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[Show more]Too much volume in the 
vascular space 
Hypervolemia aka FVE aka 
Fluid Volume Excess; 
Causes of FVE 
(Hypervolemia) 
CHF, Renal Failure, 
Alkaseltzer, Fleets enema, 
IVF w/Na, and Aldosterone 
Alkaseltzer, Fleets 
ememas, and IVF w/Na 
have a lot of what? 
Na which in turn retains fluid 
in the va...
Preview 4 out of 56 pages
Add to cartToo much volume in the 
vascular space 
Hypervolemia aka FVE aka 
Fluid Volume Excess; 
Causes of FVE 
(Hypervolemia) 
CHF, Renal Failure, 
Alkaseltzer, Fleets enema, 
IVF w/Na, and Aldosterone 
Alkaseltzer, Fleets 
ememas, and IVF w/Na 
have a lot of what? 
Na which in turn retains fluid 
in the va...
Stay with client for 
1st ____ min of 
blood transfusion 
15 
Infuse blood within 
____ hours 4 
What type blood 
transfusion reaction 
manifests in pruritus, 
respiratory 
distress,urticaria, and 
flushing 
allergic 
What type of blood 
transfusion reaction 
manifests in flank 
pain, chest pain, 
f...
Preview 3 out of 23 pages
Add to cartStay with client for 
1st ____ min of 
blood transfusion 
15 
Infuse blood within 
____ hours 4 
What type blood 
transfusion reaction 
manifests in pruritus, 
respiratory 
distress,urticaria, and 
flushing 
allergic 
What type of blood 
transfusion reaction 
manifests in flank 
pain, chest pain, 
f...
A kid with Hepatitis A 
can return to school 
when? 
1 week within the onset of 
jaundice. 
After a patient has 
dialysis they may have 
a slight fever...t/f? 
True this is normal due to the 
fact that the dialysis solution is 
warmed by the machine. 
Hyperkalemia presents 
on an EKG as tall peaked ...
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Add to cartA kid with Hepatitis A 
can return to school 
when? 
1 week within the onset of 
jaundice. 
After a patient has 
dialysis they may have 
a slight fever...t/f? 
True this is normal due to the 
fact that the dialysis solution is 
warmed by the machine. 
Hyperkalemia presents 
on an EKG as tall peaked ...
IF THE PH AND THE 
BICARB ARE BOTH 
IN THE SAME 
DIRECTION THEN 
IT IS? 
METABOLIC EX. pH 7.30 AND 
HCO3 IS 20 THIS IS 
METABOLIC ACIDOSIS 
BECAUSE THEY ARE BOW 
GOIN DOWN. ITS ACIDOSIS 
WHEN WHEN THE pH IS LOW 
AND ALKALOSIS WHEN THE 
pH IS HIGH. 
WHAT ARE THE 
SIGNS AND 
SYMPTOMS OF 
ACID-BASE 
IM...
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Add to cartIF THE PH AND THE 
BICARB ARE BOTH 
IN THE SAME 
DIRECTION THEN 
IT IS? 
METABOLIC EX. pH 7.30 AND 
HCO3 IS 20 THIS IS 
METABOLIC ACIDOSIS 
BECAUSE THEY ARE BOW 
GOIN DOWN. ITS ACIDOSIS 
WHEN WHEN THE pH IS LOW 
AND ALKALOSIS WHEN THE 
pH IS HIGH. 
WHAT ARE THE 
SIGNS AND 
SYMPTOMS OF 
ACID-BASE 
IM...
The healthcare provider is performing an assessment on a patient who is taking propranolol 
(Inderal) for supraventricular tachycardia. Which assessment finding is an indication the patient 
is experiencing an adverse effect of this drug? 
Dry mouth 
Bradycardia 
Urinary retention 
Paresthesia - Bra...
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Add to cartThe healthcare provider is performing an assessment on a patient who is taking propranolol 
(Inderal) for supraventricular tachycardia. Which assessment finding is an indication the patient 
is experiencing an adverse effect of this drug? 
Dry mouth 
Bradycardia 
Urinary retention 
Paresthesia - Bra...
A client's electrocardiogram strip shows atrial and ventricular rates of 80 complexes per minute. 
The PR interval is 0.14 second, and the QRS complex measures 0.08 second. The nurse 
interprets this rhythm is: 
A) Normal sinus rhythm 
B) Sinus bradycardia 
C) Sinus tachycardia 
D) Sinus dysrhythmi...
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Add to cartA client's electrocardiogram strip shows atrial and ventricular rates of 80 complexes per minute. 
The PR interval is 0.14 second, and the QRS complex measures 0.08 second. The nurse 
interprets this rhythm is: 
A) Normal sinus rhythm 
B) Sinus bradycardia 
C) Sinus tachycardia 
D) Sinus dysrhythmi...
