Description

1. Question: A nurse is removing personal protective equipment (PPE) after performing a procedure for a client who requires isolation Which of the following items of PPE should the nurse remove first?
2. Question: A nurse is admitting a client who has manifestations that suggest tuberculosis. Which of the following actions is the nurse’s priority?
3. Question: The nurse records the following subjective data in the client’s medical record:
4. Question: A nurse is providing teaching to a client about a surgical procedure for later in the day. The client states that no one has spoken to her about the procedure Which of the following action should the nurse take?
5. Question: A nurse is planning care for a patient going to surgery. Who is responsible for informing the patient about the surgery along with possible risks, complications, and benefits?
6. Question: A nurse is reviewing informed consent with a client for a cardiac Which of the following is the responsibility of the nurse?
7. Question: A nurse is taking a client’s vital signs. Which of the following findings should the nurse identify as outside the expected reference range?
8. Question: A nurse is obtaining vital signs from a client. Which of the following findings is the priority for the nurse to report to the provider?
9. Question: A nurse is caring for a client who has a new prescription for levothyroidism. Which of the following findings should the nurse identify as an indication that the client requires intervention?
10. Question: A nurse is assessing the vital signs of a 1-month-old infant. Which of the following actions should the nurse perform?
11. Question: A nurse is preparing to assess an 11-month-old infant during a well-child examination. Which of the following actions should the nurse take?
12. Question: A nurse is assessing the vital signs of a 3-month-old infant. Which of the following actions should the nurse perform regarding the infant’s heart rate?
13. Question: Pre-operative assessment is necessary to:
14. Question: A nurse in the emergency department is assessing an infant who recently started taking digoxin to treat a supraventricular Which of the following findings should the nurse identify as digoxin toxicity?
15. Question: A nurse is preparing to administer digoxin to a client. Which of the following findings should the nurse identify as a contraindication to the client receiving this medication?
16. Question: A nurse is providing teaching to a parent of an infant who has heart failure and a new prescription for digoxin elixir. Which of the following pieces of information should the nurse include?
17. Question: A nurse is planning to obtain the vital signs of a 2-year-old child who is experiencing diarrhea and may have a right ear infection. Which of the following routes should the nurse use to obtain the child’s temperature?
18. Question: A nurse is caring for a client who has a fractured hip and was placed on Buck’s traction 4 hr ago. Which of the following actions should the nurse take?
19. Question: A nurse is caring for a group of clients who has mobility issues. Which of the following clients is at the greatest risk for a complication?
20. Question: A nurse is caring for a client who has a pelvic fracture. The client reports sudden shortness of breath, stabbing chest pain, and feelings of This client is experiencing which of the following complications?
21. Question: A nurse is caring for a client who states that she does not want to get out of bed due to pain from arthritis. Which of the following actions should the nurse take?
22. Question: A nurse is providing teaching about crutches to a client who has a fracture of the right foot. Which of the following instructions should the nurse include?
23. Question: A nurse is evaluating a client’s use of crutches. The nurse should identify that which of the following actions by the client indicates safe use of the equipment?
24. Question: While your patient is ambulating with crutches he moves both crutches forward along with the injured leg and then moves the non-injured leg When documenting, you will note that the patient used what type of gait while ambulating with crutches?
25. Question: You’re observing your patient using She is using the three-point gait. Which finding requires you to re-educate the patient on how to use the crutches?
26. Question: A nurse is teaching an older adult client who had a total hip arthroplasty about ambulating with a standard walker. Which of the following actions by the client indicates an understanding of the teaching?
27. Question: A nurse is teaching a client about the use of a straight-legged cane. Which of the following client actions indicates an understanding of the teaching?
28. Question: A nurse is assisting a client who has right-sided weakness while ambulating with a cane. Which of the following action should indicate to the nurse that the client understands the procedure of cane walking?
29. Question: A nurse in a long-term care facility is teaching an older adult client about ambulating with a quad-cane. Which of the following statements should the nurse include in the teaching?
30. Question: A nurse observes an assistive personnel (AP) preparing to obtain blood pressure with a regular-sized cuff for a client who is obese. Which of the following explanations should the nurse give the AP?
31. Question: A nurse is measuring a client’s vital signs and notices an irregularity in the pulse. Which of the following actions should the nurse take?
