Durham College Consolidation Practice Exam

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