both medicationsC Ensures the client has completed dialysis treatmentD Holds the epoetin alfa if the BUN is elevated -
211
The father of a child with acute glomerulonephritis asks why the nurse measures the child's blood pressure so often. Which response by the nurse is best?
A The antibiotic used to treat the infection can increase blood pressure.B Hypotension may develop at any time during the illness.C Sudden increases in blood pressure can occur without warning. الإجابة الصحيحةD Frequent blood pressure checks help keep the kidneys working. -
212
The nurse is caring for a patient who had an indwelling urinary catheter removed during the previous shift. The patient has not voided in the last 9 hours. Which action should the nurse take first?
A Call the health-care provider to obtain an order for a straight catheterization.B Review the fluid intake the patient had during the previous shift.C Ask the patient if they have attempted to void without the catheter.D Perform a bladder scan to identify retained urine. الإجابة الصحيحة -
213
What is the most common cause of painless scrotal swelling?
A SpermatoceleB Hydrocele الإجابة الصحيحةC VaricoceleD Epididymitis -
214
A patient has been diagnosed with hepatitis B. Which action should the nurse take to avoid invasion of the patient's privacy?
A Tell the patient's spouse about the diagnosis.B Do not inform anyone about the diagnosis.C Obtain permission from the patient to inform the spouse. الإجابة الصحيحةD Obtain consent from the spouse to reveal the diagnosis to the patient. -
215
Democratic leadership style involves:
A Leader making all decisions independentlyB No structure or guidanceC Shared decision-making with team input الإجابة الصحيحةD Delegation without oversight -
216
Which cranial nerve is in charge of hearing?
A Olfactory nerve IB Auditory nerve VIII الإجابة الصحيحةC Vagus nerve XD Abducens nerve VI -
217
An infant with tetralogy of Fallot is crying and develops worsening cyanosis and dyspnea. In which position should the nurse place the infant?
A Knee-chest position الإجابة الصحيحةB Orthopneic positionC Lateral Sims positionD Semi-Fowler position -
218
Preparation for an appendectomy includes:
A Starting an intravenous infusionB Administering a prophylactic antibioticC Administering salicylates to lower temperatureD All of the above الإجابة الصحيحة -
219
Joseph is 55 years old and has diabetes with decreased sensation in both feet. Which instruction should the nurse include?
A Walk barefoot at home to improve circulation.B Soak the feet in hot water each evening.C Have vision checked only every two years.D Inspect both feet every day for cuts, blisters, or redness. الإجابة الصحيحة -
220
A 12-year-old client is scheduled for surgery and is accompanied by the parents and a sibling. Which level of involvement applies to the child's permission for treatment?
A Emancipated consentB Mature minor consentC Assent الإجابة الصحيحةD No involvement -
221
A nurse organizes a flu vaccination clinic in the community. This represents:
A Primary prevention الإجابة الصحيحةB Secondary preventionC Tertiary preventionD Palliative care -
222
An occupational health nurse at a group of health care clinics is planning activities to prevent and control the spread of communicable disease. Which activity is a secondary level of prevention?
A Influenza immunizationsB Tuberculosis screenings الإجابة الصحيحةC Presentations about safer sex practicesD Evaluations of bloodborne pathogen policies -
223
Which nursing action is most culturally competent for a client whose food choices are influenced by a belief in hot and cold foods?
A Explain that cultural food beliefs are not medically relevant.B Ask the family to stop bringing food from home.C Provide a standard cardiac diet without modification.D Educate staff to help the client select culturally congruent foods within the prescribed diet. الإجابة الصحيحة -
224
A client with schizophrenia refuses to eat because the client believes the food is poisoned. Which nursing intervention is most appropriate?
A Ask the family to bring food from home.B Insert a tube for feeding.C Taste the food in front of the client.D Offer food in unopened packages. الإجابة الصحيحة -
225
A laboring patient with a known diagnosis of preeclampsia suddenly experiences a tonic-clonic seizure. Which hypertensive disorder is now present?
A Eclampsia الإجابة الصحيحةB Preeclampsia with severe featuresC Gestational hypertensionD Chronic hypertension -
226
A 17-year-old college-bound student receives a vaccine against an organism that causes meningitis. This is an example of:
A Tertiary prevention.B Primary prevention. الإجابة الصحيحةC Disease treatment.D Secondary prevention. -
227
A nurse is discussing communicable diseases with a newly licensed nurse. Which of the following statements should the nurse include?
A Initiate contact precautions for a child who has measles.B Varicella is contagious until all lesions have crusted over. الإجابة الصحيحةC Pertussis is most contagious during the paroxysmal stage.D Wear an N95 respirator mask when caring for a child who has scarlet fever. -
228
A nurse understands that it is a priority to place a child in which position post-operative tonsillectomy?
A Sitting uprightB Prone positionC Prone or side-lying position الإجابة الصحيحةD Lying flat on their back -
229
A nurse steps into an outdoor dining area and overhears two staff members talking about a client. Which action should the nurse take?
A Tell the staff members that she will report the situation to their supervisor immediately.B Ask the staff members to lower the volume of their voices.C Remind the staff members that discussing a client where others can overhear them is a HIPAA violation. الإجابة الصحيحةD Avoid taking action unless she observes others listening to the conversation. -
230
A client is participating in a therapy group and focuses on viewing all team members as equally important in helping the clients meet their goals. The nurse is implementing which therapeutic approach?
A Milieu therapy الإجابة الصحيحةB Interpersonal therapyC Behavior modificationD Support group therapy -
231
A 7-month-old infant has intermittent abdominal pain, distention, bilious vomiting, red currant jelly stool, and a sausage-shaped mass in the right upper quadrant. What is the most likely diagnosis?
A AppendicitisB Intussusception الإجابة الصحيحةC Gastric volvulusD Gastroenteritis -
232
The nurse is assessing a client with a potential deep vein thrombosis (DVT). What sign does the nurse use by dorsiflexing the toes?
A Homan's sign الإجابة الصحيحةB Pratt's signC Kernig's signD Brudzinski's sign -
233
Which action is most effective for preventing healthcare-associated infections?
A Wear gloves for every client interaction.B Clean all equipment once daily.C Perform hand hygiene. الإجابة الصحيحةD Use sterile technique for all procedures. -
234
A client who is 8 weeks pregnant wants to try an herbal remedy for nausea. Which herb should the nurse suggest?
A Ginger الإجابة الصحيحةB Milk thistleC Black cohoshD Echinacea -
235
Which action should the nurse take to address dyspnea in a client with COPD?
A Elevate the head of the bed to high-Fowler position. الإجابة الصحيحةB Administer oxygen at 1 to 2 L/min without assessing the client.C Administer oxygen at 1 to 4 L/min without a prescription.D Instruct the client to deep breathe and cough continuously. -
236
A client recently diagnosed with Graves' disease has rapidly increasing temperature, blood pressure, heart rate, and respiratory rate. Which condition may the client be experiencing?
A Hypertensive crisisB Malignant hyperthermiaC Serotonin syndromeD Thyroid storm الإجابة الصحيحة -
237
The nurse is providing emergent care for a patient with a possible inhalation injury sustained in a house fire. The patient is anxious and disoriented, and the skin is a cherry red color. What is the priority action by the nurse?
A Administer 100% humidified oxygen. الإجابة الصحيحةB Teach the patient deep breathing exercises.C Encourage the patient to express feelings.D Assist the patient to a high Fowler's position. -
238
A patient with acute left-sided heart failure suddenly develops pink frothy sputum. What should the nurse suspect?
A Pulmonary embolismB Pulmonary edema الإجابة الصحيحةC Right-sided heart failureD Stable angina -
239
A nurse is working with a patient who has limited English proficiency. What action by the nurse is best?
A Use a qualified interpreter. الإجابة الصحيحةB Ask family members to translate.C Use drawings and pictures.D Speak in simple sentences. -
240
What are the early signs and symptoms of neurogenic shock?
A Hypotension, bradycardia, and warm, dry skin الإجابة الصحيحةB Hypertension, bradycardia, and warm, dry skinC Hypotension, tachycardia, and cool, clammy skinD Hypertension, tachycardia, and cool, clammy skin -
241
The nurse is caring for a client who is a strict vegetarian; the client is at greatest risk for the development of:
A Folic acid deficiency anemiaB Blood loss anemiaC Microcytic anemiaD Vitamin B12 deficiency anemia الإجابة الصحيحة -
242
An older person is experiencing muscle weakness and a change in balance when walking. Which vitamin should the nurse ensure the person is taking in an adequate amount?
