ne
tz
sh
ne
A home health nurse is assigned to a client who was recently discharged from a rehabilitation
la
center after experiencing a right-hemispheric stroke. which of the following neurological deficits
tz
should the nurse expect to find when assessing the client? visual spatial deficits left hemianopsia
sh
Sp
one-sided neglect
ne
A home health nurse is providing teaching to a client who has a stage 1 pressure injury on the
la
greater trochanter of his left hip. Which of the following instructions should the nurse include in
tz
sh
the teaching? Change position every hour.
Sp
ne
A nurse and an assistive personnel are caring for a client who has bacterial meningitis. the nurse
la
should give the AP which of the following instructions? wear a mask.
tz
sh
Sp
A nurse at an urgent care clinic is caring for a client who is experiencing an anaphylactic reaction.
ne
After ensuring a patent airway, which of the following nursing interventions is the priority?
la
Applying oxygen via face mask
tz
sh
A nurse has received change-of-shift report for a group of clients. which of the following clients
Sp
should the nurse assess first? a client who had a myocardial infarction (MI) 4 days ago and is
ne
asking for a PRN sublingual nitroglycerin tablet.
la
tz
A nurse in a community clinic is caring for a client who reports an increase in the frequency of
sh
Sp
migraine headaches. to help reduce the risk for migraine headaches, which of the following foods
ne
should the nurse recommend the client avoid? aged cheese
la
tz
A nurse in a provider's office assessing a client who has hypertension and takes propranolol. which
sh
Sp
of the following findings should indicate to the nurse that a client is experiencing an adverse
ne
reaction to this medication? report of a night cough
la
A nurse in a provider's office is assessing a client who has migraine headaches and is taking
tz
sh
feverfew to prevent headaches. the nurse should identify that which of the following client
Sp
medications interact with feverfew? naproxen
ne
la
A nurse in a provider's office is caring for a client who requests sildenafil to treat erectile
tz
dysfunction. which of the following statements should the nurse take? "you will not be able to use
sh
Sp
sildenafil if you are taking nitroglycerin."
ne
A nurse in an acute care facility is caring for a client who is at risk for seizures. which of the
la
tz
following precautions should the nurse implement? ensure that the client has a patent IV.
sh
Sp
A nurse in an emergency department is assessing a client who has a detached retina. which of the
ne
following should the nurse expect the client to report? "it's like a curtain closed over my eye."
la
tz
A nurse in an emergency department is assessing an older adult client who has a fractured wrist
sh
Sp
following a fall. During the assessment, the client states, "Last week I crashed my car because my
ne
vision suddenly became blurry." Which of the following actions is the nurse's priority? Check the
la
client's neurologic status.
tz
sh
A nurse in an emergency department is caring for a client who has full-thickness burns over 20% of
Sp
ne
their total body surface area. after ensuring a patent airway and administering oxygen, which of
the following items should the nurse prepare to administer first? IV fluids
la
sh
Sp
la
Sp
, ne
tz
sh
ne
A nurse in an emergency department is caring for a client who is experiencing a thyroid storm.
la
which of the following manifestations should the nurse expect? Fever hypertension tachycardia
tz
sh
A nurse in an emergency department is caring for a client who reports visiting and diarrhea for the
Sp
ne
past 3 days. which of the following findings should indicate to the nurse that the client is
experiencing fluid volume deficit? heart rate 110/min
la
tz
A nurse in an emergency department is reviewing the providers prescriptions for a client who
sh
Sp
sustained a rattlesnake bite to the lower leg. which of the following prescriptions should the nurse
ne
expect? administer an opioid analgesic to the client.
la
tz
A nurse in an ICU is assessing a client who has a traumatic brain injury. which of the following
sh
Sp
findings should the nurse identify as a component of Cushing’s triad? bradycardia
ne
A nurse is administering packed RBCs to a client. Which of the following assessment findings
la
indicates a hemolytic transfusion reaction? Low back pain and apprehension
tz
sh
Sp
A nurse is admitting a client who has active tuberculosis. Which of the following types of
ne
transmission precautions should the nurse initiate? Airborne
la
A nurse is assessing a client following the administration of magnesium sulfate 1 g IV bolus. for
tz
sh
which of the following adverse effects should the nurse monitor? respiratory paralysis
Sp
ne
A nurse is assessing a client following the completion of hemodialysis. Which of the following
la
findings is the nurse's priority to report to the provider? Restlessness
tz
sh
Sp
A nurse is assessing a client while suctioning the client's tracheostomy tube. Which of the
ne
following findings should indicate to the nurse the client is experiencing hypoxia? The client's
la
heart rate increases.
tz
sh
A nurse is assessing a client who had extracorporeal shock wake lithotripsy (ESWL) 6 hr ago. which
Sp
of the following findings should the nurse expect? stone fragments in the urine
ne
la
A nurse is assessing a client who has a diagnosis of rheumatoid arthritis. Which of the following
tz
nonpharmacological interventions should the nurse suggest to the client to reduce pain? Alternate
sh
Sp
application of heat and cold to the affected joints.
ne
A nurse is assessing a client who has acute cholecystitis. which of the following findings is the
la
tz
nurse's priority? tachycardia
sh
Sp
A nurse is assessing a client who has advanced lung cancer and is receiving palliative care. The
ne
client has just undergone thoracentesis. The nurse should expect a reduction in which of the
la
following common manifestations of advanced cancer? Dyspnea
tz
sh
Sp
A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the
ne
nurse expect? Low urine specific gravity
la
A nurse is assessing a client who has graves’ disease. which of the following images should
tz
sh
indicate to the nurse that the client has exophthalmos? wide eyes
Sp
ne
la
sh
Sp
la
Sp
tz
sh
ne
A home health nurse is assigned to a client who was recently discharged from a rehabilitation
la
center after experiencing a right-hemispheric stroke. which of the following neurological deficits
tz
should the nurse expect to find when assessing the client? visual spatial deficits left hemianopsia
sh
Sp
one-sided neglect
ne
A home health nurse is providing teaching to a client who has a stage 1 pressure injury on the
la
greater trochanter of his left hip. Which of the following instructions should the nurse include in
tz
sh
the teaching? Change position every hour.
