1. A nurse is caring for a patient who is scheduled for a colonoscopy and whose bowel
preparation will include polyethylene glycol electrolyte lavage prior to the procedure.
The presence of what health problem would contraindicate the use of this form of
1. A nurse is preparing to place a patient's ordered nasogastric tube. How should the nurse
best determine the correct length of the nasogastric tube?
A) Place distal tip to nose, then ear tip and end of xiphoid process.
B) Instruct the patient to lie pro
1. The nurse is caring for a patient with chronic obstructive pulmonary disease (COPD).
The patient has been receiving high-flow oxygen therapy for an extended time. What
symptoms should the nurse anticipate if the patient were experiencing oxygen toxicit
1. A patient is brought to the emergency department from the site of a chemical fire,
where he suffered a burn that involves the epidermis, dermis, and the muscle and bone
of the right arm. On inspection, the skin appears charred. Based on these assessmen
1. An oncology nurse is providing health education for a patient who has recently been
diagnosed with leukemia. What should the nurse explain about commonalities between
all of the different subtypes of leukemia?
A) The different leukemias all involve unr
1. A nurse is caring for a patient who has sickle cell anemia and the nurse's assessment
reveals the possibility of substance abuse. What is the nurse's most appropriate action?
A) Encourage the patient to rely on complementary and alternative therapies.
1. The nurse is caring for a patient who has been diagnosed with an elevated cholesterol
level. The nurse is aware that plaque on the inner lumen of arteries is composed chiefly
A) Lipids and fibrous tissue
B) White blood cells
1. The nurse manager in the ED receives information that a local chemical plant has had a
chemical leak. This disaster is assigned a status of level II. What does this classification
A) First responders can manage the situation.
B) Regional effo
1. Which patient should the nurse prioritize as needing emergent treatment, assuming no
other injuries are present except the ones outlined below?
A) A patient with a blunt chest trauma with some difficulty breathing
B) A patient with a sore neck who was
1. A male patient comes to the clinic and is diagnosed with gonorrhea. Which symptom
most likely prompted him to seek medical attention?
A) Rashes on the palms of the hands and soles of the feet
B) Cauliflower-like warts on the penis
C) Painful, red papul
1. A nurse is assessing a patient with an acoustic neuroma who has been recently admitted
to an oncology unit. What symptoms is the nurse likely to find during the initial
A) Loss of hearing, tinnitus, and vertigo
B) Loss of vision, change in
1. A patient with possible bacterial meningitis is admitted to the ICU. What assessment
finding would the nurse expect for a patient with this diagnosis?
A) Pain upon ankle dorsiflexion of the foot
B) Neck flexion produces flexion of knees and hips
1. The ED nurse is caring for a patient who has been brought in by ambulance after
sustaining a fall at home. What physical assessment finding is suggestive of a basilar
B) Periorbital edema
C) Bruising over the mastoid
1. A patient has had an ischemic stroke and has been admitted to the medical unit. What
action should the nurse perform to best prevent joint deformities?
A) Place the patient in the prone position for 30 minutes/day.
B) Assist the patient in acutely flex
1. A patient is being admitted to the neurologic ICU following an acute head injury that
has resulted in cerebral edema. When planning this patient's care, the nurse would
expect to administer what priority medication?
A) Hydrochlorothiazide (HydroDIURIL)
1. A patient is brought to the ER following a motor vehicle accident in which he sustained
head trauma. Preliminary assessment reveals a vision deficit in the patient's left eye.
The nurse should associate this abnormal finding with trauma to which of the
1. The clinic nurse is assessing a child who has been brought to the clinic with signs and
symptoms that are suggestive of otitis externa. What assessment finding is
characteristic of otitis externa?
A) Tophi on the pinna and ear lobe
B) Dark yellow cerum
1. The registered nurse taking shift report learns that an assigned patient is blind. How
should the nurse best communicate with this patient?
A) Provide instructions in simple, clear terms.
B) Introduce herself in a firm, loud voice at the doorway of the
1. A nurse practitioner is seeing a 16-year-old male patient who has come to the
dermatology clinic for treatment of acne. The nurse practitioner would know that the
treatment may consist of which of the following medications?
A) Acyclovir (Zovirax)
1. A nurse is aware that the outer layer of the skin consists of dead cells that contain large
amounts of keratin. The physiologic functions of keratin include which of the
following? Select all that apply.
A) Producing antibodies
B) Absorbing electrolyte
1. An adolescent is identified as having a collection of fluid in the tunica vaginalis of his
testes. The nurse knows that this adolescent will receive what medical diagnosis?
1. A 45-year-old woman comes into the health clinic for her annual check-up. She
mentions to the nurse that she has noticed dimpling of the right breast that has occurred
in a few months. What assessment would be most appropriate for the nurse to make?
1. A school nurse is presenting information on human development and sexuality. When
describing the role of hormones in sexual development, which hormone does the nurse
teach the class is the most important one for developing and maintaining the female
1. While taking a health history on a 20-year-old female patient, the nurse ascertains that
this patient is taking miconazole (Monistat). The nurse is justified in presuming that this
patient has what medical condition?
A) Bacterial vaginosis
B) Human pap
1. A female patient has been experiencing recurrent urinary tract infections. What health
education should the nurse provide to this patient?
A) Bathe daily and keep the perineal region clean.
B) Avoid voiding immediately after sexual intercourse.
1. The nurse is assessing a patient suspected of having developed acute
glomerulonephritis. The nurse should expect to address what clinical manifestation that
is characteristic of this health problem?
B) Precipitous decrease in serum creatin
1. The care team is considering the use of dialysis in a patient whose renal function is
progressively declining. Renal replacement therapy is indicated in which of the
A) When the patient's creatinine level drops below 1.2 mg/dL (11
1. A patient with type 1 diabetes has told the nurse that his most recent urine test for
ketones was positive. What is the nurse's most plausible conclusion based on this
The patient should withhold his next scheduled dose of insuli
1. A nurse is assessing a patient who has been diagnosed with cholecystitis, and is
experiencing localized abdominal pain. When assessing the characteristics of the
patient's pain, the nurse should anticipate that it may radiate to what region?
1. A nurse is caring for a patient with liver failure and is performing an assessment in the
knowledge of the patient's increased risk of bleeding. The nurse recognizes that this risk
is related to the patient's inability to synthesize prothrombin in the