A nurse who works as a manager on a general medical unit has implemented a new policy about using a standard of care developed by the nurse’s recent research into evidence-based practice. Which action best demonstrates that the nurse is appropriately evaluating the impact of this implementation on the nursing unit?

A client undergoing a surgical procedure has been given a nursing diagnosis of Knowledge Deficit as evidenced by an inability to follow through on instructions and an inability to verbalize the purpose of the procedure. Which of the following nursing interventions is most appropriate?

A 35-year-old client is being seen for anxiety and sleep problems secondary to reports of elevated stress levels. The client tells the nurse that she has been restless and has problems concentrating. Which nursing diagnosis would be most appropriate for this client?

A client with drug addiction has been brought to the hospital due to inappropriate behavior. Based on the client’s behavior, the nurse gives the client a nursing diagnosis of Ineffective Denial. Which of the following nursing interventions are most appropriate for this diagnosis? Select all that apply.

A 34-year-old client has suffered a femur fracture and is using skeletal traction while in bed. Which nursing diagnoses would be most applicable in this situation? Select all that apply.

Which of the following indicates the client’s understanding of a sleep schedule?

Which of the following is an example of an actual nursing diagnosis?

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 has been given the nursing diagnosis of Powerlessness related to his behavior associated with drug abuse. The nurse assesses how the client normally solves his problems. Which best describes the client’s outcome after this intervention?

A nurse is caring for a client with a nursing diagnosis of ‘Pain related to a back injury’. In addition to asking the client to rate their pain intensity, the nurse monitors for changes in vital signs and other appearances of pain from the client. Which of the following describes the best rationale for this?

A 56-year-old client with heart disease is experiencing angina that increases in intensity and lasts 30 minutes, followed by a period of decreased intensity and duration. Which of the following best describes this type of angina?

Which of the following interventions will you implement for a patient with angina? Select all that apply.

The client presents to the emergency department complaining of chest pain for the past 2 hours. The client is breathing, alert, and oriented. What is the first action the nurse should take?

The nurse is caring for a client with a chief complaint of angina. Which lab panel does the nurse anticipate being ordered?

A nurse is caring for a client who has angina. The nurse notes that the client has a prescription for nitroglycerin sublingual tablets. Based on the nurse’s understanding of this medication, the nurse knows that this medication works by:

The nurse is caring for a client who is suffering from atrial fibrillation. Which of the following statements made by the nurse are correct? Select all that apply.

The nurse is caring for a client with newly diagnosed atrial fibrillation. Which medication class does the nurse anticipate the client will need to take to prevent the formation of blood clots?

The nurse caring for a client with atrial fibrillation understands that all of the following are risks of this condition except which?

A client presents to the emergency department with lightheadedness, weakness, and nausea and describes a feeling of “fluttering” in the chest. The team suspects atrial fibrillation. Which of the following activities will confirm this condition?

A client with chronic, uncontrolled atrial fibrillation is experiencing decreased cardiac output. The healthcare team is preparing to cardiovert the client. The nurse knows to watch for which of the following complications after cardioversion?

A client with a known history of aortic aneurysm is complaining of sudden pain in the back and shoulders. The nurse notes a pulsating mass in the abdomen. What is the next step the nurse should take?

A nurse is palpating a client’s abdomen to check for an abdominal aortic aneurysm during a physical assessment. Which part of the hand would the nurse most likely use to palpate for this finding?

A client is being seen in the emergency department for abdominal pain. Based on the client’s history, the nurse believes the client may have an abdominal aortic aneurysm. Which method of physical assessment should the nurse employ in this situation?

A nurse is caring for a client who has been diagnosed as having an aortic aneurysm. The aneurysm has been described as being uniform in appearance and symmetrical along the vessel wall. This type of aneurysm is best described as:

A nurse is assessing a client who has an abdominal aortic aneurysm. Which of the following signs or symptoms indicates that the aneurysm has dissected?

A nurse is assessing the abdomen of a client who may have an abdominal aortic aneurysm. When assessing for abdominal pulsations, which technique should the nurse use?

The nurse questions an order for a beta-blocker in a client with peripheral vascular disease for which of the following reasons?

The nurse is caring for a client at risk for atherosclerosis. Which of the following dietary considerations is appropriate for this client?