Sp
ne
A nurse and an assistive personnel are caring for a client who has bacterial meningitis. the nurse
la
should give the AP which of the following instructions? wear a mask.
tz
sh
Sp
A nurse at an urgent care clinic is caring for a client who is experiencing an anaphylactic reaction.
ne
After ensuring a patent airway, which of the following nursing interventions is the priority?
la
Applying oxygen via face mask
tz
sh
A nurse has received change-of-shift report for a group of clients. which of the following clients
Sp
should the nurse assess first? a client who had a myocardial infarction (MI) 4 days ago and is
ne
asking for a PRN sublingual nitroglycerin tablet.
la
tz
A nurse in a community clinic is caring for a client who reports an increase in the frequency of
sh
Sp
migraine headaches. to help reduce the risk for migraine headaches, which of the following foods
ne
should the nurse recommend the client avoid? aged cheese
la
tz
A nurse in a provider's office assessing a client who has hypertension and takes propranolol. which
sh
Sp
of the following findings should indicate to the nurse that a client is experiencing an adverse
ne
reaction to this medication? report of a night cough
la
A nurse in a provider's office is assessing a client who has migraine headaches and is taking
tz
sh
feverfew to prevent headaches. the nurse should identify that which of the following client
Sp
medications interact with feverfew? naproxen
ne
la
A nurse in a provider's office is caring for a client who requests sildenafil to treat erectile
tz
dysfunction. which of the following statements should the nurse take? "you will not be able to use
sh
Sp
sildenafil if you are taking nitroglycerin."
ne
A nurse in an acute care facility is caring for a client who is at risk for seizures. which of the
la
tz
following precautions should the nurse implement? ensure that the client has a patent IV.
sh
Sp
A nurse in an emergency department is assessing a client who has a detached retina. which of the
ne
following should the nurse expect the client to report? "it's like a curtain closed over my eye."
la
tz
A nurse in an emergency department is assessing an older adult client who has a fractured wrist
sh
Sp
following a fall. During the assessment, the client states, "Last week I crashed my car because my
ne
vision suddenly became blurry." Which of the following actions is the nurse's priority? Check the
la
client's neurologic status.
tz
sh
A nurse in an emergency department is caring for a client who has full-thickness burns over 20% of
Sp
ne
their total body surface area. after ensuring a patent airway and administering oxygen, which of
the following items should the nurse prepare to administer first? IV fluids
la
sh
Sp
la
Sp
, ne
tz
sh
ne
A nurse in an emergency department is caring for a client who is experiencing a thyroid storm.
la
which of the following manifestations should the nurse expect? Fever hypertension tachycardia
tz
sh
A nurse in an emergency department is caring for a client who reports visiting and diarrhea for the
Sp
ne
past 3 days. which of the following findings should indicate to the nurse that the client is
experiencing fluid volume deficit? heart rate 110/min
la
tz
A nurse in an emergency department is reviewing the providers prescriptions for a client who
sh
Sp
sustained a rattlesnake bite to the lower leg. which of the following prescriptions should the nurse
ne
expect? administer an opioid analgesic to the client.
la
tz
A nurse in an ICU is assessing a client who has a traumatic brain injury. which of the following
sh
Sp
findings should the nurse identify as a component of Cushing’s triad? bradycardia
ne
A nurse is administering packed RBCs to a client. Which of the following assessment findings
la
indicates a hemolytic transfusion reaction? Low back pain and apprehension
tz
sh
Sp
A nurse is admitting a client who has active tuberculosis. Which of the following types of
ne
transmission precautions should the nurse initiate? Airborne
la
A nurse is assessing a client following the administration of magnesium sulfate 1 g IV bolus. for
tz
sh
which of the following adverse effects should the nurse monitor? respiratory paralysis
Sp
ne
A nurse is assessing a client following the completion of hemodialysis. Which of the following
la
findings is the nurse's priority to report to the provider? Restlessness
tz
sh
Sp
A nurse is assessing a client while suctioning the client's tracheostomy tube. Which of the
ne
following findings should indicate to the nurse the client is experiencing hypoxia? The client's
la
heart rate increases.
tz
sh
A nurse is assessing a client who had extracorporeal shock wake lithotripsy (ESWL) 6 hr ago. which
Sp
of the following findings should the nurse expect? stone fragments in the urine
ne
la
A nurse is assessing a client who has a diagnosis of rheumatoid arthritis. Which of the following
tz
nonpharmacological interventions should the nurse suggest to the client to reduce pain? Alternate
sh
Sp
application of heat and cold to the affected joints.
ne
A nurse is assessing a client who has acute cholecystitis. which of the following findings is the
la
tz
nurse's priority? tachycardia
sh
Sp
A nurse is assessing a client who has advanced lung cancer and is receiving palliative care. The
ne
client has just undergone thoracentesis. The nurse should expect a reduction in which of the
la
following common manifestations of advanced cancer? Dyspnea
tz
sh
Sp
A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the
ne
nurse expect? Low urine specific gravity
la
A nurse is assessing a client who has graves’ disease. which of the following images should
tz
sh
indicate to the nurse that the client has exophthalmos? wide eyes
Sp
ne
la
sh
Sp
la
Sp
