Ms. T. has been diagnosed with agoraphobia. Which behavior would be most characteristic of this disorder?

The nurse is evaluating the involution of a woman who is 3 days postpartum. Which of the following findings would the nurse evaluate as normal?

Which of the following is a cause of primary amenorrhea?

A client is to have gastric lavage. In which position should the nurse place the client when the nasogastric tube is being inserted?

A patient is scheduled to begin weaning from mechanical ventilation. Which finding is the best indicator that the patient is ready for weaning?

A 6-month-old is scheduled for vaccines. Which is appropriate?

A 12 year-old boy presents to the office with pain in his legs with activity gradually becoming worse over the past month. He is unable to ride a bicycle with his friends due to the pain in his legs. Examination of the heart reveals an ejection click and accentuation of the second heart sound. Femoral pulses are weak and delayed compared to the brachial pulses. Blood pressure obtained in both arms is elevated. Chest x-ray reveals rib notching. Which of the following is the most likely diagnosis?

Which of the following characterizes primary hypothyroidism?

A nurse observes an assistive personnel preparing to obtain blood pressure with a regular size cuff for a client who is obese. Which of the following explanations should the nurse give the AP.

A public health nurse is applying the principles of primary prevention in the community. Which activity best reflects primary prevention?

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

The circulating nurse and scrub technician note a discrepancy in the sponge count. What is the first action the nurse should take?

The nurse is preparing to care for a child after a tonsillectomy. The nurse documents on the plan of care to place the child in which position?

Which isolation precaution is required for RSV?

The nurse cares for a client with bacterial meningitis. Which isolation precaution will the nurse apply?

Which is the most effective nursing action for preventing and controlling the spread of infection?

which condition would the nurse suspect a 6 year old child who was admitted with abdominal pain and guarding, nausea, anorexia, and pain with palpation of the right lower quadrant?

A provider prescribes several interventions for a client who is taking azathioprine. Which prescription should the nurse question?

A community health nurse organizes an influenza vaccination clinic at a senior center. This intervention is which level of prevention?

A post-craniotomy patient is prescribed dexamethasone (Decadron). A nursing student asks the instructor why this medication is ordered. What is the best response?

The child is aggressive and refuses to comply with the staff of the facility. Which of the following phases of separation anxiety is the child going through?

The nurse manager plans to develop a unit-based council to assist in decision-making. The nurse manager is demonstrating which leadership style?

During a therapeutic group, which nursing action demonstrates a laissez-faire leadership style?

A nurse is preparing to administer a medication. Which action demonstrates the Right Patient?

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

A 32-year-old client who has just been told she is pregnant says, 'As much as I love my children, I had hoped we would not have any more.' Which reaction to pregnancy does this statement reflect?

What is the most common site for ectopic pregnancy?

A primigravida in active labor is about 9 days post-term. The client desires a bilateral pudendal block anesthesia before delivery. After the nurse explains this type of anesthesia to the client, which of the following locations identified by the client as the area of relief would indicate to the nurse that the teaching was effective?

Which of the following best describes a threatened abortion?

A client presents to the health care clinic for her first prenatal visit. The client's current nonpregnant weight is normal for her height. What recommendation for proper weight gain should the nurse discuss with the client?

A 17-year-old, female patient with anorexia nervosa has just been released from the hospital. To facilitate recovery at home, the psychiatric-mental health nurse instructs the family to:

After completing an assessment of a newborn, the nurse determines that the newborn is small-for-gestational-age based on which weight assessment?

The nurse is caring for a neonate with a suspected tracheoesophageal fistula. What nursing care should be included?

A first-time father is changing the diaper of his 1-day-old daughter. He asks the nurse, What is this black, sticky stuff in her diaper? The nurse's best response is:

Based on the clinical manifestations of Cushing syndrome, which nursing intervention would be appropriate for a client who is newly diagnosed with Cushing syndrome?

The nurse prepares to administer a phytonadione (vitamin K) injection to a newborn, and the mother asks the nurse why her infant needs the injection. What best response should the nurse provide?

A child presents with excessive drooling, choking during feedings, and episodes of unexplained cyanosis. The nurse suspects:

An infant returns from initial surgery for Hirchsprung's disease. All of the following are routine postoperative nursing interventions. Because of the type of surgery this child had, the nurse would exclude which of them?

A patient seen in the asthma clinic has recorded daily peak flows that are 85% of the baseline. Which action will the nurse plan to take?

A patient had a craniotomy 2 days ago for removal of a tumor. He is awake and talking to the nurse and demonstrates no neurologic deficit. Blood pressure is 110/80 mm Hg, pulse is 92 beats/min, and respiratory rate is 22 breaths/min. Urine outputs have been approximately 60 mL/hr over the last 2 days, but he has had a recent change. He has had 300 to 400 mL/hr of urine output over the last several hours. The urine has a specific gravity of 1.002. The nurse checks his serum glucose and finds that it is 100 mg/dL. The nurse would expect the following osmolality of the urine and serum:

A physician orders an isotonic I.V. solution for a client. Which solution should the nurse plan to administer?

A patient has been taking phenytoin (an antiepileptic) for 5 years and has begun to complain of muscle weakness and difficulty walking. Which of the following is the best explanation?

How do antipsychotic drugs primarily work?

A client diagnosed with schizophrenia tells a nurse, The Shopatouliens took my shoes out of my room last night. Which is an appropriate charting entry to describe this clients statement?