The nurse recognizes the value of leg exercises in the prevention of postoperative 
thrombophlebitis. When should the nurse teach the correct technique for leg exercises to a 
patient? 
a. upon transfer from post anesthetic care unit to the post-surgical unit 
b. prior to surgery 
c. when early sign...
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Add to cartThe nurse recognizes the value of leg exercises in the prevention of postoperative 
thrombophlebitis. When should the nurse teach the correct technique for leg exercises to a 
patient? 
a. upon transfer from post anesthetic care unit to the post-surgical unit 
b. prior to surgery 
c. when early sign...
The nurse has just reassessed the condition of a postoperative client who was admitted 1 hour 
ago to the surgical unit. The nurse plans to monitor which parameter most carefully during the 
next hour? 
1. Urine output of 20ml/hour 
2. Temperature of 37.6 C 
3. Blood pressure of 114/70 
4. Serous dr...
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Add to cartThe nurse has just reassessed the condition of a postoperative client who was admitted 1 hour 
ago to the surgical unit. The nurse plans to monitor which parameter most carefully during the 
next hour? 
1. Urine output of 20ml/hour 
2. Temperature of 37.6 C 
3. Blood pressure of 114/70 
4. Serous dr...
A 26-year old client comes into the clinic prior to a tonsillectomy. Which action is priority 
during this phase of surgery? 
a. Intraoperative consent signed 
b. Intraoperative medication 
c. Preoperative assessment 
d. Postoperative assessment - c. Preoperative assessment 
The client is in the pre...
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Add to cartA 26-year old client comes into the clinic prior to a tonsillectomy. Which action is priority 
during this phase of surgery? 
a. Intraoperative consent signed 
b. Intraoperative medication 
c. Preoperative assessment 
d. Postoperative assessment - c. Preoperative assessment 
The client is in the pre...
1. The nurse requests the client to sign a surgical informed consent form for an emergency 
appendectomy. Which statement by the client indicates further teaching is needed? 
1. "I will be glad when this is over so I can go home today." 
2. "I will not be able to eat or drink anything prior to my...
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Add to cart1. The nurse requests the client to sign a surgical informed consent form for an emergency 
appendectomy. Which statement by the client indicates further teaching is needed? 
1. "I will be glad when this is over so I can go home today." 
2. "I will not be able to eat or drink anything prior to my...
"While assessing a patient preoperatively, the nurse notices a history of latex allergy. Which of 
the following would be an appropriate intervention? 
"a. Notify the surgeon so that the case can be canceled 
b. Give the patient antihistamines to prevent anaphylactic shock 
c. Question the patient...
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Add to cart"While assessing a patient preoperatively, the nurse notices a history of latex allergy. Which of 
the following would be an appropriate intervention? 
"a. Notify the surgeon so that the case can be canceled 
b. Give the patient antihistamines to prevent anaphylactic shock 
c. Question the patient...
A client diagnosed with widespread lung cancer asks the nurse why he must be careful to avoid 
crowds and people who are ill. What is the nurse's best response? 
A. "With lung cancer, you are more likely to develop pneumonia and could pass this on to other 
people who are already ill." 
B. "When...
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Add to cartA client diagnosed with widespread lung cancer asks the nurse why he must be careful to avoid 
crowds and people who are ill. What is the nurse's best response? 
A. "With lung cancer, you are more likely to develop pneumonia and could pass this on to other 
people who are already ill." 
B. "When...
1. A male client has an abnormal result on a Papanicolaou test. After admitting, he read his chart 
while the nurse was out of the room, the client asks what dysplasia means. Which definition 
should the nurse provide? 
a. Presence of completely undifferentiated tumor cells that don't resemble cell...
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Add to cart1. A male client has an abnormal result on a Papanicolaou test. After admitting, he read his chart 
while the nurse was out of the room, the client asks what dysplasia means. Which definition 
should the nurse provide? 
a. Presence of completely undifferentiated tumor cells that don't resemble cell...
The nurse is caring for a pt who is scheduled for a biopsy of a tumor. The pt asks what 
distinguished a benign tumor from a malignant tumor. Which info should the nurse provide? 
A. Benign tumors are usually composed of more rapidly growing cells 
B. Benign tumors are incapable of causing damage to...
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Add to cartThe nurse is caring for a pt who is scheduled for a biopsy of a tumor. The pt asks what 
distinguished a benign tumor from a malignant tumor. Which info should the nurse provide? 
A. Benign tumors are usually composed of more rapidly growing cells 
B. Benign tumors are incapable of causing damage to...
While assessing a client in the emergency department, the nurse identifies that the client has been 
raped. Which health care team member should the nurse collaborate with when planning this 
client's care? 
a. Emergency medicine physician 
b. Case manager 
c. Forensic nurse examiner 
d. Psychiatri...