A Vitamin EB Vitamin B12C Vitamin D الإجابة الصحيحةD Vitamin B6 -
243
Which advice would the nurse provide about taking oral iron supplements?
A Take them with milkB Take them before eatingC Take them with fibrous foodD Take them with orange juice الإجابة الصحيحة -
244
In a scenario where a patient is experiencing severe respiratory distress and requires immediate oxygen support, which device would be most appropriate to use and why?
A A partial rebreather mask because it provides 60–90% oxygen.B A nasal cannula because it is less invasive.C A simple face mask because it provides moderate oxygen delivery.D A non-rebreather mask because it delivers the highest oxygen concentration available. الإجابة الصحيحة -
245
The nurse checks the apical pulse before giving digoxin and notes a heart rate of 56 beats/min. What is the best nursing action?
A Give the medication as prescribedB Hold the dose and notify the provider الإجابة الصحيحةC Recheck the pulse after 5 minutes and give the drugD Administer the drug with food -
246
You have an adult patient with diabetes whose blood pressure is 145/95 mm Hg. Which stage of hypertension does this indicate?
A NormalB Pre-hypertensionC Stage I الإجابة الصحيحةD Stage II -
247
A community health nurse is providing teaching to clients at an assisted living facility. Which statement is an example of primary prevention?
A I use a salt substitute instead of salt to keep my heart failure under control.B I got my pneumonia vaccine 2 years ago and get my annual flu shot every fall. الإجابة الصحيحةC I use my prescribed eye drops twice a day so my glaucoma doesn't get any worse.D I log my blood pressure weekly and take the list to each appointment with my doctor. -
248
Which of the following is an appropriate toy for a toddler?
A Wooden building blocks الإجابة الصحيحةB Nerf gunsC LegosD A Nintendo Switch -
249
A nurse wants to use democratic leadership with a group that is working on conflict resolution. Which action should the nurse take?
A Observe the group's techniques without interfering.B Discuss a technique and then direct the group to practice it.C Ask the group for suggestions and support the discussion. الإجابة الصحيحةD Suggest techniques and ask members to reflect on them. -
250
Which action will the nurse take first for a patient with a suspected inhalation injury?
A Obtain arterial blood gases.B Initiate cervical stabilization.C Assess for tachypnea.D Apply 100% oxygen. الإجابة الصحيحة -
251
The nurse notes that a peripheral IV site is cool, pale, and swollen and that the IV has stopped running. Which complication has probably occurred?
A PhlebitisB InfectionC Infiltration الإجابة الصحيحةD Thrombosis -
252
A nurse ensures that no obstacles are present between the bed and bathroom for a client with limited vision. Which ethical principle is demonstrated?
A VeracityB ConfidentialityC FidelityD Beneficence الإجابة الصحيحة -
253
An older adult agrees to colon surgery after discussing all risks and benefits. Which ethical principle is demonstrated?
A BeneficenceB NonmaleficenceC FidelityD Autonomy الإجابة الصحيحة -
254
After assessing a newborn, the nurse determines the newborn is small for gestational age based on which weight?
A 2400 g الإجابة الصحيحةB 2600 gC 2800 gD 3000 g -
255
A nurse is teaching a pregnant woman about gestational diabetes screening. Which statement indicates understanding?
A I will have an oral glucose tolerance test between 24 and 28 weeks of pregnancy. الإجابة الصحيحةB I should eat a high-carbohydrate meal immediately before the test.C Screening is unnecessary because I have no family history of diabetes.D The screening can be performed at any time during pregnancy. -
256
The nurse is teaching a new mother proper breastfeeding techniques. Which guideline should the nurse include?
A Wash the hands and breasts before each feeding.B Bring the infant's wide-open mouth around the nipple and areola. الإجابة الصحيحةC Pull the infant away from the breast when ending the feeding.D Stroke the nipple against the infant's chin to stimulate rooting. -
257
Which action should a pregnant woman take to reduce the risk of neural tube defects?
A Eat iron-rich foods.B Take folic acid daily. الإجابة الصحيحةC Avoid dairy products.D Limit fluid intake. -
258
Which communication strategy should the nurse use with a mechanically ventilated patient?
A Use professional terminology and provide extensive detail.B Use simple language and explain the information another way if the patient does not understand. الإجابة الصحيحةC Provide minimal information to avoid overwhelming the patient.D Communicate primarily through the patient's family. -
259
A nurse administered lacosamide to the wrong patient. Which action should the nurse take first?
A Assess vital signs and level of consciousness. الإجابة الصحيحةB Notify the health care provider.C Complete an incident report.D Call respiratory therapy to apply oxygen. -
260
Conflict develops between two staff nurses on the same unit. Which strategy is most important for the nurse manager?
A Address the conflict in the break room.B Make a timely decision about if and when to intervene. الإجابة الصحيحةC Accept full responsibility for solving the conflict.D Redirect the disagreement to another issue. -
261
The nurse provides care for a client diagnosed with tuberculosis. Which transmission-based precautions will the nurse implement?
A StandardB Airborne الإجابة الصحيحةC DropletD Contact -
262
What is the best technique for removing secretions from the mouth and nose of a newborn during resuscitation?
A Suction the nose before the mouth.B Use vigorous and deep suctioning.C Suction the mouth before the nose. الإجابة الصحيحةD The mouth or nose can be suctioned first. -
263
A 4-month-old infant is 6 hours postoperative following placement of a ventriculoperitoneal shunt. Which action is the priority?
A Position in semi-Fowler's at 30 to 45 degrees.B Position the infant on the operative side.C Keep the infant supine and flat, turning every 2 hours to the nonoperative side. الإجابة الصحيحةD Measure head circumference once at discharge. -
264
A child with rubeola (measles) is being admitted to the hospital. Which precaution should the nurse plan?
A EntericB Airborne الإجابة الصحيحةC ProtectiveD Neutropenic -
265
Which consideration is most important when a school nurse teaches bicycle safety to school-age children?
A Collisions with automobiles are the most common bicycle injury.B Head injuries are a major cause of bicycle-related fatalities. الإجابة الصحيحةC A helmet is needed only when riding on paved roads.D Riding double is safe when the bicycle has an extra-large seat. -
266
A client with schizophrenia is starting clozapine. Which potentially fatal adverse effect should the nurse monitor for?
A Agranulocytosis الإجابة الصحيحةB AkathisiaC PseudoparkinsonismD Akinesia -
267
Which physiological change contributes to heartburn in pregnancy?
A Increased lower esophageal sphincter toneB Decreased intra-abdominal pressureC Relaxation of the lower esophageal sphincter الإجابة الصحيحةD Accelerated gastric emptying -
268
A patient has just undergone a renal biopsy. Which laboratory value should the nurse prioritize to identify complications?
A Arterial blood gasesB Calcium and phosphate levelsC Complete blood count, renal function, and coagulation studies الإجابة الصحيحةD Liver enzymes and lipid profile -
269
Which position is appropriate early after an appendectomy for a ruptured appendix in an adolescent?
A Semi-Fowler's الإجابة الصحيحةB SupineC LithotomyD Prone -
270
What is the maximum height for the solution container when administering a high cleansing enema?
A 30 cmB 46 cm الإجابة الصحيحةC 51 cmD 66 cm -
271
Which laboratory result should the nurse expect in a client who has Addison's disease?
A Calcium 8.2 mg/dLB Potassium 6.2 mEq/L الإجابة الصحيحةC Glucose 320 mg/dLD Sodium 148 mEq/L -
272
Which position is appropriate for a newborn with a tracheoesophageal fistula?
A ProneB TrendelenburgC Semi-Fowler's الإجابة الصحيحةD Supine -
273
A nurse is observing a client in four-point restraints for violent and self-destructive behavior. Which action should the nurse take?
A Assess the client every hour for circulation, injury, and readiness for discontinuation.B Attach the restraint straps to the bed rails using a quick-release buckle.C Assist with passive range-of-motion exercises every 3 hours.D Check peripheral pulses and skin integrity every 15 minutes. الإجابة الصحيحة -
274
The nurse plans care for an infant with pyloric stenosis and deficient fluid volume. Which parameter best evaluates the outcome?
A Abdominal distentionB Weight loss الإجابة الصحيحةC VomitingD Respiratory effort -
275
The principle of scalar chain refers to which concept?
A Flexible organizational arrangementsB Sharing responsibility equallyC Equal treatment of all workersD A clear line of authority from top to bottom الإجابة الصحيحة -
276
Where should the nurse place the stethoscope to assess an adult client's apical pulse?
