Basic Care and Comfort

The nurse is caring for a 40-year-old patient experiencing alcohol withdrawal syndrome and advocates for which medication for the patient?

The 7-year-old patient presents to the emergency department with croup and is admitted. The nurse informs the patient's parents that the patient will be placed in a room filled with mist for which purpose?

At a well-child visit, the nurse recommends which type of play to encourage development of the toddler’s gross motor skills?

The nurse is teaching a 50-year-old patient with rheumatoid arthritis self-care and management of the condition. Which morning activity does the nurse recommend to the patient to facilitate further activities?

The nurse is caring for a 38-year-old G2P1 patient diagnosed with iron-deficiency anemia. The nurse recommends which drink choice to improve absorption of the ordered iron supplements?

The 82-year-old patient has voided 240 mL in a 24-hour period. Which term does the nurse use to report this finding?

The nurse most anticipates administering total parenteral nutrition (TPN) to the patient with which condition?

The nurse assesses which body part to detect jaundice in the patient with dark skin?

The nurse is caring for the patient who recently underwent right above-knee amputation and complains of pain in the amputated limb. Which response by the nurse is most appropriate?

The nurse is instructing the nursing student on indwelling urinary catheterization. Which statement does the nurse include in the teaching? 

Which tool does the nurse use to assess pain in the 4-year-old patient who sustained minor injuries on the playground? 

​The nurse is supervising the care of the patient prior to a surgical procedure who has been ordered to receive a clear liquid diet. Which food item, if provided to the patient by the unlicensed assistive personnel, prompts the nurse to intervene with further education? 

Following a minor abdominal surgical procedure, the patient is complaining of abdominal discomfort when coughing. Which nursing intervention is most important?

Which information does the nurse provide to the patient scheduled to receive intravenous cyclophosphamide for stage III breast cancer regarding hair loss? 

The 72-year-old male patient was recently diagnosed with prostate cancer. The nurse anticipates which additional complaint? 

The nurse is caring for a 60-year-old female patient who is confined to bed and most closely monitors for signs of which complication?

The nurse is caring for a 50-year-old male patient with osteoarthritis who is prescribed a non-steroidal anti-inflammatory drug for pain. Which instruction does the nurse provide to the patient?

The nurse is caring for a 55-year-old patient who is experiencing dyspnea. What is the most appropriate position for the patient?

Two days after receiving a kidney transplant, the patient complains of flank pain. Which urine output, if reported by the unlicensed assistive personnel, is most concerning to the nurse? 

The patient is in a coma following evacuation of an acute subdural hematoma. Which intervention does the nurse utilize to increase the patient's level of consciousness? 

The patient with decreased mobility complains of neck and lower back pain during a bed bath. Which initial intervention does the nurse utilize to promote relaxation and comfort to the patient? 

The nurse is caring for a 48-year-old male patient with Addison’s disease. Which of the following is the most important component of care for the patient?

The nurse is preparing a 57-year-old male patient for discharge. Patient’s left leg is weak due to his recent cerebrovascular accident. Which of the following assistive devices is most helpful for the patient?

The nurse is developing a plan of care for a patient who is receiving enteral feedings via gastrostomy tube. Which of the following is the priority nursing diagnosis for the patient?

The nurse is caring for a 30-year-old female patient with ulcerative colitis. The nurse decides to include ‘risk for altered skin integrity related to frequent and loose bowel movement’. Which of the following is most helpful in preventing perianal skin breakdown?

The nurse is caring for a 59-year-old male patient who is on corticosteroid therapy and is ordered for daily weight monitoring. Which of the following should be avoided when weighing the patient?

The nurse is caring for a 20-year-old female patient who reports severe dysmenorrheal pain that is not relieved with NSAIDs. The nurse recommends which intervention?

The nurse is developing a plan of care to address patient’s poor oral hygiene. Which of the following patients is at highest risk for poor oral hygiene?

The nurse is caring for a 40-year-old male patient who is experiencing wasting related to HIV infection. In addition to antiretroviral therapy, which intervention is most likely to be helpful?

