The nurse is caring for a female client who is having an acute myocardial infarction. Which of the following symptoms is specific to females who are experiencing an MI?

The nurse is caring for a client following an acute episode of a myocardial infarction. Which of the following nursing interventions are appropriate in caring for this client? Select all that apply.

A client in the cardiac ICU had a myocardial infarction. The client does not have an advance directive. What are potential reasons for noncompletion of advance directives? Select all that apply.

A client with suspected myocardial infarction is triaged in the emergency department. Upon review of the EKG, the nurse would expect which of the following findings consistent with the suspected condition?

The nurse is caring for a client who suffered a myocardial infarction. Which of the following is NOT a complication due to an MI?

A 44-year-old client is recovering in the hospital following a myocardial infarction. The client asks the nurse about participation in cardiac rehabilitation. Which of the following is an accurate explanation of cardiac rehabilitation?

A nurse is providing instructions to a pregnant client who also has a diagnosis of heart failure. What should be included in those instructions?

The nurse caring for a newborn diagnosed with a ventricular septal defect knows that which of the following are common symptoms of heart failure in infants? Select all that apply

The nurse is caring for a client with worsening congestive heart failure. Which of the following are expected findings in a client with this condition? Select all that apply.

The nurse is caring for a client who was admitted with shortness of breath and has a new diagnosis of heart failure. Which of the following labs indicate that the client is suffering from severe heart failure?

The nurse is caring for a client with hypokalemia, heart failure, and 3+ pitting edema in the lower extremities. Which of the following medications would the nurse anticipate giving to this client?

The nurse is caring for a client with a history of congestive heart failure (CHF). While reviewing his medications with the nurse, the client asks for help identifying which medication is for CHF. The nurse knows that which of the following medication is used to treat this condition?

A nurse is caring for a client with heart failure. During the shift assessment the nurse notes that the client has pitting edema, shortness of breath, and which heart sound?

A client presents to the ER bleeding profusely from a gunshot wound. The client is in hypovolemic shock and needs a rapid transfusion. What does the nurse anticipate to replace blood volume after starting the IV?

A nurse who is going home at the end of the shift is giving report to the oncoming nurse. The report is on a 53-year-old client who is being treated for hypovolemic shock secondary to chronic vomiting and diarrhea. Which information should the nurse present first during this client handoff?

A client who has been injured in a construction accident is bleeding profusely from a femoral artery laceration. The nurse estimates that the client has lost 700 mL of blood. The client has the following vital signs: HR 98 bpm, BP 100/70 mmHg, RR 20/min. In which class of hypovolemic shock would this client be classified?

A nurse is measuring systemic vascular resistance for a client with hypovolemic shock. The client has a central catheter and his mean arterial pressure (MAP) is 100 mmHg. His central venous pressure is 0 mmHg and his cardiac output is 8.0 L/min. Calculate this client’s systemic vascular resistance (SVR).

A nurse is caring for a 35-year-old client who has been diagnosed with hypovolemic shock as a result of severe hemorrhage. In which position should the nurse place this client to promote optimal circulation?

The nurse is caring for a client with endocarditis. The nurse knows this is dangerous for which of the following reasons?

The nurse is caring for a client with a history of endocarditis who reports difficulty breathing and the feeling of an elephant is sitting on the chest. What is the nurse’s first priority?

A nurse is caring for a 49-year-old client who is recovering from valve replacement surgery. Three days after the surgery, the nurse suspects that the client has developed infective endocarditis. Which of the following signs or symptoms would indicate that this condition has developed in the client?

A nurse in the ICU is caring for a client who is experiencing cardiogenic shock secondary to endocarditis. The provider has just left new orders for the care of this client. Which of the following orders would the nurse most likely see in this client’s chart?

The nurse is reviewing a medication reconciliation and notes that the client is taking enalapril. Which of the following medication would the nurse tell the client to avoid?

A client is scheduled to have a transesophageal echocardiogram (TEE). Which of the following is an incorrect understanding by the client about the procedure?

The nurse is preparing to administer aspirin to a client. Which of the following conditions in the client’s health history would concern the nurse?

The nurse is caring for a client who has +3 pitting edema in the legs and a potassium level of 2.3 mEq/L. The nurse expects which of the following diuretics to be ordered?

A student nurse is explaining premature atrial contraction (PAC) to his class and would be correct by saying which of the following about where a PAC is produced?

A nurse is assessing a client. Which of the following signs and symptoms would indicate that the client is in cardiogenic shock? Select all that apply.

Which of the following conditions put a client at risk for cardiogenic shock? Select all that apply.

A nurse is caring for a client who is being treated for acute myocardial infarction. The nurse knows that some clients with acute MI go on to develop cardiogenic shock, which can be fatal. Based on the nurse’s understanding of this condition, the nurse knows to look for which of the following signs of cardiogenic shock?

Cardiogenic shock usually occurs from which of the following conditions?