32. Question: A nurse is measuring a client’s vital signs. The client’s resting radial pulse rate is 55/min. Which of the following actions should the nurse take next?
33. Question: A nurse is admitting a patient to the unit. The nurse is aware that the patient is at increased risk for constipation if the following are present in the patient’s health history or admission assessment: (Select all that apply)
34. Question: Which instructions do you include when educating a person with chronic constipation? (Select all that apply)
35. Question: A nurse is taking a health history of a newly admitted patient with a diagnosis of possible fecal impaction. Which question is the priority to ask the patient or caregiver?
36. Question: A nurse is admitting a client who has decreased circulation in his left leg. Which of the following actions should the nurse take first?
37. Question: A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The nurse should secure the sensor to which of the following areas on the infant?
38. Question: A nurse is preparing to measure a client’s level of oxygen saturation and observes edema of both hands and thickened toenails. The nurse should apply the pulse oximeter probe to which of the following locations?
39. Question: A nurse is assessing a client who has chronic respiratory insufficiency. Which of the following findings should the nurse expect as a result of the long-term inadequate oxygen?
40. Question: A nurse is measuring the blood pressure of several clients. Which of the following results is within the expected reference range for blood pressure?
41. Question: A nurse is caring for a toddler who has otitis media and a temperature of 39.1℃ (102.4℉). Which of the following actions should the nurse take first?
42. Question: A nurse is planning care for a child who has hyperthermia. Which of the following actions should the nurse take?
43. Question: A nurse is caring for a client who has a temperature of 38.7℃ (101.7℉). Which of the following actions should the nurse take?
44. Question: Which one among the following in humans is not involved in the elicitation of the immune response?
45. Question: Which of the following organs are a part of the immune system?
46. Question: A charge nurse received notification of the admission of a client who is coughing frequently and whose sputum is pink, frothy, and The client has a history of night sweats, anorexia, and weight loss. Which of the following actions should the nurse take? 
47. Question: A nurse will administer several medications to a patient who is receiving enteral feeding through a small bore nasogastric The nurse administers the medication correctly by:
48. Question: A patient is to receive medications through a small-bore nasogastric feeding. Which nursing actions are appropriate?
49. Question: A nurse is providing teaching to a client who has psoriasis and a new prescription for the topical corticosteroid cream betamethasone Which of the following information should the nurse include in the teaching?
50. Question: A nurse is teaching a client who has a new prescription for enteric-coated aspirin as stroke prophylaxis. The client asks the nurse why the provider prescribed an enteric-coated Which of the following responses should the nurse give?
51. Question: A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?
52. Question: Why is medication reconciliation necessary?
53. Question: A nurse is preparing to administer the first injection of diphtheria, tetanus, and pertussis (DTaP) to an infant. Which of the following pieces of information should the nurse tell the guardian prior to administering the immunization?
54. Question: A nurse is preparing to administer routine medications to a newborn following birth. Which of the following actions should the nurse take?
55. Question: A nurse is preparing to administer an intramuscular injection to a 2-month-old infant. In which of the following sites should the nurse plan to administer the injection?
56. Question: A nurse is teaching the guardian of an 18-month-old toddler about otic medication administration. Which of the following statements should the nurse make?
57. Question: A nurse is teaching the parents of an infant who has acute otitis media about how to administer antibiotic eardrops. Which of the following instructions should the nurse include?
58. Question: A nurse is to administer ear drops into the right ear of a 5-year-old child. Which of the following actions by the nurse is appropriate?
59. Question: A nurse is caring for a client who is receiving intermittent enteral feedings through an NG tube. The specific gravity of the client’s urine is
60. Question: Which of the following actions should the nurse take?
61. Question: A nurse is caring for a client who has an NG tube for intermittent enteral feedings. Which of the following actions should the nurse take?
62. Question: A client who lives in a long-term care facility is receiving intermittent enteral feedings and is experiencing social Which of the following interventions should the nurse recommend?
63. Question: A nurse is caring for a client who is receiving total parenteral nutrition (TPN) therapy and has just returned to the room following physical The nurse notes that the infusion pump for the client’s TPN is turned off. After restarting the infusion pump, the nurse should monitor the client for which of the following findings?
