To meet the nutritional needs of a postoperative client who is tolerating clear liquids, the nursing priority is to:

A new graduate nurse has almost completed orientation on the assigned nursing unit; however, a skills checklist and performance test identify deficient skills. What is the most appropriate action for the nurse-manager to take?

A local community health nurse is asked to speak to a group of adolescent girls on the topic of preventing pregnancy. Which statement indicates the adolescents need more information on this topic?

A nurse working in a public health clinic is planning tuberculosis (TB) screening. The nurse understands that which is the priority group to screen for TB?

The home health nurse is assessing a client and determines that the client has an unsteady gait. The client tells the nurse that she has recently fallen. Which nursing action represents an advocacy role for the home health nurse?

Which of the following activities is an example of an indirect care function of a home health nurse?

A nurse at a prenatal clinic is assessing a young pregnant client who expresses behaviors related to drug and alcohol abuse. Which statement indicates the client’s child is at high risk of fetal alcohol syndrome (FAS)?

The nurse in the public health clinic would provide preventive therapy for tuberculosis (TB) to which of the following clients?

The nurse is assessing an elderly client in the emergency room and observes the client to be fearful and noncommunicative. The nurse suspects the client is intimidated by the presence of family members. What is the most appropriate intervention by the nurse?

The nurse is making a home health visit to an elderly blind client who is living with his daughter. While completing the visit, the daughter expresses concern about the cost of caring for her father. Which program could the client be referred to?

The school nurse provided vision and hearing screenings for elementary school children at the beginning of the school year. Later in the year, the nurse offers an immunization clinic during the evening hours. This is an example of which type of prevention strategy?

The nurse is assigned to develop a care plan for a client admitted to the unit. The nurse is aware that the assessment will include which step?

The nursing profession has a responsibility to provide quality cost-effective care. A priority nursing judgment is to recognize that financial reimbursement for care will be lost for certain hospital-acquired conditions if the:

A nurse finds a client crying after she was told by the physician that she is to start hemodialysis to treat her acute renal failure. Which nursing intervention is best?

A client is admitted to a mental health unit. While assessing the client, the nurse finds the client exhibiting signs of hyperexcitability, increasing agitation, and distractibility. Based on the assessment, which nursing intervention has priority?

While caring for a terminally ill infant, the nurse asks the mother if she wants the baby to be baptized. The mother becomes upset and asks to speak to the nurse-manager. What is the best response by the nurse-manager?

The nurse is reviewing discharge teaching with a client newly diagnosed with diabetes. Which statement made by the client indicates further instruction is needed?

A client with terminal cancer is receiving large doses of opioids for pain control. He becomes agitated and continues trying to get out of bed but can’t stand without two-person assistance. To reduce the risk of falling, which type of restraint would the nurse ask to be ordered for the client?

A nurse arrives at a motor vehicle collision involving a school bus and a large truck. The school bus is lying on its side. The nurse observes that several children have been thrown from the windows of the school bus. Which child should the nurse assess first?

Your client is returned to his room following a stem cell transplant. The client requires reverse isolation. The nurse understands that implementing this isolation will protect:

Which nursing action demonstrates the principle of medical asepsis?

The nurse has compiled an admission assessment on an ex-military serviceman who has served two tours in Iraq and is now retired from military service. The assessment data include the following: The client is upset, continually fidgeting, makes no eye contact, and responds to questions with “yes” and “no” answers. What is the priority nursing intervention?

The nurse is caring for a 3-year-old child with acute lymphocytic leukemia and notes the child has a decreased appetite. What is the priority nursing intervention?

A public health nurse visiting a new postpartum client notices that the client has two children under age 4. The nurse notices one infant playing in the cabinet under the sink. Which instruction should the public health nurse give the client?

The nurse assesses the client’s intake and output record at end of the 7 a.m. to 3 p.m. shift. The recorded intake is listed as follows: milk, 180 ml; orange juice, 60 ml; 1 serving scrambled eggs; 1 slice toast; 1 can Ensure oral nutritional supplement, 240 ml; I.V. dextrose 5% in water at 100 ml/hour; 50 ml water after twice daily medications. Medications are given at 9:00 a.m. and 9:00 p.m. The nurse totals the intake at the end of shift as:

A client is awake and alert following maxillofacial surgery and complains of pain, rating it as a 9 on a scale of 1 to 10. He has orders for meperidine (Demerol) 50 mg and hydroxyzine (Vistaril) 50 mg, every 4 hours as needed. When assessing the client 20 minutes after the first dose, he reports his pain as 6. Two hours later, he reports his pain as 8. What is the priority nursing judgment?

When making rounds after returning from lunch, the nurse assesses a client’s pain as 9 out of 10 on a 0 to 10 pain scale. There is no record of an opioid being given to the client, even though the previous nurse signed for one at 12:15 p.m. The client denies receiving anything for pain since the previous night. Which action should the nurse take next?

A nurse who is working at the health department has been assigned to obtain a sputum culture for possible tuberculosis (TB) from a client. After collecting the specimen, the professional nurse should report positive TB smears or cultures to the health department within which time period?

The registered nurse is caring for a neonate diagnosed with a cardiac anomaly. The pediatrician orders digoxin (Lanoxin), 2.5 mg. The nurse questions the order with both the pharmacist and physician. The nurse demonstrates responsible professional practice according to which of the following?

A 62-year-old female client has been taking vitamin C 500 mg by mouth (P.O.) daily, multivitamins 1 tablet P.O. every day, and ibuprofen 400 mg every 6 hours as needed for arthritic pain for 4 days. The nurse notices that the client’s stool is becoming darker and that a test for occult blood is positive. What is the most appropriate nursing judgment?