Durham College Consolidation Practice Exam

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• A postoperative abdominal surgery patient who is NPO has an IV of Ringer's solution at 124 ml/h via gravity. At 0100 you find 150 ml has been infused since 0700. What is your initial course of action?
• Which action demonstrates appropriate preparation when returning to a surgical unit after an extended absence?
• Which client is most at risk for developing delirium?
• What is the correct practice to prevent aspiration when administering injections?
• What is the most common complication of peritoneal dialysis?
• After a patient falls and is unharmed, which statement should be included in the chart?
• What is the term for a low white blood cell count?
• Which discharge education point should be included for a client who has heart failure?
• What is the primary reason to advocate changes in the indwelling catheter process in a hospital?
• In a patient with cirrhosis and portal hypertension, which finding is most indicative of portal hypertension?
• A bedridden client requires which nursing action to protect skin integrity?
• Which client is most likely to require a smaller-than-average opioid analgesic dose?
• Which method is most appropriate for bladder training in a cognitively impaired older adult?
• Which statement best reflects the role of palliative care in clinical practice?
• PKU screening is typically performed when?
• To perform a Weber test, which instrument is required?
• In diabetic ketoacidosis, monitoring ECG is important to identify complications related to which electrolyte disturbance?
• Mr. Cribb, 44, has Crohn’s disease and is on total parenteral nutrition. He asks the nurse what his electrolyte results are today. What is the nurse’s best course of action?
• If an IV infusion seems to have delivered more than expected since 0700, what is the initial nursing action?
• Breastfeeding over formula can provide passive immunity to the infant against some infections.
• Which activity should be completed first to ensure patient safety when prioritizing tasks for multiple patients?
• Which signs indicate IV infiltration?
• What is an appropriate approach to addressing personal hygiene concerns in a shared space?
• Following a stroke, if a patient shows coughing during swallowing, what is the appropriate next step?
• What is the nurse's obligation when suspecting possible sexual abuse of a child?
• A newborn baby girl has vaginal leakage. Which statement describes the normal nature of this finding?
• Mrs. Orie, 24 years old, recently had a C-section with an epidural and has just entered the post-op room. What is the nurse’s initial action?
• Which duration is commonly recommended for the nitrate-free interval with long-acting nitrates?
• The nurse has five patients: two day-one post-op, two fresh out of surgery, and one with dementia. One fresh post-op starts bleeding, the demented patient climbs out of bed, and another day-one post-op patient complains of pain. What is the nurse's first action?
• Children attending schools must have vaccines.
• In pediatric care, restraints can be used to prevent removal of a tube by a child. Whose consent is required?
• Which action best demonstrates ongoing monitoring after initiating oxygen therapy for a COPD patient in the ER?
• A COPD client arrives in the emergency department with shortness of breath. What should the nurse do first?
• Which technique should be used to confirm the ability to perform a health skill after teaching?
• How would a nurse determine the patency of a fistula used for dialysis?
• In suspected neuroleptic malignant syndrome, what is the immediate priority?
• Mr. van Alfin, a 66-year-old admitted with congestive heart failure, develops crackles in the lower lobes and shortness of breath. Which medication would best relieve the priority problem?
• After recognizing insufficient advocacy in a family conference, which practice should the nurse adopt?
• Which of the following is a typical finding for left-sided heart failure?
• Which of the following is a sign of hypokalemia?
• A patient being discharged after a hip replacement reports pain and notes the leg appears shorter. What is the appropriate action for the nurse?
• What is the purpose of a hand washing audit on a hospital unit?
• A client with depression refuses to participate in activities. A highly enthusiastic approach by the nurse may produce which effect?
• The RPN working for a community agency has been asked to teach UCP how to suction the tracheostomy of a client. The nurse determines that the client is stable and has had a tracheostomy for many years. What is the nurse's next step?
• A patient using a PCA pump reports pain at night. Which sequence describes the proper nursing response?
• In labor, a station of +1 indicates what about the position of the presenting part?
• A patient is given a medication in hospital that the nurse has never heard of, though the patient has been taking it at home. What is the best course of action?
• What is a common cause of urinary tract infection in hospitalized patients?
• Which factor is a risk for systemic adverse effects from topical corticosteroids?
• C. difficile precautions to prevent transmission are best described as which of the following?
• Which statement reflects proper disposal after discontinuing IV therapy?
• A nurse who is three months pregnant is caring for an HIV-positive patient. What should she do?
• Which topic is important for a client experiencing anxiety disorder as a lifestyle health approach?
• Two weeks after a myocardial infarction, which laboratory value shows muscle damage?