A Third left intercostal space at the midclavicular lineB Fourth left intercostal space at the midclavicular lineC Fifth left intercostal space at the midclavicular line الإجابة الصحيحةD Second left intercostal space at the midclavicular line -
277
A nurse is caring for a client at 33 weeks of gestation in preterm labor who reports a sudden gush of fluid. Which action should the nurse take first?
A Assess fetal heart rate and activity. الإجابة الصحيحةB Perform a nitrazine test.C Administer oxytocin.D Place the client in Trendelenburg position. -
278
A pregnant client at 25 weeks reports bright red vaginal bleeding after intercourse without pain or cramping. Which condition is most likely?
A Placental abruptionB Friable cervixC Placenta previa الإجابة الصحيحةD Sexually transmitted infection -
279
A client is 28 weeks pregnant, had an elective abortion at 9 weeks, twins at 36 weeks, and a miscarriage at 15 weeks. Which GTPAL is correct?
A 4-0-0-2-2B 4-2-0-2-2C 4-0-2-2-2D 4-0-1-2-2 الإجابة الصحيحة -
280
A nurse is providing postoperative care for a child who had a cleft palate repair. In which position should the nurse place the child?
A Infant seatB SupineC Prone الإجابة الصحيحةD Side-lying -
281
A client is 8 hours postoperative following a subtotal thyroidectomy. Which position should the nurse use?
A High-Fowler's with the neck extendedB High-Fowler's with the neck neutralC Semi-Fowler's with the neck extendedD Semi-Fowler's with the neck neutral الإجابة الصحيحة -
282
Which isolation precaution should the nurse implement for a client with meningitis?
A Droplet الإجابة الصحيحةB ContactC StandardD Reverse -
283
When using a full set of personal protective equipment, which sequence correctly describes donning the equipment?
A Gown, gloves, mask, gogglesB Gown, mask, goggles, gloves الإجابة الصحيحةC Gloves, gown, goggles, maskD Mask, gloves, gown, goggles -
284
Which personal protective equipment is required when caring for a client with tuberculosis?
A N95 respirator الإجابة الصحيحةB Surgical maskC Full-face respiratorD Gas-mask respirator -
285
A family member gives subcutaneous injections at home. How should used needles and syringes be discarded?
A Break the needle, wrap it in newspaper, and place it in the trash.B Recap the needle and place it in the household garbage.C Save the needles for the visiting nurse to remove.D Place the unrecapped needle and syringe in a large plastic container with a secure lid. الإجابة الصحيحة -
286
After giving birth to a stillborn infant, the woman turns to the nurse and says, "I just finished painting the baby's room. Do you think that caused my baby to die?" The nurse's best response is:
A That's an old wives' tale; lots of women are around paint during pregnancy and have healthy babies.B It is not likely. Paint was used in your house, and the fumes must have been strong.C Remain silent and sit with the client.D I can understand your need to find an answer to what caused this. What else are you thinking about? الإجابة الصحيحة -
287
A nurse assesses a newborn's umbilical cord and notes warmth, swelling, tenderness, and a foul odor. Which action should the nurse take first?
A Document this as an expected finding.B Apply petroleum jelly to the cord.C Notify the provider immediately. الإجابة الصحيحةD Recommend a tub bath. -
288
Preventive measures such as immunizations and water fluoridation are examples of which type of prevention?
A Quaternary preventionB Tertiary preventionC Secondary preventionD Primary prevention الإجابة الصحيحة -
289
If a patient has measles, which of the following is a required additional precaution?
A Hand hygieneB N95 respirator الإجابة الصحيحةC GlovesD Eye protection -
290
Which of the following organisms is responsible for the development of rheumatic fever?
A Group A beta-hemolytic streptococcus الإجابة الصحيحةB Staphylococcus aureusC Streptococcus pneumoniaeD Haemophilus influenzae -
291
In which position should a nurse place a child postoperative tonsil and adenoidectomy (T&A)?
A Semi-Fowler with the head turned to the sideB High Fowler, head slightly forward and to the sideC Side-lying الإجابة الصحيحةD Supine -
292
An infant with tetralogy of Fallot suddenly becomes cyanotic during a hypercyanotic spell. Which position should the nurse place the infant in?
A ProneB Knee-chest الإجابة الصحيحةC High-Fowler'sD Reverse Trendelenburg -
293
When caring for a hospitalized child who has varicella, which of the following actions should a nurse take?
A Place the child on airborne and contact isolation until lesions have crusted over. الإجابة الصحيحةB Request a provider prescription for antibiotics.C Request a corticosteroid for pruritus.D Apply a hot, moist compress. -
294
A public health nurse is participating in the care of several populations within the community. Which action by the nurse is an example of primary prevention?
A Creating a free exercise program for adults who have cardiovascular disease.B Implementing immunization clinics for students at elementary schools. الإجابة الصحيحةC Providing tuberculosis screenings for health care workers.D Administering immunoglobulin to members of the community after exposure to hepatitis A. -
295
Which combination of foods will the nurse recommend to a vegan patient for a healthy protein balance?
A Eggs and fishB Dairy and eggsC Fish and poultryD Grains and legumes الإجابة الصحيحة -
296
A pregnant teenage client has iron-deficiency anemia. Which nutrient should she increase to enhance iron absorption?
A Vitamin AB Vitamin C الإجابة الصحيحةC Vitamin DD Vitamin E -
297
A nurse is caring for a client recently diagnosed with active tuberculosis. Which infection-control measure is the priority when entering the client's room?
A Wear a surgical mask.B Use a standard face shield.C Wear an N95 or HEPA respirator. الإجابة الصحيحةD Apply a gown only. -
298
Which is a common complication of acute renal failure during the oliguric phase?
A HyponatremiaB Pulmonary edema الإجابة الصحيحةC Metabolic acidosisD Hypokalemia with arrhythmias -
299
The nurse is caring for a group of patients. Which patient is at greatest risk for increased extracellular fluid accumulation?
A A patient with osmotic diuresisB A patient with renal impairment الإجابة الصحيحةC A patient with an intestinal obstructionD A patient with drainage from a rectal fistula -
300
A 29-year-old man is in the surgical ward on his first postoperative day after thyroidectomy. He appears drowsy but responds by nodding his head and is developing mild restlessness. What is the initial recommended goal of care?
A Monitor vital signs for thyroid storm. الإجابة الصحيحةB Assess for bilateral vocal fold mobility.C Monitor for swelling of the neck.D Monitor for vocal cord paralysis. -
301
Which complication will the nurse monitor for when caring for a client with an infection caused by group A beta-hemolytic streptococci?
A Hepatitis AB Rheumatic fever الإجابة الصحيحةC Spinal meningitisD Rheumatoid arthritis -
302
Which blood component is primarily responsible for oxygen transport?
A White blood cellsB PlateletsC Red blood cells الإجابة الصحيحةD Plasma -
303
Patients with mental health issues are having difficulty resolving conflicts about their opinions. The nurse determines that the group is in which phase?
A FormingB Storming الإجابة الصحيحةC PerformingD Adjourning -
304
A nurse manager meets with staff about cost containment and asks for their input. Which leadership style is the manager using?
A AutocraticB Democratic الإجابة الصحيحةC Laissez-faireD Moral -
305
In which stage of labor is the placenta expelled?
A First stageB Second stageC Third stage الإجابة الصحيحةD Fourth stage -
306
What is the correct order patients go through the Kubler-Ross stages of dying?
A Denial, anger, bargaining, depression, acceptanceB Depression, denial, bargaining, anger, acceptanceC Patients may move back and forth through the stagesD Answers 1 and 3 الإجابة الصحيحة -
307
A nurse is planning care for a client who has a deep vein thrombosis in the right leg. Which action should the nurse include?
A Maintain bed rest.B Elevate the affected extremity. الإجابة الصحيحةC Apply cold compresses.D Massage the muscle. -
308
Which action is an example of primary prevention?
A Avoiding unnecessary imagingB Receiving a flu vaccination الإجابة الصحيحةC Attending cardiac rehabilitation after a heart attackD Undergoing breast cancer screening -
309
The nurse who is counseling a client with dissociative identity disorder should understand that which assessment is the highest priority?
A Risk for self-harm الإجابة الصحيحةB Memory fragmentationC Cognitive functionD Self-esteem -
310
A nurse manager is coordinating care after a plane crash brings multiple victims to the emergency department. Which leadership style is most appropriate?
A Autocratic الإجابة الصحيحةB DemocraticC Laissez-faireD Eclectic -
311
A nurse manager asks staff for suggestions to improve collaboration. Which leadership style is being used?
