Your patient and his family are recent immigrants and have a limited ability to understand and act on health information. You understand that this patient and family are lacking which of the following?

Which of the following is the fourth step of the grieving process?

Which clinical indicator is the nurse most likely to identify when exploring the history of a client with insomnia?

What would the nurse expect to see in an elderly client's skin?

Your patient delivered a healthy newborn 24 hours ago. When you visit her in the morning you find that she is crying yet she says that there is really nothing wrong and she doesn’t know why she is crying. Your first intervention should be which of the following?

The nurse is assisting the doctor with a sterile procedure. The nurse notices that the doctor’s hand touches one of a non-sterile area for a moment. What should this nurse do?

Every day for the past 2 weeks, a client with schizophrenia stands up during group therapy and screams, "Get out of here right now! The elevator bombs are going to explode in 3 minutes!" The next time this happens how should the nurse respond?

You are caring for a 4 year old with the diagnosis of human immunodeficiency virus (HIV) infection. With consideration of this child's psychosocial needs, the nurse expects that

A client with respiratory failure had a PaCO2 of 99. The nurse knows an elevated PaCO2 can cause symptoms of

You have made an error in documenting assessment findings on a client and obtain the record in order to correct this error. The RN knows that to correct this error you must:

A woman has given birth at 32 weeks of gestation. The newborn is in respiratory distress. Resuscitative efforts have been administered and these efforts are evaluated by the Silverman-Anderson Index of Respiratory Distress. The criteria graded include which of the following?

check all answers that apply

A nurse assesses a 76-year-old client. Which of the following should the nurse recognize to determine the differences in dementia and delirium?

What information is most important to teach a client who is receiving furosemide (Lasix)?

What is the most appropriate instruction for a patient with COPD?

Which of the following is a risk factor for the development of aortic dissections?

A client is brought to the emergency department and the physician determines he has gastrointestinal (GI) bleeding. In planning for his care, which of the following would be first priority?

A client who agreed to become an organ donor is pronounced dead. What is/are the MOST important factor(s) in selecting a transplant recipient?

An 80-year-old client who is admitted to the hospital has a pressure ulcer. The client lives alone at his residence. Which of the following dressings should the nurse apply to the client's wound?

You are reading the medical records of a patient who has been admitted to the hospital for depression. The records say that the type of depression is endogenous. You know that this means that the depression is caused by

You have a patient with a severe burn that will require a skin graft. She has a twin sister and the graft will be obtained from the twin. You understand that this type of graft is known as which of the following?

You have a patient who has just had a diagnostic arthroscopy. You are instructing him about what to do when he gets home. Which of the following would you NOT instruct him to do?

When removing a client's nasogatric tube, the nurse asks the client to take a deep breath and hold it. This nurse's instruction helps

Which of the following is NOT an accurate statement regarding informed consent?

Which of the following is an example of a primary preventive measure?

Which of the following activity levels should the nurse assess for in a 26-year-old female with an anxiety disorder?

Distributing HIV brochures and holding a presentation at a health fair is an example of which of the following?

A 40-year-old client has undergone a knee arthroscopy. Which of the following postoperative actions should the nurse perform to prevent swelling?

Which of the following should the nurse assess when completing the history and physical examination of a client diagnosed with polyradiculoneuritis?

A pregnant woman comes into the office for a six month check up and mentions to the nurse that she is gaining so much weight that even her shoes and rings are getting tight. The nurse should plan with of the following to care for the client?

Which of the following clinical signs could be assessed while obtaining a peripheral pulse?

When assessing a child with muscular dystrophy, the nurse expects which finding?

After delivery of her sixth baby, a postpartum patient is having heavy bleeding with large clots. What is the first thing that a nurse should do to alleviate the problem?

Your patient is being administered an isotonic IV solution for intravascular dehydration. You recognize that all of the following are characteristic of an isotonic solution except

After a gastrectomy, the nurse should evaluate the client carefully for which of the following complications?

Which of the following is the most common reason for a patient with progressive valvular heart disease to have ongoing medical care?

You have been caring for a patient who has tuberculosis. Before he is discharged from the hospital you instruct him about how to care for himself. Which of the following instructions would you NOT give to him?