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Add to cartWhile assessing a client in the emergency department, the nurse identifies that the client has been 
raped. Which health care team member should the nurse collaborate with when planning this 
client's care? 
a. Emergency medicine physician 
b. Case manager 
c. Forensic nurse examiner 
d. Psychiatri...
During which part of the client interview would it be best for the nurse to ask, "What's the 
weather forecast for today?" 
A. Introduction 
B. Body 
C. Closing 
D. Orientation - A. Introduction 
Rationale: Asking about the weather initiates the social or introductory phase of the interview 
and ...
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Add to cartDuring which part of the client interview would it be best for the nurse to ask, "What's the 
weather forecast for today?" 
A. Introduction 
B. Body 
C. Closing 
D. Orientation - A. Introduction 
Rationale: Asking about the weather initiates the social or introductory phase of the interview 
and ...
Which is the primary goal of community health nursing? 
A. To support and supplement the efforts of the medical profession in the promotion of health 
and prevention of 
B. To enhance the capacity of individuals, families and communities to cope with their health 
needs 
C. To increase the productiv...
Preview 3 out of 25 pages
Add to cartWhich is the primary goal of community health nursing? 
A. To support and supplement the efforts of the medical profession in the promotion of health 
and prevention of 
B. To enhance the capacity of individuals, families and communities to cope with their health 
needs 
C. To increase the productiv...
Examples of primary prevention strategies include: 
a. colonoscopy at age 50 
b. avoidance of tobacco products 
c. intake of a diet low in saturated fat in a patient with high cholesterol 
d. teaching the importance of exercise to a patient with hypertension - B - Primary 
prevention refers to measu...
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Add to cartExamples of primary prevention strategies include: 
a. colonoscopy at age 50 
b. avoidance of tobacco products 
c. intake of a diet low in saturated fat in a patient with high cholesterol 
d. teaching the importance of exercise to a patient with hypertension - B - Primary 
prevention refers to measu...
In the United States, access to health care usually depends on a client's ability to pay 
for health care, either through insurance or by paying cash. The client the nurse is 
caring for needs a liver transplant to survive. This client has been out of work for several 
months and does not have insu...
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Add to cartIn the United States, access to health care usually depends on a client's ability to pay 
for health care, either through insurance or by paying cash. The client the nurse is 
caring for needs a liver transplant to survive. This client has been out of work for several 
months and does not have insu...
the nurse is caring for a client scheduled for removal of a pituitary tumor using the 
transsphenoidal approach. the nurse should be particularly alert to: 
A. Nasal congestion 
B. Abdominal Tenderness 
C. Muscle Tetany 
D. Oliguria - A. Nasal congestion 
why? 
removal of the pituitary gland is usua...
Preview 4 out of 31 pages
Add to cartthe nurse is caring for a client scheduled for removal of a pituitary tumor using the 
transsphenoidal approach. the nurse should be particularly alert to: 
A. Nasal congestion 
B. Abdominal Tenderness 
C. Muscle Tetany 
D. Oliguria - A. Nasal congestion 
why? 
removal of the pituitary gland is usua...
A nurse is reviewing a patient's medication during shift change. Which of the following 
medication would be contraindicated if the patient were pregnant? Note: More than one answer 
may be correct. 
A: Coumadin 
B: Finasteride 
C: Celebrex 
D: Catapress 
E: Habitrol 
F: Clofazimine - (A) and (B) a...
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Add to cartA nurse is reviewing a patient's medication during shift change. Which of the following 
medication would be contraindicated if the patient were pregnant? Note: More than one answer 
may be correct. 
A: Coumadin 
B: Finasteride 
C: Celebrex 
D: Catapress 
E: Habitrol 
F: Clofazimine - (A) and (B) a...
When selecting an NCLEX answer or determining the order of priority what should you 
remember or use and what is the exception? - Use the ABC rule: Airway breathing, and 
circulation. The exception to the rule is with actual CPR, use C-A-B for CPR. Also remember 
safety first and acute before chroni...
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Add to cartWhen selecting an NCLEX answer or determining the order of priority what should you 
remember or use and what is the exception? - Use the ABC rule: Airway breathing, and 
circulation. The exception to the rule is with actual CPR, use C-A-B for CPR. Also remember 
safety first and acute before chroni...
A client who has amyotrophic lateral sclerosis is having frequent episodes of dysphagia. Which 
of the following referrals is appropriate for the nurse to make currently? 
1. Physical Therapist 
2. Speech Pathologist 
3. Registered Dietitian 
4. Occupational Therapist - 2. Speech Pathologist 
A clie...
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Add to cartA client who has amyotrophic lateral sclerosis is having frequent episodes of dysphagia. Which 
of the following referrals is appropriate for the nurse to make currently? 