• Mode of transmission of hepatitis B?
• Which are social determinants of health contributing to higher COPD and asthma rates among Indigenous people?
• Mr. Colicky, 65 years old, has a central venous catheter. Which nursing intervention is a priority when caring for a client with a central venous catheter?
• For a patient with a DNR order and comfort care, which action aligns with the plan?
• Which statement demonstrates a constructive approach to conflict in a healthcare team?
• Mr. Wagner, 68, suddenly develops chest pain radiating to the left arm 5 days after a mild myocardial infarction. What should the nurse do first?
• For a patient with congestive heart failure, what is the priority assessment that guides therapy?
• A nurse Responding to a daughter who does not want her mother to go to a nursing home at discharge, saying she is the only child and is tired and frustrated. How should the nurse respond?
• In addressing caregiver fatigue during discharge planning, which response best supports the caregiver?
• Implementing changes in catheter care is primarily aimed at reducing what outcome?
• The daughter is exhausted about placing mother in long-term care; what should the nurse do?
• Two weeks after a myocardial infarction, which blood work is elevated?
• What needle gauge is required for a subcutaneous injection?
• Which signs indicate hypertension in a patient with cirrhosis?
• What should the RPN do next when a client asks to speak to another RPN due to comfort?
• Ollie is 14 years old, quadriplegic following a gymnastics injury, hospitalized for a UTI. Which access will help her to get assist from nursing staff?
• A visitor walks out of a patient room and asks the nurse how his friend is doing. How should the nurse respond?
• MRS. oviskan 62 years old has an NG tube and requires liquid potassium to be administered. What should the nurse do first?
• A patient with metastatic cancer on a palliative care unit shows rapid pulse, mottled skin, labored breathing, and profuse perspiration. What is the nurse's most important action?
• What does Form 1 privilege mean in mental health care?
• Hand hygiene education in a school setting is an example of which level of prevention?
• Which medication is used to manage agitation in alcohol withdrawal?
• PKU stands for Phenylketonuria.
• BUN levels primarily reflect which body function?
• A 15-year-old girl calls the clinic asking about abortion after unprotected sex the night before. What should the nurse do?
• When discontinuing an IV infusion, what is the most important safety step?
• In suspected infection, what sequence should be followed regarding sample collection and antibiotic therapy?
• The nurse encounters an IV setup issue at a patient's home because RPNs are not allowed to start IVs. What is the appropriate action?
• A client receives an IV penicillin infusion and reports itchiness with hives on the back and neck. What is the nurse's immediate action?
• When responding to a patient expressing despair, which statement demonstrates therapeutic communication?
• An elderly client says, 'I have nothing to live for.' Which response demonstrates therapeutic communication?
• Which of the following characteristics is associated with acute grief?
• What is the best step to preserve trust when you must reschedule a home visit?
• In a long-term care facility, which change is typically required to authorize nurses to administer oxygen in certain circumstances under applicable regulations?
• Which professional is described as the person who helps with meals and personal care for an elderly client living at home?
• After a hernia repair, what is the best option for managing pain when ambulating?
• Passive immunity in newborns is provided through which mechanism?
• Which factor increases vulnerability to elder abuse?
• Which symptom would prompt monitoring for deep vein thrombosis in an immobilized patient?
• In asthma, wheezing and dyspnea are most directly due to which pathophysiological feature?
• Which scenario represents negligence in patient care?
• In a new agency, the policy requires documenting after each patient. The nurse used to chart at the end of shift and finds the new method more effective. How should she proceed?
• Which sequence best describes the nurse's approach to teaching a UCP to suction a tracheostomy for a stable patient with a long-standing tracheostomy?
• A 16 year old excited telling his parent that he was offered a part time job. Which response is a problem-solving approach by his parents?
• What is a sign of asthma?
• What is the most concerning adverse effect for a client receiving morphine?
• What is the recommended practice for PCA dosing before bedtime?
• What is the newborn head circumference measurement listed in the material?
• Palliative care can be provided at any stage and focuses on comfort and quality of life. Which option expresses this correctly?
• During history taking, a client reports difficulty swallowing. To assess the appropriate cranial nerve, the nurse should observe which response?
• Which test is used to screen for an inborn error of metabolism in a newborn?
• A client is taking digoxin. Which lab value is most important to check regularly?
• Home health nursing aims to enhance clients' capacity for which activity?
• A mother of a 7-month-old baby demonstrates good learning about feeding her baby when she says which of the following?
• Which vital sign change is most concerning after significant postpartum blood loss?
• A patient understands the benefits and risks of a prescribed medication but still refuses to take it. How can the PRN best support this situation?