A nurse is caring for a client who has developed cardiogenic shock after developing heart failure. The nurse enters the client’s room and finds that the client has an altered level of consciousness, jugular venous distention, and a heart rate of 122 bpm. Which of the following interventions would be a priority for the nurse to perform first?

The nurse is caring for a client with an acute kidney injury. Which of the following dietary recommendations is inappropriate at this time?

A nurse is caring for an adult client who has put out less than 15 mL per hour of urine for the last 6 hours. The nurse knows that this is which phase of acute kidney injury?

The nurse is caring for a client who has suffered an acute kidney injury. Which of the following nursing interventions are appropriate? Select all that apply.

The nurse is assigned to a client with an acute kidney injury. The nurse understands that hemodialysis will become necessary when which of the following signs or symptoms are demonstrated?

The nurse is providing discharge teaching to a client with inflammatory bowel disease (IBD). Which of the following is appropriate to include?

A student is studying inflammatory bowel disease (IBD) and correctly understands that which of the following are characteristics of Crohn’s disease? Select all that apply.

A nurse is caring for a client with cirrhosis. Which of the following lab values would the nurse NOT expect to see with this disease process?

A 63-year-old client with cirrhosis is telling the nurse about his extreme fatigue that he must work around every day. Which intervention could the nurse suggest that would best help in this situation?

A nurse is caring for a client who just had a liver biopsy due to a history of cirrhosis. Which of the following is a priority nursing intervention for this client?

A nurse is caring for a client that has been diagnosed with cirrhosis. Which of the following assessment findings is NOT consistent with this diagnosis?

A nurse is caring for a client being tested for cirrhosis. Which lab panel does the nurse anticipate will be ordered for this client?

The nurse is caring for a client who has cirrhosis of the liver. Which assessment finding is NOT consistent with this diagnosis?

A nurse is providing dietary discharge teaching to a client who has been diagnosed with cirrhosis who has had an elevated ammonia level. Which of the following statements by the client demonstrate that more education is required?

The nurse is reviewing orders on a newly admitted client who has cirrhosis of the liver with various complications. Which of the following orders would the nurse question?

A 63-year-old patient with hepatitis C needs assistance with making food choices. The nurse should counsel the patient to restrict which type of food?

A client has liver failure and is experiencing increased levels of ammonia. The nurse anticipates an order for which of the following medication?

The nurse is caring for a client in liver failure with ascites. The nurse correctly understands that the ascites is due to which of the following?

A client has an aPTT of 54 seconds. The nurse recognizes this to be related to the failure of which of the following?

A client is undergoing a liver biopsy for complications of hepatitis. Following the procedure, the nurse positions the client on their right side and tells the client to lie in that position for two hours. Which best describes the rationale for this?

A client comes into the emergency department with elevated bun and creatinine levels and on the nurse’s assessment the client has weak pulses and a small amount of concentrated urine. The clients vitals are the following: Blood pressure 86/68 Heart rate 118 Respirations 18 Temperature 98.9F The nurse knows that which of the following orders should be implemented first?

The nurse is caring for a client who has suffered an acute kidney injury. Which of the following nursing interventions are appropriate? Select all that apply.

The client has a sudden onset of decreased urine output, proteinuria, increased serum BUN, and increased creatinine. What are some potential causes? Select all that apply.

The nurse is assigned to a client with an acute kidney injury. The nurse understands that hemodialysis will become necessary when which of the following signs or symptoms are demonstrated?

A nurse is caring for an adult client who has put out less than 15 mL per hour of urine for the last 6 hours. The nurse knows that this is which phase of acute kidney injury?

The nurse is caring for a client with an acute kidney injury. Which of the following dietary recommendations is inappropriate at this time?

A client who just learned she has an ectopic pregnancy in her fallopian tube wants to know if she can continue with the pregnancy. What is the best response by the nurse?

A nurse is caring for a client who will undergo medical management for an ectopic pregnancy. Which treatment would the nurse anticipate?

A nurse is caring for a client post-op for removal of an ectopic pregnancy. The client has A- blood type and reports receiving Rhogam with her last pregnancy. She asks if she needs to receive it again. What is the best response by the nurse?

A 31-year-old client is brought in to the emergency room after suffering an ectopic pregnancy. Based on the nurse’s understanding of this condition, the nurse knows to look for which signs or symptoms in this client? Select all that apply.

A nurse is educating clients on the symptoms of ectopic pregnancy. Which of the following symptoms should be included in the education? Select all that apply.

A nurse is assessing a postpartum client who has a platelet count of 47,000 uL, D-dimer of 0.59 and a PT of 3 seconds. What findings would the nurse expect to assess?

A nurse is caring for a postpartum client with disseminated intravascular coagulation. The client’s family wants to understand what this means. What is the best response by the nurse?

The nurse is caring for a client who has been diagnosed with disseminated herpes zoster. Which of the following precautions should be implemented?

A nurse is assessing a client and asking about symptoms. The nurse knows that which of the following symptoms would lead the nurse to suspect disseminated gonococcal infection (DGI)?