Excessive activation of cortisol in the body as a result of ____ can lead to more rapid progression of atherosclerosis and poor health.

A client in the primary care clinic has poor peripheral perfusion due to peripheral arterial disease. The nurse is talking with the client about the effects of health on tissue perfusion. Which of the following would be a modifiable risk factor in the prevention of decreased tissue perfusion? Select all that apply.

A client with peripheral artery disease is suffering from ineffective tissue perfusion. Which of the following would be appropriate outcomes for this nursing diagnosis? Select all that apply.

A nurse is caring for a client who has an indwelling arterial line. The nurse notes that the waveform on the hemodynamic monitor appears flat and dampened. Which of the following would be the first step in troubleshooting this waveform?

A client who was diagnosed with heart failure has developed cardiogenic shock as a complication of the condition and needs an intra-aortic balloon pump placed. Which of the following statements accurately describes an intra-aortic balloon?

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?

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?

The nurse is caring for a client with a cardiac condition. The nurse knows that which of the following conditions put a client at risk for cardiogenic shock? Select all that apply.

A nurse is taking orders from a provider for a client who is in cardiogenic shock. The provider has ordered norepinephrine to infuse at 30 mL/hr. The bag arrives from the pharmacy composed of 40 mg of norepinephrine contained in a 500 mL solution. Calculate how many mcg/minute the client receives.

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

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.

The nursing student is discussing cardiac index with the preceptor. The student correctly understands cardiac index as a measure of which of the following?

A nurse in the emergency department is caring for a client who has suffered a myocardial infarction. The client tells the nurse that he is feeling worse. The nurse checks his vital signs and notifies the provider, who orders norepinephrine. Based on the nurse’s knowledge of this medication, the nurse would expect to see which of the following client responses after administration?

The nurse is caring for a client taking lisinopril. The nurse knows that this medication works by doing which of the following? Select all that apply.

A client with heart failure receives an echocardiogram that shows the heart muscle has been damaged and grown very thick due to high blood pressure. What is the most appropriate term for this condition?

The nurse is working with a client who takes a beta blocker. The nurse understands that beta blockers work on the heart by doing which of the following?

Calcium channel blockers reduce high blood pressure by which of the following mechanisms?

A 69-year-old client has been diagnosed with cardiomyopathy. The nurse gives the client a nursing diagnosis of powerlessness because the client has said that she feels sad and angry about what she will miss out on with her diagnosis. Which nursing intervention is most appropriate for this nursing diagnosis?

A nurse is assigned to a 6-month-old diagnosed with a large ventricular septal defect and is being treated for signs of heart failure. The nurse knows to expect which of the following orders to help decrease pulmonary and systemic vascular resistance?

The nurse caring for a newborn diagnosed with a heart defect knows that which of the following is the most common cyanotic lesion?

The nurse caring for a client with a large ventricular septal defect (VSD) knows that which of the following is true about a VSD and blood flow? Select all that apply.

The nurse is caring for a client taking furosemide for congestive heart failure. The nurse knows that the priority is to monitor which of the following?

A client with a history of congestive heart failure (CHF) is reviewing home medications with the nurse. The client states, “I take so many medications I don’t know which one I take for my CHF.” The nurse knows that which of the following medication is used to treat CHF?

The nurse receives report on a client with congestive heart failure. The client’s ejection fraction is 45. Which of the following is true of this client? 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 has orders for strict I&O on a client with CHF. Which of the following will increase the nurse’s accuracy of measuring strict I&O? Select all that apply.

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?

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 assessing for murmurs in a client with aortic stenosis. At which location is the nurse most likely to hear a murmur in this client?

A nurse has an order to set up an echocardiogram for a client with a history of heart valve disease. Which of the following should the nurse instruct the client to do before the echocardiogram? Select all that apply.

A client with heart disease is scheduled for a cardiac stress test to assess heart valve function. Which healthcare members can perform a stress test? Select all that apply.

A nurse is reviewing a client’s history and notes that the client has aortic stenosis. What heart sound would the nurse expect to hear?

The nurse providing care to an infant diagnosed with aortic stenosis knows to expect which of the following symptoms? Select all that apply.

The nurse is caring for a client who states, “I don’t have a family history of hypertension so I don’t have to worry about that.” Which of the following risk factors for hypertension should the nurse teach the client? Select all that apply.