• What is the priority infection-control practice to protect patients with congestive heart failure?
• Which action should a new nurse take when unsure about medication calculations?
• Which organ is most likely the source of pain in the lower right quadrant?
• When auscultating the lungs, a grating sound on inspiration persists after the patient coughs and is louder over the lower lateral anterior surface. Which best explains what the clinician is hearing?
• After a knee replacement, what is the safest way to rise from bed using a walker?
• What does an interstitial IV site look like?
• A non-breastfeeding mother reports sore breasts. How should the nurse respond?
• Which statement explains why newborn vaginal discharge is seen after birth?
• What is the most common complication of peritoneal dialysis?
• Mrs. Cherry, 32, in the emergency department with abdominal cramps, diarrhea, vomiting, and abdominal distention. The physician orders lab tests. Which result will the nurse be most interested in?
• Which action is most appropriate for a postoperative patient who reports moderate pain: administer analgesic as prescribed and reassess in 20 minutes; or other options?
• A patient refuses a prescribed medication due to personal beliefs. What should the nurse do?
• A patient on Form 1 is not allowed to leave the unit. Which statement shows understanding of the restriction?
• What term describes the failure of a nurse to supervise medication administration appropriately, resulting in potential harm?
• Which statement indicates the patient understands the signs of postpartum hemorrhage?
• If a nurse enters a late entry, is this correct and what should be included?
• Which patient is at highest risk for suicide based on the provided risk factors (age, cancer, divorce, alcoholism, living alone, past attempt)?
• The term 'palliative care' primarily focuses on what aspect of care?
• The client is concerned that his pain after ORIF of the left hip 2 days ago will never go away. Which of the following is an appropriate short-term goal for the client?
• Which sign indicates a possible hip dislocation after a hip replacement?
• A medication was administered to the wrong patient. What is the nurse's most appropriate action?
• Which vaccine can be given to a pregnant woman?
• Which statement best reflects the interpretation of nipple discharge in a breastfeeding mother?
• A charge nurse allows a nursing student to perform an IV on a patient even though the student has not learned IVs in their lab course and did not inform the charge nurse. This situation is considered what?
• A patient with body odor in a shared space feels embarrassed. What is an appropriate action?
• Late postpartum hemorrhage occurs in which timeframe after delivery?
• After abdominal surgery, the client is complaining of pain. What should the nurse do?
• Nurse asks rich patient to make donations for a new pump. Is this acceptable?
• Lochia alba is best described as which color?
• Nursing student has not been educated about the IV procedure yet but the nurse tells the student that she will teach and guide her through it.
• After an RPN discontinues an IV, what should be done next?
• Which of the following should the nurse report immediately if noted during initial assessment of newborn?
• If a client needs a blood transfusion, which act is the nurse's responsibility?
• The nurse's intervention in a resident's behavior suggests the resident is attempting to
• Which statement best describes the rights of a patient under Form 1 regarding leaving the unit?
• Which statement about feeding an infant at 7 months reflects appropriate practice?
• An elderly person wants to continue living alone but cannot take care of himself. What is the most appropriate suggestion from the practical nurse?
• A client refuses prescribed medications, citing belief in prayers and plans to pray instead. How should the nurse proceed?
• What do you do first for a patient who has just arrived from recovery?
• A nurse who waits until the second bell to assist a patient demonstrates which leadership style?
• Which finding is most consistent with cor pulmonale?
• For a practical nurse assigned to a paranoid schizophrenia patient, which approach is most appropriate?
• What is the correct sequence of the stages of labour?
• Mr. Cola 75 years old tells the RPN in urgent care that he was vomiting horribly all night long and he couldn't keep anything down. What would be the nurse best initial question?
• In a long-term care setting, the family invites the nurse to dinner. How should she respond?
• When a client in a mental health group therapy experiences sudden doom, shortness of breath, and chest pain, what is the best course of action?
• Not managing depression can cause which of the following, according to the material?
• What is the antidote for warfarin (Coumadin) overdose?
• Which parental statement indicates further teaching is needed for a 7-year-old child with asthma?
• A postpartum patient asks when menstruation typically resumes after birth. Which response is most accurate?
• On a medical unit with five clients, one needs a dressing change, another needs a shower, another needs teaching about a stoma, and the nurse must review all labs. Which task should be done first?
• When preparing an NG tube medication, what is the first thing the nurse should do?
• Which of the following is a sign of orthostatic intolerance or dehydration due to diuretics that should be reported?
• Which change in brain biochemical function is most associated with suicidal behaviour?
• An 82-year-old woman in the community who is physically weak and needs help with meals and self-care asks about long-term care options. What is the best response?