The nurse is caring for a client who is 32 weeks pregnant and diagnosed with disseminated intravascular coagulation. Which of the following lab values does not support the client’s diagnosis?

The nurse is caring for a client with disseminated intravascular coagulopathy. Which lab would the nurse expect to be abnormal?

A nurse is assessing multiple postpartum clients for the risk of Disseminated Intravascular Coagulation. Which client is at the highest risk?

A nurse is assessing 4 postpartum clients. Which of the following clients is the most concerning?

A nurse is teaching a nursing student about risk factors for postpartum hemorrhage. Teaching has been understood if the student identifies the most common cause of postpartum hemorrhage as which of the following?

A nurse is educating a postpartum client after a diagnosis of mastitis. Which statement by the client indicates the need for further education?

The parents of a newborn are asking what the APGAR score is used for. Which is the best response by the nurse?

A nurse notes trickling of blood with every postpartum exam since a vaginal delivery, but on assessment, the client’s fundus is firm. Based on these findings, the nurse knows that which of the following is the most likely cause?

A baby is born and at 1 minute the baby has blue hands and feet, is actively crying and moving his extremities. The heart rate is 110 and he is pulling away to stimulus. What is the APGAR score?

The nurse is caring for a postpartum client who delivered three hours ago. The nurse assesses the client and notes that she has a boggy uterus. Which of the following is the priority action for the nurse?

A nurse is assessing a postpartum client one hour after delivery. Findings include a moderate amount of lochia, fundus is U+1, legs are swollen, ice to perineum, and pain is rated a 5/10. Which of the above findings is most concerning?

The nurse is assessing a client in the emergency department who states, “I have COPD and usually require 2L of oxygen. I was eating yesterday and choked on a piece of ham and have been coughing ever since, like it’s stuck in my throat. Now I feel like I have been needing more oxygen, so I have turned my tank up to 5L.” Which part of this statement is priority and needs to be immediately investigated?

The nurse is completing a home visit for a client diagnosed with chronic obstructive pulmonary disease (COPD). The nurse understands that which of the following environmental factors could have contributed to this diagnosis?

A nurse is reviewing the principles of COPD management with a client. Which of the following suggestions would most likely support the health of the client with COPD?

The nurse knows that which of the following are risk factors for chronic obstructive pulmonary disease (COPD)? Select all that apply.

The nurse is caring for a client with COPD who is admitted with pneumonia. Which of the following nursing considerations is most appropriate for this client?

The nurse preceptor asks the student about types of chronic obstructive pulmonary disease. The nursing student correctly names which of the following as types of COPD? Select all that apply.

A client with COPD has developed malnutrition and weight loss since his diagnosis 8 years ago. Which describes the most likely reason why a COPD client is at higher risk of malnutrition?

A 92-year-old client with a history of smoking and COPD is found to have developed prostate cancer. The cancer is localized. The nurse knows that prostate cancer in this type of client will most likely be treated in which of the following ways?

The client admitted with COPD and history of congestive heart failure (CHF) complains of shortness of breath. Crackles are heard in the lungs. Blood pressure is154/74, HR 67, Respirations 24, Temperature 99.1F, Pulse oximeter 86% on room air. Which of the following orders is NOT a priority at this time?

The nurse is caring for a client with a COPD exacerbation who is on 2L 02 via nasal cannula. The most recent arterial blood gas (ABG) result is: PaO2 of 85% and PaCO2 of 52. What is the appropriate nursing action?

The nurse receives report on a client who presented to the emergency department the day before following a near-drowning incident. Upon presentation to the ED, the emergency responders stated that the client’s oxygen needs increased from 6 LPM to 8 LPM on a simple face mask while en-route. The client is now at 12 LPM. Based on this information, which of the following findings will most likely lead the nurse to suspect ARDS?

A nurse is caring for a client with ARDS. Which of the following clinical indicators would signify that this client is in respiratory failure? Select all that apply.

A 25-year-old client in the ICU is being treated for acute respiratory distress syndrome (ARDS). The client is on a ventilator and requires 80 percent FiO2. Which information would the nurse most likely need to report about the client to the respiratory therapist assigned to this case?

A student nurse is discussing ARDS with the preceptor and correctly describes the progression of ARDS as which of the following?

The nurse enters a client’s room to find that the client has pulled out her chest tube. Which of the following actions by the nurse is most appropriate?

A nurse has just received report on 4 clients who all have chest tubes in place. Which client is the priority to see first?

The nurse is caring for a client with a chest tube. While assessing the tubing, the nurse notes a clot in the tubing. What action is appropriate in order to remove the clot from the tubing?

The provider writes an order for a client to have a chest tube removed. Which of the following are appropriate reasons to discontinue a chest tube? Select all that apply.

If a pneumothorax is present and the client has a chest tube, what type of bubbling would be expected in the water chamber?

A nurse is assisting a provider with the removal of a chest tube. Which of the following nursing interventions is the priority once the provider removes the tube from the chest?

The nurse is assigned to a client with tuberculosis who begins to experience a seizure. Which of the following is a potential reason for this?