1. Physical Therapist 
2. Speech Pathologist 
3. Registered Dietitian 
4. Occupational Therapist - 2. Speech Pathologist 
A clie...
A nurse is providing care based on Maslow's hierarchy of basic human needs. For which nursing 
activities is this approach useful? 
a. Making accurate nursing diagnoses 
b. Establishing priorities of care 
c. Communicating concerns more concisely 
d. Integrating science into nursing care - b. Maslo...
Preview 3 out of 17 pages
Add to cartA nurse is providing care based on Maslow's hierarchy of basic human needs. For which nursing 
activities is this approach useful? 
a. Making accurate nursing diagnoses 
b. Establishing priorities of care 
c. Communicating concerns more concisely 
d. Integrating science into nursing care - b. Maslo...
the nurse is caring for a client scheduled for removal of a pituitary tumor using the 
transsphenoidal approach. the nurse should be particularly alert to: 
A. Nasal congestion 
B. Abdominal Tenderness 
C. Muscle Tetany 
D. Oliguria - A. Nasal congestion 
why? 
removal of the pituitary gland is usua...
Preview 4 out of 46 pages
Add to cartthe nurse is caring for a client scheduled for removal of a pituitary tumor using the 
transsphenoidal approach. the nurse should be particularly alert to: 
A. Nasal congestion 
B. Abdominal Tenderness 
C. Muscle Tetany 
D. Oliguria - A. Nasal congestion 
why? 
removal of the pituitary gland is usua...
Which is the primary goal of community health nursing? 
A. To support and supplement the efforts of the medical profession in the promotion of health 
and prevention of 
B. To enhance the capacity of individuals, families and communities to cope with their health 
needs 
C. To increase the productiv...
Preview 3 out of 19 pages
Add to cartWhich is the primary goal of community health nursing? 
A. To support and supplement the efforts of the medical profession in the promotion of health 
and prevention of 
B. To enhance the capacity of individuals, families and communities to cope with their health 
needs 
C. To increase the productiv...
The parent of a preschooler with chickenpox asks the nurse about measures to make the child 
comfortable. The nurse instructs the parent to avoid administering aspirin or any other product 
that contains salicylates. When given to children with chickenpox, aspirin has been linked to 
which disorder?...
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Add to cartThe parent of a preschooler with chickenpox asks the nurse about measures to make the child 
comfortable. The nurse instructs the parent to avoid administering aspirin or any other product 
that contains salicylates. When given to children with chickenpox, aspirin has been linked to 
which disorder?...
After receiving report at the start of the evening shift, which of the following clients should the 
nurse attend to first? 
(a) A 34-year-old man undergoing treatment for non-Hodgkin lymphoma with a potassium level 
of 7.5 mEq/L. 
(b) A 21-year-old woman with sickle cell anemia with pain of 6 on a ...
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Add to cartAfter receiving report at the start of the evening shift, which of the following clients should the 
nurse attend to first? 
(a) A 34-year-old man undergoing treatment for non-Hodgkin lymphoma with a potassium level 
of 7.5 mEq/L. 
(b) A 21-year-old woman with sickle cell anemia with pain of 6 on a ...
The three components of the Intervention Wheel are: 
A) Communities, systems, and individuals/families. 
B) Interventions, color wedges, and levels of practice. 
C) Population base, levels of practice, and public health interventions. 
D) Populations at risk, populations of interest, and levels of p...
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Add to cartThe three components of the Intervention Wheel are: 
A) Communities, systems, and individuals/families. 
B) Interventions, color wedges, and levels of practice. 
C) Population base, levels of practice, and public health interventions. 
D) Populations at risk, populations of interest, and levels of p...
1. A nurse is asked about the goal of patient education. What is the nurse's best response? The 
goal of educating others is to help people 
a. Meet standards of the Nurse Practice Act. 
b. Achieve optimal levels of health. 
c. Become dependent on the health care team. 
d. Provide self-care only in...
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Add to cart1. A nurse is asked about the goal of patient education. What is the nurse's best response? The 
goal of educating others is to help people 
a. Meet standards of the Nurse Practice Act. 
b. Achieve optimal levels of health. 
c. Become dependent on the health care team. 
d. Provide self-care only in...
A client who delivered by cesarean section 24 hours ago is using a patient-controlled analgesia 
(PCA) pump for pain control. Her oral intake has been ice chips only since surgery. She is now 
complaining of nausea and bloating, and states that because she had nothing to eat, she is too 
weak to bre...
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Add to cartA client who delivered by cesarean section 24 hours ago is using a patient-controlled analgesia 
(PCA) pump for pain control. Her oral intake has been ice chips only since surgery. She is now 
complaining of nausea and bloating, and states that because she had nothing to eat, she is too 
weak to bre...