A Laissez-faireB Democratic الإجابة الصحيحةC AutocraticD Transactional -
312
A client with angina asks, "Why am I taking nitroglycerin?" Which response should the nurse make?
A It dissolves clots in your coronary arteries.B It dilates cardiac blood vessels to deliver more oxygen. الإجابة الصحيحةC It relieves nausea caused by angina.D It acts as a bronchodilator. -
313
At a routine prenatal visit, the nurse notes that a patient at 37 weeks of gestation has a fetal heart rate of 120 beats/min, decreased from 160 beats/min earlier in pregnancy. What should the nurse do first?
A Ask whether the patient took a sedative.B Record the finding as normal. الإجابة الصحيحةC Notify the physician.D Turn the patient onto her right side. -
314
A nurse is caring for a client with postpartum hemorrhage. Which surgical management should be expected if she has uterine atony?
A Manual removal of retained fragmentsB Repair of lacerations or hematomasC Uterine tamponade with a balloon catheter or gauze packing الإجابة الصحيحةD Uterine artery embolization -
315
Which technique should the nurse implement when performing a Weber test?
A Tap the patellar tendon using a reflex hammer.B Shine the light of an ophthalmoscope into the pupil.C Visualize the tympanic membrane using an otoscope.D Place a vibrating tuning fork midline on top of the head. الإجابة الصحيحة -
316
A client is receiving quinine for drug-resistant malaria. The nurse should monitor for cinchonism, which presents with which findings?
A Diarrhea, nausea, and feverB Yellow sclera and skinC Tremors and ataxiaD Vomiting, tinnitus, and vertigo الإجابة الصحيحة -
317
After a client receives newly prescribed captopril, which priority intervention decreases complications?
A Provide food with the medication.B Ask the client to request assistance when rising from bed. الإجابة الصحيحةC Have assistive personnel give the client a bath.D Monitor the client for hypokalemia. -
318
Which statement best describes the most critical aspect of the client's pressure injury and treatment?
A The client was admitted three days ago.B The pressure injury is stage 4. الإجابة الصحيحةC The client rates pain as 2 out of 10.D The dressing was reapplied and sealed. -
319
When caring for a patient with acute respiratory distress syndrome, which finding is most characteristic?
A Progressive hypercapniaB Refractory hypoxemia الإجابة الصحيحةC Increased pulmonary artery wedge pressureD Bronchial breath sounds -
320
Where should the nurse collect a urine specimen from a patient with an indwelling catheter on day two?
A The specimen port on the catheter الإجابة الصحيحةB The drainage valve on the bagC The tip of the catheterD The balloon port -
321
Which group of diseases is prevented by the MMR vaccine?
A Measles, mumps, and rubella الإجابة الصحيحةB Measles, malaria, and rabiesC Measles, mumps, and rotavirusD Malaria, mumps, and rubella -
322
A nurse is administering an injection to a patient at a 15-degree angle. Which type of injection is the nurse administering?
A SubcutaneousB Z-trackC IntramuscularD Intradermal الإجابة الصحيحة -
323
A nurse is applying an oxygen mask for a client with bronchial pneumonia. What should the nurse do to prevent skin breakdown?
A Place cotton balls under the entire mask.B Place gauze pads under the elastic strap at pressure points. الإجابة الصحيحةC Apply powder around the edges of the mask.D Adjust the straps loosely. -
324
When a patient turns on the call bell every few minutes, what is the appropriate response?
A Ask the patient not to call so often.B Stop by the patient's room more often. الإجابة الصحيحةC Put the call bell out of reach.D Tell the patient how busy the staff are. -
325
During a telephone follow-up conversation 5 days postpartum, a woman says, "I don't know what's wrong with me. I love my baby, but I seem to be crying all the time!" The woman is most likely experiencing:
A Taking-inB Letting goC Postpartum blues الإجابة الصحيحةD Attachment -
326
Which statement by a client after transurethral resection of the prostate demonstrates understanding of discharge teaching?
A I will use a daily enema.B I will avoid heavy lifting, climbing, and driving until my follow-up visit. الإجابة الصحيحةC I no longer have any risk for prostate cancer.D I will drink coffee, tea, and soft drinks frequently. -
327
A client has a closed ankle injury. The right foot is pale and cool, pain is 8 out of 10, and no pulse is palpable. Which action should the nurse take first?
A Administer pain medication.B Prepare the client for reduction.C Obtain a Doppler assessment of the right foot pulse. الإجابة الصحيحةD Notify the physician that there is no pulse. -
328
A nurse is caring for an infant who just had a circumcision. Which action should the nurse take?
A Avoid oral sucrose.B Administer intravenous morphine.C Swaddle the infant. الإجابة الصحيحةD Apply petroleum once daily. -
329
The ultimate goal of therapy for a client with dissociative identity disorder is most likely achieved through which treatment?
A Crisis intervention and directed associationB Psychotherapy and hypnosis الإجابة الصحيحةC Psychoanalysis and free associationD Insight psychotherapy and dextroamphetamines -
330
A nurse is caring for a client who has pharyngeal diphtheria. Which of the following transmission-based precautions should the nurse initiate?
A Contact precautionsB Droplet precautions الإجابة الصحيحةC Airborne precautionsD Protective environment -
331
A nurse is inserting an NG tube for a client. Which of the following actions should the nurse take?
A Place the client on the right sideB Place the client in Low Fowler's positionC Place the client in High Fowler's position الإجابة الصحيحةD Place the client supine with the head flat -
332
A nurse is preparing to administer a DTaP immunization booster to a 4-year-old child. Which level of prevention does this action represent?
A Primary prevention الإجابة الصحيحةB Tertiary preventionC Secondary preventionD Primary nursing care -
333
What is the proper order for putting on personal protective equipment (PPE)?
A Gown, mask, goggles, gloves الإجابة الصحيحةB Gloves, goggles, gown, maskC Mask, gloves, goggles, gownD Gown, gloves, mask, goggles -
334
Which clinical finding would the nurse associate with hypokalemia?
A Peripheral edemaB Muscle spasmsC Kussmaul respirationsD Muscle weakness الإجابة الصحيحة -
335
Which finding should the nurse expect in a client who has a tension pneumothorax?
A Tracheal deviation toward the unaffected side الإجابة الصحيحةB Bilateral equal chest movementC Decreased respiratory effortD Decreasing central venous pressure -
336
A nurse realizes that a medication error has occurred and the client appears unharmed. Which action should the nurse take first?
A Document the error in the medical recordB Notify the providerC Complete an incident reportD Assess the client الإجابة الصحيحة -
337
Which intervention is the priority when uterine tachysystole occurs while a client is receiving oxytocin?
A Increase the IV fluid rateB Stop the oxytocin infusion الإجابة الصحيحةC Administer oxygenD Place the client supine -
338
A client taking lithium has a serum lithium level of 1.8 mEq/L. Which action should the nurse take?
A Administer the scheduled doseB Hold the dose الإجابة الصحيحةC Encourage the client to restrict waterD Give the medication after supper -
339
Which source provides the highest level of evidence?
A A single cohort studyB A controlled study without randomizationC A systematic review of qualitative studiesD A meta-analysis of randomized controlled trials الإجابة الصحيحة -
340
Which blood pressure finding should the nurse expect in a client who has Cushing syndrome?
A HypotensionB Normal blood pressureC Hypertension الإجابة الصحيحةD Orthostatic hypotension -
341
Treatment for group A beta-hemolytic streptococcal infection prevents which serious sequela?
A Otitis mediaB Diabetes insipidusC Nephrotic syndromeD Acute rheumatic fever الإجابة الصحيحة -
342
A nurse is preparing a child for the postoperative period following a tonsillectomy. Which position should the nurse plan to use?
A SupineB Side-lying الإجابة الصحيحةC High-Fowler'sD Trendelenburg -
343
A 2-month-old infant with tetralogy of Fallot becomes cyanotic and tachypneic during a painful procedure. Which action should the nurse take initially?
A Calm the infant and reduce stimuliB Administer 100% oxygenC Place the infant in the knee-chest position الإجابة الصحيحةD Administer IV fluids -
344
Which person would be an appropriate candidate for the BCG vaccine?
A An infant born in the United StatesB A foreign-born person entering the United StatesC A home health nurse working in a rural areaD A physician caring for clients with tuberculosis in an endemic region الإجابة الصحيحة -
345
A preschool child with varicella has fluid-filled skin lesions. How should the nurse classify these lesions?