A patient with a history of valvular disease has just arrived in the PACU after a percutaneous balloon valvuloplasty. Which intervention should the recovery nurse implement?

Which of the following clients meets the criteria for an involuntary admission to a psychiatric mental health unit?

What is the correct order for abdominal assessment?

Leopold's maneuvers are primarily used to assess which fetal characteristics?

A 35-year-old client has a Pap test with a normal test result. The client has had two previous tests with normal results. Which information is correct for the nurse to tell this client with regard to future screening for cervical cancer?

A client with impaired hearing communicates through sign language and has been admitted to the unit before scheduled surgery. The interpreter that the hospital employs is at the bedside. The nurse needs to take what actions into consideration prior to doing preoperative teaching with this client?

A charge nurse on the step-down unit will likely use which leadership style during resuscitation efforts for a cardiac arrest?

A patient in her first trimester confesses that she has been craving and consuming starch and clay in recent weeks. The nurse recognizes this condition as which of the following?

GDM is most commonly diagnosed at what gestational age?

The nurse is preparing to administer an intramuscular injection via the Z-track method. Which action should be taken by the nurse?

The nurse is preparing to administer an intramuscular (IM) injection to a 6-month-old infant. Which injection site is the most appropriate for this patient?

The nurse is providing anticipatory guidance to the mother of a 10-month-old child. The mother asks how soon her daughter will be able to receive the chickenpox (varicella) vaccine. What is the best nursing response?

Which of the following is an example of primary prevention?

The mother of a 3-day-old infant calls the clinic and reports that her baby's skin is turning slightly yellow. What should the nurse explain to the mother?

Which of the following conditions is caused by a protein deficiency that primarily affects toddlers in developing nations and leads to a range of symptoms, such as lethargy, irritability, and thinning of hair?

Which information concerning a safe feeding technique would the nurse provide to a mother whose newborn infant son has a cleft lip and palate?

A client who describes his pain as a 7 on a scale of 0 to 10 is classified as having which of the following?

A mother calls the pediatric clinic to ask when her daughter will receive the Varicella vaccine. Your answer to her question is:

The nurse is caring for an infant whose cleft lip was repaired. This infant's postoperative care includes:

A nurse is caring for a child after a tonsillectomy. The nurse monitors the child, knowing that which of the following may indicate that the child is bleeding?

Indicate the level of prevention that is represented in each question: Immunization against rubella

Referring back to question 4, in what order would you doff (remove) the PPE?

Which of the following communicable diseases requires airborne isolation precautions?

A disease that is consistently present within a specific geographic area or population is best described as:

Which statement best describes evidence-based practice (EBP)?

A patient arrives at the emergency department by private vehicle and complains of neck pain after falling from the roof of a house. Which initial instruction should be given to the patient?

A previously healthy 9-month-old infant suddenly begins screaming and pulling the knees toward the chest. Later, the nurse observes red, mucus-filled stools. Which condition should the nurse suspect?

A vitamin with a main role in visual process is:

Which one of the following interventions addresses a primary prevention need of this patient?

The development of female breast tissue is related to which process of sexual maturation?

A client who is prescribed lithium carbonate is being discharged from inpatient care. Which medication information should the nurse teach this client?

A 6 hour old infant passes an unformed, black, tarlike stool. What conclusion should the nurse draw from this finding?

The nurse notices that one of her clients, who has depression, is sitting by the window crying. What is the most appropriate response by the nurse?

A client whose cervix is dilated to 5 cm is considered to be in which phase of labor?

A nurse in the post-anesthesia care unit is caring for a client who is postoperative following a thoracotomy and lobectomy. Which of the following postoperative assessments should the nurse give highest priority to?

A nurse is creating a health promotion intervention focused on chronic obstructive pulmonary disease (COPD). What should the nurse identify as a complication of COPD?

A client is hospitalized after four days of epigastric pain, nausea, and vomiting. The nurse reviews the laboratory test results: plasma pH 7.51, Pco2 50 mm Hg, bicarbonate 58 mEq/L (58 mmol/L), chloride 55 mEq/L (55 mmol/L), sodium 132 mEq/L (132 mmol/L), and potassium 3.8 mEq/L (3.8 mmol/L). What condition does the nurse determine the results to indicate?

The nurse is screening a patient before administering a live virus vaccine. The patient is currently taking a glucocorticoid medication. Which action should the nurse take?

The nurse is teaching about primary prevention and includes which educational statement in the instructions?

A nurse is discussing diet with a pregnant woman. Which of the following foods should the nurse advise the client to avoid consuming during her pregnancy?

Oral iron supplements are prescribed for a 6-year-old child with iron deficiency anemia. The nurse reinforces instructions to the mother and tells the mother to administer the iron with which best food item?

When preparing to administer heparin or insulin subcutaneously, which site is preferred?

The nurse is preparing to administer regular insulin. Which onset of action should the nurse expect?

The nurse is assessing the lochia on a 1 day postpartum patient. The nurse notes that the lochia is red and has a foul-smelling odor. The nurse determines that this assessment finding is:

A nurse is providing care to a child diagnosed with rotavirus who is experiencing vomiting and diarrhea. Which precautions should the nurse implement?

He has no documentation of vaccination against hepatitis B. What is the recommended routine schedule for vaccination against hepatitis B?

Which dietary recommendations would the nurse provide the parent of a 3-year-old being discharged post-tonsillectomy?

The nurse assesses pain and redness at a vascular access device (VAD) site. Which action is taken first?

Which clinical manifestation would be required to confirm the diagnosis of Parkinson disease?

