The nurse cares for a client who sustained serious injuries from a motor vehicle accident. In assessing client needs, the nurse knows that a client’s response to stressors depends on individual differences such as:

The nurse is performing a physical assessment on a client. The nurse asks the client to flex the neck. The neck flexion results in flexion of the hip and knee which is known as Brudzinski’s sign. Which condition is associated with Brudzinski’s sign?

The nurse is performing a physical assessment on a client. The nurse places the client in a sitting position and observes that the extension of the knee is limited due to pain. Which sign is associated with limited extension of the knee when the hip is flexed?

A client presents in the emergency department with acute onset of fever, headache, stiff neck, nausea/vomiting, and mental status changes. From which condition is the client most likely suffering?

Which is the most frequent etiologic agent of bacterial meningitis?

Which prevention measures should the nurse include when instructing a client on how to avoid otitis externa?

To ensure the accuracy of hemodynamic pressure readings, two baseline measurements are necessary. The first pressure reading is used to calibrate the system to atmospheric pressure, also known as “zeroing” the transducer. Which axis is the second pressure reading used to determine?

Which medication is added to the client’s central line infusion/flush setup to maintain the patency of the hemodynamic monitoring system?

A nurse in the intensive care unit is caring for acritically ill client with an intra-aortic balloon pump (IABP). An IABP provides mechanical support for the client’s failing heart. Even when inserted properly, the client is at risk for complications. Which complication can result from the use of an IABP?

The pulmonary artery catheter, also known as a Swan–Ganz catheter, is commonly used to obtain specific hemodynamic measurements. What is the usual insertion site for a pulmonary artery catheter?

Which is a potential complication of central line placement?

The nurse is caring for a client in the intensive care unit with acute cardiopulmonary problems. The client is receiving mechanical ventilation for cardiopulmonary support. How often is a chest x-ray indicated for clients receiving mechanical ventilation?

The nurse is performing a physical assessment on a client. The physical assessment is positive for Kernig’s sign, Brudzinski’s sign, and nuchal rigidity. Which condition is associated with these symptoms?

The nurse is assisting the physician with the placement of a central line. Which catheter, when properly positioned, is in the superior vena cava?

Cardiac enzymes can be divided into cardiacspecific enzymes and nonspecific enzymes. Which nonspecific cardiac enzyme indicates myocardial damage?

The nurse is caring for a patient who is experiencing a cardiac dysrhythmia. The nurse knows that cardiac dysrhythmias are often caused by an electrolyte imbalance. Which electrolyte imbalance can cause the cardiac dysrhythmia known as torsades de pointes?

Chronic alcohol abuse, rapid administration of citrated blood products, or treatment with total parenteral nutrition puts the client at risk for which condition?

Client incidence of hypermagnesemia is rare in comparison with hypomagnesemia. Hypermagnesemia generally occurs secondary to:

A postsurgical client requires a blood transfusion. Which disorder is common in critically ill and postsurgical clients requiring blood transfusions?

A client’s electrocardiogram (EKG) shows a shortened QT interval. Which electrolyte deficiency is most likely the cause of this EKG change?

A client with osteoporosis requires regular monitoring of serum calcium levels. The nurse knows that the biologically active portion of the total calcium is called the:

A client is diagnosed with hypokalemia. The nurse knows the electrolyte that must be corrected in this situation is:

The nurse studies an electrocardiogram (EKG) and notices a U-wave. The nurse suspects that this is caused by:

A client undergoes an electrocardiogram (EKG) to assess the impact of hypokalemia. The earliest EKG changes that are most often seen in hypokalemia are:

When reviewing a client’s morning laboratory results, the nurse knows that potassium is important because it can alter:

In order to be effective, nursing interventions should consider the client’s wholeness. The human self-concept is a major concern for all nurses and comprises attitudes about:

The nurse is caring for a client in the emergency department (ED) who is experiencing chest pain. The physician suspects that the client has suffered a myocardial infarction. If the client has had a myocardial infarction, when should the nurse anticipate an initial rise in the cardiac-specific enzymes troponin and CK-MB?

Which illness typically presents with headache, fever, and altered mental status?

Nurse researchers have determined that central venous pressure (CVP), pulmonary artery pressure (PAP), and pulmonary artery wedge pressure (PAWP) can be reliably measured at head-of-bed positions. From which position can these pressures be accurately measured?

A client has been diagnosed with mononucleosis. Which statements made by the client lets you know that further teaching is needed? Select all that apply.