A Vesicles الإجابة الصحيحةB WhealsC PapulesD Pustules -
346
A women's health club asks a community nurse to speak about primary prevention. Which activity should the nurse include?
A Immunizations الإجابة الصحيحةB Routine physician visitsC Antibiotic treatmentD Cervical cancer screening -
347
Which food should the nurse offer a client who follows a vegan diet?
A Bagel with cream cheeseB Fried eggC Fruit yogurtD Wheat toast with peanut butter الإجابة الصحيحة -
348
Which vitamin enhances iron absorption?
A Vitamin AB Vitamin B2C Vitamin C الإجابة الصحيحةD Vitamin D -
349
A nurse caring for a neonate notices excessive frothy mucus coming from the nose and mouth. Which condition should the nurse suspect?
A Cleft lipB Cleft palateC Biliary atresiaD Tracheoesophageal fistula الإجابة الصحيحة -
350
A nurse is caring for a client with active tuberculosis in a private room. What should the nurse do before entering the room?
A Wear a surgical maskB Put on a gown and glovesC Wear a HEPA-filtered N95 respirator الإجابة الصحيحةD Use standard precautions only -
351
Which finding supports the nursing diagnosis of excess fluid volume in a client with acute renal failure?
A Pitting edema of the lower extremities الإجابة الصحيحةB Normal bowel soundsC Wheezing without edemaD Generalized weakness -
352
Which position is appropriate for a client following thyroidectomy?
A Flat supineB Semi-Fowler's with the head and neck supported and avoiding extension الإجابة الصحيحةC High-Fowler's with the neck hyperextendedD Side-lying without neck support -
353
Which measure is most effective for preventing and controlling pulmonary tuberculosis?
A Screening onlyB Monthly medical missionsC BCG vaccination الإجابة الصحيحةD Standard precautions alone -
354
An influenza vaccination clinic is an example of which level of prevention?
A Primary prevention الإجابة الصحيحةB Secondary preventionC Tertiary preventionD Restorative prevention -
355
Which group of manifestations is characteristic of nephrotic syndrome?
A Hematuria, bacteriuria, and weight gainB Gross hematuria, albuminuria, and feverC Hypertension, weight loss, and proteinuriaD Massive proteinuria, hypoalbuminemia, and edema الإجابة الصحيحة -
356
Which nursing diagnosis is most directly related to the major manifestation of nephrotic syndrome?
A ConstipationB Risk for injuryC HyperthermiaD Excess fluid volume related to generalized edema الإجابة الصحيحة -
357
Which position should the nurse use for a client immediately after thyroidectomy?
A Side-lying with one pillowB Head of bed 30 degrees without pillowsC Semi-Fowler's with the head supported by two pillows الإجابة الصحيحةD Supine with a neck roll -
358
A community health nurse is planning a primary prevention strategy. Which action should the nurse include?
A Provide nutritional counseling to clients with diabetesB Report suspected child neglectC Conduct vision and hearing screeningD Teach community members about handwashing الإجابة الصحيحة -
359
What is the first step in evidence-based practice?
A Acquire the evidenceB Appraise the evidenceC Ask a focused clinical question الإجابة الصحيحةD Apply the evidence -
360
Which action should a nurse take when receiving a telephone order from a provider?
A Print a copy of the orderB Read the order back to the provider الإجابة الصحيحةC Ask another nurse to listen on an extensionD Require the provider to write it within 24 hours before acting -
361
Which vaccine is given to prevent chickenpox?
A DPTB IPVC HBVD Varicella الإجابة الصحيحة -
362
A postpartum client has heavy vaginal bleeding while the uterine fundus is firm. Which cause should the nurse suspect?
A Uterine atonyB Genital tract laceration الإجابة الصحيحةC Retained placentaD Endometritis -
363
A client is 48 hours postpartum. Where should the nurse expect to palpate the fundus?
A 1 cm above the umbilicusB 2 cm above the umbilicusC 1 cm below the umbilicusD 2 cm below the umbilicus الإجابة الصحيحة -
364
A community health nurse is planning a public service campaign to decrease influenza transmission. Which intervention is primary prevention?
A Provide influenza immunizations الإجابة الصحيحةB Screen clients for influenzaC Refer ill clients for treatmentD Provide rehabilitation after complications -
365
An infection is spread by direct and indirect contact. Which transmission-based precaution should the nurse implement?
A Airborne precautionsB Droplet precautionsC Contact precautions الإجابة الصحيحةD Protective environment -
366
An adolescent has made repeated suicide attempts. Which nursing action is the priority?
A Check the client every hourB Ask the client why the attempts occurredC Place the client in seclusionD Have a staff member remain with the client الإجابة الصحيحة -
367
A highly agitated client paces and says, 'I could buy and sell this place.' The mood fluctuates from laughter to anger. Which documentation is most accurate?
A Mood 8/10, looseness of association, euphoricB Mood euthymic, magical thinking, restlessC Mood labile, delusions of reference, hyperactiveD Agitated and pacing, grandiosity, mood labile الإجابة الصحيحة -
368
A child's FLACC pain score is 9. How should the nurse interpret this score?
A Little or no painB Mild painC Moderate painD Severe pain الإجابة الصحيحة -
369
What is the correct sequence for assessing the abdomen?
A Inspect, palpate, auscultate, percussB Inspect, auscultate, percuss, palpate الإجابة الصحيحةC Auscultate, inspect, palpate, percussD Palpate, inspect, auscultate, percuss -
370
A 3-day-old infant has abdominal distention, vomiting, and has not passed meconium. Which disorder should the nurse suspect?
A Pyloric stenosisB IntussusceptionC Hirschsprung disease الإجابة الصحيحةD Celiac disease -
371
Which finding distinguishes preeclampsia from gestational hypertension?
A Blood pressure above 140/90 mm HgB Abnormal proteinuria الإجابة الصحيحةC Generalized edemaD Epigastric pain -
372
Which intervention is appropriate for a child experiencing a sickle cell vaso-occlusive crisis?
A Correct acidosis onlyB Provide hydration and pain management الإجابة الصحيحةC Administer heparin with analgesicsD Give oxygen and factor VIII -
373
Which vitamin helps the body absorb calcium?
A Vitamin AB Vitamin BC Vitamin CD Vitamin D الإجابة الصحيحة -
374
Which food should a client take with an oral iron supplement to enhance absorption?
A MilkB YogurtC AntacidD Orange juice الإجابة الصحيحة -
375
Which community health activity is an example of primary prevention?
A Screen adults for hypertensionB Provide rehabilitation after strokeC Treat active tuberculosisD Administer recommended immunizations الإجابة الصحيحة -
376
A pregnant client reports leg cramps. Which action should the nurse recommend?
A Bend the foot toward the body while flexing the kneeB Bend the foot toward the body while extending the knee الإجابة الصحيحةC Point the foot away while flexing the kneeD Point the foot away while extending the knee -
377
A client is taking furosemide. Which electrolyte imbalance should the nurse monitor for?
A HypernatremiaB Hypokalemia الإجابة الصحيحةC HyperkalemiaD Hypocalcemia -
378
Which laboratory test is most specific for acute coronary syndrome or myocardial infarction?
A Troponin markers الإجابة الصحيحةB Serum lactate dehydrogenaseC Serum myoglobinD Creatine kinase-MB -
379
A child is admitted with respiratory syncytial virus infection. Which precautions should the nurse initiate?
A Protective precautionsB Contact precautions الإجابة الصحيحةC Standard precautions onlyD Airborne precautions -
380
Which injection site should the nurse use to administer vitamin K to a newborn?
A Lower rectus femorisB Lateral middle third of the vastus lateralis الإجابة الصحيحةC Medial deltoidD Gluteus maximus -
381
What do the Rinne and Weber tests assess?
A Air and bone conduction الإجابة الصحيحةB Tympanic membrane movementC Mastoid tendernessD Ear canal nodules -
382
A nurse stops a blood transfusion after identifying a transfusion reaction. Which action should the nurse take next?
A Check the tubing and blood bagB Obtain vital signsC Keep the IV line open with normal saline الإجابة الصحيحةD Notify the health care provider -
383
Which finding should the nurse expect in a newborn who has Hirschsprung disease?
A Acute diarrhea and poor skin turgorB Currant-jelly stools and episodic painC Projectile vomiting and hypochloremiaD Failure to pass meconium and abdominal distention الإجابة الصحيحة -
384
Which statement should a nurse include when teaching a community group about the primary reason vaccinations are recommended?
