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After a complete bowel rest, a client is prescribed a clear liquid diet. The nurse making the dietary plan for the client keeps in mind that a clear liquid diet consists of the following except:


A) Bouillon
B) Gelatin
C) Milk
D) Coffee

Correct Answer

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C

A client had a purified protein derivative test 48 hours ago after his roommate tested positive for tuberculosis. On assessment, a 3 millimeter reddened and raised area is noted by the nurse. The nurse determines that the finding is which of the following?


A) Negative
B) Positive
C) Indeterminate
D) Further testing is necessary

Correct Answer

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What is the most fundamental principle of professional behavior?


A) Respect for persons
B) Justice
C) Respect for autonomy
D) Beneficence

Correct Answer

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A nurse is assessing a newly-admitted client. Assessment reveals that the client has muscle weakness, muscle spasticity, and an unsteady gait. Based on the findings, which of the following is the most appropriate nursing diagnosis?


A) Activity intolerance
B) Impaired physical mobility
C) Risk for impaired skin integrity
D) Self-care deficit

Correct Answer

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A nurse is caring for a client with genital herpes. The nurse uses which of the following measures to promote comfort?


A) Instructing the client to wear loose cotton underwear
B) Application of hydrogen peroxide solution over the lesions
C) Application of lubricants to lesions
D) Application of warm compresses

Correct Answer

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A

A physician orders 1000 ml of normal saline solution to be infused over 12 hours. The drop factor is 15 drops per 1 ml. A nurse sets the flow rate at how many drops per minute?


A) 21 drops
B) 24 drops
C) 30 drops
D) 31 drops

Correct Answer

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A registered nurse is admitting a male client suspected of active tuberculosis. As the health care team waits for the results of the tests, the nurse assigns the client to which room?


A) Single room maintained under negative pressure.
B) Semi-private room; if the test verifies the presence of Mycobacterium tuberculosis, the client is placed in a single room.
C) Semi-private room; airborne precautions are implemented.
D) Single room maintained under positive pressure.

Correct Answer

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A

A nurse is reviewing the clients' records. The nurse determines that which of the following clients would require airborne precautions?


A) A client with HIV who is admitted due to pneumocystis carinii
B) A client with chicken pox
C) A client diagnosed with impetigo
D) A client suspected with meningitis

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A client is diagnosed with trichomoniasis. On assessment, the nurse notes which of the following signs and symptoms?


A) Dysuria and mucoid purulent vaginal discharge
B) Frothy, green or gray vaginal discharge
C) Thin, grayish-white vaginal discharge that smells fishy
D) Thick, white, cottage cheese-like vaginal discharge

Correct Answer

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A nurse prepares to administer potassium chloride to a client with hypokalemia. Which of the following actions is included in the nurse's plan of care?


A) Potassium chloride is given in bolus
B) Potassium chloride is diluted in dextrose solution
C) Monitor for signs of phlebitis
D) Monitor for urinary retention

Correct Answer

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By returning to a client's room at the time promised, the nurse is demonstrating:


A) Confidentiality
B) Beneficence
C) Veracity
D) Fidelity

Correct Answer

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Which of the following drugs is NOT a calcium channel blocker?


A) Nifedipine
B) Verapamil
C) Amlodipine
D) Metoprolol

Correct Answer

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Nina the New Nurse was floated to a unit she was unfamiliar with. Wanting to be helpful and thought of as a team player, she accepted a very heavy assignment. According to the ICN Code of Ethics for Nurses, which of the four principle elements did Nina the New Nurse violate?


A) Nurses and people
B) Nurses and practice
C) Nurses and co-workers
D) Nurses and the profession

Correct Answer

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According to the International Council of Nurses, Code of Ethics for Nurses, which one or more of the following statements reflect(s) the fundamental responsibility of a nurse?


A) The promotion of health.
B) To alleviate suffering.
C) The prevention of illness.
D) To restore health.

Correct Answer

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A nurse is caring for a client admitted due to bowel obstruction and a nasogastric tube is about to be inserted, as ordered. The nurse knows that nasogastric tube is inserted to:


A) Remove stomach fluid contents and gas
B) Remove contents and gas in the small and large bowel
C) Control bleeding
D) Remove bile

Correct Answer

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A high-fiber diet is thought to reduce the risk of colon cancer because it:


A) absorbs water from the intestinal wall.
B) promotes the excretion of bile.
C) stops diarrhea.
D) is low in kilocalories.

Correct Answer

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A nurse is providing discharge instructions to a 75-year-old client who had surgery to remove a cataract from her left eye. The nurse should include which of the following instructions?


A) Use an eye shield continuously
B) Increase fiber intake
C) Wipe excess drainage from the outer to inner canthus
D) Resume all activities immediately

Correct Answer

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In an upper respiratory tract infection, secretion of copious amounts of mucus can affect a client's appetite. Which of the following interventions can best help increase the palatability of food for a client with an upper respiratory infection?


A) Increase oral fluid intake.
B) Offer oral care before eating.
C) Offer citrus juice before eating.
D) Remove sputum containers and trash from the eating area.

Correct Answer

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A nurse is caring for a female client who was admitted less than a week ago, due to moderate depression. The client tells the nurse that she feels much better now and is more than excited to interact with other clients. The nurse's immediate action is to:


A) Notify the physician to reduce the dosage of the client's medications
B) Allow the client to have some in-room activities
C) Increase suicide precautions
D) Recommend discharge

Correct Answer

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Johnny, a 39-year-old bartender, is admitted because of a growing tumor in the larynx. A nurse is preparing him for a hemilaryngectomy. When planning care, the nurse recognizes which of the following as the procedure's most common post-op complication?


A) Bleeding
B) Aspiration
C) Changes in voice quality
D) Wound care

Correct Answer

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