A nurse is providing discharge education to a client who was diagnosed with tuberculosis 2 months ago. Which of the following client statements indicates more teaching is necessary?

The nurse is assigned to a client who is beginning drug treatment for tuberculosis. Which of the following statements by the nurse is correct regarding this condition?

The nurse is caring for a client with tuberculosis and is giving report to the oncoming nurse. Which of the following statements is most appropriate?

A client undergoing treatment for tuberculosis presents to the emergency department complaining of red-tinged discharge from the eyes. Which of the following actions is most appropriate for the nurse to take?

A nurse is working with a new staff member who has just been hired as a nurse on the surgical unit. A client has been brought in for care who has an infection with tuberculosis. The nurse instructs the new staff nurse that the client needs airborne precautions. Which is the correct action for this type of precaution that the nurse would observe in the new staff member?

The nurse is caring for an older adult client who is prescribed IV cefazolin for pneumonia. Which of the following labs will be most important for the nurse to monitor due to the client’s age?

The nurse is admitting a client with pneumonia. The client’s ABCs are intact. Which is the priority for this client?

The nurse is caring for a client with COPD who is admitted with pneumonia. Which of the following nursing considerations is most appropriate for this client?

A nurse is admitting a client with pneumonia. Which of the following orders should be implemented first?

The nurse is caring for a client whose chest x-ray shows pneumonia. The provider has placed the following orders: vancomycin IV, piperacillin/tazobactam IV, blood and sputum cultures, vitals now and every 4 hours. Which order needs to be completed first?

The nurse caring for a client with pneumonia notes an order for “turn, cough and deep breathe”. Which of the following is a desired outcome of this intervention?

A provider orders a CBC for a male client who has been admitted to the hospital for pneumonia. Which of the following results would be considered abnormal on the CBC? Select all that apply.

A 12-year-old with autism spectrum disorder has just been admitted with possible appendicitis. Which of the following nursing interventions would be most appropriate for helping the child cope with the stress associated with hospitalization? Select all that apply.

Which of the following would be appropriate nursing interventions for a child with appendicitis? Select all that apply.

A five-year-old child has been admitted to the hospital with appendicitis. Which statement made by the nurse would be appropriate to include when explaining the procedure to someone of this age?

An 8 year-old is being admitted for possible appendicitis. Which assignment findings are expected with this diagnosis? Select all that apply.

An adolescent girl is admitted to the hospital for appendicitis. The nurse notes that the client is uncomfortable changing into a gown and does not want to remove her clothing. The nurse recognizes that an increase in reproductive hormones causes which of the following characteristics in adolescent girls?

A nursing caring for an eight-year-old with appendicitis knows that the most intense area of pain may be at McBurney’s point, which is located where on the abdomen?

The parent has brought a two-year-old to the clinic due to concerns of a lingering fever and an increasing amount of bruising. The nurse knows to expect which of the following diagnostic tests to be ordered first?

A client presents to the nurse with persistent fever, and after performing an echocardiogram, vegetations are observed during the procedure. The nurse knows the client will then be diagnosed with which of the following?

A 3-year-old child presents to the emergency department with lethargy. The nurse obtains vital signs. Which of the following is NOT considered a fever?

The nurse is caring for a 5-day-old infant admitted with a fever. Which of the following nursing actions demonstrate that the nurse understands the psychosocial development of an infant? Select all that apply.

The nurse is providing education to the parents of a 10-year-old who has been diagnosed with the flu and is experiencing high temperatures. The nurse knows to include which of the following in teaching regarding how to treat the fever? Select all that apply.

A child has presented to the emergency room in the nurses care, with the following symptoms; fever, swollen parotid glands and jaw pain when chewing. The nurse caring for this client knows that these symptoms are often associated with which of the following diagnosis?

A child with an infection develops a fever. The nurse caring for the child knows that which part of the brain allows the higher temperature in response to the infection?

A nurse is preparing medications for a 3 year old client with varicella. Which medication would the nurse expect to administer?

The parent of a 9-month-old asks when their child will be able to receive the vaccine for chickenpox and the nurse accurately answers that the varicella vaccine is given at which of the following times?

The nurse is instructing the client and the family about how to prevent transmission of varicella zoster while in the hospital. Which instructions should the nurse provide? Select all that apply.

The nurse is caring for a 7-year-old child with asthma. The nurse should identify which of the following as being the most concerning behavior exhibited by the child??

The nurse obtains a set of vital signs on a client with asthma. Results are: respirations 22, pulse 95, oxygen saturation 84% on 6 liters nasal cannula, blood pressure 130/85. Which of the following actions should the nurse perform next?

The nurse is caring for a client with asthma who must receive regular breathing treatments. Which of the following are adverse drug reactions for bronchodilators? Select all that apply.

A nurse is working in the ED and has just received a client with an asthma exacerbation. Which of the following positions would be the most conducive to effective gas exchange for this client?

A nurse is caring for a client with asthma and knows which drug could cause bronchospasms for the client?

