The charge nurse overhears the patient care assistant speaking harshly to the client with dementia. The charge nurse should:

The nurse notes the patient care assistant looking through the personal items of the client with cancer. Which action should be taken by the registered nurse?

Which client can best be assigned to the newly licensed nurse?

The nurse has an order for medication to be administered intrathecally. The nurse is aware that medications will be administered by which method?

The client is admitted to the unit after a cholescystectomy. Montgomery straps are utilized with this client. The nurse is aware that Montgomery straps are utilized on this client because:

A client with pancreatitis has been transferred to the intensive care unit. Which order would the nurse anticipate?

The nurse is caring for a client with a diagnosis of hepatitis who is experiencing pruritis. Which would be the most appropriate nursing intervention?

The nurse recognizes that which of the following would be most appropriate to wear when providing direct care to a client with a cough?

A client visits the clinic after the death of a parent. Which statement made by the client’s sister signifies abnormal grieving?

The nurse is obtaining a history on an 80-year-old client. Which statement made by the client might indicate a potential for fluid and electrolyte imbalance?

A client is admitted to the acute care unit. Initial laboratory values reveal serum sodium of 170meq/L. What behavior changes would be most common for this client?

When assessing a client for risk of hyperphosphatemia, which piece of information is most important for the nurse to obtain?

The nurse on the 3–11 shift is assessing the chart of a client with an abdominal aneurysm scheduled for surgery in the morning and finds that the consent form has been signed, but the client is unclear about the surgery and possible complications. Which is the most appropriate action?

The nurse is preparing a client for surgery. Which item is most important to remove before sending the client to surgery?

A client is 2 days post-operative colon resection. After a coughing episode, the client’s wound eviscerates. Which nursing action is most appropriate?

The nurse is caring for a client with a malignancy. The classification of the primary tumor is Tis. The nurse should plan care for a tumor:

A client with cancer is to undergo an intravenous pyelogram. The nurse should:

A client arrives in the emergency room with a possible fractured femur. The nurse should anticipate an order for:

The nurse is performing an assessment on a client with possible pernicious anemia. Which data would support this diagnosis?

A client with suspected renal disease is to undergo a renal biopsy. The nurse plans to include which statement in the teaching session?

The nurse is caring for a client scheduled for a surgical repair of a sacular abdominal aortic aneurysm. Which assessment is most crucial during the preoperative period?

A client in the cardiac step-down unit requires suctioning for excess mucous secretions. The dysrhythmia most commonly seen during suctioning is:

The nurse is performing discharge instruction to a client with an implantable defibrillator. What discharge instruction is essential?

Six hours after birth, the infant is found to have an area of swelling over the right parietal area that does not cross the suture line. The nurse should chart this finding as:

A removal of the left lower lobe of the lung is performed on a client with lung cancer. Which post-operative measure would usually be included in the plan?

The nurse is caring for a client with laryngeal cancer. Which finding ascertained in the health history would not be common for this diagnosis?

The nurse is caring for a new mother. The mother asks why her baby has lost weight since he was born. The best explanation of the weight loss is:

The nurse is performing discharge teaching on a client with diverticulitis who has been placed on a low-roughage diet. Which food would have to be eliminated from this client’s diet?

A client has rectal cancer and is scheduled for an abdominal perineal resection. What should be the priority nursing care during the post-op period?

The nurse is assisting a client with diverticulosis to select appropriate foods. Which food should be avoided?

A 6-month-old client is admitted with possible intussuception. Which question during the nursing history is least helpful in obtaining information regarding this diagnosis?

The nurse is caring for a client with epilepsy who is being treated with carbamazepine (Tegretol). Which laboratory value might indicate a serious side effect of this drug?

A client is admitted with a Ewing’s sarcoma. Which symptoms would be expected due to this tumor’s location?

A infant weighs 7 pounds at birth. The expected weight by 1 year should be:

The nurse is making initial rounds on a client with a C5 fracture and crutchfield tongs. Which equipment should be kept at the bedside?

The nurse is visiting a home health client with osteoporosis. The client has a new prescription for alendronate (Fosamax). Which instruction should be given to the client?

The nurse is working in the emergency room when a client arrives with severe burns of the left arm, hands, face, and neck. Which action should receive priority?

A 24-year-old female client is scheduled for surgery in the morning. Which of the following is the primary responsibility of the nurse?

A client with cancer is admitted to the oncology unit. Stat lab values reveal Hgb 12.6, WBC 6500, K+ 1.9, uric acid 7.0, Na+ 136, and platelets 178,000. The nurse evaluates that the client is experiencing which of the following?

The nurse is caring for a client scheduled for removal of the pituitary gland. The nurse should be particularly alert for: