After graduating from an accredited program in nursing and successfully passing the NCLEX, the nurse must take which action to obtain the legal right to practice?

Who is considered to be the founder of professional nursing?

A client reports to the emergency department with ankle pain from a minor accident. The nurse asks the client to fully describe the circumstances of the accident. Which ANA standard of nursing practice is best demonstrated by the nurse's action?

A nurse documents on a client's electronic chart that the client has an advance directive, makes a copy of the advance directive, and immediately informs the client's health care provider. Which role is the nurse demonstrating?

A nurse is having lunch in the break room and overhears the other nurses talking about a difficult client in an inappropriate way. The nurses attempt to engage her in the conversation. Which response by the nurse would best represent behavior that supports the value of human dignity in nursing practice?

A nurse pulls the curtains closed before changing the dressing of the surgical wound on the abdomen of a postsurgical client. What value is served?

The principle of autonomy by a client is applied in which situation?

It is time for a nurse to renew licensure. The nurse says, “I need some really easy and quick continuing education hours. I don’t understand why we have to do these every year.” What is the nurse’s coworker’s best response?

The nursing student is describing moral values to another student. Which statement is correct?

A nurse is acting inappropriately and has an odor of alcohol. This behavior breaches the principle of:

A rapid onset of symptoms that lasts a relatively short time indicates which condition?

A client, who has just been diagnosed with a chronic condition, asks the nurse what a "chronic condition" means. What would be the nurse's best response?

A client is admitted to the hospital with abrupt symptoms of increasing shortness of breath, fever, and a productive cough with green sputum. Upon further exam the client is diagnosed with chronic obstructive pulmonary disease (COPD) exacerbation. The nurse identifies this as which type of illness?

A nurse is giving a talk to a local community group on the importance of proper diet and regular exercise. This is an example of which type of health promotion?

A nurse does not assist with ambulation of a postoperative client on the first day after surgery. The client falls and fractures a hip. What charge might be brought against the nurse?

A nurse asks a coworker about the condition of the nurse's next-door neighbor, who has been admitted to the unit. If the coworker shares the neighbor's client information with the nurse, the coworker could be held liable for committing which act?

On finding multiple bruises on a client’s arms and back, the nurse suspects that the client is being abused by a daughter who lives with the client. When questioned, the client denies any abuse. Despite the client’s denial, the nurse should report the suspected abuse on the basis of which rationale?

A nurse is caring for a client with hypertension whose blood pressure has increased from 154/78 mmHg to 196/98 mmHg with a heart rate of 110 beats per minute during the past hour. The nurse goes to lunch without reporting the change to the health care provider, and the client experiences a cardiac arrest. What tort has the nurse likely committed?

A client on a surgical unit asks for the nurse’s opinion of the surgeon. The nurse says that the surgeon is rude and that the surgeon’s clients always end up with infections. The nurse is at risk of being accused of which?

While caring for an older adult client, the nurse observes that the skin is dry and wrinkled, the hair is gray, and they need glasses to read. Based on these observations, what would the nurse conclude?

The nurse is readmitting a client who was discharged 1 week ago with complications from diabetes mellitus. The client states, "I really did not understand what I was supposed to do to care for myself from those papers that I was sent home with." What question will the nurse ask to promote the client's self-esteem?

The nurse is teaching a client newly diagnosed with diabetes about the disease, testing, diet, and how to self-administer insulin. The client does not speak the dominant language. What is the appropriate nursing action?

Health care personnel follow which of the following precautions whenever there is the potential for contact with blood, body fluids except sweat, non-intact skin, or mucous membranes?

The nurse is preparing to assess the client’s vital signs. The client just had morning coffee. What explanation and action does the nurse take in this situation?

An adult client is assessed as having an apical pulse of 140. How would the nurse document this finding?

Various sounds are heard when the nurse assesses a blood pressure. What does the first sound heard through the stethoscope represent?

An informatics nurse specialist is conducting a program for facility staff about creating strong passwords to promote secure and private data. The nurse determines that the teaching was successful when the staff identify which password as a strong password?

A nurse receives an order from a medical provider for chloramphenicol, 500 mg by mouth every 6 hours. The drug comes in 250 mg capsules. What would the nurse administer per dose?

The health care provider prescribes ciprofloxacin 500 mg PO q12h for a client with bronchial pneumonia. The nurse has liquid ciprofloxacin 250 mg/10 mL on hand. How many milliliters would the nurse dispense? Round to the nearest whole number.

The nurse is caring for a client with a paralytic ileus and receives the prescription to place a nasogastric tube. The nurse knows to place the client in which of the following positions for the insertion of the nasogastric tube?

A nurse is caring for a client with a chronic wound on the left buttock. The wound is 8.3 x 6.4 cm. Which action should the nurse use during wound care?

A nurse has just inserted a nasogastric tube in a client. Which method is most reliable for verifying the correct placement of the tube?

As part of a client's plan of care, a nurse teaches a client's spouse how to perform a dressing change to the client's abdominal wound. Which method would be most effective to determine whether the spouse has mastered the skill?

The nurse is removing personal protective equipment after dressing the infected wounds of a client. Which is the priority nursing action?

While administering a cleansing enema, the client displays lightheadedness, nausea, and has clammy skin. The nurse would implement which priority action?

The nurse is administering a large-volume enema to a client as prescribed. The client reports abdominal cramping. What should the nurse do first?

A nursing student is performing a urinary catheterization for the first time on a female client and inadvertently contaminates the catheter by touching the bed linens. What should the nurse do next to maintain surgical asepsis for this procedure?