The nurse is caring for a 12-year-old female patient with newly acquired Lyme disease. Which of the following skin issues should the nurse expect to manage in the patient?

A 12-year-old boy presents to the pediatrician with a wound on his knee. Physical examination reveals redness and edema near the wound. Which of the following is the cause of the edema and redness?

A 26-year-old woman at 8 weeks of pregnancy presents for a consultation. Her last menstrual period was September 9, 2018. Which of the following is the expected date of delivery by Naegele's rule?

Which of the following statements by a nursing assistant indicates understanding of the nurse’s instructions regarding the care of a patient with failure to thrive?

The nurse is educating a patient with a recent esophagectomy how to perform percutaneous endoscopic gastrostomy (PEG) feedings. Which of the following statements is correct regarding PEG feedings?

The nurse is caring for a patient with severe congestive heart failure (CHF). Peripheral perfusion is stable at present on medical therapy. On exam, the patient has significant jugular venous distention and peripheral edema, as well as dyspnea secondary to pulmonary edema. Which of the following statements is most appropriate regarding this patient’s volume status and needs?

The nurse is assigned to care for a patient with a history of thromboembolism but in whom conventional anticoagulant therapy is contraindicated due a recent spinal injury. The nurse adds which preventative measure to the patient’s plan of care to prevent thromboembolism?

The nurse is planning to have a discussion with a patient regarding their terminal illness and end of life issues. Which of the following is the most appropriate setting in which to have this discussion?

The nurse is caring for a patient with narcissistic personality disorder in a long-term care facility. The patient says that a fellow patient “always talks and thinks about nothing but himself.” The nurse’s experience with this patient has been different. He always seems very humble and self-effacing. Which defense mechanism is this patient displaying?

The nurse is taking the history of a patient found in the street trying to stop traffic. The patient admits to multiple recent long episodes of severe depression. Then, 12 days ago, the patient described feeling elated and “on top of the world.” He recounts many days planning far-reaching projects that would “change the world,” and required only an hour of sleep once or twice. Patient is talking continuously in a rapid, rushed manner and cannot seem to complete a thought without jumping to the next. He sometimes sees things that others do not see. The nurse anticipates which diagnosis?

The patient with pneumonia who has been taking PO azithromycin for four days contacts the clinic to report itching and burning in her vagina. Which response by the nurse is most appropriate?

The patient complains of poor sleep on a regular basis. Which statement by the patient provides an opportunity for education about sleep hygiene?

The patient tells the nurse, “My provider told me to increase my dietary intake of vitamin C, but I’m not sure how to get it.” Which food does the nurse encourage the patient to eat?

The nurse would provide a meal with healthy fats to a patient taking which vitamin supplement(s) to increase vitamin absorption? Select all that apply.

During preconception counseling, the nurse encourages a prospective mother to increase dietary intake of which vitamin in order to reduce her risk of having a baby with a neural tube defect?

A woman of childbearing age tells the nurse, “My mother lost a child to anencephaly. I’m so scared I will, too. How do I prevent that from happening to me?” The nurse recommends the woman increase ingestion of which food rich in vitamins that help prevent this condition?

The nurse is educating a patient on ways to increase dietary vitamin K intake. Which food, if selected by the patient as a good source of vitamin K, indicates a need for further teaching?

The patient tells the nurse, “My doctor wants me to take a vitamin D supplement for my osteoporosis, but I just don’t want to take another pill. What are some foods I can eat to increase my vitamin D?” The nurse counsels the patient to eat which foods high in vitamin D? Select all that apply.

The nurse is counseling a patient with a deep wound and delayed wound healing due to uncontrolled hypertension about the importance of nutrition for wound healing. Which food is most appropriate for the nurse to teach the patient?

The nurse is providing discharge education about crutches to a patient who has an order to be non-weight bearing due to a broken ankle. Which action, if made by the patient, indicates a need for further teaching?

The patient is weight bearing but has left-sided weakness following a left knee injury. The provider has instructed the nurse to educate the patient on the use of a cane. How does the nurse instruct the patient to use the cane?