D 
(Without understanding one's own beliefs and values, a bias or preconceived belief by the nurse 
could create an unexpected conflict or an area of neglect in the plan of care for a client (who 
might be expecting something totally different from the care). During assessment values, beliefs, 
pra...
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Add to cartD 
(Without understanding one's own beliefs and values, a bias or preconceived belief by the nurse 
could create an unexpected conflict or an area of neglect in the plan of care for a client (who 
might be expecting something totally different from the care). During assessment values, beliefs, 
pra...
A client is referred to a surgeon by the general practitioner. After meeting the surgeon, the client 
decides to find a different surgeon to continue treatment. The nurse supports the client's action, 
utilizing which ethical principle? 
1. Beneficence 
2. Veracity 
3. Autonomy 
4. Privacy - Answer...
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Add to cartA client is referred to a surgeon by the general practitioner. After meeting the surgeon, the client 
decides to find a different surgeon to continue treatment. The nurse supports the client's action, 
utilizing which ethical principle? 
1. Beneficence 
2. Veracity 
3. Autonomy 
4. Privacy - Answer...
When do *advanced directives* go into effect? - when person is *unable to speak for 
him/herself* due to either: 
1. *Mental Incapacity* - *coma *(GCS score ≤ 7) 
2. *Aphasia* 
(≠as soon as signed; directives can always be changed later by person) 
SBAR Communication Framekwork Components - 1. *...
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Add to cartWhen do *advanced directives* go into effect? - when person is *unable to speak for 
him/herself* due to either: 
1. *Mental Incapacity* - *coma *(GCS score ≤ 7) 
2. *Aphasia* 
(≠as soon as signed; directives can always be changed later by person) 
SBAR Communication Framekwork Components - 1. *...
1. The nurse hears a client calling out for help, hurries down the hallway to the client's room, and 
finds the client lying on the floor. The nurse performs an assessment, assists the client back to 
bed, notifies the health care provider of the incident, and completes an incident report. Which 
s...
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Add to cart1. The nurse hears a client calling out for help, hurries down the hallway to the client's room, and 
finds the client lying on the floor. The nurse performs an assessment, assists the client back to 
bed, notifies the health care provider of the incident, and completes an incident report. Which 
s...
The nurse is taking the health history of a patient being treated for Emphysema and Chronic 
Bronchitis. After being told the patient has been smoking cigarettes for 30 years, the nurse 
expects to note which assessment finding? 
1. Increase in Forced Vital Capacity (FVC) 
2. A narrowed chest cavity...
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Add to cartThe nurse is taking the health history of a patient being treated for Emphysema and Chronic 
Bronchitis. After being told the patient has been smoking cigarettes for 30 years, the nurse 
expects to note which assessment finding? 
1. Increase in Forced Vital Capacity (FVC) 
2. A narrowed chest cavity...
after listening to the parents reports and seeing the following pediatric clients, the nurse knows 
that which clent demonstrates signs of abuse that may need reporting 
1. 1 year old with dyspnea, drooling, and a swollen tongue after eating part of houseplant 
2. 2 year old who is crying and has la...
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Add to cartafter listening to the parents reports and seeing the following pediatric clients, the nurse knows 
that which clent demonstrates signs of abuse that may need reporting 
1. 1 year old with dyspnea, drooling, and a swollen tongue after eating part of houseplant 
2. 2 year old who is crying and has la...
The nurse on a locked psychiatric unit is administering morning medications to a patient with 
schizophrenia. The patient refuses and says, "I'm not going to take that!" What is the nurse's 
BEST response? 
1. "You have the right to refuse this medication, but the doctor may get a second opinio...
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Add to cartThe nurse on a locked psychiatric unit is administering morning medications to a patient with 
schizophrenia. The patient refuses and says, "I'm not going to take that!" What is the nurse's 
BEST response? 
1. "You have the right to refuse this medication, but the doctor may get a second opinio...
A registered nurse arrives at work and is told to "float" to the ICU for the day because the ICU is 
understaffed and needs an additional nurse to care for the clients. The nurse has never worked in the 
ICU. Which of the following is the most appropriate nursing action? 
A. refuse to float in the...
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Add to cartA registered nurse arrives at work and is told to "float" to the ICU for the day because the ICU is 
understaffed and needs an additional nurse to care for the clients. The nurse has never worked in the 
ICU. Which of the following is the most appropriate nursing action? 
A. refuse to float in the...
A nurse informs the patient's health care provider that the patient is refusing potentially life saving 
surgery. In this situation, which ethical principle is the nurse using? 
Beneficence 
Nonmaleficence 
Autonomy 
Justice - Autonomy 
Using the principle of autonomy allows individuals to have the...
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Add to cartA nurse informs the patient's health care provider that the patient is refusing potentially life saving 
surgery. In this situation, which ethical principle is the nurse using? 
Beneficence 
Nonmaleficence 
Autonomy 
Justice - Autonomy 
Using the principle of autonomy allows individuals to have the...