A nurse is collecting a sterile urine specimen from an indwelling catheter. How will the nurse correctly obtain the specimen?

A client has had abdominal surgery and the creation of a colostomy. The client avoids looking at the colostomy and refuses visitors. Which nursing concern is most appropriate for this client?

An older adult client is in the hospital following an intestinal diversion with an ileostomy on the right upper quadrant and a mucous fistula. What is the most important nursing action in the care of this client?

The nurse manager observes one of the unit nurses failing to wash hands on entering a client room. Hospital protocol is to wash hands before and after entering a client room. This scenario is an example of which approach to quality assurance?

The nurse is documenting a variance that has occurred during the shift. This report will be used for quality improvement to identify high-risk patterns and, potentially, to initiate in-service programs. This is an example of which type of report?

Upon hourly rounding, a nurse finds that a fire has broken out in a client's room. Which intervention is the priority?

Which statement should the nurse include in the teaching plan for a family learning about fire safety?

The nurse is teaching the caregiver of a 3-year-old about safety. Which teaching will the nurse include?

Which nurse would be at the highest risk of causing a hazardous situation?

The nurse is reading an order that indicates that a drug is to be given to a client “q4h.” How will the nurse administer the medication?

The nurse is reading a medication prescription for a drug that is routinely administered every 12 hours. The prescription does not state the frequency of administration. What is the appropriate nursing action and accompanying rationale that guides the nurse’s action?

The client is prescribed a medication that needs to be taken on an empty stomach. The nurse inadvertently administers this medication with food. What are the ramifications of this error?

A clinic nurse is preparing for a tuberculosis screening. Knowing the injections will be administered intradermally, what size needles and syringes will the nurse prepare?

What must a nurse do each time medications are administered to ensure that medication errors do not occur?

Which statement by a client indicates to the nurse that teaching was effective regarding the different parts of a syringe?

A nurse gives a client 0.25 mg of digoxin instead of the prescribed dose of 0.125 mg. What should the nurse do next?

A nurse is conducting an interview with a client to collect a medication history. Which question would be used to ensure safe medication administration?

A nurse is teaching an older adult about taking newly prescribed medications at home. Which information would be included?

The nurse is caring for a client who has been prescribed an enteric-coated drug. Which should the nurse include when teaching the client proper administration of this drug?

A home care nurse is educating a client with diabetes on how to self-administer insulin. Which teaching point should the nurse include in the education plan?

How should the nurse instruct clients to clean their eyes before instilling medications?

A nurse is administering an immunization injection to an adult client. Which site would the nurse choose for this injection?

A nurse is caring for a client at a health care facility who is undergoing nicotine withdrawal therapy and has been prescribed a nicotine patch. Which is true with regard to the application of a transdermal patch?

During a teaching session on self-administration of insulin, the client asks the nurse why it is necessary to bunch the skin before inserting the needle. How will the nurse respond?

A nursing student is caring for a client with the prescription for a urinalysis. The nurse knows that this test is performed for which of the following indications?

A postoperative client's medication administration record (MAR) provides for PRN administration of a number of analgesics by various routes. Which action should the nurse take to assess the client’s pain to determine the appropriate analgesic to administer?

A nurse receives a prescription to administer Amoxil 10 milligrams per kilogram by mouth daily times 14 days. The client weighs 220 pounds. Available: AMOXICILLIN CAPSULES, USP 250 mg. How many tablets should the nurse administer?

The nurse observes the client for signs of stage I pressure injury development, which most likely will include which finding?

A stage I pressure injury is a defined area of intact skin with:

The nurse is preparing to clean a client's surgical wound. What would the nurse assess before beginning the procedure?

A nurse documents the respiratory rates of several adult clients. Which client will the nurse document as experiencing bradypnea?

Which action should the nurse perform when applying negative pressure wound therapy?

The nurse is performing an assessment of a client's pressure injury to the coccyx. The nurse observes that the wound bed is black and will consequently document what finding?

A nurse is assessing a client with a stage 4 pressure injury. What assessment of the injury would be expected?

The nurse is assessing a client who has jaundice. Which color would the nurse expect the client's skin to be?

Which action by the nurse is most appropriate when attempting to remove surgical staples that have dried blood or drainage on them?

The nurse is assessing the wounds of clients in a burn unit. Which wound would most likely heal by primary intention?

During a head-to-toe assessment of a client, the nurse carefully palpates the client’s nails. Which is the best rationale for this technique?

The nurse preparing to perform an abdominal assessment on a client places the client in which position?

The nurse is assessing the skin of a veteran who has returned from deployment overseas. Which response by the nurse reflects the best strategy to gain the cooperation of the client?

The nurse is assessing a newly admitted client. Auscultation of the client's lungs reveals the presence of discontinuous, popping sounds during inspiration over the lower lung fields. How does the nurse document this finding?

A client has been reporting persistent headaches. Which is an example of subjective data?

To assess subjective data related to a client's elimination pattern, the nurse should perform which action?

When planning care for a client with a Foley catheter, which actions should the nurse include? Select all that apply.

The nurse is preparing to place a Foley catheter for a female client who will soon have surgery. Into what position will the nurse place the client?

While observing a new nurse inserting an indwelling urinary catheter, the preceptor observes a break in sterile technique. What is the preceptor's first action?

89. How is obstructive sleep apnea diagnosed?

90. Which class of sleep medications is the most commonly prescribed?

91. A nurse is discussing the challenges of assessing pain in children with a group of

parents. Which of the following statements should the nurse include?