The nurse providing care to a 10-year-old that presented to the ER with an asthma exacerbation knows to be most concerned by which of the following assessment findings?

A client with asthma has started a new prescription for albuterol (Proventil HFA). What side effects are associated with use of this drug? Select all that apply.

A client presents to the emergency department. The client informs the nurse that he has asthma and states “I can’t breathe”. The nurse auscultates the client’s lungs and hears wheezing during inspiration. Which of the following medications does the nurse anticipate giving this client?

A nurse demonstrates how to use a metered-dose inhaler to a client with asthma. Which of the following elements should the nurse include as part of this teaching? Select all that apply.

Which of the following are risk factors for asthma exacerbation? Select all that apply.

A nurse is caring for a client who has experienced a head injury. The nurse calculates his cerebral perfusion pressure and notes that it is 50 mmHg. Which intervention demonstrates the most appropriate response in this situation?

A client with a head injury has an intracranial pressure monitor in place. The nurse is monitoring the cerebral perfusion pressure (CPP). Which interventions would the nurse employ while monitoring this client’s CPP? Select all that apply.

A nurse is caring for a 28-year-old pregnant client with a history of renal disease. The client has developed posterior reversible encephalopathy syndrome (PRES). Based on this diagnosis, which symptom would the nurse most likely expect to see?

A nurse is caring for a client who has developed Wernicke’s encephalopathy as a result of chronic alcohol abuse. Based on the nurse’s knowledge of this condition, the nurse understands that it most commonly occurs because of a deficiency in which of the following vitamins?

The nurse is caring for a client who has been admitted for a stroke. Vital signs and neurological exams have been stable. The client has a follow-up CT scan of the head for tomorrow, orders to see PT/OT, a diet order, and sequential compression devices to be placed. The client has also requested a glass of water. What is the nurse’s priority at this time?

A client presents to the emergency department with symptoms of a stroke. The nurse prepares the client for a CT of the head. What is the reason for a head CT?

The nurse is working in the emergency department with a client who presented with stroke-like symptoms. A non-contrast head CT was performed and was negative for hemorrhagic stroke. The provider wants tissue plasminogen-activase administered, and has placed the following orders. Which of the following orders must be completed first?

A client is being admitted to the intensive care unit following an acute ischemic stroke. The nurse has an order to administer clopidogrel. The nurse knows that in addition to preventing recurrent strokes, which of the following conditions indicate this type of medication?

A nurse is becoming certified in stroke care. The nurse understands that in the “FAST” mnemonic for stroke, the “F” stands for which of the following?

A nurse is reviewing the mnemonic for stroke, which is “FAST”. The nurse remembers the “A” standing for which of the following?

A nurse is caring for two clients that have been admitted to the unit with a hemorrhagic stroke. The nurse assistant gives the the following vitals for the two clients. Which of the following abnormal vital signs is the most concerning?

The most appropriate prevention against spinal cord injury is which of the following actions?

A nurse is caring for a client with a spinal cord injury sustained 5 years ago. The clients’ level of injury is outlined in the image. Which of the following findings in this client would the nurse NOT expect to see?

A nurse has gathered an interdisciplinary team to work together to coordinate care for a client with a spinal cord injury. Which best describes the nurse’s role in collaborating with other members of the team to provide care for this client?

The nursing care plan of a client with a T4-T6 spinal cord injury should include which of the following? Select all that apply.

The nurse is caring for a client who has a history of seizures and takes carbamazepine. Which of the following drugs does the nurse question for this client?

Which of the following medication is used for absence seizures?

A client with a history of seizures takes medications to help control the seizures, but must start an additional anti-seizure medication. The client remembers that they are taking levetiracetam. However, the client cannot remember the name of the medication that the provider has just prescribed. Which of the following medications is most appropriate to help manage this client’s condition?

The nurse is caring for a client who exhibits seizure-like activity. What action should the nurse do first?

A client has sustained a head injury. Which of the following is part of the nursing plan? Select all that apply.

The nurse is working with a 39-year-old client who has suffered a head injury as a result of a fall from a scaffold. Which of the conditions listed most likely describes increased intracranial pressure as a result of increased tissue volume?

A nurse is assessing a client for a suspected injury. The nurse knows that which of the following are signs of a possible head injury? Select all that apply.

The nurse is caring for a client with a closed head injury. Which of the following symptoms indicates that the client’s condition is worsening? Select all that apply.

A client who has sustained a head injury is being evaluated in the emergency room. The nurse performs a neurological assessment and notes that the client is somnolent. Which of the following describes an somnolent client response? Select all that apply.

The nurse is caring for a client with a history of addiction to alcohol. What medication class should be avoided for chronic treatment of anxiety in the client with an addiction to ETOH?

The nurse is receiving report from the ED on a client with ETOH. The nurse giving report informs the receiving nurse that the client was found to possess phenobarbital pills. Why is the nurse concerned?

A client with catatonic schizophrenia is in the hospital on the mental health unit. The client has not moved for three days. Which of the following nursing interventions best demonstrates that the nurse is upholding the client’s safety in this situation?