A nurse assesses four adolescents diagnosed with various eating disorders. Which comment would the nurse expect from the adolescent diagnosed with anorexia nervosa?

Which of the following is an example of the most common type of hallucination seen in schizophrenia?

What is the best definition of Evidence-Based Practice (EBP)?

The first step of the evidence-based practice process is?

What is the step in the evidence-based practice process AFTER defining a question?

Which of the following is a question that would be asked as part of the process of appraising research evidence?

The last step of EBP is what?

Which of the following is a common barrier to implementing EBP in nursing?

Which source provides the highest level of evidence?

Which database is best to use to locate synthesized evidence-based research, such as systematic reviews or meta-analyses?

What type of review generates an overall summary statistic that represents the effect of the intervention across multiple studies?

The nurse is caring for a postpartum patient with subinvolution of the uterus. Which medication does the nurse expect to see in the patient's orders?

The nurse is caring for a 76-year-old client who has an unsteady gait. Which method is most appropriate to assist in transferring?

The nurse caring for an infant with a diagnosis of hydrocephalus would monitor the infant for which sign of increased intracranial pressure?

The client is a minor child who was involved in an accident. The child is now on a pediatric unit. The health care provider has prescribed the client to receive 2 units of packed red blood cells due to a low hemoglobin and hematocrit. The nurse needs to obtain consent from a parent to initiate the blood therapy. The client's religion is Jehovah's Witnesses. What is the nurse's first action?

What finding would you expect when measuring blood pressure on all four extremities of a child with a coarctation of the aorta is blood pressure that is:

Potassium iodine (KI) taken immediately following a nuclear incident can prevent 100% of radioactive iodine from entering which body organ?

The ED nurse is caring for an 11-year-old brought in by ambulance after having been hit by a car. The child's parents are thought to be en route to the hospital but have not yet arrived. No other family members are present and attempts to contact the parents have been unsuccessful. The child needs emergency surgery to save her life. How should the need for informed consent be addressed?

Which quadrant is McBurney's point located in?

A 1-day-old newborn has just expelled a thick, greenish-black stool. The nurse determines that this is the first stool. What should the nurse do next?

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

Which anatomic site would the nurse select to administer vitamin K to a term newborn?

The nurse overhears two nursing assistive personnel (NAP) discussing protected health information (PHI) about a client in a public elevator. Which action should the nurse take next?

The nurse is caring for a child recovering from a tonsillectomy. Which fluid or food item would be offered to the child?

A nurse is planning a vaccination clinic in a school to prevent influenza. This intervention is an example of which level of prevention?

The nurse admits a client who is in sickle cell crisis to the hospital. Which does the nurse prepare as the priority in the management of the client?

The Mother Baby educator is performing a skill check off on neonatal heel sticks with a recently hired nurse graduate on orientation. Which method is correct for collecting blood by heel stick?

A patient arrives in the emergency department with burns on the face, neck, and chest. What is the priority nursing action?

Which finding best indicates an incomplete abortion?

A patient undergoing chemotherapy has difficulty breathing and a low erythrocyte count. What advice will the nurse provide about taking oral iron supplements?

When taking an axillary temperature on a 2-year-old child with diarrhea, which temperature range would be considered normal?

Which statement about barcode medication administration is true?

A client is prescribed an oral contraceptive. Which adverse effect should the nurse include in the teaching?

A patient is diagnosed with methicillin-resistant Staphylococcus aureus (MRSA). Which transmission-based precaution should the nurse implement?

A nurse is assisting with the admission of a toddler who has bacterial meningitis caused by Haemophilus influenzae type B. Which of the following isolation guidelines should the nurse plan to initiate?

An infant with tetralogy of Fallot becomes cyanotic and dyspneic after a crying episode. To relieve the cyanosis and dyspnea, in which position should the nurse place the infant?

Which level of prevention is being used when a nurse encourages members of the community to receive the influenza vaccine?

A school-age child with acute diarrhea and mild dehydration is receiving oral rehydration solution but occasionally vomits. What should the nurse recommend?

Which pain rating would the nurse report for a patient who says the pain is a 6?

A nurse is teaching a client with diabetes about proper foot care. Which statement indicates effective teaching?

Where does an ectopic pregnancy most commonly occur?

A researcher divides town residents into age groups and randomly selects a proportional number from each group. What type of sampling is this?

Which intervention is the most effective method to prevent infection transmission?

A patient tells the nurse that she is thinking about becoming pregnant. Which vitamin should be her priority for supplementation before planning a pregnancy?

The nurse is preparing to administer a dose of digoxin. Which finding would indicate withholding the medication?

Why is it important for nurses to develop the habit of lifelong learning?

Which intervention is most important in the postsurgical care of an infant after hypospadias repair?

A client has returned from surgery and the physician has told the family not to tell the client about the cancer diagnosis. The client asks the nurse what the surgeon found. What is the best response?

Which contraceptive method also provides protection against sexually transmitted infections?

A nurse assesses a post-surgical client receiving IV morphine. Respiratory rate is 10/min, oxygen saturation is 93%, and the client responds slowly to voice. What is the priority action?

What is the recommended insertion site for a chest tube?

Ovulation occurs:

A postpartum woman stands and blood pools beneath her. She appears pale and weak. What is the priority nursing action?

From birth to 2 months of age, how much is an infant's head circumference expected to increase?

Streak gonads and infertility are associated with what fetal syndrome?

Patient position for NG tube insertion:

A mother brought her 6-month-old healthy infant to the well-baby clinic. Which immunization should the nurse anticipate to administer as per World Health Organization's recommendation?