A They eliminate the need for antihypertensive medicinesB They improve skin toneC They protect against serious disease and help prevent spread to others الإجابة الصحيحةD They mainly treat illness after it occurs -
385
Which beverage should a client increase to help reduce the risk of urinary tract infections?
A Nut-based drinksB Caffeinated beveragesC Citrus drinksD Cranberry juice الإجابة الصحيحة -
386
Several households in a community lack access to clean water. What is the most effective long-term intervention?
A Provide water-purification tabletsB Install a deep well or community water-filtration system الإجابة الصحيحةC Advise residents to boil waterD Distribute bottled water -
387
Which finding in a client with malnutrition should the nurse report?
A BMI of 18.5 kg/m2B Potassium 3.7 mEq/LC Phosphorus 3.5 mg/dLD Albumin 2.5 g/dL الإجابة الصحيحة -
388
Which blood pressure reading is classified as stage 2 hypertension?
A 118/76 mm HgB 126/78 mm HgC 134/86 mm HgD 146/92 mm Hg الإجابة الصحيحة -
389
A nurse is assessing a newborn infant following circumcision and notes that the circumcised area is red with a small amount of bloody drainage. Which nursing action would be most appropriate?
A Document the findings الإجابة الصحيحةB Contact the physicianC Circle the drainage and reassess in 30 minutesD Reinforce the dressing -
390
The home care nurse is assessing a 37-year-old client's vital signs at rest. Which finding requires nursing intervention?
A Blood pressure 116/80 mm HgB Respirations 18 breaths/minC Pulse rate 70 beats/minD Temporal temperature 100.8°F (38.2°C) الإجابة الصحيحة -
391
Which postoperative nursing care would the nurse provide to a 3-week-old infant after cleft lip repair?
A Provide spoon feedingB Cleanse the suture line الإجابة الصحيحةC Provide a pacifierD Apply wrist restraints -
392
What should the nurse stress when teaching a woman how to deal with premenstrual syndrome?
A Decrease caffeine intake الإجابة الصحيحةB Drink wine with mealsC Decrease fluid intakeD Eat three large meals daily -
393
A client is attempting a vaginal delivery after a previous cesarean birth. She suddenly has intense abdominal pain and the fetal monitor stops recording contractions. What has occurred?
A Placenta previaB Uterine rupture الإجابة الصحيحةC Prolapsed cordD Abruptio placentae -
394
During a staff meeting, nurses discuss problems accessing research studies for evidence-based clinical decisions. Which suggestion by the nurse manager would best help?
A Form a committee to conduct research studiesB Post published studies on the unit bulletin boardsC Encourage nurses to visit the libraryD Teach nurses how to conduct electronic searches for research studies الإجابة الصحيحة -
395
What is the most important nursing action to reduce transmission of microorganisms before beginning a physical assessment?
A Clean the bell and diaphragm of the stethoscopeB Perform hand hygiene الإجابة الصحيحةC Wear gloves when anticipating exposure to body fluidsD Wear eye protection when anticipating splatter -
396
A nurse is obtaining vital signs for a client who has AIDS. Before entering the room, which action should the nurse take?
A Wear gloves and a gownB Perform hand hygiene الإجابة الصحيحةC Review the client's viral loadD Obtain a disposable stethoscope -
397
A nurse is teaching a patient how to manage chronic obstructive pulmonary disease. This intervention is an example of which level of health promotion?
A Primary preventionB Secondary preventionC Tertiary prevention الإجابة الصحيحةD Risk factor prevention -
398
Which nursing intervention is an example of tertiary preventive care?
A Administering immunizationsB Teaching stress-reduction classesC Performing blood-pressure screeningD Assisting with speech therapy after traumatic brain injury الإجابة الصحيحة -
399
Which statement best describes evidence-based practice?
A The conscientious integration of the best research evidence with clinical expertise and patient needs and values الإجابة الصحيحةB Standards of behavior that professional nurses are expected to performC Using one study to determine the best evidenceD Determining the factors that control patient responses to nursing care -
400
What is the first step in the evidence-based practice process?
A ApplyB AssessC AppraiseD Ask الإجابة الصحيحة -
401
Which barrier do nurses rank as the chief obstacle to conducting evidence-based practice inquiries?
A Difficulty understanding research articles and dataB Lack of computer skillsC Not having enough time الإجابة الصحيحةD Not understanding the organization -
402
Which is considered the highest level of evidence?
A A systematic review of descriptive studiesB A controlled study without randomizationC A systematic review or meta-analysis of randomized controlled trials الإجابة الصحيحةD An expert panel opinion -
403
Which database is best for locating synthesized evidence such as systematic reviews and meta-analyses?
A Cochrane Database الإجابة الصحيحةB PubMedC National Guideline ClearinghouseD CINAHL -
404
What is the main function of a meta-analysis?
A Collect qualitative dataB Combine statistical results from multiple studies الإجابة الصحيحةC Develop clinical guidelinesD Conduct interviews -
405
A client reports persistent headaches. Which finding is an example of subjective data?
A Temperature is 104.1°F (40.1°C)B The client is slow to respond to questionsC The client is oriented to person, place, and timeD Pain is 4 out of 10 on a pain scale الإجابة الصحيحة -
406
A child has elbow restraints after cleft palate repair. What should the nurse do when the mother asks to remove them?
A Remove one restraint at a time الإجابة الصحيحةB Remove both restraintsC Loosen both restraintsD Explain that the restraints cannot be removed -
407
A young child with tetralogy of Fallot may assume a posturing position as a compensatory mechanism. Which position should the nurse expect?
A Low Fowler'sB ProneC SupineD Knee-chest الإجابة الصحيحة -
408
A nurse realizes that a medication due 4 hours ago was not administered. Which action should the nurse take first?
A File an incident reportB Determine factors that led to the omissionC Assess the client for adverse reactions الإجابة الصحيحةD Report the missed dose to the provider -
409
A nurse checks a client's perineal pad 3 days postpartum and finds 2 cm of red lochia. How should this finding be documented?
A Heavy lochia albaB Heavy lochia rubraC Moderate lochia serosaD Scant lochia rubra الإجابة الصحيحة -
410
A mother refuses the MMR vaccine because she believes childhood diseases help the immune system. What is the nurse's most appropriate response?
A Honor the mother's decision without further discussionB Explain that antibodies protect against many illnessesC Explain that not vaccinating protects pregnant womenD Explain that these diseases can cause serious permanent complications الإجابة الصحيحة -
411
A client at 36 weeks of pregnancy is admitted with eclampsia. Which medication should the nurse anticipate to prevent seizures?
A HydralazineB NifedipineC Magnesium sulfate الإجابة الصحيحةD Diazepam -
412
Which situation is an example of democratic leadership?
A A manager explains the rules and then asks staff to vote الإجابة الصحيحةB A manager directs all actions during an emergencyC A manager asks only close nurse friendsD A manager ignores policy and allows staff to decide -
413
Which laboratory finding should the nurse expect in a client who has diabetic ketoacidosis?
A Blood glucose 30 mg/dLB Negative serum ketonesC Arterial pH 7.38D Serum bicarbonate 12 mEq/L الإجابة الصحيحة -
414
A home health nurse is teaching parents about endotracheal suctioning of their child. Which instruction should the nurse include?
A Apply suction when inserting the catheterB Apply suction for less than 10 seconds الإجابة الصحيحةC Set suction pressure to 110 mm HgD Allow 10 to 15 seconds of rest after each attempt -
415
Which preoperative action is appropriate for a child who has Wilms tumor?
A Limit fluidsB Do not palpate the abdomen الإجابة الصحيحةC Force oral fluidsD Palpate the abdomen every 4 hours -
416
A nurse overhears two staff members discussing a client's diagnosis in a public hallway. Which action should the nurse take?
A Ask them to speak more quietlyB Tell them to stop discussing confidential information الإجابة الصحيحةC Alert the facility attorneyD Ignore the situation because no one is nearby -
417
Which finding indicates a healthy stoma?
A Dark pink and moist الإجابة الصحيحةB Red and dryC Off-white and paleD Dark purple -
418
A nurse manager has a reputation as an autocratic leader. Which statement supports that reputation?
A I would like to hear your ideas for improving moraleB I am placing a suggestion box in the break roomC The new work schedule is posted for the next six weeks الإجابة الصحيحةD Please add comments to the blank sheet on the new procedure manual -
419
A client receives an antipsychotic medication. Which finding indicates pseudoparkinsonism?
A DroolingB Blurred visionC Muscle tremors الإجابة الصحيحةD Photosensitivity -
420
What is a neural tube defect that is not visible externally in the lumbosacral area called?
