Which of the following assessment tools will be most effective when assessing for pain in a four-year-old client?

A client reports tingling in the fingers as well as feeling depressed. The nurse assesses positive Trousseau’s and Chvostek’s signs. Which decreased laboratory results does the nurse observe when the client’s laboratory work has returned?

When a client's ventilation is impaired, the body retains which substance?

The nurse knows which is the normal serum value for potassium?

Which of the following is the most common cause of symptomatic hypomagnesemia in the United States?

Which combination of arterial blood gas (ABG) values confirms respiratory acidosis?

Which of the following pain assessment tools is most commonly used in adults?

A priority nursing intervention for a client with hypervolemia involves which of the following?

Which of the following ABG results indicates respiratory acidosis?

The physician has prescribed a hypotonic IV solution for a patient. Which IV solution should the nurse administer?

A client is diagnosed with hypocalcemia and the nurse is teaching the client about symptoms. What symptom would the nurse include in the teaching?

A client presents with anorexia, nausea and vomiting, deep bone pain, and constipation. The following are the client's laboratory values:

sodium 137 mEq/L

potassium 4.6 mEq/L

chloride 94 mEq/L

calcium 12.9 mg/dL

A client with a suspected overdose of an unknown drug is admitted to the emergency department. Arterial blood gas values indicate respiratory acidosis. What should the nurse do first?

A client who is being treated for pneumonia reports sudden shortness of breath. An arterial blood gas (ABG) is drawn. The ABG has the following values: pH 7.21, PaCO₂ 64 mm Hg, HCO₃ 24 mm Hg. Which condition does the ABG reflect?

A patient with a history of heart failure has been admitted to the hospital with shortness of breath and fatigue. Upon assessment, you notice that the patient's oxygen saturation levels are low, and they are struggling to breathe. They are also experiencing mild confusion and restlessness. What is the priority nursing intervention for this patient?

A client comes to the emergency department with status asthmaticus. His respiratory rate is 48 breaths/minute, and he is wheezing. An arterial blood gas analysis reveals a pH of 7.52, a partial pressure of arterial carbon dioxide (PaCO₂) of 30 mm Hg, PaO₂ of 70 mm Hg, and bicarbonate (HCO₃^??') of 26 mEq/L. What disorder is indicated by these findings?

A client in the emergency department reports that he has been vomiting excessively for the past 2 days. His arterial blood gas analysis shows a pH of 7.50, partial pressure of arterial carbon dioxide (PaCO₂) of 43 mm Hg, partial pressure of arterial oxygen (PaO₂) of 75 mm Hg, and bicarbonate (HCO₃^–) of 42 mEq/L. Based on these findings, the nurse documents that the client is experiencing which type of acid-base imbalance?

The nurse is working on a burn unit and an acutely ill client is exhibiting signs and symptoms of third spacing. Based on this change in status, the nurse should expect the client to exhibit signs and symptoms of which imbalance?

A client comes to the emergency department complaining of difficulty breathing and feeling strange after eating a shrimp cocktail. The client is leaning forward with a respiratory rate of 36 breaths per minute. The nurse suspects anaphylaxis. What is the nurse's priority action?

At which serum sodium concentration might convulsions or coma occur?

A client is receiving immunotherapy as part of the treatment plan for an allergic disorder. After administering the therapy, the client states, "I guess I can go home now." Which response by the nurse would be most appropriate?

Which is a primary chemical mediator of hypersensitivity?

A client develops a facial rash and urticaria after receiving penicillin. Which laboratory value does the nurse expect to be elevated?

What education should the nurse provide to the patient taking long-term corticosteroids?

A patient asks the nurse if it would be all right to take an over-the-counter antihistamine for the treatment of a rash. What should the nurse educate the patient is a major side effect of antihistamines?

In which instance may a surgeon operate without informed consent?

What is the major purpose of withholding food and fluid before surgery?

The nurse is educating a client scheduled for elective surgery. The client currently takes aspirin daily. What education should the nurse provide with regard to this medication?

A client presents to the clinic with reports of itching and hives after taking an aspirin this morning. What medication does the nurse anticipate administering that blocks histamine receptors?

The nurse is aware that loss of consciousness occurs with which type of anesthesia?

The nurse recognizes older adults require lower doses of anesthetic agents due to:

The nurse understands that the purpose of the “time out” is to:

The circulating nurse is unsure whether proper technique was followed when an object was placed in the sterile field during a surgical procedure. What is the best action by the nurse?

A client who had abdominal surgery 4 days ago reports that "something gave way" when he sneezed. The nurse observes a wound evisceration. Which nursing action is the first priority?

What intervention by the nurse is most effective for reducing hospital-acquired infections?

The nurse is caring for a client during the immediate postoperative period. What signs and symptoms indicate that the client may be in shock?

What is the normal pH range for blood?

What is pruritis?

In which phase of perioperative care will the nurse prepare the client’s skin, encourage the client to void, and remove the client’s dentures?

A patient visits a clinic for assessment of an inflammatory skin disorder. The nurse diagnoses the condition as psoriasis based on the appearance of the skin. What does the nurse observe?

Shingles is a:

A nurse is developing a care plan for a client recovering from a serious thermal burn. After maintaining respirations, the nurse knows that the most important immediate goal of therapy is:

What is the priority in the care of a client who has been burned and suffered smoke inhalation?

A client has partial-thickness burns on both lower extremities and portions of the trunk. Which IV fluid does the nurse plan to administer first?

A client comes to the ER with suspected electrical burns. What is the nurse's first priority?

The nurse is reviewing client lab work for a critical lab value. Which value is called to the physician for additional orders?

Which client is the nurse's first priority?

What is a normal urine output?

What is the correct name for shingles?

A nurse is caring for a patient on c. diff precautions. The nurse should do what when exiting the room?

The nurse demonstrates understanding of the information when they identify which infectious disease as requiring airborne precautions?

Why do urinary catheters require a physician's order and valid reason for insertion?

Which two STIs usually occur at the same time?

What PPE should the nurse wear when handling a patient with MRSA?

A client with influenza is admitted to an acute care facility. The nurse monitors the client closely for complications. What is the most common complication of influenza?

After a change of shift, you are assigned to care for the following patients. Which patient should you assess first?

Which type of burn injury requires skin grafting?