A nurse is planning care for a hypertensive client. Which of the following are appropriate interventions for this client? Select all that apply.

The nursing student is planning to measure a client’s blood pressure. The student correctly understands that choosing the correct cuff size matters because of which of the following?

A client is newly diagnosed with hypertension. Which of the following symptoms is most common in a client with this condition?

The nurse notes an order for the DASH diet for a client with hypertension. The nurse correctly understands that this diet includes which of the following? Select all that apply.

The provider diagnoses a client with Marfan syndrome. The client asks the nurse what this means. Which of the following is the best response by the nurse?

The nurse caring for a client with Marfan syndrome is educating him/her on potential cardiac complications. The nurse knows that which of the following symptoms are associated with aortic dissection? Select all that apply.

A nurse is caring for a client with Marfan Syndrome and reviewing their medication list. The nurse notes an ACE inhibitor and a Calcium Channel Blocker. The nurse knows that the client is taking these medications because of the risk for which condition?

The nurse is caring for an adolescent diagnosed with Marfan syndrome and providing education on the diagnosis. The nurse knows that which of the following would be appropriate to include in the teaching?

You are the nurse caring for a client diagnosed with Marfan syndrome. The nurse knows that which of the following medications would be expected for this client?

A nurse is caring for a client with Marfan syndrome that has just had a mitral valve replacement done. The nurse knows to include which of the following in discharge education?

The nurse caring for a client diagnosed with Marfan syndrome knows to look for which of the following musculoskeletal deformities during assessment?

While reviewing home medications with a client that has Marfan Syndrome, which medication would the nurse expect the client to be taking?

A 56-year-old client is being seen at the primary care clinic for follow-up after having chest pain. The client tells the nurse, “I think I had a heart attack yesterday but it could have just been chest pain. It still hurts some, though.” The provider orders a troponin level and an ECG. Which response from the nurse is most appropriate?

A nurse is preparing to administer pain medication to a client who is experiencing pain in his chest from myocardial ischemia. Which factor would the nurse most likely consider when giving pain medication to this client?

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.

The nurse is receiving report on a client admitted with an NSTEMI (non-ST elevated myocardial infaction). Heparin was started at 0400, and the next lab draw is due at 1000. Which lab value will be checked at 1000?

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?

A client is experiencing chest pain and the client’s inflammatory markers are elevated. The nurse is worried about the client having pericarditis. What heart sound would the nurse expect to hear if the client does have pericarditis?

A client is being discharged home from the hospital after being treated for a deep vein thrombosis (DVT). The nurse is preparing to educate the client on the new prescription for an anti-thrombotic medication. Which of the following medications is an anti-thrombotic?

The nurse is caring for a client who has a history of DVTs who delivered a baby earlier in the shift. During the assessment, the nurse notices the client’s right posterior tibial and dorsalis pedis pulses are diminished. Which of the following interventions would NOT be appropriate at this time? Select all that apply.

The nurse is caring for a client who has a DVT. The client’s ABCs are intact. Which is the priority intervention for this client?

A 36-year-old postpartum client is at increased risk of deep vein thrombosis based on her age and a history of a previous DVT. Which of the following nursing interventions is most appropriate to prevent DVT in this client?

The nurse is caring for an older adult who is hospitalized for a deep vein thrombosis (DVT). The nurse enters the room and notices the client’s face is drooping on the right side. What is the first thing the nurse should do?

A client with chronic, uncontrolled atrial fibrillation is experiencing decreased cardiac output. The healthcare team is preparing to cardiovert the client. The nurse knows to watch for which of the following complications after cardioversion?

A student nurse understands there is a decrease in cardiac output during a PVC due to which of the following?

The nurse is caring for an older adult client with decreased cardiac output related to new-onset atrial fibrillation. In planning care for this client, which of the following activities is appropriate? Select all that apply.

A client with heart failure has an estimated cardiac output of 2.5 L/min. The nurse expects which of the following vital signs to be consistent with this?

A nurse is caring for a client with chronic obstructive pulmonary disease (COPD) and notes that the client demonstrates an intolerance for activity. Select all of the following nursing interventions that would be appropriate in this situation.