Which of the following are examples of medical battery? Select all that apply. 
1. A child is placed in a papoose restraint for suturing of a facial laceration with the parent present 
2. Application of soft wrist restraints to the arms of a confused, adult client with a NG tube 
3. The nurse admini...
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Add to cartWhich of the following are examples of medical battery? Select all that apply. 
1. A child is placed in a papoose restraint for suturing of a facial laceration with the parent present 
2. Application of soft wrist restraints to the arms of a confused, adult client with a NG tube 
3. The nurse admini...
Which would the nurse Not list as a purpose of the nursing code of ethics when discussing it with a 
group of new employees? 
1. Reminding nurses of the special responsibility they assume when caring for the sick 
2. Guiding the profession in self-regulation 
3. Providing solutions for specific ethi...
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Add to cartWhich would the nurse Not list as a purpose of the nursing code of ethics when discussing it with a 
group of new employees? 
1. Reminding nurses of the special responsibility they assume when caring for the sick 
2. Guiding the profession in self-regulation 
3. Providing solutions for specific ethi...
Low-residue diet - Dairy products & eggs, such as custard and yogurt 
(Rat) A low-residue diet consists of foods that are low in fiber and are easy to digest such as eggs, 
custard, yogurt and ripe bananas - NOTE Legumes such as lentils and black beans are high in fiber and 
are not considered low i...
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Add to cartLow-residue diet - Dairy products & eggs, such as custard and yogurt 
(Rat) A low-residue diet consists of foods that are low in fiber and are easy to digest such as eggs, 
custard, yogurt and ripe bananas - NOTE Legumes such as lentils and black beans are high in fiber and 
are not considered low i...
The nurse teaches the client that the major difference between angina and pain associated with 
myocardial infarction (MI) is that: 
A) Angina is relieved with nitroglycerin and rest. 
B) Angina can be fatal. 
C) MI pain always radiates to the left arm or jaw. 
D) MI pain cannot be treated. - A) Ang...
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Add to cartThe nurse teaches the client that the major difference between angina and pain associated with 
myocardial infarction (MI) is that: 
A) Angina is relieved with nitroglycerin and rest. 
B) Angina can be fatal. 
C) MI pain always radiates to the left arm or jaw. 
D) MI pain cannot be treated. - A) Ang...
It will be most important for the nurse to check pulse oximetry for which of these patients? 
a. A patient with emphysema and a respiratory rate of 16 
b. A patient with massive obesity who is refusing to get out of bed 
c. A patient with pneumonia who has just been admitted to the unit 
d. A patien...
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Add to cartIt will be most important for the nurse to check pulse oximetry for which of these patients? 
a. A patient with emphysema and a respiratory rate of 16 
b. A patient with massive obesity who is refusing to get out of bed 
c. A patient with pneumonia who has just been admitted to the unit 
d. A patien...
For a patient prescribed hydrochlorothiazide (HydroDIURIL), the nurse should closely monitor 
which laboratory test value? 
A. Sodium 
B. Glucose 
C. Calcium 
D. Chloride - B. Glucose Correct 
Thiazide and thiazide-like diuretics are associated with adverse metabolic effects of 
hyperglycemia; there...
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Add to cartFor a patient prescribed hydrochlorothiazide (HydroDIURIL), the nurse should closely monitor 
which laboratory test value? 
A. Sodium 
B. Glucose 
C. Calcium 
D. Chloride - B. Glucose Correct 
Thiazide and thiazide-like diuretics are associated with adverse metabolic effects of 
hyperglycemia; there...
A 73-year-old patient who sustained a right hip fracture in a fall requests pain medication from 
the nurse. Based on his injury, which type of pain is this patient most likely experiencing? 
1) Phantom 
2) Visceral 
3) Deep somatic 
4) Referred - Answer: 
3) Deep somatic 
Rationale: 
Deep somatic p...
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Add to cartA 73-year-old patient who sustained a right hip fracture in a fall requests pain medication from 
the nurse. Based on his injury, which type of pain is this patient most likely experiencing? 
1) Phantom 
2) Visceral 
3) Deep somatic 
4) Referred - Answer: 
3) Deep somatic 
Rationale: 
Deep somatic p...
1.The nurse is monitoring a client who is receiving oxytocin (Pitocin) to induce labor. The nurse 
should be prepared for which maternal adverse reactions? 
Select all that apply: 
1. Hypertension 
2. Jaundice 
3. Dehydration 
4. Fluid overload 
5. Uterine tetany 
6. Bradycardia - 1, 4, 5 
2. A clie...
Preview 3 out of 18 pages
Add to cart1.The nurse is monitoring a client who is receiving oxytocin (Pitocin) to induce labor. The nurse 
should be prepared for which maternal adverse reactions? 