Which of the following are common findings in a client with schizophrenia? Select all that apply.

The nurse is planning care for a client with schizophrenia. Which of the following is an appropriate goal for this client?

A client with schizophrenia has become very angry and is throwing items at the nursing staff. The nurses have tried other forms of calming the client, but nothing has worked. Which of the following accurately describes the staff’s ability to use restraints in this situation?

A nurse is caring for a client with schizophrenia who tells her he believes that everyone else in the inpatient unit is secretly laughing at him behind his back. Which response by the nurse is best?

A 44-year-old client is being seen for symptoms of bipolar disorder. After talking with the client, the provider has determined that the client should start taking medication. The client says to the nurse, “How do you know for sure? Isn’t there a lab test that will tell you if I have this condition?” Which response from the nurse is accurate?

A client who has been diagnosed with bipolar disorder is seeking treatment during the manic phase of illness. Based on the nurse’s knowledge of this mental state, the nurse understands that which of the following is likely during this phase?

A nurse is caring for a client with bipolar disorder. The client has been taking antidepressants for depression but is most recently in a manic state and for the past three days has not been sleeping or eating. Which of the following questions from the nurse is correct in this assessment?

A client with bipolar disorder is being seen in the mental health clinic. The client has had difficulty sleeping and appears agitated. He is talking excessively and jumps from one topic of conversation to the next. Which of the following nursing interventions are most appropriate in this situation? Select all that apply.

A client is undergoing a clinical interview as part of diagnostic testing for bipolar disorder. Which best describes why a clinical interview would be conducted?

A client has been newly diagnosed with acute bipolar depression. What medications does the nurse plan to administer? Select all that apply.

A client with a history of bipolar disorder has been brought in to the hospital because the client was running through a neighborhood without any clothes on. Which of the following is evidence that the client is voluntarily willing to be admitted to the hospital? Select all that apply.

A nurse is caring for a client with bipolar disorder who is frequently manic. What describes the most appropriate psychotherapy for a client with this condition? Select all that apply.

A client with bipolar disorder has been prescribed carbamazepine. Which lab value should the nurse anticipate monitoring?

A client was recently treated for sepsis and may have developed post-sepsis PTSD. Which information is accurate for the nurse to give the client about how this condition is treated?

A 29-year-old client suffered a subarachnoid hemorrhage 4 months ago and has now been diagnosed with post-traumatic stress disorder (PTSD). Based on this diagnosis, the nurse knows that the client would most likely demonstrate which of the following symptoms?

The nurse is caring for a client who has tachycardia and is hypertensive. The provider has prescibed metoprolol. The nurse knows that this drug works in which of the following ways?

The nurse caring for a client with post-traumatic stress disorder notes several medications that are due. Which of the following is prescribed for the client’s PTSD?

A client who has suffered a head injury is brought in to the emergency department. Which question will allow the nurse to best determine if the client is alert and oriented?

A nurse is caring for a client with bipolar disorder. The client has been taking antidepressants for depression but is most recently in a manic state and for the past three days has not been sleeping or eating. Which of the following questions from the nurse is correct in this assessment?

A nurse is caring for a client with bipolar disorder who is frequently manic. What describes the most appropriate psychotherapy for a client with this condition? Select all that apply.

Which of the following medications would be classified as an antipsychotic medication?

A client is undergoing behavioral therapy through counseling for manic behaviors exhibited during episodes of bipolar disorder. Which best describes how cognitive-behavioral therapy is used as treatment for a client with bipolar disorder?

A client who has been diagnosed with bipolar disorder is seeking treatment during the manic phase of illness. Based on the nurse’s knowledge of this mental state, the nurse understands that which of the following is likely during this phase?

A provider has prescribed hormone replacement therapy for a client who has Addison’s disease. The nurse who is caring for this client understands the difference between Addison’s disease and Cushing’s syndrome as which of the following?

The nurse is caring for a client with Cushing’s syndrome. The nurse knows that this disease is caused by hypersecretion of which of the following hormones? Select all that apply.

A student nurse asks the preceptor about Cushing’s triad. The nurse correctly includes all of the following as part of Cushing’s triad except which?

The nurse is caring for a client with Cushing syndrome. The nurse knows to perform which daily activity?

A nurse is caring for a client who has been diagnosed with Cushing’s syndrome. The client is at risk of impaired skin integrity related to skin dryness and edema. Which of the following goals would be most appropriate for this client?

A client with Cushing’s syndrome has become more withdrawn from friends and relatives because of changes in appearance. Upon admission to the healthcare center, the nurse gives the client a nursing diagnosis of Social Isolation related to discomfort with others and feelings of rejection by other people. Which of the following nursing interventions is most appropriate in this situation?

Which of the following electrolyte imbalances is an expected finding for a client with Cushing’s Syndrome? Select all that apply.

The nurse is working with a client who has been diagnosed with Cushing’s syndrome. The nurse has provided teaching about the disease process and management. Which of the following statements by the client demonstrates a need for additional teaching?