A 10-month-old child is recovering from a cleft lip repair, and the provider has determined the child would benefit from restraints post-operatively. Which kind of restraints would the nurse most likely apply to this child?

The nurse caring for a one-month-old with cleft lip and cleft palate knows which of the following is the most concerning complication of this diagnosis?

The nurse caring for an 18-month-old who has just had his cleft palate repaired knows which of the following interventions is a top priority?

The nurse caring for a three-week-old with a cleft palate prioritizes which of the following nursing interventions?

The parents of a one-week-old with a cleft palate demonstrate understanding of the diagnosis by making which of the following statements?

An infant has a cleft palate. The nurse knows that this infant should be in which of the following positions to prevent prolapse of the tongue?

A nurse is educating parents on feeding techniques for their newborn who has a cleft lip and a cleft palate. The nurse accurately includes which of the following teaching points? Select all that apply.

A three-year-old child has been brought in to the hospital with a diagnosis of Haemophilus influenza B. After testing, the provider determines that the child has epiglottitis and treatment is started. Which information would the nurse provide to the parents of this child about caring for this condition? Select all that apply.

The nurse caring for a 4-year-old who has been admitted with the diagnosis of epiglottitis asks the mother about which of the following childhood immunizations?

The nurse providing care for a 3-year-old diagnosed with epiglottitis expects orders for which of the following medications? Select all that apply.

A nurse is caring for a client who has been diagnosed with glaucoma. Which of the following is a priority nursing intervention?

The nurse is administering a miotic medication for a client with open angle glaucoma. Which of the following are side effects of which the nurse informs the client to be aware? Select all that apply.

The nurse is caring for a client with glaucoma. Which of the following is a priority nursing intervention?

The nurse is caring for a client diagnosed with conjunctivitis. Which of the following should be discussed prior to discharge?

The nurse is educating parents on how to administer ointment for bacterial conjunctivitis. Which statement by the parents indicates that teaching has been effective?

The nurse is educating a family on how to prevent the spread of conjunctivitis. Which of the following should be included in the teaching? Select all that apply.

The nurse caring for a client admitted with pneumonia assesses which of the following clinical manifestations of bacterial conjunctivitis? Select all that apply.

The nurse caring for a client with otitis media with effusion informs the parents of the importance of which of the following items?

The nurse is caring for a client with acute otitis media. Which of the following medications would the nurse expect to give? Select all that apply.

The nurse is caring for a child who presents with fussiness and tugging at the left ear. The provider diagnoses the child with acute otitis media. Which of the following positions is appropriate for the child to rest?

The nurse is educating the parents of an infant on ways to prevent the occurrence of acute otitis media. Which of the following should be included in the teaching? Select all that apply.

The nurse is caring for a client with otitis media. Nursing interventions to treat this condition include which of the following? Select all that apply.

The nurse is caring for a child with acute otitis media. Which of the following are appropriate nursing interventions for this child? Select all that apply.

The nurse is caring for a client with bacterial tonsilitis. Which of the following is the most common cause of tonsillitis?

A client is triaged in the emergency department with complaints of abdominal pain. Which of the following assessment questions will help the nurse get the best clinical picture on this client?

The nurse receives a client in the emergency department who is complaining of abdominal pain. The nurse assesses the client’s pain and charts the pain level in the client’s chart. Why?

The nurse is caring for a client with abdominal pain and diarrhea. Which of the following conditions is the nurse concerned that the client may develop?

A nurse is performing an abdominal assessment on a client who complains of abdominal pain. Which of the following would be subjective information about the client? Select all that apply.

The nurse is assessing a client who presents to the emergency department with complaints of abdominal pain. Which sign or symptom would indicate to the nurse that the client is having an emergency?

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?

The nurse is caring for a client who has been diagnosed with appendicitis and is scheduled for surgery later today. Which of the following assessment findings is the MOST concerning?

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

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

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?

A client with celiac disease is on a gluten-free diet while in the hospital. The nurse checks the tray before serving the client dinner. Which of the following foods would need to be removed before serving this client? Select all that apply.

A five-year-old has been admitted to the pediatric ward with possible celiac crisis. The nurse caring for this child knows that which of the following nursing interventions would be given top priority?

The nurse caring for a two-year-old diagnosed with celiac disease knows which of the following symptoms are associated with this diagnosis? Select all that apply.

