Distribution of a drug to various tissues is dependent on the amount of cardiac output to each type of tissue. Which tissue would receive the highest amount of cardiac output and thus the highest amount of a drug?
A client states, “I eat a well-balanced diet. I do not smoke. I exercise regularly, and I have a yearly checkup with my physician. What else can I do to help prevent cancer?” The nurse should respond with which of the following statements?
The greatest time savers when planning client care include all of the following except:
High uric acid levels can develop in clients who are receiving chemotherapy. This can be caused by:
The chemotherapeutic DNA alkylating agents such as nitrogen mustards are effective because they:
The most common cause of injury from a house fire is:
The nurse observes bilateral bruises on the arms of an elderly client in a long-term care facility. Which of the following questions should the nurse ask this client?
The vast majority of deaths resulting from unintentional poisoning occur in:
Quality is defined as a combination of all of the following except:
A concern regarding maternal and infant mortality and morbidity is that:
Medication bound to protein can have which of the following effects?
Which of the following ethnic groups is at highest risk in the United States for pesticide-related injuries?
A couple from the Philippines living in the United States is expecting their first child. In providing culturally competent care, the nurse must first:
Mr. H. is upset regarding being in the hospital for another day because he states it costs too much. The rights he is likely to demand include all of the following except:
A child comes to the clinic with a skin rash. The maculopapular lesions are distributed around the mouth and have honey-colored drainage. The caregiver states that the rash is getting worse and seems to spread with the child’s scratching. Which of the following advisory comments should be given?
The nurse is caring for a client who is dying. While assessing the client for signs of impending death, the nurse observes the client for:
A 57-year-old woman is recently widowed. She states, “I will never be able to learn how to manage the finances. My husband did all of that.” Select the nurse’s response that could help raise the client’s self-esteem.
A client begins a regimen of chemotherapy. Her platelet counts falls to 98,000. Which action is least likely to increase the risk of hemorrhage?
In managing nausea related to Morphine epidural analgesia, the nurse should administer:
A client with sickle cell disease is worried about passing the disease on to children. Which of the following statements by the PN is most appropriate for this client?
Which of the following procedures describes an opening between the colon and abdominal wall?
To ensure proper immobilization and increase client comfort when using a rigid splint:
Appropriate nursing strategies to assist a client in maintaining a sense of self include:
Which type of hepatitis is transmitted via the fecal-oral route?
Which of the following describes the stages of domestic violence in an intimate relationship?
A client receiving drug therapy with furosemide and digitalis requires careful observation and care. In planning care for this client, the nurse should recognize that which of the following electrolyte imbalances is most likely to occur?
A client is admitted with a diagnosis of Multiple Drug Use. The nurse should plan care based on knowledge that:
Which of the following conditions has a severe complication of respiratory failure?
Distraction therapy is:
When caring for a client with a possible diagnosis of placenta previa, which of the following admission procedures should the nurse omit?
A contraindication for topical corticosteroid use in a client with atopic dermatitis (eczema) is:
The nurse should teach a client in the Emergency Department, who has suffered an ankle sprain, to:
Melissa Smith came to the Emergency Department in the last week before her estimated date of confinement complaining of headaches, blurred vision, and vomiting. Suspecting PIH, the nurse should best respond to Melissa’s complaints with which of the following statements?
What happens if folic acid is given to treat anemia without determining its underlying cause?
Which is the most common microorganism associated with gastritis?
Which of the following statements by a client indicates adequate understanding of preparation for a lipoprotein fractionation test?
Which of the following infant behaviors demonstrates the concept of object permanence?
A spinal change occurring with pregnancy that alters mobility is:
What is pica?
For a client requiring total oral care, it is important for the nurse to:
Which of the following is not a function of parathyroid hormone?
Nurses should understand the chain of infection because it refers to:
A nurse is caring for a client with an elevated urine osmolarity. The nurse should assess the client for:
As part of the teaching plan for a client with type I diabetes mellitus, the nurse should include that carbohydrate needs might increase when:
Support systems during the grieving process include all of the following except:
Which of the following viruses is most likely to be acquired through casual contact with an infected individual?
When a middle-age woman says to the nurse, “I’m really worried about menopause. When my mom went through it, she got really depressed.” The nurse’s best response is:
The nurse is turning a client who has a new prosthetic hip. Which position should be avoided to prevent injury to the new prosthetic hip?
All of the following clients are in need of an emergency assessment except:
When teaching a woman about possible side effects of hormone replacement therapy, the nurse should include information about all of the following except:
When assessing a client in the Emergency Department whose membranes have ruptured, the nurse notes that the fluid is a greenish color. What is the cause of this greenish coloration?
Nonpharmacological pain management involves all of the following except:
Safety measures for using crutches must be taught to clients. Safety measures for the use of crutches include:
Which of the following statements by a client indicates adequate preparation for magnetic resonance imaging?