Which is an example of primary prevention of injury?

A nurse is working in a hospital in which a client has been admitted with pulmonary tuberculosis. What type of precautions would this client require?

A provider orders 0.5 grams of a drug. The available tablets are labeled 250 mg each. How many tablets should the nurse administer?

A group of nurses is discussing a patient case in an elevator when other people enter. Which aspect of HIPAA has been violated?

Which action demonstrates proper medication documentation?

Which type of insulin should be given 30 - 60 minutes before meals?

Which laboratory results are expected in a patient with Graves disease?

A nurse performs the Barlow test on an infant. A 'clunk' is felt. This indicates:

A client taking digoxin reports nausea and vomiting. What is the nurse's priority action?

A newborn is diagnosed with a cleft lip and palate. The nurse is teaching the parents about feeding techniques. Which statement by the parents indicates a need for further teaching?

A public health nurse is developing a program to reduce the incidence of type 2 diabetes in a low-income community. Which intervention best represents primary prevention?

A nurse is caring for a client who has a prolapsed umbilical cord. Which of the following actions should the nurse take?

A nurse overhears another nurse discussing a patient in an elevator. What should the nurse do?

Which type of hallucination occurs most commonly in schizophrenia?

What is the most significant method for preventing hospital-acquired infections?

A nurse is caring for a client who is postoperative immediately following a tonsillectomy. Which of the following snacks should the nurse offer the client?

A 2-month-old with diagnosed Tetralogy of Fallot becomes agitated during a painful procedure. The infant suddenly becomes cyanotic and tachypneic. Which nursing action is the most appropriate initial intervention?

Which action by the nurse is considered primary prevention?

What response would the nurse provide to correctly identify the most effective method to prevent hospital-acquired infections?

Which intervention would the nurse implement for the parent of an infant with a cleft palate who is feeding the infant in a side-lying position held close to the body and burping the child frequently?

Which drink would the nurse instruct a client with iron deficiency anemia to choose with the supplement for efficient absorption?

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

A school nurse is planning a primary prevention event to address the increase in childhood obesity. Which activity should the nurse include?

A nurse is preparing to administer medications using a barcode medication administration system. Which action is correct?

Patient ages 21-29 should get a Pap Smear done:

A nursing student is learning about maternal assessments and the use of Leopold's maneuvers during pregnancy. Which statement by the student indicates a correct understanding of the purpose of Leopold's maneuvers?

A man with a heart condition continues to perform strenuous sports against medical advice. Which defense mechanism does the nurse identify the patient is using?

Which system is recommended as a method to address patient safety and reduce errors that occur during the actual administration of medicines?

The drug of choice for treatment of primary or secondary syphilis is:

Seatbelt and helmet use are examples of which prevention strategy?

A 1-week-old patient needs a bilirubin level assessment. The nurse examines the patient's feet and notes lancet marks on both the medial and lateral aspects of the left heel. Where should the nurse draw blood from the patient?

A neonate is to receive a hepatitis B vaccine within a few hours after birth. What is the best approach for the nurse to take when giving this medication?

The nurse provides nutritional counseling for a 45-year-old man with nephrotic syndrome. Which breakfast menu indicates successful teaching?

The nurse overhears a conversation about an unknown patient's care in the elevator. Which is the best immediate response?

A nurse instructor is about to administer a vitamin K injection to a newborn. The student nurse asks the instructor regarding the purpose of the injection. The appropriate response would be:

A nurse teaching a prenatal class includes car seat safety. Which level of illness prevention is the nurse using?

A student asks the nursing instructor what insulin has the quickest therapeutic effect once administered. What would be the best response?

Which interaction by a nurse breaches patient confidentiality?

A nurse is admitting a client who has alcohol use disorder. Which statement indicates that the client is using denial as a defense mechanism?

A postpartum client's fundus is firm and midline, the bladder is empty, but the nurse notes a continuous, steady trickle of bright red blood from the vagina. What should the nurse suspect?

A 28-year-old with a history of Chlamydia-related PID presents for her first prenatal visit. She is at increased risk for an ectopic pregnancy. At what anatomical site is an ectopic pregnancy most likely to be found?

A patient is receiving total parenteral nutrition (TPN). Which intervention should the nurse include?

A nurse is reinforcing teaching with a new parent who is concerned about sudden infant death syndrome (SIDS). Which statement by the parent indicates an understanding of the teaching?

A client experiences a threatened abortion. Which instruction about activity is most appropriate?

A nurse caring for a patient in labor calls a colleague for assistance because of shoulder dystocia. The assisting nurse knows that the best chance for successful resolution includes which two interventions?

Increased intraocular pressure leads to:

When a nurse receives a verbal or telephone order, what should the nurse not do?

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 position?

The statement that indicates parents understand how to feed their infant who had surgical repair of a cleft lip is:

A public health nurse is participating in the care of several populations within the community. Which of the following actions by the nurse is an example of primary prevention?

Which technique should the nurse implement when performing a Weber test?

Which action by the nurse is consistent with Weber's test?

Which intervention is an example of primary prevention?

Which position will increase comfort for a client with appendicitis?

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 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 nurse realizes that a medication error has occurred and the client appears unharmed. Which action should the nurse take first?

What do the Rinne and Weber tests assess?

When should a premenopausal woman perform breast self-examination?

An infant with tetralogy of Fallot suddenly becomes cyanotic during a hypercyanotic spell. Which position should the nurse place the infant in?