The nurse is examining a client who reports they have abdominal pain in the right upper quadrant (RUQ). The nurse knows that which of the following is located in the RUQ?

A pregnant client is undergoing a laparoscopic cholecystectomy because of severe abdominal pain. Which of the following items should the nurse teach this client about a cholecystectomy?

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?

The nurse is caring for a client with severe liver cirrhosis. Which of the following nursing interventions is appropriate for this client? Select all that apply.

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?

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

The nurse is educating a group of parents on the nutritional needs of toddlers. Which of the following foods should the nurse recommend to help prevent constipation? Select all that apply.

A client reports that they haven’t had a bowel movement in three days. The nurse should promote which of the following to help the client with gastrointestinal peristalsis? Select all that apply.

The nurse caring for a six-year-old with constipation knows that which of the following causes of constipation is most common in children?

The nurse is caring for a three-year-old with idiopathic (functional) constipation. Which of the following symptoms indicate the need for further investigation of the reason for the constipation? Select all that apply.

The nurse is caring for a five-year-old with constipation. This child has been prescribed the laxative polyethylene glycol 3350 to help manage the constipation. Which of the following should the nurse include when educating the parents about proper administration of this medication?

A nurse is teaching a client with newly diagnosed diverticulitis about dietary changes. Which statement by the client indicates that teaching has been effective?

The client has an acute flare up of diverticulitis. Nursing interventions to prevent complications include which of the following? Select all that apply.

The nurse is caring for a client who is newly diagnosed with diverticulosis. The nurse explains that an important difference between diverticulosis and diverticulitis is which of the following?

The nurse is providing teaching about nutrition to a client with diverticulitis. Which of the following statements is NOT an appropriate teaching point?

The nurse is reviewing medications ordered for a client with diverticulitis. Which of the following medications would the nurse question?

The nurse providing care for a 3-year-old diagnosed with epiglottitis expects orders for which of the following medications? Select all that apply.

The nurse caring for a 4-year-old who has been admitted with the diagnosis of epiglottitis asks the mother about which of the following childhood immunizations?

A three-year-old child has been brought in to the hospital with a diagnosis of Haemophilus influenza B. After testing, the provider determines that the child has epiglottitis and treatment is started. Which information would the nurse provide to the parents of this child about caring for this condition? Select all that apply.

The nurse is caring for a client with poorly controlled GERD. The nurse is providing education regarding foods that can exacerbate the condition. Which of the following would be an appropriate food for this client to eliminate?

A client has GERD. What changes should the nurse recommend to improve symptoms? Select all that apply.

An adult client presents to the emergency department with a chief complaint of heartburn. What is the nurse’s immediate priority?

Which of the following findings are consistent with the diagnosis of hyperemesis gravidarum?

A nurse is making recommendations for a pregnant client with hyperemesis gravidarum. Which of the following should be recommended to alleviate the hyperemesis? Select all that apply.

A 25-year-old pregnant woman is being seen for excess nausea and vomiting during her first trimester of pregnancy. Which of the following factors must be present for a diagnosis of hyperemesis gravidarum?

A client is experiencing hyperemesis gravidarum and is not getting any relief from ondansetron. Which of the following medications is the next step in nausea control?

A pregnant client is admitted to the hospital with hyperemesis gravidarum. She has been vomiting for several days and is dehydrated. What management should the nurse anticipate?

The nurse is providing education to parents of a newborn client with imperforate anus. Which of the following educational items should the nurse include?

The nurse caring for a one-day-old with imperforate anus knows to include which of the following as part of the pre-operative care plan?

The nurse is providing education to the parents of a newborn with imperforate anus. Which of the following statements by the parents would warrant further education?

A nurse is assessing a newborn and suspects an imperforate anus. What symptoms would support this? Select all that apply.

The nurse speaking with the parents of a two-year-old who was born with imperforate anus and is discussing the topic of toilet training. Which of the following statements would be most important to include in the discussion?

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

The nurse is caring for a client who has ulcerative colitis. The nurse knows to monitor for which of the following abnormal lab work? Select all that apply.

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 assessing a client who has come in for care of possible inflammatory bowel disease. While taking the client’s medical history, which of the following questions would be appropriate to determine the risk of developing this condition?