The nurse is admitting a client to the unit with a history of mechanical heart valve, hemodialysis with a left arm fistula, benign prostatic hypertrophy, diabetic neuropathy in bilateral lower extremities, diabetes mellitus, and hypertension. A nursing assistant is available to obtain the client’s vital signs. What is the most important item to pass on to the nursing assistant regarding this task?

The nurse is caring for a client with diabetes mellitus. Which signs and symptoms would prompt the nurse to immediately check a POC glucose? Select all that apply.

The nurse is caring for a client with diabetes mellitus. Which signs and symptoms would prompt the nurse to get an immediate point-of-care glucose level? Select all that apply.

A client with acute bronchospasm and a history of diabetes mellitus, coronary artery disease, and chronic obstructive pulmonary disease is admitted to the unit and started on IV theophylline. The client begins to complain of a fluttering feeling in the chest. The nurse checks the client’s vital signs and notes a pulse of 135, blood pressure 130/88, respiratory rate 22, oxygen sat 90%. Which action by the nurse is most appropriate?

Which of the following are complications of diabetes mellitus? Select all that apply.

The nurse is caring for a client with poorly managed diabetes mellitus. The nurse is planning education for this client. Which statement by the client indicates a need for more education?

The nurse is admitting a client who reports drinking a pint of vodka everyday. What signs or symptoms in this client indicate that the client may require lorazepam? Select all that apply.

A client with diabetic ketoacidosis (DKA) has been admitted to the hospital for treatment. Which infection prevention interventions would be most appropriate for this client? Select all that apply.

An 8-year-old child is brought into the emergency department with suspected DKA. The nurse is familiar with clinical pathways designed to manage diabetic complications and has already triaged the client as a priority to be seen by the provider. Following admission, which segment of the clinical pathway would the nurse perform first?

A client with diabetes is being seen for symptoms of DKA. What actions should the nurse expect to be ordered as initial treatment? Select all that apply.

A nurse receives a client that came by ambulance. The nurse suspects that this client is in diabetic ketoacidosis (DKA). Which of the following signs would suggest DKA?

The nurse is caring for a client in diabetic ketoacidosis (DKA). What is the first nursing action for this client?

A client who has suffered a traumatic brain injury (TBI) has developed diabetes insipidus. A home health nurse is seeing the client in his home to help him manage his care at home. Which of the following teaching points would the nurse offer to help prevent injury in this client?

A client who has been diagnosed with diabetes insipidus has been prescribed vasopressin as an antidiuretic replacement. The nurse caring for the client reviews his other medications. Which drug should not be taken with vasopressin?

A nurse suspects a client has diabetes insipidus. What are the priority interventions? Select all that apply.

A client with diabetes insipidus must start taking vasopressin. Which information from the nurse is correct when providing teaching about this medication?

The nurse is caring for a client with diabetes insipidus and is preparing to administer a scheduled vasopressin injection. Which of the following is an anticipated outcome for a client with diabetes insipidus receiving this drug?

A client with severe, uncontrolled hypertension is being evaluated for chronic kidney disease. The provider checks the glomerular filtration rate and determines that it is 22 mL/min. Which stage of chronic kidney disease does this GFR place the client?

The nurse is caring for a client who has been diagnosed with chronic kidney failure. Which of the following aspects of this client’s history could have contributed to this?

The nurse is admitting a client with a history of chronic kidney disease. Which of the following lab values is inconsistent with chronic kidney disease?

A diabetic client has recently been diagnosed with stage one chronic kidney disease. Which of the following topics must the nurse include when teaching this client?

A client who has been diagnosed with chronic kidney disease is talking to the nurse about his overall health. Which best describes the difference between health promotion and disease management in this situation?

An 18-year-old has chronic kidney insufficiency and must take an injection of growth hormone. He takes his own injections and his parents bring him to the healthcare clinic every four weeks for follow-up evaluation. What laboratory levels would need to be monitored in a client taking growth hormones?

The nurse is caring for a client who has chronic kidney disease. Which of the following medications would the nurse question?

A provider has ordered a serum creatinine test for a client who is being assessed for chronic kidney disease. The client asks the nurse about the test. Which of the following responses correctly explains serum creatinine?

The nurse providing education to a client who is newly diagnosed with diabetes mellitus. Which of the following should the nurse emphasize? Select all that apply.

The nurse is caring for a client with diabetes and notes that the client has fruity smelling breath. Upon checking the client’s blood glucose, the nurse discovers a glucose level of >500. Which of the following body systems does the nurse expect to compensate for this condition to help bring the client back into balance?

A client with diabetes must start taking insulin injections at home. Which process would the nurse use that would be most effective to teach this client how to administer this drug?

During discharge teaching for a client with type 1 diabetes, the nurse recognizes a need for further education when the client makes which of the following statements?

The nurse is caring for a client with type I diabetes. The nurse anticipates treating this client’s condition with which of the following medications?