While caring for an infant, which method should the nurse adopt to prevent heat loss caused by evaporation?

An infant is hospitalized for respiratory syncytial virus (RSV) bronchiolitis. Which precautions should the nurse implement?

A 25-year-old woman asks how often she needs cervical cancer screening. What is the best response by the nurse?

The nurse prepares to administer the prescribed intramuscular injection (IM) iron to a patient. Which is the priority action for this task?

A mother expresses concern about breastfeeding her newborn, who is receiving phototherapy for jaundice. The nurse should teach the mother that:

A nurse is caring for a client diagnosed with paranoid personality disorder. Which behavior would the nurse expect to assess in this client?

What is the client's pulse pressure when the nurse finds that his or her blood pressure is 148/86 mm Hg?

When performing a physical assessment, the first technique the nurse will always use is:

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 patient asks the nurse why her baby is receiving a vitamin K injection. The nurse's best response is based on what knowledge?

After a tonsillectomy, a child is brought to the pediatric unit. The nurse should appropriately place the child in which position?

A patient diagnosed with schizophrenia is most likely to experience which type of hallucination?

Which classic symptom is most associated with pyloric stenosis in an infant?

Which client would the nurse suspect to have pyloric stenosis?

An appropriate gestational age for glucose screening in women who are at low risk for developing gestational diabetes in pregnancy is:

A nurse is preparing to care for a patient with active tuberculosis (TB). Which of the following infection control measures should the nurse implement?

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 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 child is admitted with respiratory syncytial virus infection. Which precautions should the nurse initiate?

A nurse compares upper and lower extremity blood pressures in a child suspected of having coarctation of the aorta. Which finding best supports the diagnosis?

The best choice for the child following a tonsillectomy is:

Immunizations are a form of:

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?

Which group of manifestations is characteristic of nephrotic syndrome?

The appropriate child position after a tonsillectomy is which of the following?

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 nurse in a prenatal clinic is caring for a client who is suspected of having a hydatidiform mole. Which finding should the nurse expect?

A client presents to the emergency department in sickle cell disease crisis. What intervention by the nurse takes priority?

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?

Which laboratory pattern should the nurse expect in a client with severe hyperthyroidism?

A pregnant client asks when the 1-hour oral glucose tolerance test will be performed to screen for gestational diabetes. Which response is most accurate?

The nurse has documented that the client has orthostatic hypotension. Which assessment finding would support this assessment?

Which following medication is commonly administered to reduce intracranial pressure in patients with brain injuries?

Where should the nurse place the stethoscope to assess an adult client's apical pulse?

What are the stages of separation anxiety in the toddler?

A post-MI patient develops ventricular fibrillation (VF). The nurse should first:

Which laboratory test is most specific for acute coronary syndrome or myocardial infarction?

What is the proper sequence for examination of the abdomen?

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?

Which of the following actions should a nurse take after witnessing a breach of a client's confidentiality in a provider's office?

A nurse overhears two staff members discussing a client in an outdoor dining area. Which action should the nurse take?

The nurse is admitting a child with rheumatic fever. Which therapeutic management should the nurse expect to implement?

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 community health nurse develops a program to provide free influenza vaccinations to older adults before flu season. Which level of prevention is this?

The nurse is using an interpreter to communicate with a client who speaks a different language. What is the best way to choose an interpreter?

A nurse administers a vaccine to children in an immunization program. Which level of prevention does this represent?

Which is considered the highest level of evidence?

A young child with tetralogy of Fallot may assume a posturing position as a compensatory mechanism. Which position should the nurse expect?

When administering magnesium sulfate to a client with preeclampsia, the nurse explains that the drug is given to:

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?

Which test detects cancerous and precancerous cells of the cervix?

The nurse is caring for a client who is admitted to the unit with tuberculosis (TB). Which type of isolation room is most appropriate?

Which fetal heart rate baseline is considered normal?

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 nurse notes abrupt variable fetal heart rate decelerations that do not match contractions. What is the priority nursing action?

A client with multiple thoraco-abdominal stab wounds is assessed. Which finding indicates tension pneumothorax?

A nurse organizes a flu vaccination clinic in the community. This represents:

A client at 38 weeks receiving oxytocin has variable decelerations on the fetal heart rate tracing. Which action should the nurse take first?

You suspect that your patient has a tension pneumothorax. During patient assessment, which of the following findings would most lead to this suspicion?

What is the daily maintenance fluid requirement for a 35-kg child?

A client has a wound that is 10 cm in diameter, edematous and boggy, and the wound edges curl under. Which finding indicates a stage 4 pressure injury?

A client with a closed head injury is unconscious and has an intracranial pressure monitor. Which position is most appropriate after nursing care activities?

The nurse is working in a clinic that is designed to provide health education and immunizations. Which type of preventive care is the nurse providing?

A nurse is caring for a client with a history of COPD. What complication is associated most commonly with COPD?

The nurse manager is rarely involved, provides little direction, and tells staff to do what they wish. Which leadership style is this?

Which assessment finding would the nurse document as subjective evidence of anorexia nervosa?

A nurse is preparing to administer a DTaP immunization booster to a 4-year-old child. Which level of prevention does this action represent?

An unconscious patient is brought to the emergency department after a car accident. No family member is available to provide informed consent. What should the nurse do?

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 patient four weeks postpartum has irregular lochia rubra and a fundus 1 cm below the umbilicus. Which medication should the nurse anticipate?

