Objective data are also known as?

Data or information obtained from the assessment of a patient is primarily used by nurse to:

Two-year-old Aang's mother states "Aang vomited 8 ounces of his formula this morning." This statement is an

A nurse formulating a plan of care for a client receiving enteral feeding. The nurse identifies which nursing diagnosis as the highest priority for this client?

A nurse finds a client in the bedroom, unconscious with pill bottle in hand. The pill bottle contained the SSRI Sertraline (Zoloft). The nurse immediately assesses the client's:

A nurse is caring for a client admitted to the hospital for subclavian line replacement. Which psychosocial area of assessment should the nurse address with the client?

A hospitalized client who has a living will is being fed through a nasogastric tube. During a bolus feeding, the client vomits and begins choking. Which of the following actions is most appropriate for the nurse to take?

The nurse is caring for a 16-year-old female client who isn't sexually active. The client asks if she needs a Papanicolau test (Pap test). The nurse should reply:

The nurse is assessing a client who complains of abdominal pain, nausea and diarrhea. When examining the client's abdomen, which sequence should the nurse use?

The nurse is speaking to a group of women about early detection of breast cancer. The average age of the women in the group is 45. Following the Philippine Cancer Society guidelines, the nurse should recommend that the women;

The school nurse is planning a program for a group of teenagers on skin cancer prevention. Which of the following Instruction should the nurse emphasize in her talk?

An employer establishes a physical exercise area in the workplace and encourages all employees to use it. This is an example of which level of prevention?

A nurse has just been told by the physician that an order has been written to administer an iron injection to a client. The nurse plans to give the medication in the:

A client has just been told by the physician that a cerebral angiogram will be obtained. The nurse then collects data from the client about which of the following pieces of information?

A client has an order for a wound culture to be performed with the next wound irrigation and dressing change. The nurse would plan to use which of the following solutions for irrigation before this particular procedure?

Which of the following is the best indicator in determining that the client's airway needs suctioning?

A nurse is planning to assist a diabetic client to perform self-monitoring of blood glucose level. The nurse should incorporate which of the following strategies to best help the client obtain an adequate capillary sample?

One hour after the IV was inserted, Nurse Katara found out that the 1 liter of D5NSS was empty. Patient Zuko was in severe respiratory distress with pinkish, frothy sputum. The most probable complication is:

When an IV of D5W is not infusing well on patient, it is best to first:

The doctor ordered venoclysis of one liter of dextrose 5% in water KVO for 24 hours as a vehicle for IV medications. How many drops per minute should the fluid be regulated?

The nurse is administering IV fluids to an infant. Infants receiving IV Therapy are particularly vulnerable to:

A client with severe inflammatory bowel disease is receiving TPN. When administering TPN, the nurse must take care to maintain the prescribed flow rate because giving TPN too rapidly may cause:

A client's hypertension has been recently diagnosed. The nurse would plan to do which of the following as the first step in teaching the client about the disorder?

In teaching the sister of a diabetic client about the proper use of a glucometer in determining the blood sugar level of the client. The nurse is focusing in which domain of learning according to bloom?

A diabetic client who is performing self-monitoring of blood glucose at home asks a clinic nurse why a glycosylated hemoglobin level needs to be measured. The nurse should plan to incorporate which of the following into a response.

Which of the following is the most important condition for a diabetic client to learn how to control their diet?

When you prepare your teaching plan for a group of hypertensive clients, you first formulate your learning objectives. Which of the following steps in the nursing process corresponds to the writing of learning objectives?

The theorist who believes that adaptation and manipulation of stressors are needed to foster change is:

The theorist whose theory can be defined as the development of a science of humankind, incorporating the concepts of energy fields, openness, pattern and organization is:

Which psychodynamic theorist believed that an Infant seeking pleasure through oral gratification is important to psychosocial growth?

The nurse gives a resident in a nursing home a choice about which color shirt to wear. What level need, according to Maslow's Hierarchy of Needs, has the nurse just met?