Assessment of the client with an arteriovenous fistula for hemodialysis should include:
Which of the following lab values is associated with a decreased risk of cardiovascular disease?
A client comes to the clinic for assessment of his physical status and guidelines for starting a weight-reduction diet. The client’s weight is 216 pounds and his height is 66 inches. The nurse identifies the BMI (body mass index) as:
A middle-aged woman tells the nurse that she has been experiencing irregular menses for the past six months. The nurse should assess the woman for other symptoms of:
In teaching clients with Buck’s Traction, the major areas of importance should be:
Which of the following statements, if made by the parents of a newborn, does not indicate a need for further teaching about cord care?
Which of the following organs of the digestive system has a primary function of absorption?
When helping a client gain insight into anxiety, the nurse should:
Which of the following is an inappropriate item to include in planning care for a severely neutropenic client?
Which is the proper hand position for performing chest vibration?
Which of the following is most likely to impact the body image of an infant newly diagnosed with Hemophilia?
Which of the following instructions should the nurse give a client who will be undergoing mammography?
A client has been taking alprazolam (Xanax) for four years to manage anxiety. The client reports taking 0.5 mg four times a day. Which statement indicates that the client understands the nurse’s teaching about discontinuing the medication?
Which of the following values should the nurse monitor closely while a client is on total parenteral nutrition?
Assessment of a client with a cast should include:
When the nurse is determining the appropriate size of an oropharyngeal airway to insert, what part of a client’s body should she measure?
What interpersonal relief behavior is Ashley using?
A health care worker is concerned about a new mother being overwhelmed by caring for her infant. The health care worker should:
Which of the following needs immediate medical attention and emergency intervention? The client who:
An example of an extended care facility is a:
What is the reason for a contract between nurse and client?
The school nurse is conducting health screenings on schoolchildren. During the screening, she identifies a child with the behavioral characteristics of attention deficit disorder. Which of the following behaviors is consistent with this disorder?
Activities of effective supervisors can be taskrelated or people-related activities. An example of a task-related supervisory activity is:
A client is having psychological counseling for problems communicating with his mother. Which model of stress is the most useful in reference to this stressor?
The primary organ for drug elimination is the:
The physician’s role in case management includes all of the following except:
Local anesthetics block the conduction of pain impulses to the spinal cord. Their duration of action:
During surgery, it is found that a client with adenocarcinoma of the rectum has positive peritoneal lymph nodes. What is the next most likely site of metastasis?
The nurse uses prioritization to determine all the following except:
A day care center has asked the nurse to provide education for parents regarding safety in the home. What type of preventive care does this represent?
Kleinman’s Explanatory Model of Health and Illness is significant because:
The three universal spiritual needs include all of the following except:
When a client has a chest drainage system in place, where should the system be placed?
Which of the following attitudes is essential in a nurse who assists clients during crises?
The nurse’s first action upon discovery of an electrical fire should be which of the following?
Which of the following clients should refrain from therapy with the thiazide diuretic hydrochlorothiazide (HCTZ)?
A patient has recently been prescribed Albuterol. Which of the following changes are not associated with Albuterol?
The nurse working with elderly clients should keep in mind that falls are most likely to happen to elderly who are:
A nurse is reviewing a patient’s current Lithium levels. Which of the following values is outside the therapeutic range?
A mother has come to the pediatric clinic concerned about the recent outbreak of West Nile Virus. The ages of her children are 5, 7, and 10. The mother has asked the nurse what she can do to prevent her children from contracting this illness. Which piece of information is best to provide the mother with?
A fifty-five year-old man suffered a left frontal lobe CVA. The patient’s family is not present in the room. Which of the following should the nurse watch most closely for?
Acyclovir (Zovirax) is the agent of choice for which of the following infections?
What is the primary goal of family education?
A 24 year-old man has been admitted to the hospital due to work-related back injury. The patient’s wife would like to see the patient’s chart. The nurse should:
A man expresses surprise that his wife has become very withdrawn during hospitalization for pneumonia. Which response helps the husband understand how some people cope with hospitalization?
Signs of internal bleeding include all of the following except:
A high school nurse observes a 14 year-old female rubbing her scalp excessively in the gym. The most appropriate course of action for the nurse to do is:
A 60-year-old widower is hospitalized after complaining of difficulty sleeping, extreme apprehension, shortness of breath, and a sense of impending doom. What is the best response by the nurse?
A nurse is reviewing a patient’s medical record. The record indicates the patient has limited shoulder flexion on the left. Which plane of movement is limited?
Spirituality affects a client’s life in all of the following areas except:
Which of the following substances need to be assessed when completing a family health assessment?
Which of the following vaccines is a live virus?
A 64 year-old Alzheimer’s patient has exhibited excessive cognitive decline resulting in harmful behaviors. The physician orders restraints to be placed on the patient. Which of the following is the appropriate procedure?
Metformin (Glucophage) is administered to clients with type II diabetes mellitus. Metformin is an example of:
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