A client was admitted to the medical unit after having abdominal surgery. The nurse questioned the client during the morning assessment about the passage of flatus. The client stated that flatus had been passed early in the morning. In anticipation of defecation, what is the most important instruction for the nurse to give the client?

A postoperative surgery client has orders to be out of bed to a chair three times daily and to perform incentive spirometry 10 times hourly while awake. The client resists incentive spirometry instruction by the respiratory therapist and refuses when the nurse and the lift team arrive to assist the client up to a chair at bedside. Which statement by the nurse shows effective priority setting for this postoperative client? Choose the best answer.

An 8-year-old is admitted with drooling, muffled phonation, and a temperature of 102°F. The nurse should immediately notify the doctor because the child’s symptoms are suggestive of:

A client has been diagnosed with mononucleosis. Which statements made by the client lets you know that further teaching is needed? Select all that apply.

The nurse is caring for the client who has been in a coma for 2 months. He has signed a donor card, but the wife is opposed to the idea of organ donation. How should the nurse handle the topic of organ donation with the wife?

Which sign or symptom should a nurse most likely assess in a client with a magnesium level of 2.9 mEq/L?

Self-monitoring of blood glucose is an important part of diabetes management because.

The nurse is making rounds. Which client should be seen first?

A 24-year-old client undergoes a traumatic belowthe- knee amputation. The nurse assesses the client for risk of suicide.Which is a risk factor for suicide?

A client presents with a right tension pneumothorax. The nurse expects to find which sign and symptom?

The nurse prepares to administer an ACE inhibitor to a patient with an acute MI for which reason?

The registered nurse is conducting an in-service for colleagues about peptic ulcers. The nurse would be correct in identifying which of the following as a causative factor?

An 8-year-old is admitted with drooling, muffled phonation, and a temperature of 102°F. The nurse should immediately notify the doctor because the child’s symptoms are suggestive of:

The client arrives in the emergency room with a “bull’s eye” rash. Which question would be most appropriate for the nurse to ask the client?

A client has cancer of the pancreas. The nurse should be most concerned with which nursing diagnosis?

The licensed practical nurse is working with a registered nurse and a patient care assistant. Which of the following clients should be cared for by the registered nurse?

The spouse of an elderly client dies. The nurse understands that this client faces the task of:

The client has recently returned from having a thyroidectomy. The nurse should keep which of the following at the bedside?

A patient arrives at the office of his physician complaining of a rash. The nurse assesses the patient and notes several palpable, elevated masses, each about 0.5 cm in diameter. What term would the nurse use to accurately describe these masses?

An elderly client asks the nurse how often he will need to receive immunizations against pneumonia. The nurse should tell the client that she will need an immunization against pneumonia:

The client’s physician orders a blood transfusion for a client whose hemoglobin level is 5.0 mg/dL. The nurse informs the client that blood will be drawn for a type and cross-match prior to the blood transfusion. The client avoids eye contact with the nurse, then states,” I am a Jehovah’s Witness. I thought that was on my chart.” The nurse demonstrates the role of client advocate by which response to the client? A. B. C. D.

The nurse cares for a client with a hip fracture. The nurse understands that it is important for the client to ambulate frequently because:

When teaching a primigravid client with diabetes about common causes of hyperglycemia during pregnancy, which of the following would the nurse include?

A teen hospitalized with anorexia nervosa is now permitted to leave her room and eat in the dining room. Which of the following nursing interventions should be included in the client’s plan of care?

A patient, age 38, has acute bronchitis. The nurse formulates a nursing diagnosis of Ineffective airway clearance. After implementing the care plan, the nurse would expect which outcome?

Which of the following best describes the language of a 24-month-old?

A primigravid client with diabetes at 39 weeks’ gestation is seen in the high-risk clinic. The physician estimates that the fetus weighs at least 4,500 g (10 lb). The client asks, “What causes the baby to be so large?” The nurse’s response is based on the understanding that fetal macrosomia is usually related to which of the following?

The nurse is making rounds. Which client should be seen first?

A primigravid client with severe preeclampsia exhibits hyperactive, very brisk patellar reflexes with two beats of ankle clonus present. The nurse documents the patellar reflexes as which of the following?

A full-term male has hypospadias. Which statement describes hypospadias?