The primary effect of oxygen therapy is to:

A nurse suctions a client who has an endotracheal tube in place. Following the procedure, which of the following would indicate to the nurse that the client is experiencing an adverse effect of this procedure?

The gauge number in ET tubes determines:

The nurse is correct in performing suctioning when she applies the suction intermittently during;

The purpose of the cuff in tracheostomy tube is to:

Based on the nurse's knowledge of surgical wounds, simple surgical incisions heal by:

The nurse documents that the wound edges are approximated. When the edges of an incision are said to be approximated, this means edges are:

Which vitamin is most essential for collagen synthesis?

When assessing the client's wound for sign of infection, the nurse should look for the presence of which of the following?

The nurse is about to change the dressing and provide wound care. Which activity should she perform first?

The component that should receive the highest priority before physical examination is the:

When inspecting a client's skin, the nurse finds a vesicle on the client's arm. Which description applies to a vesicle?

When assessing a cllent with abdominal pain the nurse should assess

To assess the client's dorsalis pedis pulse, the nurse should palpate the:

Which of the following assessment would be a priority for a 2-year-old after bronchoscopy?

The nurse checks the client's gag reflex. The recommended technique for testing the gag reflex is to:

The nurse is evaluating a client's lung sounds. Which of the following breath sounds indicate inadequate ventilation when auscultated over the lung fields?

A client has a chest tubes attached to a pleural drainage system. When caring for this client, the nurse should:

The nurse is teaching a patient how to use an incentive spirometer. The nurse should assist the patient to assume which position?

Which is the most important action by the nurse after a patient has a thoracotomy?

In a client with diabetic ketoacidosis, Kussmaul's respiration is exhibited. This is evidence that there is the presence of:

If the nurse will auscultate the base of the lungs, it is expected that she will here:

The respiratory center that controls breathing is found in the:

Initially in asthma, you are expecting that the client's acid base disturbance is:

Mang Sokka was rushed to the hospital after being unconscious inside an enclosed parking lot. Carbon monoxide polsoning is suspected. The pulse oximetry reading of Mang Sokka is 100%. This suggests that:

Mang Sokka was rushed to the hospital after being unconscious inside an enclosed parking lot. Carbon monoxide polsoning is suspected. Which is a sign the nurse will expect to see on Mang Sokka?

Initially, in patient with suspected inhalation poisoning, the most important intervention at the scene of poisoning is:

Which of the following laboratory result is constantly checked in the client's undergoing treatment for carbon monoxide poisoning?

If a client demonstrates psychoses, visual disturbance, ataxia, amnesia and confusion even after completion of resuscitation and the return of normal oxygenation, this will indicate that:

The physician has ordered 3 units of whole blood to be transfused to Azula following a repair of a dissecting aneurysm of the aorta. You are preparing the first unit of whole blood for transfusion. From the time you obtain it from the blood bank, how long should you infuse it?

The physician has ordered 3 units of whole blood to be transfused to Azula following a repair of a dissecting aneurysm of the aorta. What should you do FIRST before you administer blood transfusion?

As Azula's nurse, what will you do AFTER the transfusion has started?

Azula is undergoing blood transfusions of the first unit. The EARLIEST signs of allergic transfusion reactions are:

BLOOD TRANSFUSION In case Azula will experience an acute hemolytic reaction, what will be your PRIORITY intervention?

The body fluids move using the principle of osmosis and diffusion. This affects the isotonicity or concentration of the body in relation to its solutes and solvents. D5NSS is an example of:

The body fluids move using the principle of osmosis and diffusion. This affects the isotonicity or concentration of the body in relation to its solutes and solvents. Which of the following is NOT an isotonic solution?

The most abundant cation in the Intracellular fluid is:

Why is insulin given in clients with Burns?

In clients with Diabetes Mellitus, the greatest complication that could occur is related to:

TPN is delivered at a rate of 50-60 ml/hr during the first 12 hours. Why is this so?

What is the flow rate of TPN?