Select all that apply: 
1. Hypertension 
2. Jaundice 
3. Dehydration 
4. Fluid overload 
5. Uterine tetany 
6. Bradycardia - 1, 4, 5 
2. A clie...
The nurse is preparing a teaching plan for a client who is undergoing cataract extraction with 
intraocular 
implant. Which home care measures will the nurse include in the plan? Select all that apply. 
1. To avoid activities that require bending over 
2. To contact the surgeon if eye scratchiness o...
Preview 4 out of 41 pages
Add to cartThe nurse is preparing a teaching plan for a client who is undergoing cataract extraction with 
intraocular 
implant. Which home care measures will the nurse include in the plan? Select all that apply. 
1. To avoid activities that require bending over 
2. To contact the surgeon if eye scratchiness o...
1. A patient is admitted to the same day surgery unit for liver biopsy. Which of the following 
laboratory tests assesses coagulation? Select all that apply. 
1. Partial thromboplastin time. 
2. Prothrombin time. 
3. Platelet count. 
4. Hemoglobin 
5. Complete Blood Count 
6. White Blood Cell Count ...
Preview 4 out of 43 pages
Add to cart1. A patient is admitted to the same day surgery unit for liver biopsy. Which of the following 
laboratory tests assesses coagulation? Select all that apply. 
1. Partial thromboplastin time. 
2. Prothrombin time. 
3. Platelet count. 
4. Hemoglobin 
5. Complete Blood Count 
6. White Blood Cell Count ...
A LPN complains to the charge nurse that an unlicensed assistive person (UAP) consistently 
leaves the work area untidy and does not restock supplies. What is the best initial response by the 
charge nurse? 
1Write down potential solutions to the problems today by shift's end 
2Add this concern to ...
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Add to cartA LPN complains to the charge nurse that an unlicensed assistive person (UAP) consistently 
leaves the work area untidy and does not restock supplies. What is the best initial response by the 
charge nurse? 
1Write down potential solutions to the problems today by shift's end 
2Add this concern to ...
When selecting an NCLEX answer or determining the order of priority what should you 
remember or use and what is the exception? - Use the ABC rule: Airway breathing, and 
circulation. The exception to the rule is with actual CPR, use C-A-B for CPR. Also remember 
safety first and acute before chroni...
Preview 3 out of 30 pages
Add to cartWhen selecting an NCLEX answer or determining the order of priority what should you 
remember or use and what is the exception? - Use the ABC rule: Airway breathing, and 
circulation. The exception to the rule is with actual CPR, use C-A-B for CPR. Also remember 
safety first and acute before chroni...
A nurse is providing care based on Maslow's hierarchy of basic human needs. For which nursing 
activities is this approach useful? 
a. Making accurate nursing diagnoses 
b. Establishing priorities of care 
c. Communicating concerns more concisely 
d. Integrating science into nursing care - b. Maslo...
Preview 3 out of 23 pages
Add to cartA nurse is providing care based on Maslow's hierarchy of basic human needs. For which nursing 
activities is this approach useful? 
a. Making accurate nursing diagnoses 
b. Establishing priorities of care 
c. Communicating concerns more concisely 
d. Integrating science into nursing care - b. Maslo...
A client has a continuously running peripheral infusion. The physician orders an antibiotic as a 
piggyback infusion four times per day. In order to administer the antibiotic, the nurse should do 
which of the following? Select all that apply. 
1. Avoid compatibility issues by starting an additional...
Preview 4 out of 35 pages
Add to cartA client has a continuously running peripheral infusion. The physician orders an antibiotic as a 
piggyback infusion four times per day. In order to administer the antibiotic, the nurse should do 
which of the following? Select all that apply. 
1. Avoid compatibility issues by starting an additional...
which of the following interventions are a priority during exacerbation of left sided HF - 
high fowlers, O2, diuretics 
The nurse is preparing a pt to be discharged after a diagnosis of HF. which statement shows an 
appropriated understanding of nurses teachin - -I will call doc if I gain more than...
Preview 3 out of 30 pages
Add to cartwhich of the following interventions are a priority during exacerbation of left sided HF - 
high fowlers, O2, diuretics 
The nurse is preparing a pt to be discharged after a diagnosis of HF. which statement shows an 
appropriated understanding of nurses teachin - -I will call doc if I gain more than...
Prep U Chapter 63 Eye & Vision 
Disorders Med-Surg, Extra Eye 
Questions NUR 170: M3 Eye disorders 
NCLEX practice exam, NCLEX Eye 
Disorders, NCLEX cataract & glaucoma 
Which of the following terms refers to the absence of the natural lens? 
A)Aphakia 
B)Scotoma 
C)Keratoconus 
D)Hyphema - A)Aphaki...