64. Question: A nurse is assessing a client who is bedridden and was admitted from home. The nurse notes a shallow crater in the epidermis of the client’s sacral The nurse should document that the client has a pressure ulcer at which of the following stages?
65. Question: A nurse is assisting a client who has dysphagia at mealtime. Which of the following actions should the nurse take?
66. Question: A nurse is caring for a 4-year-old child who has superficial partial-thickness burns over 50% of his body. To meet the nutritional needs of the child, which of the following actions should the nurse plan to take?
67. Question: A nurse is caring for a client who is 2 days postoperative following a gastric bypass. The nurse notes that bowel sounds are present. Which of the following foods should the nurse provide at the initial feeding?
68. Question: A nurse is preparing to administer a feeding via a gastrostomy tube to a client who had a stroke. Which of the following actions should the nurse take prior to initiating the feeding?
69. Question: A nurse is caring for a client who has a peripherally inserted central catheter (PICC) in place. Which of the following actions should the nurse take when handling this central venous access device?
70. Question: A nurse is preparing to administer meperidine to a client who is postoperative and reports a pain level of 8 on a scale of 0 to 10. Which of the following routes of administration will deliver the medication with the shortest time of onset?
71. Question: A nurse is preparing to administer meperidine 100 mg IM to a client who has a BMI of 23. Which of the following needle lengths should the nurse use to administer the medication?
72. Question: A nurse is planning care for a client who is postoperative following a hip arthroplasty. In the client’s medical record, the nurse notes a history of chronic obstructive pulmonary disease (COPD). Which of the following oxygen-delivery methods should the nurse plan to use for this client?
73. Question: A nurse is changing a dressing on a client’s wound. When the soiled dressings is removed, it is saturated with blood. Which of the following best describes the most appropriate method of disposal?
74. Question: A nurse caring for a client who has an infected wound removes a dressing saturated with blood and purulent drainage. How should the nurse dispose of the dressing material?
75. Question: A nurse is completing medication reconciliation for an older adult client who is receiving multiple medications. Which of the following actions should the nurse perform first?
76. Question: A nurse is working with an assistive personnel (AP) in a long-term care facility. According to the 5 rights of delegation, which of the following determinations should the nurse make prior to assigning tasks?
77. Question: The nurse delegates the collection of the client’s temperature to an assistive personnel (AP). The nurse notes in the documentation that the AP obtained the client’s axillary temperature; however, the nurse wanted an oral temperature. The nurse should identify that which of the following rights of delegation should have prevented this situation from occurring?
78. Question: A nurse is delegating tasks to an assistive personnel (AP) for the care of a group of clients. Which of the following directions should the nurse provide?
79. Question: Which of the following rights of delegation describes tasks that are repetitive, require little supervision, are relatively noninvasive, have results that are predictable, and have potential minimal risk?
80. Question: Which of the following rights of delegation describes the consideration of the appropriate patient setting, available resources, and other relevant factors?
81. Question: Which of the following rights of delegation describes the delegation of the right tasks to the right person to be performed on the right person?
82. Question: Which of the following rights of delegation describes the giving of a clear, concise description of a task, including its objective, limits, and expectations?
83. Question: Which of the following rights of delegation describes the provision of appropriate monitoring, evaluation, interventions as needed, and feedback?
84. Question: Which of the following count(s) as an ounce equivalent of grains?
85. Question: A nurse is providing discharge instructions for a client who had a cesarean birth 4 days ago. The client’s hemoglobin level is 2 g/dL, and the provider has prescribed an iron supplement. Which of the following foods should the nurse recommend to help increase the client’s iron intake?
86. Question: A nurse is teaching a client who has iron-deficiency anemia. The nurse should encourage the client to increase consumption of which of the following foods?
87. Question: A home health nurse is visiting an older adult client who has anemia. Which of the following foods should the nurse recommend to increase the client’s iron intake?
88. Question: A nurse is teaching a client who has iron-deficiency anemia. The nurse should encourage the client to increase her consumption of which of the following foods?
89. Question: A nurse is reviewing a client’s laboratory values. Which of the following information is correct regarding albumin levels and nutritional status?
90. Question: A nurse is reviewing the laboratory findings of an older adult client. The nurse should identify which of the following findings as an indication of malnutrition?