The site of choice for TPN by the use of the central veins, either via the subclavian or the femoral approach. If this procedure will use the femoral vein, the tip of the catheter Is placed in the:

ENTEROSTOMAL THERAPY is now considered a specialty in nursing. You are participating in the OSTOMY CARE CLASS. During colostomy irrigation, the client complains of a cramping sensation with the fluid was introduced. Which of the following is a CORRECT nursing action?

ENTEROSTOMAL THERAPY is now considered a specialty in nursing. You are participating in the OSTOMY CARE CLASS. When is the colostomy appliance best emptied?

ENTEROSTOMAL THERAPY is now considered a specialty in nursing. You are participating in the OSTOMY CARE CLASS. The client asks the nurse, "WHEN is the best time to perform irrigation?" The nurse would answer:

ENTEROSTOMAL THERAPY is now considered a specialty in nursing. You are participating in the OSTOMY CARE CLASS. The nurse is teaching a client how to irrigate his stoma. Which action Indicates that the client needs more teaching?

The physician orders a stool culture to help diagnose a client with prolonged diarrhea. The nurse who obtains the stool specimen from the colostomy stoma should

You are assisting Roku who recently went through colostomy surgery. You plan to teach Roku how to irrigate the colostomy when:

When preparing to teach Roku how to irrigate colostomy, you should plan to do the procedure:

When observing a return demonstration of a colostomy irrigation, you know that more teaching is required if Roku:

You are aware that teaching about colostomy care is understood when Roku states, "I will contact my physician and report:

You would know after teaching Roku that dietary instruction for him is effective when he states, "It is important that t eat:

Princess Yue, 42 years old is admitted to the hospital with diagnosis of renal calculi. She is experiencing severe flank pain, nauseated and with a temperature of 39 degrees Celsius. Given the above assessment data, the most immediate goal of the nurse would be which of the following?

Princess Yue, 42 years old is admitted to the hospital with diagnosis of renal calculi. She is experiencing severe flank pain, nauseated and with a temperature of 39 degrees Celsius. After Princess Yue went through an IVP, a renal stone was confirmed. Left nephrectomy was done. Her post operative order includes "daily urine specimen to be sent to the laboratory." Princess Yue has a foley catheter attached to a urinary drainage system. How will you collect the urine specimen?

Princess Yue, 42 years old is admitted to the hospital with diagnosis of renal calculi. She is experiencing severe flank pain, nauseated and with a temperature of 39 degrees Celsius. Where would the nurse tape Princess Yue's indwelling catheter in order to reduce urethral irritation?

Princess Yue, 42 years old is admitted to the hospital with diagnosis of renal calculi. She is experiencing severe flank pain, nauseated and with a temperature of 39 degrees Celsius. Which of the following menu is appropriate for Princess Yue who requires a low sodium diet?

Princess Yue, 42 years old is admitted to the hospital with diagnosis of renal calculi. She is experiencing severe flank pain, nauseated and with a temperature of 39 degrees Celsius. How will you prevent ascending infection to Princess Yue who has an indwelling catheter?

Iroh is an elderly client who is immobile and sedentary Iroh is frequent complaining of dry skin. Which of the following is the BEST way to prevent dry skin?

Which of the following is a frequently used dressing for pressure sores?

Heat is an old remedy for aches and pain. People equate heat with comfort and relief.

Heat and cold applications should not exceed:

A client with deep wounds undergone hydrocolloid dressing. Which of the following is TRUE with regards to this dressing?

A patient performs rehabilitative exercises with resistance after a knee injury. The nurse interprets this type of exercise as which of the following?

Which of the following would the nurse expect to assess when a patient experiences a greater breakdown of protein than that which is manufactured?

While doing range-of-motion exercises with a patient who is bedridden, the nurse is aware of which of the following considerations?

In many situations, a patient has sufficient strength to walk if he or she can do which of the following?

When a patient is using a cane for maximal support, the nurse is aware that the patient should do which of the following?

The nurse observes some involuntary muscle jerking in a sleeping patient. The nurse determines that the patient is most likely in which stage of sleep?

The nurse observes a slight increase in a patient's vital signs while he is sleeping during the night. According to the patient's stage of sleep, the nurse expects which of the following to be true?