The most common location of an ectopic pregnancy is the:

Which action is most effective for preventing healthcare-associated infections?

The infant of a diabetic mother is hypoglycemic. Which type of feeding should be instituted first?

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?

When caring for a hospitalized child who has varicella, which of the following actions should a nurse take?

A nurse administered lacosamide to the wrong patient. Which action should the nurse take first?

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?

Which type of isolation is required for a client with suspected bacterial meningitis?

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?

When caring for a patient with acute respiratory distress syndrome, which finding is most characteristic?

A home health nurse is teaching parents about endotracheal suctioning of their child. Which instruction should the nurse include?

A 3-year-old patient is being discharged S/P tonsillectomy, and the parents ask what the child should be allowed to eat or drink. Which foods would the nurse recommend for the first few days at home?

The nurse is caring for a 20-year-old patient who recently underwent a tonsillectomy. The patient is fully awake and clearing his throat frequently but denies pain. Which action is most important for the nurse to take first?

A nurse is caring for four clients. After administering morning medications, she realizes that the nifedipine prescribed for one client was inadvertenly administered to another client. Which of the following actions should the nurse take first?

A 58-year-old admitted after an anterior MI suddenly becomes unresponsive. The monitor shows chaotic, disorganized electrical activity with no pulse. The nurse should:

The nurse is caring for a client with an acid-base imbalance secondary to prolonged vomiting. Which acid-base imbalance should the nurse monitor?

An infant of a diabetic mother is jittery 1 hour after birth. Which action should the nurse take first?

A diagnosis of respiratory failure can be made if which of the following are present? 1. PaO2 55 mm Hg, FiO2 0.21, PB 760 mm Hg 2. PaCO2 57 mm Hg, FiO2 0.21, PB 760 mm Hg 3. P(Aa)O2 45 mm Hg, FiO2 1.0, PB 760 mm Hg 4. PaO2/FiO2 400, PB 750 mm Hg

As an RN stands in line for the cafeteria cashier, he overhears the staff in front of him talking about a client the RN took care of earlier in the week. The client's room number is mentioned along with the diagnosis and prognosis. Which of the following actions should the RN take?

A nurse is caring for four postpartum clients. Which client should be assessed first?

When should the nurse expect breastfeeding-associated jaundice to first appear in a normal infant?

Which type of prevention is exemplified by the administration of vaccines to promote child and adolescent health?

The nurse is providing education about the vitamin K injection to the parents of a newborn client. Which statement by the nurse is appropriate?

After a tonsillectomy, a child begins to vomit bright red blood. The nurse should take which initial action?

Which position is appropriate early after an appendectomy for a ruptured appendix in an adolescent?

Which sign or symptom observed in a sleeping 2-year-old child immediately after a tonsillectomy necessitates reporting and follow up?

A nurse is preparing a child for the postoperative period following a tonsillectomy. Which position should the nurse plan to use?

What isolation precautions should be used for an infant with RSV?

Which measure is most effective for preventing and controlling pulmonary tuberculosis?

Which is the most important step in preventing the spread of infection in healthcare settings?

Which term denotes the level of prevention that applies to the nurse administering a vaccine to an infant?

The concept of prevention is a key component of modern community health practice. Which of the following is an example of primary prevention?

A child with chickenpox is admitted to the pediatric ward. Which isolation precaution should the nurse implement?

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?

At the well-child clinic, how does the nurse correctly teach a mother about health promotion activities and describe immunizations?

An infant is hospitalized for RSV bronchiolitis. Which type of precautions would the nurse use when caring for the infant?

Which is the purpose of a vitamin K injection in a newborn?

The process of EBP begins with a specific and answerable question typically in a PICO-format. What does PICO stand for?

A nurse provides influenza vaccinations to healthy members of a community. Which level of prevention is being implemented?

The recommended time to screen for gestational diabetes in asymptomatic women with no risk factors for this condition is:

Skin turgor is poor. Lanugo is present. She says, "I need to lose 10 more pounds." These assessment findings indicate which medical diagnosis?

The nurse is caring for a client who is a strict vegetarian; the client is at greatest risk for the development of:

For which patient would the nurse most likely prepare a Bacille-Calmette-Guerin (BCG) vaccine?

Magnesium sulfate is administered to a patient with preeclampsia primarily to:

Which instruction would the nurse provide to a patient diagnosed with gastroesophageal reflux disease (GERD)?

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

The nurse is caring for a newborn with hypospadias. His parents ask if circumcision is an option. Which is the nurse's best response?

Encouraging routine prenatal visits is an important function for nurses to ensure the clients avoid complications or difficulties throughout the pregnancy and birth. The nurse would prepare to screen clients for gestational diabetes at which time during the pregnancy?

The nurse is evaluating an infant born to a diabetic mother. Which finding would indicate the infant is hypoglycemic?

The nurse is preparing to administer the morning dose of digoxin to a patient. Upon assessment, the nurse notes that the patient's apical pulse is 50 beats per minute. What is the nurse's next action?

The nurse suspects that a patient has hyperthyroidism, and the laboratory data indicate that the patient's T4 and T3 hormone levels are elevated. Which of these findings would the nurse most likely find on examination?

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?

Which statement best explains phantom limb pain after a below-knee amputation?

The nurse is planning care for a newborn. Which nursing intervention would best protect the newborn from the most common form of heat loss?

A client is receiving quinine for drug-resistant malaria. The nurse should monitor for cinchonism, which presents with which findings?

When administering an I.M. injection to an infant, the nurse in charge should use which site?