Which of the following statements about antihistamines is NOT accurate?

check all answers that apply

You have a diabetic patient whose usually has pre-breakfast hyperglycemia. This is known as which of the following?

When caring for a client with chest pain, which of the following should the nurse assess as an indictor of pain?

You are examining a child who is suspected of having measles. Which of the following would NOT be an indication of measles?

The nurse assesses a child who is dehydrated. The child has lost 15% of his body weight. The nurse suspects what of the child?

The physician prescribes lithium to a client with bipolar disorder. The client is in the manic phase and has just begun medication. Which of the following best identifies the number of times the client will need to have blood levels drawn for monitoring the therapeutic level of this medication?

Which of the following occurs when a newborn looses heat?

In a group therapy setting, one member is very demanding, repeatedly interrupting others and taking most of the group time. The nurse's best response would be what?

The nurse is caring for a client experiencing an acute asthma attack. The client stops wheezing and breath sounds are not audible. Why did this change occur?

A client is being discharged from the hospital with a prescription for Coumadin. Which of the following statements indicates to the nurse that the client has understood the nurse's instructions?

A nurse is caring for a patient who is suffering from congestive heart failure. This patient has been prescribed digitalis for the condition. You recognize that you will have to monitor the patient for digitalis toxicity. You will look for all but which of the following signs of toxicity?

Your patient is an infant who has been diagnosed with pyloric stenosis and has undergone surgery to repair the problem. Which of the following actions would not necessarily be a part of the infant’s postoperative care?

A client is seen in the clinic with a diagnosis of conjunctivitis. What is the cause of conjunctivitis?

The nurse is developing a teaching plan for a client with diabetes mellitus. A client with diabetes mellitus should do what?

Which of the following would NOT be an appropriate nursing intervention for a preterm newborn?

To evaluate a client's reason for seeking care, the nurse performs deep palpation. The purpose of deep palpation is to assess which of the following?

A client suspected of having colorectal cancer will require which diagnostic study to confirm the diagnosis?

A nurse who is preparing a patient for eye surgery takes his intraocular pressure. She finds that the pressure in the right eye is 12 mm Hg and the pressure in the left eye is 17 mm Hg. The nurse would tell the patient that

The nurse asks the client, "How many packs of cigarettes did you say you smoke a week?" The client answers, "One pack." Where should the nurse record this information?

When assessing an infant's foot for the Babinski reflex, the nurse would watch the toes for which of the following responses?

The nurse is planning to teach couples the factors that influence fertility. What should not be included in the teaching plan?

You are caring for a woman who is in her second pregnancy. She has a healthy 2-year-old boy from her previous pregnancy. She is complaining that during this pregnancy she has been suffering from hemorrhoids and is in pain from them a lot of the time. What is the first thing that you would suggest to this woman to help alleviate the problem?

What treatment is the most appropriate in reducing cancer-related pain?

The physician orders Lispro for a client with diabetes. What type of preparation is Lispro?

You are caring for a patient who has a delusional disorder. The patient insists that the television in his room be removed because aliens are sending messages to him through the television. Which of the following actions is best for this patient?

There are four main symptom groups of schizophrenia. Hallucinations, delusions and bizarre behavior are classified as part of which of the following groups of symptoms?

The nurse is caring for a client under great stress. The client describes feeling nervous and having difficulty focusing on her work. Pulse and respiratory rate are slightly elevated. The nurse recognizes this client is experiencing what level of anxiety?

An African man suffers from aggressive behaviors. He attempts to injure others in his village. He is most likely suffering from what culture-bound disorder?

Which procedure or practice requires surgical asepsis?

A client is having a seizure. Which of the following is a nursing action?

You have a patient who is suspected of having esophageal cancer. You understand that which of the following is most likely to be used to confirm that diagnosis?

A client has surgical repair for a detached right retina. Which of the following should the nurse NOT do?

Your patient has AIDS. He is in the hospital suffering from an infection. He presented with severe watery diarrhea, abdominal cramps, nausea, malaise and has an electrolyte imbalance. Which of the following opportunistic infections do these symptoms best describe?

When caring for a client during the second stage of labor, which action would be least appropriate?