A client newly diagnosed with ulcerative colitis (UC) asks the nurse about characteristics of the disease. Which of the following is true of this condition? Select all that apply.

A two-year-old child is admitted to the hospital for intussusception. The nurse needs to insert an IV and start fluids. Which of the following would be an appropriate method to use to reduce the child’s anxiety?

The parents of an 18-month-old who has been diagnosed with intussusception are asking for an explanation of the diagnosis. The nurse correctly explains the diagnosis with which of the following statements?

The parents of an 18-month-old who has just been diagnosed with intussusception and signs of peritonitis are concerned and want to know how this can be treated. The nurse accurately tells them which of the following? Select all that apply.

The nurse caring for a one-year-old with intussusception knows which of the following are signs of peritonitis? Select all that apply.

The nurse is caring for a three-year-old with intussusception who is waiting for surgery. The nurse knows to notify the provider of which of the following clinical findings?

When taking the temperature of a newborn with an omphalocele, the nurse knows that which of the following routes is contraindicated?

The nurse caring for a newborn with an omphalocele knows the child is at risk for hypothermia. When monitoring the baby’s temperature, the nurse should alert the provider if the temperature drops below which of the following temperatures?

The nurse is caring for a newborn who has just had a surgical repair of an omphalocele. The nurse knows that long term monitoring will be required because of which of the following potential complications? Select all that apply.

The nurse is caring for a newborn diagnosed with a severe omphalocele. The nurse knows that this newborn is at risk for respiratory distress. Which of the ranges below would indicate a normal respiratory rate?

The nurse caring for a newborn with a severe omphalocele knows which of the following interventions are important for this care? Select all that apply.

The nurse is caring for a client who was just diagnosed with acute pancreatitis. Which of the following is the priority nursing intervention?

The nurse is caring for a client who has been admitted with pancreatitis. Which of the following assessment findings is consistent with this diagnosis?

The nurse is working with a client who has peptic ulcer disease. Which of the following labs is important to monitor with this condition?

The nurse is caring for a client with peptic ulcer disease due to H. pylori. Which drug combinations should be given along with a macrolide antibiotic?

A 57-year-old client with peptic ulcer disease is being seen for abdominal pain. Which of the following are assessments for hemorrhage in this client? Select all that apply.

The nurse is reviewing orders for a client with peptic ulcer disease (PUD). Which of the following would the nurse question?

The nurse caring for a dehydrated six-year-old with diarrhea knows which of the following viruses is a common cause of childhood diarrhea?

The nursing is providing care to a five-year-old who is mildly dehydrated after 48 hours of acute diarrhea. The nurse knows which of the following to be true regarding therapeutic management?

A 15-year-old client is being treated at the hospital for severe diarrhea following a bacterial infection. Which of the following interventions should the nurse use that would best prevent this client from developing complications of severe dehydration?

A client is admitted with moderate vomiting. Upon assessment, the nurse notes tachypnea. Which of the following is a concern for the nurse?

A client has diarrhea. What should the nurse expect when auscultating the abdomen?

A nurse is caring for a client with a gastric ulcer who begins to have active bleeding. Which of the following is the priority nursing intervention?

A client presents to the emergency department complaining of rectal bleeding. Which of the following findings is the priority issue that needs to be addressed?

A 70-year-old client comes into the emergency room complaining of dizziness and lightheadedness. They state that their most recent two stools were black. What is the nurse’s priority assessment?

A client presents to the emergency department with complaints of weakness and lightheadedness. The nurse obtains vital signs and draws blood for a CBC. Results are as follows: BP 88/53, Pulse 115, Respirations 18, temp 37 C, Oxygen 90% on room air. WBC 8, Hematocrit 21, Hemoglobin 7.2. Based on these results, the nurse suspects which of the following conditions?

A client with peptic ulcer disease is being assessed for an upper GI bleed. Which signs would the nurse expect to see with this diagnosis? Select all that apply.

The nurse is caring for a client with abdominal pain who was just diagnosed with a small bowel obstruction (SBO). What is the next priority for the nurse?

The nurse has obtained the shift assignment on a medical-surgical floor. All clients are older adults except one 23-year-old with a bowel obstruction. The nurse knows which of the following to be true of the 23-year-old client?