A client suffers from a right radial fracture. The client now complains of severe pain in the right arm accompanied with edema in the fingers. The nurse suspects:

A post-operative client has an order for Demerol (meperidine) 75mg and Phenergan (promethazine) 25mg IM every 3–4 hours as needed for pain. The combination of the two medications produces a/an:

A nurse cares for a client with an intracranial pressure reading of 10 mm Hg. The nurse knows that this reading:

The nurse cares for a client who sustained serious injuries from a motor vehicle accident. In assessing client needs, the nurse knows that a client’s response to stressors depends on individual differences such as:

The nurse has an order to administer meperidine (Demerol) 75 mg IM for pain. The drug available is Demerol 100mg in 2 mLs. How many mL(S) will the nurse administer?

A client scheduled for surgery has a preoperative order for atropine on call. The nurse should tell the client that the medication will:

Assuming that all have achieved normal cognitive and emotional development, which of the following children is at greatest risk for accidental poisoning?

The nurse is assessing a male patient with gonorrhea. Which symptom most likely prompted him to seek medical attention?

A client is admitted with suspected pernicious anemia. Which finding is common in the client with pernicious anemia?

The nurse is cleaning up a blood spill that occurred during removal of a chest tube. The nurse should clean the blood spill using:

An elderly client is admitted to the psychiatric unit from the nursing home. Transfer information indicates that the client has become confused and disoriented, with behavioral problems. The client will also likely show a loss of ability in:

Which home remedy is suitable to relieve the itching associated with varicella?

Crohn’s disease can be described as a chronic relapsing disease. Which area of the GI system may be involved with this disease?

The nurse cares for a client diagnosed with peptic ulcer disease. Which finding most likely explains the client’s peptic ulcer disease?

A client hospitalized with renal calculi complains of severe pain in the right flank. In addition to complaints of pain, the nurse can expect to see changes in the client’s vital signs, which include:

The nurse cares for a client diagnosed with peptic ulcer disease. Which finding most likely explains the client’s peptic ulcer disease?

The topic of physiologic changes that occur during pregnancy is to be included in a parenting class for primigravid clients who are in their first half of pregnancy. Which of the following would be important for the nurse to include in the teaching plan?

63.Which list contains common symptoms of terminally ill clients?

Which client is most likely to be affected with Cooley’s anemia?

An 8-year-old is admitted with drooling, muffled phonation, and a temperature of 102°F. The nurse should immediately notify the doctor because the child’s symptoms are suggestive of:

Which class of medications protects the ischemic myocardium by blocking catecholamines and sympathetic nerve stimulation?

The nurse cares for a client diagnosed with peptic ulcer disease. Which finding most likely explains the client’s peptic ulcer disease?

The nurse case manager knows case management is an example of which client care model?

Which home remedy is suitable to relieve the itching associated with varicella?

A camp nurse is applying sunscreen to a group of children enrolled in swim classes. Chemical sunscreens are most effective when applied:

Which WBCs are involved in releasing histamine during an allergic reaction?

For gastric ulcer perforation, patient management should include:

A client has been diagnosed with mononucleosis. Which statements made by the client lets you know that further teaching is needed? Select all that apply.

Which activity describes a good sleep hygiene habit?

A teen hospitalized with anorexia nervosa is now permitted to leave her room and eat in the dining room. Which of the following nursing interventions should be included in the client’s plan of care?

A patient with acute renal failure is being assessed to determine whether the cause is prerenal, renal, or postrenal. If the cause is prerenal, which condition most likely caused it?

Which development milestone puts the 4-month-old infant at greatest risk for injury?

The nurse is found to be guilty of charting blood glucose results without actually performing the procedure. After talking to the nurse, the charge nurse should:

The nurse is assessing a male patient with gonorrhea. Which symptom most likely prompted him to seek medical attention?

A client hospitalized with renal calculi complains of severe pain in the right flank. In addition to complaints of pain, the nurse can expect to see changes in the client’s vital signs, which include:

A dilatation and curettage (D&C) is scheduled for a primigravid client admitted to the hospital at 10 weeks’ gestation with abdominal cramping, bright red vaginal spotting, and passage of some of the products of conception. The nurse should assess the client further for the expression of which of the following feelings?

After surgery to remove a ruptured fallopian tube, a multigravid client receives discharge instructions about potential complications to report to her physician. Which of the following, if stated by the client as a complication, indicates a need for additional teaching?

