Nursing Assessment and Care Quiz

Based on the provided vital signs, which of the following is most likely a concern for the patient?

Which of the following laboratory results indicates potential kidney dysfunction?

Which laboratory result is consistent with a potential bleeding disorder?

Which of the following actions should be taken when a patient is being treated with phototherapy for jaundice?

A nurse is providing care to a client who is 30 weeks pregnant and reports headache, nausea, vomiting, and right upper abdominal pain. The client is alert and oriented but appears restless. Which of the following findings should the nurse prioritize for immediate follow-up?

A nurse is teaching the parents of a child who will undergo an electroencephalogram (EEG) about the procedure. Which of the following instructions should the nurse include in the teaching?

A nurse is preparing to administer three medications to a client receiving continuous enteral feeding through an NG tube. Which of the following actions should the nurse prioritize?

A nurse is caring for a client with systemic lupus erythematosus (SLE). Which of the following client findings should the nurse anticipate?

A nurse is planning care for a client scheduled to have a paracentesis. Which of the following actions should the nurse include in the plan of care?

A nurse is providing discharge teaching to a client who is postoperative after carpal tunnel syndrome surgery. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is caring for a client who is 30 weeks pregnant and reports headache, nausea, vomiting, and right upper abdominal pain. The client is alert and oriented but appears restless. Which of the following nursing interventions should the nurse prioritize?

A nurse is providing discharge teaching to a client who is postoperative after carpal tunnel syndrome surgery. Which of the following is MOST important to emphasize when teaching the client about hand care?

A nurse is caring for a client who has experienced a stillbirth. Which of the following actions should the nurse take during the initial grieving process?

A nurse is providing teaching to an older adult client who has a seizure disorder and a new prescription for phenytoin. Which of the following instructions should the nurse include?

A nurse is reviewing the medical record of a client. Which of the following findings should the nurse report to the provider?

A nurse is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse plan to assess first?

A nurse in the emergency department is receiving report on a group of clients. Which of the following clients should the nurse assess first?

A nurse is caring for a client who is receiving a continuous intravenous infusion of heparin. Which of the following actions should the nurse take?

A nurse is providing care to a client who has a new diagnosis of type 2 diabetes mellitus. Which of the following instructions should the nurse include in the teaching plan?

A nurse is caring for a client who is 24 hr postoperative following a total hip replacement. Which of the following should the nurse assess first?

A nurse is caring for a client who is 4 days postpartum following a cesarean birth. Which of the following assessment findings is most consistent with endometritis?

A nurse is caring for a client who is 4 days postpartum following a cesarean birth. Which of the following assessment findings is least consistent with mastitis?

A nurse is caring for a client who is 4 days postpartum following a cesarean birth and has a fever of 100.4°F (38°C). Which of the following actions should the nurse take first?

A nurse is caring for a client who is 4 days postpartum following a cesarean birth and has a fever of 100.4°F (38°C). What additional information should the nurse gather to help determine the cause of the client's fever?

A nurse is caring for a client who has left shoulder pain and S-T elevation on a 12-lead ECG. Which of the following conditions should the nurse suspect as the most likely cause of these symptoms?

A nurse is caring for a client who is in active labor. Which of the following findings should the nurse report to the provider immediately?

A nurse is caring for a client who is in a coma and is scheduled for a surgical procedure. Which of the following actions should the nurse take first?

A nurse is admitting a client who is 1 week postpartum and reports excessive vaginal bleeding. The client's partner and 10-year-old child are accompanying her. The nurse speaks a different language than the client. Which of the following actions should the nurse take to gather the client's admission data?

Which of the following assessment findings in the client are MOST consistent with preeclampsia? (Select all that apply)

Which of the following interventions should the nurse prioritize based on the client's vital signs and laboratory results? (Select all that apply)

Which of the following laboratory results is MOST concerning and would require immediate intervention by the nurse?

What is the most appropriate action for a nurse to take when she notices a prolapsed umbilical cord during labor?

What should the nurse not include in the discharge teaching for a client with chronic kidney disease receiving hemodialysis?

What are the potential implications for the client and fetus of increasing blood pressure in a pregnant woman with preeclampsia? (Select all that apply)

A school nurse is teaching a parent about absence seizures. Which statement indicates a misunderstanding of the information presented?

Which of the following nursing interventions would be appropriate to address the client's current complaint of headache? (Select all that apply)

What client statement indicates a proper understanding of infection prevention during pregnancy?

Which of the following nursing interventions is likely to be most effective for the client's report of nausea and vomiting? (Select all that apply)

Which of the following responsibilities of a nurse at an HIV clinic is considered tertiary prevention?

Given the client's assessment findings, which of the following actions should the nurse prioritize after the initial vital signs and assessments?

Which of the following medical conditions in the client's adult child would be considered a contraindication to becoming a living kidney donor for their parent?

A nurse is providing discharge teaching to a new parent about breastfeeding. Which statement should the nurse avoid making?

What information about increased intracranial pressure (ICP) is incorrect?

Which is the best way to help a breastfeeding mother determine when to offer her infant the breast?