The nurse is caring for a client with a bowel obstruction with a nasogastric tube that has been set to low wall intermittent suction for 3 days. The nurse should anticipate the development of which acid-base imbalance?

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.

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?

The nurse is caring for a client diagnosed with chronic renal failure. Which of the following food items should the nurse instruct the client to avoid? Select all that apply.

A 56-year-old client has been hospitalized for acute renal failure. During a shift, the nurse notes that the client’s urine output has dropped to 5 mL/hour, despite a continuous infusion of IV fluids at a rate of 150 mL/hr. If left uncorrected, which complication would the nurse most likely expect to see?

What information should the nurse include when teaching a client about the prostate specific antigen (PSA) test?

What assessment finding would indicate the effectiveness of tamsulosin?

The nurse identifies which of the following as a common symptom of benign prostatic hyperplasia (BPH)?

The nurse is caring for a client with urinary retention due to an enlarged prostate. The nurse is inserting a Foley catheter, and has advanced the catheter through the urethra but meets resistance and cannot advance further. What is the next step for the nurse to take?

An order is received for oxybutynin ER 5 mg PO BID for a patient who is NPO with a gastrostomy tube. What action should be taken by the nurse?

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

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?

The nurse is managing a client’s care who has kidney disease. Which of the following interventions are appropriate because of this condition? Select all that apply.

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

A three-year-old child has diurnal enuresis. Which of the following are effective nursing interventions to decrease the incidence of enuresis? Select all that apply.

The nurse caring for a 5-year-old experiencing bedwetting knows that children should be able to achieve nighttime dryness by which of the following ages?

The nurse caring for a client with nocturnal enuresis knows that which of the following medications is the preferred pharmacological treatment for this diagnosis?

The nurse is caring fo a 7-year-old with nocturnal enuresis. Which of the following behavioral modifications should the nurse recommend to the parents? Select all that apply.

A nurse is caring for a 6-year-old who was toilet trained and achieved nighttime dryness, has recently started having nocturnal enuresis. The nurse knows that which of the following causes of enuresis is important to rule out?

A nurse is educating the parents of a 7-year-old, diagnosed with nocturnal enuresis, on the importance of involving children in the management. Which of the following statements by the nurse would be most appropriate to include in this teaching?

A client is admitted to the unit with glomerulonephritis. Which of the following answers is a common cause of this condition?

The nurse is caring for a client with glomerulonephritis. Which of the following orders would the nurse question for this client?

The nurse is caring for a client who has been diagnosed with nephrotic syndrome. Which of the following assessment findings would be inconsistent with this diagnosis?

The nurse is caring for a client who has a kidney stone. Which of the following foods should the nurse teach the client to avoid? Select all that apply.

A client presents to the clinic with a history of kidney stones. The client states he is having symptoms of kidney stones again. The nurse knows that which of the following symptom is consistent with this condition?

A nurse caring for a client with kidney stones who requires a procedure to crush the stones so they can be passed. What is the appropriate name of this procedure?

The nurse is assessing a client in the urgent care clinic who is complaining of burning with urination. The urinalysis shows that the client has a urinary tract infection (UTI). Which of the following medications is an appropriate medication to treat this client’s UTI?

A nurse is assessing a client with an indwelling urinary catheter for signs of a catheter-associated urinary tract infection (CAUTI). Which assessment finding would best help to identify a CAUTI?

A nurse is caring for a client who is being treated for acute pyelonephritis. The nurse explains to the client that the risk factors for acute pyelonephritis include which of the following? Select all that apply.

Which one of the following medications treats the symptoms of a UTI but does not cure the infection?

The nurse is working with a client with acute pyelonephritis. Which of the following is a complication of this condition?

A nurse in the infectious diseases unit of the hospital is caring for a client who has been diagnosed with HIV infection. The nurse understands that this client is considered to have developed AIDS with which of the following conditions? Select all that apply.

A nurse is caring for a client with AIDS. The client informs the nurse about the client’s use of acupuncture to help with the pain. The nurse should be most concerned about this practice due to which of the following factors?

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

A client has been infected with HIV for 5 years. Which of the following would require a change in the client’s diagnosis from being HIV-positive to having AIDS?

A client who has been infected with HIV for the past four years comes into the healthcare office for a checkup. Which information would the nurse provide to the client about how to know when HIV has become AIDS?

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. 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 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?