• Which finding would best suggest that dyspnea is related to heart disease rather than a primary respiratory problem?
• Why is it important for a nurse to prevent air from entering IV tubing?
• The emergency management of a client with chest pain focuses on which of the following priority goals?
• To prevent or control the most common complications of myocardial infarction, what is essential?
• If a patient is administered a medication they are allergic to, what should the nurse do next?
• Which statement defines palliative care?
• To prevent serious complications of peritoneal dialysis, patient education should include which topic?
• A patient with an NG feeding tube has nasal mucosa inflammation at the insertion site; the other naris is patent. What is the best action?
• A Jehovah's Witness does not want any blood or blood products transfused. What should the nurse do?
• For safe practice, a nursing student should perform IV insertion only after what condition is met?
• A patient with schizophrenia on respridol and high-potency PRN antipsychotics develops fever, muscle rigidity, and confusion. What is the probable cause and the most appropriate initial nursing action?
• Which sign indicates thrombophlebitis?
• In which scenario is it appropriate to initiate a urinary catheter?
• What is the best way to assist a quadriplegic patient?
• Unstable angina is best described as?
• A practical nurse is running late and wants to preserve relationships with patients. What should she do?
• In labor, what does contraction frequency refer to?
• A nurse administered docusate sodium 100 mg to the wrong patient. What is the most appropriate immediate action?
• Mrs. SIA 83 years old has to be sent back to long term care facility after replacement of her left hip. On the day of discharge she complains of pain. On assessment the left leg was shorter and foot turned inward. What should the nurse do?
• An adult with type 1 diabetes wakes up at night shaking. Which action by the nurse will prevent a hypoglycemic event during the night?
• Which statement about topical corticosteroids in acute dermatitis is true?
• After vaginal birth with 1500 mL blood loss, which monitoring parameter is most important to assess?
• Which statement reflects a patient rights principle during admission?
• What documentation accompanies the blood product obtained from the blood bank?
• Which combination of newborn findings should prompt immediate reporting to the supervisor?
• Which organization sets the standards for nursing practice in Ontario?
• A patient develops hives during an IV penicillin infusion. Which action is appropriate?
• Which option correctly identifies a sign associated with asthma?
• A new mother is stressed because the baby is not sleeping. What should the nurse ask to address support?
• Newborn girls sometimes have vaginal leakage that is normal. How long does this typically last?
• After a cesarean delivery with an epidural, what is the nurse’s initial action in the post-op period?
• Which practice helps monitor fluid status in a child with congestive heart failure?
• After realizing she did not advocate properly for her client during a family conference, what should the nurse do next?
• If a new agency policy requires documenting after each patient, what is the correct course of action?
• Benzie 48 years old is receiving intravenous antibiotic treatment. What should the nurse do in regard to IV equipment?
• Which step best supports reducing heat loss for a newborn immediately after birth?
• If a patient declines a blood transfusion due to religious beliefs, what should the nurse do?
• In end-stage renal disease management, which treatment is commonly discussed with patients?
• A newborn girl has vaginal discharge on her diaper. What should the nurse tell the parents?
• On a pediatric unit, the policy requires that all medication doses be double-checked by another registered staff. The experienced RPN cannot find anyone to check the medication because staff are dealing with an emergency; she is only giving a laxative and has given it to this child before. What is the best course of action?
• A patient arrives unconscious with a strong odor of alcohol. What should the nurse do first?
• A patient with fever of unknown origin has cultures ordered (urine and blood) and a broad-spectrum antibiotic. What should the nurse do?
• Which electrolyte abnormality can increase the risk of digoxin toxicity?
• The nurse is taking Mr. Hunter for a walk and is using a transfer walking belt for safety and support. Mr. Hunter became weak and begins to fall. What is the safest action for the nurse to take?
• Which of the following lab values is most concerning for immediate action?
• Is it appropriate to supervise an uneducated nursing student through an IV procedure?
• Which action best supports discharge planning and caregiver assistance?
• Which action should be taken after removing an IV catheter to prevent bleeding?
• A visiting health nurse had to deal with a client emergency and this has put her behind in a schedule visit today. What should the nurse do to maintain trust with the client?
• A coworker wants to view a patient’s family member electronic health record to check a diagnostic result. What should the RPN do?
• The client draws back when the nurse reaches over the side rails to take his blood pressure. What should the nurse do?
• A visitor asks about a patient’s condition. What is the best approach?
• Which set of vaccines is specified as required for children attending school?
• A patient has just vomited. What is the first thing the nurse should do?
• In emergency management of chest pain, which goal is prioritized?