Preview 4 out of 61 pages
Add to cartPrep U Chapter 63 Eye & Vision 
Disorders Med-Surg, Extra Eye 
Questions NUR 170: M3 Eye disorders 
NCLEX practice exam, NCLEX Eye 
Disorders, NCLEX cataract & glaucoma 
Which of the following terms refers to the absence of the natural lens? 
A)Aphakia 
B)Scotoma 
C)Keratoconus 
D)Hyphema - A)Aphaki...
A nurse is caring for a client who ingested a toxic amount of acetaminophen 36 hr ago. For 
which of the following findings should the nurse monitor? Select all that apply 
a. elevated troponin level 
b. diaphoresis 
c. hyperglycemia 
d. abdominal discomfort 
e. increased alanine aminotransferase (A...
Preview 4 out of 31 pages
Add to cartA nurse is caring for a client who ingested a toxic amount of acetaminophen 36 hr ago. For 
which of the following findings should the nurse monitor? Select all that apply 
a. elevated troponin level 
b. diaphoresis 
c. hyperglycemia 
d. abdominal discomfort 
e. increased alanine aminotransferase (A...
The nurse explains to the patient with gastroesophageal reflux disease that this disorder: 
A. results in acid erosion and ulceration of the esophagus caused by frequent vomiting, 
B. will require surgical wrapping or repair of the pyloric sphincter to control the symptoms, 
C. is the protrusion of ...
Preview 3 out of 17 pages
Add to cartThe nurse explains to the patient with gastroesophageal reflux disease that this disorder: 
A. results in acid erosion and ulceration of the esophagus caused by frequent vomiting, 
B. will require surgical wrapping or repair of the pyloric sphincter to control the symptoms, 
C. is the protrusion of ...
1. The male client tells the nurse he has been experiencing "heartburn" at night that awakens 
him. Which assessment question should the nurse ask? 
1. "How much weight have you gained recently?" 
2. "What have you done to alleviate your heartburn?" 
3. "Do you consume many milk and dairy pro...
Preview 1 out of 4 pages
Add to cart1. The male client tells the nurse he has been experiencing "heartburn" at night that awakens 
him. Which assessment question should the nurse ask? 
1. "How much weight have you gained recently?" 
2. "What have you done to alleviate your heartburn?" 
3. "Do you consume many milk and dairy pro...
The nurse is performing an assessment on an older client who is having difficulty sleeping at 
night. Which statement by the client indicates the need for further teaching regarding measures 
to improve sleep? 
a) "I swim three times a week." 
b) "I have stopped smoking cigars." 
c) "I drink ho...
Preview 2 out of 14 pages
Add to cartThe nurse is performing an assessment on an older client who is having difficulty sleeping at 
night. Which statement by the client indicates the need for further teaching regarding measures 
to improve sleep? 
a) "I swim three times a week." 
b) "I have stopped smoking cigars." 
c) "I drink ho...
1. To determine the severity of the symptoms for a patient with benign prostatic hyperplasia 
(BPH), the nurse will ask the patient about 
a. the presence of blood in the urine. 
b. any erectile dysfunction (ED). 
c. occurrence of a weak urinary stream. 
d. lower back and hip pain. - Answer: C 
Rati...
Preview 2 out of 9 pages
Add to cart1. To determine the severity of the symptoms for a patient with benign prostatic hyperplasia 
(BPH), the nurse will ask the patient about 
a. the presence of blood in the urine. 
b. any erectile dysfunction (ED). 
c. occurrence of a weak urinary stream. 
d. lower back and hip pain. - Answer: C 
Rati...
Which of these conditions may cause the fetal heart rate to be lower during labor? (Choose all 
that apply.) 
A. Stimulation of the sympathetic nervous system 
B. Stimulation of the baroreceptors, which in turn stimulates the vagus nerve 
C. Prolonged hypoxia, hypercapnia, and acidosis 
D. Stimulati...
Preview 4 out of 115 pages
Add to cartWhich of these conditions may cause the fetal heart rate to be lower during labor? (Choose all 
that apply.) 
A. Stimulation of the sympathetic nervous system 
B. Stimulation of the baroreceptors, which in turn stimulates the vagus nerve 
C. Prolonged hypoxia, hypercapnia, and acidosis 
D. Stimulati...
The nurse notes the presence of a P wave, QRS complex, flattened T waves, and occasional U 
waves on a client's cardiac monitor screen. Fill in the correct missing information by choosing 
from the lists of options in the drop-down menus. 
- The nurse should suspect 
Your Answer: hypokalemiaCorrect...
Preview 4 out of 33 pages
Add to cartThe nurse notes the presence of a P wave, QRS complex, flattened T waves, and occasional U 
waves on a client's cardiac monitor screen. Fill in the correct missing information by choosing 
from the lists of options in the drop-down menus. 
- The nurse should suspect 
Your Answer: hypokalemiaCorrect...
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