A diabetic client with peripheral neuropathy is being seen in the primary care clinic. The nurse assesses the client’s feet for areas of skin breakdown and then provides information about how the client’s feet should be closely monitored. Which practice should the client be advised to follow?

Which of the following would be an example of an autolytic debridement of a lower leg wound in a diabetic client?

A home care nurse is working with a diabetic client with poor tissue perfusion. Based on the nurse’s knowledge of this condition, which of the following effects would the nurse most likely see in the client’s extremities?

A nurse is utilizing the empowerment approach to educate a diabetic client. Which best describes the empowerment approach to education in this situation?

An interdisciplinary team is considering consulting a psychologist for care planning for a 40-year-old client with diabetes who is significantly overweight and who has developed several diabetic ulcers due to poor self-care measures. Which best describes the role the psychologist would play on the interdisciplinary team in this situation?

The nurse is caring for a client with chronic diabetic neuropathy. The client requests non-pharmacological interventions to cope with the condition. Which of the following is NOT an appropriate intervention for this client?

A 71-year-old diabetic client is considering participating in a research study being performed about a new method of treatment for diabetic ulcers. Which question from the client is most appropriate when determining whether this client should sign informed consent?

Which best describes the appearance of Charcot foot in a diabetic client?

A nurse is changing the dressing on a diabetic wound for a client with an alginate dressing in place. The nurse removes the dressing and irrigates the wound bed before applying another dressing. Which best describes the rationale for the nurse’s action?

A 58-year-old client with a diabetic foot wound requires a dressing change. A sterile dressing change requires which of the following? Select all that apply.

A client with Cushing’s syndrome has become more withdrawn from friends and relatives because of changes in appearance. Upon admission to the healthcare center, the nurse gives the client a nursing diagnosis of Social Isolation related to discomfort with others and feelings of rejection by other people. Which of the following nursing interventions is most appropriate in this situation?

Which of the following electrolyte imbalances is an expected finding for a client with Cushing’s Syndrome? Select all that apply.

The nurse is caring for a client with Cushing syndrome. The nurse knows to perform which daily activity?

A provider has prescribed hormone replacement therapy for a client who has Addison’s disease. The nurse who is caring for this client understands the difference between Addison’s disease and Cushing’s syndrome as which of the following?

The nurse is caring for a client with Cushing’s syndrome. The nurse knows that this disease is caused by hypersecretion of which of the following hormones? Select all that apply.

A 79-year-old client with Cushing’s disease has developed some cognitive effects that are impacting his ability to care for himself. Which cognitive effects are most likely to develop in a client with Cushing’s disease?

The nurse is working with a client who has been diagnosed with Cushing’s syndrome. The nurse has provided teaching about the disease process and management. Which of the following statements by the client demonstrates a need for additional teaching?

A nurse is caring for a client who has been diagnosed with Cushing’s syndrome. The client is at risk of impaired skin integrity related to skin dryness and edema. Which of the following goals would be most appropriate for this client?

The nurse is caring for a client who has been diagnosed with disseminated herpes zoster. Which of the following precautions should be implemented?

The nurse is caring for a client who is 32 weeks pregnant and diagnosed with disseminated intravascular coagulation. Which of the following lab values does not support the client’s diagnosis?

A nurse is caring for a postpartum client with disseminated intravascular coagulation. The client’s family wants to understand what this means. What is the best response by the nurse?

A nurse is assessing a client and asking about symptoms. The nurse knows that which of the following symptoms would lead the nurse to suspect disseminated gonococcal infection (DGI)?

A nurse is assessing multiple postpartum clients for the risk of Disseminated Intravascular Coagulation. Which client is at the highest risk?

A nurse is assessing a postpartum client who has a platelet count of 47,000 uL, D-dimer of 0.59 and a PT of 3 seconds. What findings would the nurse expect to assess?

The nurse is caring for a client with disseminated intravascular coagulopathy. Which lab would the nurse expect to be abnormal?

The nurse caring for a client with advanced HIV progressing to AIDS. Which of the following conditions would not be associated with AIDS?

The nurse is caring for a client with AIDS. The nurse enters the room prepared to do an assessment, take vital signs, and give scheduled medications. After performing these nursing interventions, the nurse assists the client into the shower and changes the client’s linens while the client sits on the shower bench. Which of the following describes the most appropriate reasoning behind this?

The nurse is assessing a client with advanced AIDS. Which of the following are expected findings? Select all that apply.

The nurse is caring for a client with AIDS. While checking routine vital signs, the nurse notes a temperature of 37.8 C. The nurse understands that which of the following is true?

A 68-year-old client has been diagnosed with chronic monocytic leukemia. The nurse is teaching the client about the best methods of staying healthy. Which information should the nurse provide about influenza vaccination related to leukemia?

A client has been admitted to the hospital for surgery. The client has a history of leukemia and has developed septicemia. Which of the following situations is this client most likely at risk for?

A 68-year-old client is being treated for leukemia, but his prognosis is very grim. The client asks the nurse about how he is doing. Which statement from the nurse is most appropriate?