The nurse is teaching clients about hypertension and the importance of risk factors. Which client response identifying a nonmodifiable risk factor indicates that the teaching has been effective?

The school nurse assesses a young child with a rash that’s raised and has circumscribed areas filled with fluid. The nurse documents this finding as which type of rash?

A mother calls the pediatrician because there’s an outbreak of scabies at her child’s school. The nurse would teach the mother to check for which finding?

A child with chronic renal failure is scheduled for hemodialysis with an external shunt three times per week. As part of the discharge planning, the nurse should tell the family to perform which step?

A nurse is teaching nursing students about maintaining a healthy liver. Which measure should the nurse include in her teaching?

A client has multiple myeloma. Which action should alert the nurse that he may be having difficulty coping with his prognosis?

After a nurse teaches a client with diverticular disease about proper diet, he fills out his lunch menu. Which selection by the client demonstrates the need for further teaching?

A client with an above-the-knee amputation visits the orthopedic surgeon for a follow-up. Which comment to the nurse would indicate the client is properly caring for the stump and prosthetic leg?

A client experienced an acute inferior myocardial infarction at a community hospital. After antithrombolytic therapy fails, the physician wants to transfer the client to another hospital for emergency cardiac catheterization. Which member of the health care team must accompany the client?

A client with heart failure says he sleeps with two pillows because he experiences difficulty breathing when lying flat. The nurse would documents this as which condition?

A nurse is caring for a client after a total knee replacement. The extremity was placed in a continuous passive motion (CPM) machine. Which action is one of the nurse’s responsibilities?

Parents bring their infant to the clinic for a checkup after he was hospitalized with a new onset of type 1 diabetes mellitus. Which statement to the nurse indicates an understanding of their child’s current situation?

During a neonate’s 1-month checkup, the pediatrician flexes the neonate’s legs to right angles at the hips and knees and abducts both hips until the knees touch the table. Which statement describes the purpose of this test?

A charge nurse is developing the client-care assignments for the shift. Which client is most appropriately assigned to a licensed practical nurse (LPN)?

A physician prescribes carbamazepine (Tegretol) 1,200 mg by mouth twice daily for a client with trigeminal neuralgia. Which action should the nurse take first?

Which intervention should a nurse include in the care plan for a 2-year-old child with Wilms’ tumor?

Emergency medical system personnel have used the Cincinnati Prehospital Stroke Scale to assess a client and have alerted the hospital that they’re transporting a client with a possible stroke. The nurse plans to administer fibrinolytics within which time period?

When assessing a 5-hour-old neonate born via vaginal delivery, which finding would prompt a nurse to call a physician?

At which age should a nurse initially screen for idiopathic juvenile scoliosis?

An 8-year-old child was sent home after the school reported the presence of head lice. Which information is most helpful to the parents?

The nurse is screening a 10-year-old client for scoliosis. How should the nurse place the client?

A client with pernicious anemia undergoes gastrectomy. Which route should the nurse use to administer cyanocobalamin (vitamin B12) after the surgery?

Which client is most likely to develop ankylosing spondylitis?

A 17-year-old client tells the nurse that she has vulvar itching and a thick, cream cheese–like vaginal discharge. The nurse anticipates treating the client with which medication?

A 20-month-old toddler has been treated with permethrin (Nix) for scabies. Because he continues to scratch, his mother wonders whether the drug is working. Which response by a nurse is most appropriate?

A 28-year-old male client complaining of a racing heart and nervousness is admitted to the telemetry floor. His telemetry shows a heart rate of 130 beats/minute in sinus tachycardia. His skin is very warm and dry, and his eyes appear to be bulging. Which nursing action is the most important upon admission?

During an initial assessment of a neonate, the nurse notes a respiratory rate of 52 breaths/minute. What is the most appropriate intervention by the nurse?

A 56-year-old client with heart failure is allergic to sulfa-based medications. Which type of diuretic should be used cautiously?

A client is unemployed, has no health insurance, hasn’t filled his levothyroxine (Synthroid) prescription for some time, and has been getting “sicker by the day.” Which problem is probably related to him not taking his medication?

Two days after undergoing a left thoracotomy, a client’s temperature reaches 102° F (38.9° C). The nurse notifies the physician, who orders two sets of blood cultures. Which amount of blood would the nurse obtain for cultures?