A pregnant teenage client has iron-deficiency anemia. Which nutrient should she increase to enhance iron absorption?

A nurse makes a medication error. Which action should the nurse take first?

The 2 thumb-encircling hands technique for the infant:

A client who has a peptic ulcer disease is vomiting profusely. Which of the following acid-base imbalances should the nurse expect the client to develop?

A client has experienced excessive vomiting for 2 days. The arterial blood gas (ABG) results are pH 7.50, PaCO2 42 mm Hg, and HCO3 32 mEq/L. Which acid-base imbalance is present?

Which manifestation should the nurse expect in a client with acute appendicitis?

Which activity is the best example of Primary Prevention in a community setting?

Which recommendation should the nurse make to a client with mastitis who is concerned about breastfeeding?

Evidence based practice questions are typically formatted as PICO questions. What does PICO stand for?

Which finding should the nurse expect in a client with placenta previa?

What is the primary characteristic of placenta previa?

A nurse is caring for a client with active tuberculosis in a private room. What should the nurse do before entering the room?

A nurse reviews a patient's lab results and notes low TSH, high T3, and high Free T4 levels. What condition is most likely present?

A client has surgery for a perforated appendix with localized peritonis. In which position should the nurse place the client?

What is the antidote for Heparin?

A client with tuberculosis (TB) who is being prepared for discharge to home should be instructed to follow which practice to decrease the possibility of spreading the infection?

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 of the following nursing actions would be most appropriate?

Which action is most effective in preventing evaporative heat loss in a newborn?

An infertility specialist prescribes clomiphene citrate (Clomid, Serophene) for a woman experiencing infertility. She is very concerned about the risk of multiple pregnancies. What is the nurse's most appropriate response?

A nurse is assessing an infant for signs of increased intracranial pressure (ICP). Which finding is a characteristic manifestation of ICP in this age group?

A client at 27 weeks' gestation still walks daily but reports "terrible" heartburn at night. Which action should the nurse point out will best address this situation?

A nurse is assessing a postpartum client 12 hours after delivery. Her uterus is soft, 2 cm above the umbilicus and deviated to the right. What is the nurse's priority action?

The nurse is providing nutrition counseling for a patient planning pregnancy. Which nutrient should be emphasized to prevent neural tube defects?

A nurse at an outpatient surgery center is caring for a patient who had a hemorrhoidectomy. What discharge education topic should the nurse address?

External monitoring of contractions and fetal heart rate of a multigravida in labor reveals a variable deceleration pattern on the fetal heart rate. What should the nurse do first?

Which finding should the nurse expect in a newborn who has Hirschsprung disease?

Which statement by the charge nurse indicates that they have an autocratic leadership style?

Screening for gestational diabetes mellitus (GDM) is typically completed between which of the following weeks of gestation?

Why would a person with preeclampsia or eclampsia be on a magnesium sulfate infusion?

Which client statement would the nurse recognize as indicating that the client understands dietary teaching related to lithium carbonate (Lithobid) treatment?

Which is an example of primary prevention?

The staff nurses complain the unit is disorganized and that there is no proper guidance from the nurse leader in regards to client services. Which type of leadership does the unit experience?

The graduate nurse is interviewed by the manager of a unit and is told that the manager's leadership style is laissez-faire or one of letting the staff nurses make the decisions about the unit's operations. Which question by the graduate nurse indicates the best understanding of the laissez-faire leadership style?

A nurse on a telemetry unit is admitting a client and has an unlicensed assistive person (UAP) helping with the admission process. The nurses are allowed, among other things, to create their own work schedules, provide dates and times for unit meetings, and create the agendas, to which the charge nurse contributes. The charge nurse's style of leadership can be described as which?

A community health nurse is planning a childhood immunization drive at local schools. Which level of prevention does this activity best represent?

A community health nurse is implementing health programs with several populations in the local area. In which of the following situations is the nurse using primary prevention?

Which suggestion by the nurse is an example of primary prevention?

A nurse explains to a parent that their newborn will receive a Vitamin K injection shortly after birth. The parent asks why this is necessary. Which response by the nurse is most accurate?

Patients with mental health issues are having difficulty resolving conflicts about their opinions. The nurse determines that the group is in which phase?

Which is the priority action in the immediate postoperative period of a child who has undergone a tonsillectomy?

After teaching the parents of a neonate born with a cleft lip and cleft palate about appropriate feeding techniques, the nurse determines that the mother needs further instruction when the mother says which of the following?

The nurse assesses a client who has appendicitis. Which assessment finding would the nurse expect?

The nurse is caring for a pediatric client who has chickenpox. Which of the following actions should the nurse take?

The nurse is caring for a client who will be undergoing chest tube insertion. She will be assisting with the procedure. The nurse knows the most common location for chest tube insertion is

The nurse is teaching a client who has iron deficiency anemia about foods she should include in the diet. The nurse determines that the client understands the dietary modifications if which items are selected from the menu?

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 nurse is teaching a client who is breastfeeding and has mastitis. Which of the following responses should the nurse make?

What clinical manifestations suggest hydrocephalus in an infant?

Which cranial nerve is in charge of hearing?

A nurse is planning discharge teaching regarding exercise for a client at risk for osteoporosis. Which exercise would the nurse be most likely to suggest?

The nurse visits the home of a client with tuberculosis. Which action should the nurse teach family members to take during the first 2 weeks of treatment to prevent the spread of infection to other family members?

A nurse is caring for a cognitively impaired 3-year-old child who cannot verbally communicate. Which pain assessment tool is most appropriate?

Which finding in the first 24 hours after kidney transplantation requires immediate intervention?

Which beverage should a client increase to help reduce the risk of urinary tract infections?

Why might a sequential compression device (SCD) be applied to the legs of an immobile client?

The nurse has completed client teaching with the hemodialysis client about self-monitoring between hemodialysis treatments. The nurse determines that the client best understands the information if the client states to record daily the:

A nurse has inserted a nasogastric tube and is planning to confirm placement of the tube prior to starting enteral feedings. What is the most accurate method for confirming placement?

The nurse is caring for a toddler client in the postoperative period. Which pain assessment tool is most appropriate for this client?

The nurse identifies which finding as most consistent with hyperthyroidism?

Most newborns void in the first 24 hours after birth. The nurse interprets that which of the following is responsible for a reddish stain, sometimes called red brick dust spots or brick deposit, on the newborn's diaper?

Which of the following positions should a patient be placed in following a tonsillectomy in order to prevent post-operative aspiration?

In discussing obstetric emergencies with a new registered nurse on Labor and Delivery, you initiate a conversation reviewing the common risk factors for postpartum hemorrhage. Which of the following is considered a risk factor?

Two new nurses request the same preceptor. Which action illustrates a compromise approach to conflict resolution?

A person is sitting near a cold window on a winter day. They are losing heat to the cold window by which mechanism?

Gestational diabetes is routinely screened at what gestational age?

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?

Which is the highest level of evidence?

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)?

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?

Which order should the nurse expect for a patient admitted with a threatened abortion?

What is the approximate volume of a newborn's stomach capacity at birth?

A nurse manager is coordinating care after a plane crash brings multiple victims to the emergency department. Which leadership style is most appropriate?

What should the nurse look for when reviewing a patient's chart to determine whether she has progressed from HIV disease to AIDS?

A female patient asks the nurse for ways to prevent recurrent urinary tract infections. How should the nurse respond?

What would be the appropriate first nursing action when caring for a 20-year-old G1P0 woman at 39 weeks' gestation who is in active labor and for whom an assessment reveals mild variable fetal heart rate decelerations?

Which antidote should be readily available before administering warfarin?

A nurse prepares to administer vitamin K to a newborn. Why is vitamin K given specifically to newborns?

A client who just returned from the recovery room after a tonsillectomy and adenoidectomy is restless and the pulse rate is increased. As the nurse continues the assessment, the client begins to vomit a copious amount of bright-red blood. The nurse should take which immediate action?

Which condition would the nurse suspect in a 1 month old infant with constipation, abdominal distention, and ribbon like stools?

Nursing care for the neonate with caput succedaneum is to:

A nurse is caring for a patient with tuberculosis. Which type of isolation is required?

A nurse is assisting with the admission of a child who has measles. Which isolation precautions should the nurse initiate?

What is the recommended varicella vaccination schedule for children?

A newly diagnosed pregnant client says she is not sure she wants to be pregnant because of the discomforts. The nurse interprets this as which perception?

The nurse is receiving a phone order from a health care provider. How will the nurse make sure the provider's order is received without error?

The nurse teaches a client diagnosed with iron-deficiency anemia about iron-rich foods. Which meal indicates teaching was effective?

A child presents with dry, thick corneas and reduced night vision. Which vitamin is most likely deficient?

An adult client with suspected meningitis is admitted. Which precaution should the nurse anticipate initially?

A client refuses to take the daily medication for hypertension. Which action should the nurse take at this time?

A client receiving chemotherapy has decided to refuse treatment. What should the nurse do when the client refuses the next dose of chemotherapy?

A patient with end-stage renal disease says that if the heart or breathing stops, resuscitation is not wanted. Which action should the nurse take first?

Which of the following instructions would Nurse Courtney include in a teaching plan that focuses on initial prevention for Sheri who is diagnosed with rheumatic fever?

A newborn begins coughing, choking, and turning cyanotic during the very first attempted feeding. Tracheoesophageal fistula is suspected. What is the nurse's priority action?

Which among the following instructions would you provide to a mother of a preterm baby with hyperbilirubinemia who is being breastfed?

Which nursing intervention is the priority during the fourth stage of labor?

A newborn is diagnosed with myelomeningocele. Which nursing intervention is priority in the immediate postnatal period?

The nurse decides to access a systematic review database to determine evidence-based practice related to the patient's treatment plan for a diagnosis of otitis media (i.e., ear infection). What database can provide that type of resource?

The nurse questions whether treatment with antibiotic therapy is as effective as observation in a 3-year-old boy with otitis media. What combination of information supports the proper order of information needed to compose a PICO statement?

Which criterion is used to classify an infant as small-for-gestational-age (SGA)?

A public health nurse participates in a county-wide free flu vaccination clinic. Which level of prevention is being addressed?

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?

The child who had a tonsillectomy and adenoidectomy (T&A) is brought to the postoperative recovery room. In what position should the nurse place the child?

The physician orders fresh frozen plasma (FFP) to be given after a client's fourth unit of packed red cells. Fresh frozen plasma is administered to replace lost:

A client reports a sudden gush of fluid. The nurse performs a nitrazine paper test and the paper turns blue-green. What does this finding indicate?

A client with a history of cirrhosis has a new prescription for lactulose 30 mL four times a day. What does the nurse explain to the client about this medication?

Which isolation precaution should the nurse implement for a client with meningitis?

What should the nurse stress when teaching a woman how to deal with premenstrual syndrome?