A MeningoceleB MyelomeningoceleC Spina bifida cysticaD Spina bifida occulta الإجابة الصحيحة -
421
During two clinic visits, a patient's blood pressure readings are 162/91 mm Hg and 165/94 mm Hg. Which classification should the nurse anticipate?
A NormotensiveB HypotensiveC Hypertensive crisisD Stage 2 hypertension الإجابة الصحيحة -
422
A nurse administers a vaccine to children in an immunization program. Which level of prevention does this represent?
A Primary prevention الإجابة الصحيحةB Tertiary preventionC Secondary preventionD Early diagnosis -
423
A client is scheduled for MRI of the cervical vertebrae. Which history finding is a contraindication?
A A new tattooB Unable to sit uprightC Peripheral vascular diseaseD A pacemaker الإجابة الصحيحة -
424
What is the antidote for Heparin?
A Protamine sulfate الإجابة الصحيحةB Vitamin KC FlumazenilD Narcan -
425
Your patient is post-op from surgery. The patient is receiving Morphine. The patient is experiencing severe respiratory depression. What medication below do you anticipate the physician to order for this patient?
A HydroxocobalaminB SuccimerC AtropineD Naloxone الإجابة الصحيحة -
426
A nurse prepares to administer a vitamin K injection to a newborn. The mother asks the nurse why her newborn infant needs the injection. The best response by the nurse would be:
A Your newborn needs vitamin K to develop immunity.B Newborns have sterile bowels and vitamin K promotes the growth of bacteria in the bowel.C The vitamin K will protect your infant from being jaundiced.D Newborns are deficient in vitamin K, and this injection prevents your baby from abnormal bleeding. الإجابة الصحيحة -
427
A client refuses a medication. What should the nurse do first?
A Document the refusal and discard the medicationB Explain that refusing medications is harmfulC Ask the client why they do not want to take it الإجابة الصحيحةD Call the provider immediately -
428
When performing a physical assessment, the first technique the nurse will always use is:
A PalpationB Inspection الإجابة الصحيحةC PercussionD Auscultation -
429
A nurse is conducting a home visit for a client who is 1 week postpartum and breastfeeding. The client reports breast engorgement. Which of the following recommendations should the nurse make?
A Apply cold compresses between feedings. الإجابة الصحيحةB Take a warm shower right after feedings.C Apply breast milk to the nipples and allow them to air dry.D Use the various infant positions for feedings. -
430
What is the first step the nurse should take to reduce stigma of mental health clients?
A Increase social contact with mental health clientsB Attend on-the-job training about mental health clientsC Have a willingness to interact with mental health clients الإجابة الصحيحةD Understand the person as a mental health client -
431
Which maternal condition always necessitates delivery by cesarean birth?
A Partial abruptio placentaeB Total placenta previa الإجابة الصحيحةC Ectopic pregnancyD Eclampsia -
432
The nurse is expecting the admission of a child with severe isotonic dehydration. Which intravenous fluid should the nurse anticipate the practitioner to order initially to replace fluids?
A D5WB 0.9 percent Normal Saline (NS) الإجابة الصحيحةC AlbuminD D5 0.2 percent (1/4) Normal Saline -
433
Which assessment finding would the nurse document as subjective evidence of anorexia nervosa?
A LanugoB BradycardiaC 25-lb weight lossD Patient states fear of gaining weight. الإجابة الصحيحة -
434
A nurse is preparing to care for a patient with active tuberculosis (TB). Which of the following infection control measures should the nurse implement?
A Place the patient in a positive-pressure isolation room.B Wear an N95 respirator when entering the room. الإجابة الصحيحةC Require visitors to wear surgical masks.D Implement contact precautions. -
435
A prenatal client tells the nurse about her craving for laundry starch. How should the nurse respond?
A This craving is called pica. Try nonfat powdered milk to see if it satisfies your craving. الإجابة الصحيحةB You have a condition called bulimia. You must stop the ingestion of laundry starch immediately.C You have a condition called anorexia. This disorder will compromise fetal weight gain.D Since you are a vegan, the ingestion of laundry starch is considered normal. -
436
A client on an inpatient psychiatric unit tells the nurse, 'I don't want to be here anymore. None of this is helping, and I've been thinking about ending it.' What should be the nurse's first response?
A Assign the client to 1:1 observation and document the order.B Encourage the client to attend a group therapy session for support.C Notify the health care provider of the client's suicidal ideation.D Ask the client if they have a specific plan to harm themselves. الإجابة الصحيحة -
437
A nurse is caring for a client with Type 1 diabetes who has nausea, vomiting, abdominal pain, and Kussmaul respirations. Which condition should the nurse suspect?
A HHSB DKA الإجابة الصحيحةC SIADHD Myxedema coma -
438
While caring for an infant, which method should the nurse adopt to prevent heat loss caused by evaporation?
A Wrap the infant in a clothB Place the infant in a warm cribC Place the crib away from the windowsD Dry the infant immediately after the bath الإجابة الصحيحة -
439
The nurse is planning postoperative care for an infant after a cleft-lip repair. Which nursing intervention is most appropriate for this infant?
A Prone positioningB Suctioning with a Yankauer deviceC Supine or side-lying positioning الإجابة الصحيحةD Avoidance of soft elbow restraints -
440
Which of the following actions should a nurse take after witnessing a breach of a client's confidentiality in a provider's office?
A Complete a health information privacy complaint form. الإجابة الصحيحةB Anonymously notify the proper governmental agency.C Notify the client and ask them to complete a health information privacy complaint form.D Inform the provider that a formal complaint will be submitted if another breach is committed. -
441
The nurse administers an incorrect medication to a client and realizes the error a few minutes later. Which action should the nurse perform?
A Complete an incident report but do not document the report in the medical record. الإجابة الصحيحةB Document the error but do not complete an incident report unless the client has an adverse reaction.C Complete an incident report and document the report in the medical record.D Do not complete an incident report because the client did not experience any adverse effect. -
442
While donning sterile gloves for a client's dressing change, the nurse rips the cuff while pulling it over a wristwatch. What is the appropriate nursing action?
A Use the ripped glove for nonsterile actions.B Continue with the dressing change.C Place a new sterile glove over the ripped glove.D Obtain a new pair of sterile gloves. الإجابة الصحيحة -
443
A nurse is caring for a client with a deep vein thrombosis (DVT). What nursing assessment indicates that an important outcome has been met?
A Ambulates with assistanceB Oxygen saturation of 98% الإجابة الصحيحةC Pain of 2/10 after medicationD Verbalizing risk factors -
444
The nurse prepares to administer a vitamin K injection during the admission assessment for a newborn. The father asks, 'Why does my baby need a shot?' Which rationale for administering this injection should the nurse include in the response?
A Activates clotting factors الإجابة الصحيحةB Dissolves blood clotsC Promotes gas exchangeD Promotes the production of hemoglobin -
445
The nurse is assessing a patient with chronic heart failure. Which abnormal chest sound would the nurse most likely auscultate?
A Expiratory wheezesB Friction rubC Harsh vesicularD Crackles الإجابة الصحيحة -
446
Thomas has been a nurse in your ICU for 10 years. In facilitating Thomas' professional development, the nurse manager would focus on:
A Certification for the ICU environment.B Discussions about how Thomas can fit with role expectations and relationships.C Possible changes to other ICU environments.D Encouraging him to lead changes that leave long-term impacts after his retirement. الإجابة الصحيحة -
447
A charge nurse is planning a room assignment for a client who has a productive cough, a questionable chest x-ray, and a positive Mantoux test. Room 208 is a private, negative-pressure airflow room; 212 is a semi-private, positive-pressure airflow room; 214 is a negative-pressure, semi-private room; and 216 is a private, positive-pressure airflow room. To which room should the nurse assign the client?
A 208 الإجابة الصحيحةB 212C 214D 216 -
448
The nurse is caring for a client who is admitted to the unit with tuberculosis (TB). Which type of isolation room is most appropriate?
A Single-door room with positive airflowB Isolation room with an anteroom and negative airflow الإجابة الصحيحةC Isolation room with an anteroom and normal airflowD Single-door room with normal airflow -
449
The nurse assesses a newborn's penis 2 days after a circumcision and notes a yellow exudate around the head. Which is the appropriate nursing intervention?
A Wash the penis with soap and a warm washcloth.B Take the newborn's temperature to determine if an infection is present.C Leave the area alone, as this is a normal finding. الإجابة الصحيحةD Report the finding to the health care provider. -
450
The nurse has recently been promoted to nurse manager on an oncology unit and has decided to be the sole decision maker regarding issues that concern the unit. Which type of leadership style is the nurse embodying?