• Which action demonstrates maintaining professional boundaries in nurse-patient interactions?
• Which neurotransmitter is described as playing a role in mood regulation and depression?
• Which biomarker is commonly used to diagnose a myocardial infarction?
• Which term describes unstable angina?
• A community nurse has a full workload and cannot see all patients. What is an appropriate step?
• A client with an NG tube is to receive medication through the tube. Which statement demonstrates best understanding?
• Which factor is most likely linked to urinary tract infection in hospitalized patients?
• A nurse notices that a patient’s heart rate is severely elevated after abdominal surgery; what is the priority concern and assessment?
• Lisa 19 years old has been admitted with hep B, she wants a cigarette but doesn't have money to buy any. Lisa is getting agitated and asks to go outside the hospital for a few minutes. What should the nurse say?
• Which statement best describes evidence-based practice?
• What protective equipment and precautions are required when suctioning a client with active tuberculosis?
• An adolescent who locks himself in a room after school presents a communication challenge. What is the most appropriate initial action for the mother?
• An ileal conduit diverts urine from the upper urinary tracts to a reservoir formed from which portion of the intestine?
• What should a clinician expect to find in a patient with left-sided heart failure?
• For a teen mother expressing stress about breastfeeding, what is the nurse's best initial response?
• Which finding would indicate normal gastrointestinal activity during abdominal assessment?
• Phenylketonuria (PKU) is a rare inherited disorder that causes a buildup of which amino acid in the body?
• Which lifestyle change is recommended after MI?
• Before administering digoxin, which vital sign is most important to check?
• A client is hypoglycemic (blood sugar 3.1) and is not yet to receive the morning insulin. What should the nurse do first?
• A patient on multiple medications reports many side effects. Which question helps determine if the side effects relate to proper use?
• On the psychiatric unit, a patient with schizophrenia has become manic, is frantic, and is naked. What should the RPN do first to protect safety while preserving dignity?
• The nurse is speaking loudly in a shared space, and visitors can hear the conversation. What should be done?
• Which knowledge is necessary to teach patients with chronic kidney disease about medications?
• An ileal conduit diverts urine to a reservoir formed from which part of the intestine?
• Which action is appropriate regarding patient information confidentiality?
• What is the expected onset of a benzodiazepine?
• After childbirth, when does the menstrual cycle typically resume in non-breastfeeding mothers?
• When assessing a client with kidney failure, the nurse suspects hyperkalemia based on the client's symptoms. Which of the following are signs of hyperkalemia that should be reported to the doctor?
• Which mechanism is primarily responsible for heat loss when a newborn is moist and exposed to air?
• What drug is not given for chronic pain?
• A nurse is teaching an expectant mother about breastfeeding versus formula feeding. Which statement best describes a specific immunological advantage of breastfeeding for the infant?
• When is puberty education introduced to girls by a community nurse?
• After birth, the newborn is dried and wrapped to prevent heat loss by which mechanism?
• A patient, 88 years old, four days post-op hip replacement, is the main caregiver for her husband with dementia. The physician has written an order for discharge today. What should the nurse do first?
• Mr. Green, 19 years old, with pelvic and left-arm fractures; in car accident, catheterized while awaiting surgery; he complains of pain in his right calf. How should the nurse revise the plan of care?
• A client has a fracture with an open reduction internal fixation (ORIF). What is the client at most risk for?
• A practical nurse gives oxygen to a patient in the emergency room. What should be checked first to verify proper medication administration timing?
• A patient with dementia is on bladder training. What should the nurse suggest?
• A patient with an NG feeding tube inserted one week ago develops inflammation of the nasal mucosa and pain at the insertion site. The other naris is patent. What is the best action now?
• Which approach has been shown to be an effective deterrent to suicide in Indigenous communities?
• A nurse is busy and forgets to do something, and the patient's family is upset. What should the nurse do?
• Which cranial nerve is primarily responsible for facial sensation and chewing?
• Which client is at most risk for elder abuse?
• Which of the following is the correct description of an intervention that promotes peristalsis after abdominal surgery?
• Which statement about evidence-based practice is true?
• What is the first step when administering a potassium-containing product through an enteral tube?
• The blood product albumin is most appropriate for a client with which condition?
• Which factor has been identified as contributing to greater use of home care services?
• A patient with cirrhosis of the liver secondary to alcohol abuse presents with signs suggesting portal hypertension. Which assessment findings would most likely indicate portal hypertension?
• What is a key safety teaching when a patient uses a walker?