91. Question: The nurse is evaluating the recent lab results for a Which labs are the best indicators for malnutrition?
92. Question: A nurse is caring for a child who adheres to a vegetarian diet and has sustained superficial partial-thickness The nurse should recommend which of the following food choices due to the high protein content?
93. Question: A nurse is caring for a client who is receiving total parenteral nutrition (TPN) through a central line. Which of the following actions should the nurse perform?
94. Question: A client is receiving total parenteral nutrition (TPN). Which of the following interventions should the nurse implement when the next scheduled TPN solution is temporarily unavailable?
95. Question: A nurse is caring for a client who is receiving TPN, but the next bag of solution is not available for administration at this time. Which of the following is an appropriate action by the nurse?
96. Question: A nurse is caring for a client during her first prenatal visit and notes that she is lactose-intolerant. Which of the following foods should the nurse include on a list of calcium sources for this client?
97. Question: A nurse is caring for a client who has osteoporosis and a new prescription for calcium supplements. Which of the following foods should the nurse recommend to promote calcium absorption?
98. Question: A nurse is caring for a client who has a dysfunctional gastrointestinal tract and requires enteral feeding. Which of the following formulas should the nurse administer to the client?
99. Question: A nurse is caring for a group of clients. The nurse should identify that which of the following clients requires an enteral tube feeding?
100. Question: A nurse is teaching a group of unit nurses about clients who have a need for gastric decompression. The nurse should identify that which of the following clients needs nasogastric tube intubation for gastric decompression?
101. Question: A nurse is providing teaching about a living will for a client who has end-stage breast cancer. Which of the following pieces of information should the nurse include in the teaching?
102. Question: While admitting a client to the medical unit, the nurse asks him is he has advanced The client states, “I have a document with me that names someone who can make health care decisions for me if I am not able.” The nurse should identify that the client is referring to which of the following documents?
103. Question: Which of the following dietary modifications should an adolescent who participates in sports implement?
104. Question: Which of the following strategies for enhancing the intake of healthy foods is appropriate for an adolescent?
105. Question: A nurse is discussing health problems associated with nutrient deficiencies with a group of adolescents. The nurse should include that which of the following conditions is associated with a deficiency of Vitamin C?
106. Question: During the administration of a warm tap-water enema, a patient complains of cramping abdominal pain that he rates 6 out of What nursing intervention should the nurse do first?
107. Question: A nurse is preparing to administer a tap water enema to a client. Which of the following actions should the nurse take?
108. Question: A nurse is planning to collect a stool specimen for ova and parasites from a client who has diarrhea. Which of the following actions should the nurse take when collecting the specimen?
109. Question: A nurse is caring for an older adult client. The nurse informs the client that straining while defecating can cause which of the following?
110. Question: A nurse is preparing an older adult patient for an enema. The nurse should assist the patient to which of the following positions?
111. Question: A nurse is preparing to administer 1 tablet of amoxicillin to the patient. While opening the medication packaging, the tablet falls off the tablet and lands on the Which of the following actions should the nurse take next?
112. Question: A nurse student is administering medications to a patient through a gastric tube (G-tube). Which of the following actions taken by the nursing student requires the nursing instructor to intervene?
113. Question: A nurse is supervising a newly licensed nurse who is administering a controlled substance. Which of the following actions by the newly licensed nurse indicates an understanding of the procedure?
114. Question: A nurse is caring for several clients. Which of the following clients should the nurse identify as a candidate for the administration of medications orally?
115. Question: The nurse is caring for a critically ill What are the contraindications for administering medications by the oral route for this patient? (Select all that apply)
116. Question: A nurse is preparing to administer a medication that he is unfamiliar with to a client. Which of the following resources should the nurse use to identify the therapeutic use of the medication?
117. Question: A nurse has a handwritten prescription that is difficult to read. Which of the following actions should the nurse take to avoid an error in medication administration?
118. Question: A nurse is assessing a 12-month-old male infant’s vital signs during a well-child visit. The infant is in the 90th percentile for Which fo the following findings should the nurse report to the provider?
119. Question: A nurse is assessing a 6-month-old infant following a cardiac catheterization. Which of the following findings should the nurse report to the provider?
120. Question: Posterior Interventricular Artery (PIA) – smaller vein