The client with hyperemesis gravidarum is at risk for developing:

An elderly client who experiences nighttime confusion wanders from his room into the room of another client. The nurse can best help decrease the client’s confusion by:

A post-operative client has an order for Demerol (meperidine) 75mg and Phenergan (promethazine) 25mg IM every 3–4 hours as needed for pain. The combination of the two medications produces a/an:

The topic of physiologic changes that occur during pregnancy is to be included in a parenting class for primigravid clients who are in their first half of pregnancy. Which of the following would be important for the nurse to include in the teaching plan?

A client is admitted with suspected pernicious anemia. Which finding is common in the client with pernicious anemia?

A client with Crohn’s disease has been started on Entocort EC (budesonide) 9mg daily. The nurse should tell the client to take the medication:

A patient, age 38, has acute bronchitis. The nurse formulates a nursing diagnosis of Ineffective airway clearance. After implementing the care plan, the nurse would expect which outcome?

The nurse is caring for a client with peripheral vascular disease. To correctly assess the oxygen saturation level, the monitor may be placed on the:

The nurse checks the carotid pulses in a client. The nurse knows to check the carotid pulse one side at a time:

A client is scheduled to have in vitro fertilization (IVF) as an infertility treatment. Which of the following client statements about IVF indicates that the client understands this procedure?

The nurse is reinforcing teaching to a client with a hiatal hernia. Which would be included in the teaching plan?

The nurse is caring for a client with an acoustic neuroma brain tumor. The location of this tumor warrants particular concern for which of the following?

A client with a laryngectomy returns from surgery with a nasogastric tube in place. The primary reason for placement of the nasogastric tube is to:

A 20-year-old married client with a positive pregnancy test states, “Is it really true? I can’t believe I’m going to have a baby!” Which of the following responses by the nurse would be most appropriate at this time?

An infant weighs 7 pounds at birth. The expected weight by 1 year should be:

The client is admitted with chronic obstructive pulmonary disease. Blood gases reveal pH 7.36, CO2 45, O2 84, HCO3 28. The nurse would assess the client to be in:

The nurse is caring for a client scheduled for removal of the pituitary gland. The nurse should be particularly alert for:

A primigravid client with severe preeclampsia exhibits hyperactive, very brisk patellar reflexes with two beats of ankle clonus present. The nurse documents the patellar reflexes as which of the following?

A client with a laryngectomy returns from surgery with a nasogastric tube in place. The primary reason for placement of the nasogastric tube is to:

A post-operative client has an order for Demerol (meperidine) 75mg and Phenergan (promethazine) 25mg IM every 3–4 hours as needed for pain. The combination of the two medications produces a/an:

The physician has prescribed Phenergan (promethazine) with codeine for a client with pleurisy. The nurse recognizes that the medication was ordered for its:

A client with Crohn’s disease has been started on Entocort EC (budesonide) 9mg daily. The nurse should tell the client to take the medication:

The physician has prescribed Phenergan (promethazine) with codeine for a client with pleurisy. The nurse recognizes that the medication was ordered for its:

A client with newly diagnosed acquired immunodeficiency syndrome (AIDS) asks the nurse if it’s necessary to tell co-workers about the diagnosis. The nurse’s response is based on which correct understanding?

The nurse overhears the patient care assistant speaking harshly to the client with dementia. The charge nurse should:

Which of the following best describes the language of a 24-month-old?

A postoperative surgery client has orders to be out of bed to a chair three times daily and to perform incentive spirometry 10 times hourly while awake. The client resists incentive spirometry instruction by the respiratory therapist and refuses when the nurse and the lift team arrive to assist the client up to a chair at bedside. Which statement by the nurse shows effective priority setting for this postoperative client? Choose the best answer.

The nurse case manager knows case management is an example of which client care model?

The nurse is caring for a client with an acoustic neuroma brain tumor. The location of this tumor warrants particular concern for which of the following?

The nurse is providing postprocedure care for a patient who underwent extracorporeal shock-wave lithotripsy for the treatment of renal calculi. The nurse should instruct the patient to:

The nurse is cleaning up a blood spill that occurred during removal of a chest tube. The nurse should clean the blood spill using:

A patient, age 54, is admitted with a diagnosis of venous ulceration unresponsive to treatment. Which of the following is the nurse most likely to find during an assessment of a patient with venous ulceration?