• A nurse is admitting a 47-year-old post-op patient with IV Ringer lactate 100 ml/hr, O2 4 L via nasal cannula, and a narcotic given 1 hour ago with nausea. What is the priority assessment as the patient is transferred to the unit?
• In developing a care plan for a client with an ORIF of a fraction with a post cast application, what is the priority nursing diagnosis?
• A nurse is administering an antibiotic to a competent elderly client at midnight. The client refuses to take meds stating 'I already took my pills before I went to sleep'. What is the PRN best action?
• Which action demonstrates professional accountability when performing medication calculations?
• Which class of medication is primarily used to reduce anxiety and promote relaxation?
• Which statement indicates to the nurse on a postpartum home visit that the patient understands the signs of late postpartum hemorrhage?
• An 81-year-old female admitted to rehabilitation after knee replacement is very anxious and refuses to get out of bed, stating it’s too painful. What is the best course of action?
• During a practical nurse consolidation break, what is expected of the student?
• Which statement explains why dosing adjustments may be necessary for medications in chronic kidney disease?
• A three-year-old preoperatively will need restraints to stop pulling an NG tube out. Consent has been given by the parents preoperatively. Should the nurse apply the restraints?
• Which action indicates abusive power in a nurse-client relationship?
• A patient is prescribed two pain medications. Which approach should the nurse take when the patient reports pain?
• Before discharge, a nurse teaches a school-aged child with type 1 diabetes who self-administers insulin. Which preparation is essential before practicing actual injections?
• If an NG tube requires potassium, what is the nurse's first action?
• In which position should a patient be placed to void while using a bedpan?
• Which of the following acts can a nurse initiate?
• For long-acting nitrates, what is the recommended nitrate-free interval?
• In the ED, a patient with suspected left lower extremity fractures and a pain score of 10: what is the most important initial action?
• When examining the ear with an otoscope, what does the tympanic membrane normally look like?
• Which action is an appropriate response when a patient refuses a medication due to side effects?
• A newborn is quickly wrapped to prevent heat loss. What mechanism of heat loss is being addressed?
• Newborn vaginal leakage is caused by maternal hormones. Which hormone is most commonly associated with this phenomenon?
• Which statement best describes the passive immunity provided to infants through breastfeeding?
• A mother sees her boyfriend leaving her 7-year-old daughter's bedroom; how should the nurse proceed?
• A client on insulin (Novolin) did not eat breakfast. When is hypoglycemia most likely to occur after the dose?
• When assessing the client's abdomen, which finding is considered normal?
• Which method is most appropriate to assess for partial obstruction of the carotid artery?
• A nurse realizes she didn't advocate well enough for her patient during a family conference. What should she do?
• Which precaution is required for airborne infections such as active TB?
• A unit staff discusses a vacation schedule; which statement demonstrates successful conflict management?
• A school nurse is educating children about hand hygiene. This activity represents which level of prevention?
• Which statement best describes unstable angina?
• Which medication acts as the antidote for benzodiazepine overdose?
• What is the best action when a patient refuses a midnight antibiotic and asserts they have already taken their pills?
• Which sign is most indicative of portal hypertension in cirrhosis?
• What is the primary safety focus during school recess for children?
• Which walker-related guideline is supported for safety after knee surgery?
• Patient refuses medications.
• A hospitalized toddler who previously drank from a cup now refuses to drink from anything except a favorite bottle. This behavior is best understood as which coping mechanism?
• In a ward, a nurse speaks loudly and visitors overhear. Which action is most appropriate to protect patient confidentiality?
• The PRN nurse is caring for a client with AIDS. What type of precautions would be needed?
• What is a safe approach to nocturnal hypoglycemia prevention in a patient with type 1 diabetes?
• The nurse is obtaining albumin from the blood bank. This blood product is most appropriate for a client with which condition?
• Which symptom is most characteristic of fat embolism syndrome after a fracture?
• Which blood product is typically used to treat anemia in a patient with edema or fluid overload?
• What is considered a good diet for elderly clients?
• A nurse on a unit frequently administers fractional doses of medication but is not confident in math. What is her best action?
• Which medication is NOT an appropriate choice for pain management?
• Which color change indicates late postpartum hemorrhage?
• Which pathophysiological feature is most directly associated with wheezing in asthma?
• A client gave birth five days ago. What kind of lochia is the nurse expecting to see with this woman?
• Which describes the final stage of labor?
• Which statement demonstrates the therapeutic communication technique of remaining 'empathy neutral'?
• Is it appropriate for a nurse to solicit a donation of an IV pump from a patient?
• Postoperative priority assessment after nephrectomy (kidney removal)?
• What is the nurse's first priority when a patient has just arrived on a unit post-operative?