A QuantumB DemocraticC Autocratic الإجابة الصحيحةD Laissez-faire -
451
The nurse manager plans to develop a unit-based council to assist in decision-making. The nurse manager is demonstrating which leadership style?
A AuthoritativeB Democratic الإجابة الصحيحةC Laissez-FaireD Transactional -
452
Which classic symptom is most associated with pyloric stenosis in an infant?
A Projectile, nonbilious vomiting الإجابة الصحيحةB Bilious green vomitingC Bloody diarrheaD Abdominal pain relieved by eating -
453
The nurse caring for a 3-year-old child plans to assess the child's pain using the Wong-Baker FACES Pain Rating Scale. Which accompanying assessment question would be the most useful?
A If number 0 were no pain and number 10 were a big pain, what number would your pain be?B Can you point to the face picture with one finger and tell me what that pain feels like inside of you?C The smiling face has no hurting; the crying face has a really big hurting. Which face is most like your hurting? الإجابة الصحيحةD If you look at these faces and I give you a paper and pencil, can you draw for me the face that looks most like your pain? -
454
A patient with chronic obstructive pulmonary disease (COPD) has poor gas exchange. Which action by the nurse would be most appropriate?
A Have the patient rest in bed with the head elevated to 15 to 20 degrees.B Ask the patient to rest in bed in a high-Fowler's position with the knees flexed.C Encourage the patient to sit up at the bedside in a chair and lean slightly forward. الإجابة الصحيحةD Place the patient in the Trendelenburg position with several pillows behind the head. -
455
The pediatric nurse is providing education to a new mother regarding ways to decrease the risk of sudden infant death syndrome (SIDS). Which statement by the nurse is appropriate?
A You should keep the baby with you at all times to assess for apnea.B Make sure the baby has a soft blanket and pillow when sleeping.C It is recommended that you place your baby on his back for sleep. الإجابة الصحيحةD SIDS has been linked to immunizations. I recommend that you avoid immunizing your baby. -
456
During a 'tet spell,' which action should the nurse perform first?
A Place the child in a knee-to-chest position الإجابة الصحيحةB Administer oxygenC Call the providerD Administer IV fluids -
457
The public health nurse provides care for a client on a directly observed therapy (DOT) program to treat tuberculosis. Which option best describes the care the nurse provides?
A Follows the client until 3 sputum cultures are normalB Gives the client bus tokens or cab fare vouchers to attend scheduled clinic visitsC Provides and watches the client swallow every prescribed medication الإجابة الصحيحةD Screens all of the client's close contacts -
458
Which client would the nurse suspect to have pyloric stenosis?
A A 7-month-old with choking episodesB An 11-year-old with an olive-shaped abdominal massC A 5-week-old infant with projectile vomiting الإجابة الصحيحةD A 2-year-old with a harsh cough -
459
A nurse is performing a fundal assessment for a client who is 2 days postpartum and observes the perineal pad saturated approximately 12 cm with bright red lochia containing small clots. Which finding should the nurse document?
A Moderate lochia rubra الإجابة الصحيحةB Excessive lochia serosaC Light lochia rubraD Scant lochia serosa -
460
The nurse working on the burn unit is interested in understanding the rate of renal compromise with a burn. Which step should the nurse take first?
A Complete a literature review.B Work with a medical librarian to identify key words.C Develop a clinical question that can guide further research. الإجابة الصحيحةD Join the policy and procedure committee to evaluate care in the hospital. -
461
Which following level of evidence includes systematic reviews of multiple studies?
A Level IVB Level IIIC Level IID Level I الإجابة الصحيحة -
462
Periodically, the nurse would return to work as a per diem nurse in the CCU. The staff was impressed with the nurse's performance; however, one staff member complained that the RN was unfamiliar with the new telemetry monitors when they first returned to work several months ago. This comment showed up in the annual evaluation, resulting in a poorer overall evaluation from the nurse manager compared with previous evaluations. This is an example of?
A contrast bias.B a horn effect. الإجابة الصحيحةC recent behavior bias.D similar-to-me effect. -
463
A nurse is reinforcing discharge teaching with a client who has borderline personality disorder. The client reports being a single parent caring for two toddlers. Which of the following actions should the nurse take?
A Notify child protective services.B Suggest the children live with other relatives.C Encourage the children to visit the psychiatric unit when the client is leaving.D Offer the client information about a support group for parents. الإجابة الصحيحة -
464
In quality improvement models, policies and procedures would represent an example of?
A ProcessB Structure الإجابة الصحيحةC OutcomesD Direction -
465
Several nurses on a medical-surgical unit have been asked by the nurse manager to form a group and gather data regarding patient complaints of late meals. When the nurses meet and establish ground rules, this would be what phase of group development?
A Forming الإجابة الصحيحةB StormingC NormingD Performing -
466
Which following medication is commonly administered to reduce intracranial pressure in patients with brain injuries?
A MorphineB AspirinC MarinolD Mannitol الإجابة الصحيحة -
467
A nurse is caring for a 12-month-old infant following the surgical repair of a cleft palate. The nurse should plan to feed the infant using which of the following instruments?
A SpoonB StrawC Firm nippleD Cup الإجابة الصحيحة -
468
A female patient asks the nurse for ways to prevent recurrent urinary tract infections. How should the nurse respond?
A Avoid douching. الإجابة الصحيحةB Clean the perineal area from back to front.C Use feminine hygiene sprays.D Wear clean nylon underpants. -
469
Using the Rule of Nines to assess a client with burn injuries to the entire back region and all of the left arm, how should the nurse document the percentage (TBSA) of the patient's body that sustained burns?
A 18%B 36%C 9%D 27% الإجابة الصحيحة -
470
A community health nurse is planning a public service campaign to decrease the transmission of influenza. Which of the following interventions should the nurse include as a primary prevention?
A Going to the hospital for dehydration after getting influenzaB Obtaining an immunization الإجابة الصحيحةC Staying home when sickD Getting tested for influenza when you have symptoms -
471
The nurse is designing a quantitative research study. What is the purpose of this type of study in nursing?
A Determine how patients feel about prescribed treatments.B Answer questions about statistically measurable concepts. الإجابة الصحيحةC Understand the nursing process in relation to the scientific method.D Identify interventions that are based upon the best evidence from research. -
472
The nurse is caring for a terminally ill pediatric client. The parents have decided to remove their child from life support. Which action by the nurse displays the role of client advocate?
A Respecting the parents' decision الإجابة الصحيحةB Telling the parents they are making the right decisionC Asking to be assigned to a different clientD Referring the parents to social services -
473
A client with COPD is short of breath. Which position should the nurse encourage to ease the work of breathing?
A Supine with a single pillowB Side lying (Sims) positionC Sitting upright and leaning forward over a bedside table (tripod/orthopneic position) الإجابة الصحيحةD Trendelenburg position -
474
Which primary prevention nursing intervention would be implemented by the community nurse to decrease the risk of community members contracting sexually transmitted infections (STIs)?
A Provide treatment for the infected populationB Hand out a risk survey for the adult populationC Screen for sexually transmitted disease infectionsD Educate about the importance of safe sex practices الإجابة الصحيحة -
475
The patient tells the nurse, 'I'm going to call you Stella because you remind me so much of my granddaughter.' Which barrier to therapeutic communication is the patient displaying?
A DefendingB ResistanceC Transference الإجابة الصحيحةD Countertransference -
476
The Centers for Disease Control and Prevention has predicted that the flu will be very contagious this season. Based on this information, nurses set up flu vaccine clinics in local churches and senior citizen centers. Which level of prevention is this an example of?
A Primary الإجابة الصحيحةB SecondaryC TertiaryD Restorative -
477
After discussing various methods of contraception with a client and her partner, the nurse determines that the teaching was successful when they identify which contraceptive method as providing protection against sexually transmitted infections (STIs)?
A oral contraceptivesB tubal ligationC condoms الإجابة الصحيحةD intrauterine system -
478
You are caring for a patient with a diagnosis of iron-deficiency anemia. Which clinical manifestations are you most likely to observe when assessing this patient?
A Convex nails, bright red gums, and alopeciaB Brittle nails; smooth, shiny tongue; and cheilosis الإجابة الصحيحةC Tenting of the skin, sunken eyes, and complaints of diarrheaD Pale pink tongue; dull, brittle hair; and blue mucous membranes
جرب كلمة أقصر أو امسح البحث لعرض المذكرة كاملة.