• If a patient asks the nurse to be their substitute decision maker, what should the nurse do?
• What is the Weber test?
• A patient cannot differentiate sharp from dull stimulation on both sides of the face. This finding most likely indicates damage to which nerve?
• What is a sign that a client with asthma is getting worse?
• Which statement best explains why daily weights are important in heart failure management?
• Temperature of 38°C after a myocardial infarction is most likely caused by what?
• A fever after myocardial infarction is most likely due to which mechanism?
• Phenylketonuria (PKU) is a rare inherited disorder that causes a buildup of which molecule?
• A manic patient requires constant supervision. What is the recommended nursing approach?
• Which statement best defines a good community?
• Which statement indicates understanding the expected effects of benzodiazepine?
• Which approach best supports autonomy for clients in home health care?
• How should a practical nurse handle incomplete charting at the end of a shift?
• Which factor is a larger contributor to the increased need for and use of home care?
• A post-operative patient requires narcotics, but there is a miscount at the narcotics cabinet. How should the nurse proceed?
• A community nurse has a full caseload and cannot see all patients. What should she do?
• Translate the obstetric measures 5 cm, 50%, and +1 in a laboring woman.
• In a newborn assessment, which finding should be reported immediately if present?
• What is the newborn head circumference value listed in the material?
• The nurse witnesses another nurse yelling at a patient. What should the nurse do?
• A client is admitted for a C-section. She wishes to have both her tubes tied during the surgery but does not want her husband to know. What should the nurse do?
• A hip replacement patient post-op with pain refuses ambulation. What is the best nursing suggestion?
• A nurse hasn’t worked in the surgical unit for years. Which step is appropriate to rejoin practice?
• Besides exercise, which lifestyle change is noted as important for anxiety management?
• Which statement best reflects a standard precaution when administering medications with a blood product?
• Which document records the timing and dosing of medications administered to a patient?
• Late postpartum hemorrhage is defined as bleeding that occurs after delivery and before how many weeks?
• A nurse walks into a client's room and finds the client on the floor unharmed with bed rails up. How should the nurse document?
• A client diagnosed with bipolar disorder is in a manic phase and becomes more active, irritable, and intrusive. Which nursing intervention is therapeutic in this situation?
• Which newborn finding would be considered reportable?
• The patient has a temperature of 38.0 C two days after a myocardial infarction. The nurse understands this fever is most likely due to which?
• Which biochemical factor is described as playing a role in depression in the material?
• If a patient refuses medications and says he wants to pray, what should the nurse do?
• A client admitted to a psychiatric facility after multiple suicide attempts should be managed with which initial precaution?
• At 18 months, which developmental finding would be cause for concern?
• Which of the following is a standard of safe administration?
• A patient has a leaking colostomy; after attempts to help, how should the nurse proceed?
• To evaluate a suspected carotid artery obstruction, which assessment technique is preferred?
• For a patient with limited mobility, what action optimizes access to nursing staff?
• In a patient with profuse vomiting and diarrhea, what is the nurse most concerned about?
• If a patient does not have complete understanding of the surgical procedure, what should the nurse do?
• A postoperative patient one day after nephrectomy reports pain despite analgesic; what should the nurse do first?
• A patient with fluid volume excess and low haemoglobin would most likely receive which order?
• What teaching method best ensures elderly women understand how to perform breast self-examination?
• For a patient on a PCA pump who experiences nocturnal pain, what pre-bed dosing instruction should the nurse provide?
• What sign indicates a functioning arteriovenous fistula for dialysis?
• The client with AIDS requires specific precautions. Which of the following best matches recommended precautions?
• In a long-term care facility, a female coworker yells at a resident and says she will not get him up in the chair. What should the nurse do?
• If a patient’s NG tube requires potassium, what should the nurse do first?
• How should a nurse respond when family members ask if a patient will die in the next few days?
• After kidney removal, which practice best supports fluid balance monitoring?
• Weber test uses which instrument?
• What is the best course of action when a consolidation student is told to assess a client and the client has new findings requiring physician notification?
• A mother reports discharge from the nipple while breastfeeding. What is the appropriate nursing response?
• A pregnant woman in her third trimester reports a severe headache for two days. What is the plan of action?
• A client with congestive heart failure arrives at the ER with a list of medications. Which medication on the list has the most implications for the client's health?
• The charge nurse tells nursing student that the woman's contraction is 10 minutes apart. How is the frequency of labor contractions determined?
• In post-nephrectomy care, which parameters best monitor fluid balance?
• Which finding is associated with pulmonale (cor pulmonale)?
• For a patient with dysphagia, which food is most appropriate to offer?
• In caring for a manic patient who is undressed, what is the most appropriate initial nursing action that respects dignity and safety?
• What is an appropriate short-term pain goal after open reduction and internal fixation of the left hip?
• In a confidentiality scenario, which option is the most appropriate response when asked to access a relative's test results?
• Wheezing is most commonly caused by what physiological change?
• Which statement best describes a key component of preventing dialysis complications?
• With a practical nurse's shift ending and charting incomplete, what is the appropriate action?
• For a culture sensitivity test, what is the correct sequence of steps?
• A nurse walks into a client's room and finds him on the floor unharmed. What is the nurse's first step?
• What is the priority assessment for a suspected myocardial infarction (MI)?
• A patient with a central venous catheter shows signs that could indicate air embolism. Which symptom would be most concerning?
• Pain in a hemodialysis fistula is most likely caused by which condition?
• What is the antidote for lorazepam overdose?
• A condition described as deficiency of plasma protein is best represented by which option?
• Which activity is best for someone with osteoporosis who has knee pain?
• What is the correct mode of transmission for hepatitis B?
• If a patient does not question or understand about the surgery, what should the nurse do?
• To maintain safety for a patient with mania who requires constant attention, what staffing approach is recommended?
• A third-trimester patient experiencing an intense headache should be referred to whom?
• Before administering liquid potassium via NG tube, which action is most appropriate first?
• If a patient refuses medication but indicates a need to pray, what should the nurse do?
• In acute care for a COPD patient presenting with dyspnea, which action is most appropriate initial management?
• Before handling any IV equipment, what basic practice should be performed?
• Which of the following is a sign of hypokalemia?
• Which factor is NOT a suicide risk factor among the following?
• At which age will a community nurse introduce puberty education to a girl?
• If a patient claims to have already taken a prescribed medication, what is the most appropriate first step to avoid duplication?
• Which medication is a nurse most concerned about for a client with asthma?
• What should Frank advise Connie to do about bullying by the nursing manager on the unit?
• Post bilateral knee amputation, what is the nursing priority?
• Which blood test is used to detect muscle injury after a myocardial infarction according to the material?
• A patient says the night shift nurse never gave him his medication due at 2100. What will the nurse do first to determine whether the medication was given?
• If staffing shortages threaten patient care, what is an appropriate action?
• In kidney failure with a low GFR, which lab value is most concerning?
• Mr. Campion, 73, recently diagnosed with CVA. When the nurse feeds him, he coughs after every swallow. What is the nurse's best course of action?
• The nurse notices a client slap her child in the waiting room. What should the nurse do?
• What is the expected effect onset for a benzodiazepine?
• In a patient on insulin who skipped a meal, within which window is hypoglycemia most likely to occur?
• C. difficile is a bacterium that causes diarrhea and colitis. What precautions are mentioned to prevent its spread?
• During a tonic-clonic seizure, what should the nurse do first?
• What lifestyle changes will the nurse recommend to a myocardial infarction (MI) patient?
• When a new nurse asks how to proceed with a patient who has schizophrenia, what interaction approach is recommended?
• The RPN forgets to give the client the ordered analgesics; the client's pain score is 10 and the patient and family are upset. What is the best action?
• If analgesia is not effective one hour after administration, what is the appropriate nurse action?
• Which medication is a priority in the management of congestive heart failure?
• Mrs. gengie, age 92, has bilateral below-the-knee amputation due to peripheral vascular disease and diabetes. Which action should the nurse perform during the initial post-op period?
• A client in end-stage renal failure should be educated about which treatment option?
• Which statement describes a normal tympanic membrane?
• In an ER patient with possible fractures and a pain score of 10, what is an important nursing action?
• For a patient who has been vomiting, what data should the nurse collect?
• Which statement reflects best practice for a school-age child with asthma to engage in regular activity?
• A patient being discharged after hip replacement reports leg length discrepancy. What is the appropriate action?
• Which of the following by the nurse is most important when a client is experiencing a panic attack?
• In infection prevention for patients with congestive heart failure, which practice is emphasized?
• When a fever of unknown origin prompts culture before antibiotics, which action should the nurse take?
• When the nurse receives a blood product from the blood bank, what must she check?
• A PSW reports a 97-year-old patient who is breathing shallowly, feels cold and clammy, and has blue feet. The patient has an advance directive that states comfort care only and is designed as a DNR. What should the nurse instruct the PSW to do?
• Form 1 for mental health indicates that the patient undergoes which process?
• When a patient invites a nurse to dinner, what is the appropriate boundary?
• In a client with a long-bone fracture, which finding suggests fat embolism?