1.

Clinical portfolio - Letters of support from family members and friends who are healthcare
professionals
2. External eye structures - An African-American client may have slightly yellow
sclerae
3. EDB - November 21
4. Aortic valve replacement - Keep client in bed in the supine position
5. D/c to resolution of illness - Case-manager
6. IV fluids - 61
7. Eye drop instillation - Close your eyelids
8. TB, chest radiograph - Administer isoniazid (INH) daily for 6 to 9 months
9. ETOH dependency - Monitor for increased blood pressure and pulse
10.Toddler - Demonstrate the procedure using a doll
11.PPE - Gloves, gown, mask, wash hands
12.95th percentile - Question the type and quality of foods eaten in a typical day
13.Digoxin - Withhold the medication and contact the HCP
14.21 yo - Taking medication, with community follow-up
15.Antisocial personality disorder - Confront the client about the consequences
of the behavior
16.Smoker - Headache and hyperirritability are common
17.Asthma, HTN - Metoprolol tartrate (Lopressor)
18.Intracavitary radiation - A nurse with Marfans syndrome who is
postmenopausal
19.Thoughts of anger toward hubby - Obsessive
20.Mucomyst - 3
21.Addisonian crisis - Hypotension, rapid weak pulse, and rapid respiratory rate
22.Taking drugs - Report the incident to the immediate supervisor
23.3 yo - Increased thirst
24.Childbirth prep classes - Participants can identify at least three coping
strategies to use during labor
25.Criterion for occupational nurse - Implements health programs for
construction workers
26.Postpone teach session - Activity intolerance related to postoperative pain
27.Undies - Tell me about your undergarments so we can discuss how you can
have your examination comfortably.
28.Cryosurgery - Use a sanitary napkin instead of a tampon
29.I cant walk well - Identify the problem
30.Yeast infection - Avoid tight-fitting clothing and do not use bubble-bath or
bath salts
31.HTN - Frequent blood pressure checks, including readings taken by
automated machines, are recommended
32.Corticosteroid - Erythrocyte sedimentation rate
33.6 yo - Rhinorrhea or otorrhoea with Halo sign
34.Drug education class - Wanting the drug is all that matters to an addict
35.Meperidine - 1.5
36.Abd surg, ABG - Encourage the use of an incentive spirometer
37.Abd surg - NG tube - Apply a water soluble lubricant to the lips, oral mucosa
and nares
38.Renal fail, osteodystrophy - Serum potassium of 5.5 mEq and total calcium of
6 mg/dl
39.Tet spell - Place child in knee-chest position

40.Collaborator of care - Coordinating and educating about multidisciplinary

services
41.Imbalanced nutrition - Eat 50% of six small meals each day by the end of one
week
42.Cardiac cath - Valsalvas maneuver and coughing
43.Scope - States Board of Nursing
44.Wound packing - Demonstrate the wound care procedure to the PN while the
PN assists
45.IV tubing - A buretrol attachment
46.NSAID, osteoarthritis - Provide anti-inflammatory response
47.Cholecystectomy - Decrease the risk of bradycardia during surgery
48.Pressure ulcer - Stage 3
49.Mechanical lift - Tolerance of exertion
50.Report to HCP before surg - Recalls drinking a glass of juice after midnight
51.Deceased hubby - Denial related to the loss of a loved one
52.Lyme disease - Look for early signs of a lesion that increases in size with a red
border, clear center
53.Clonidine - How long had the client been taking the medication
54.Propranolol - Ask the healthcare provider about tapering the drug dose over
the next week
55.Two UAP arguing - Deal with issues and not personalities
56.Crisis situation - You seem to be more tense these days. Would you like to talk
about the problem and how you are dealing with it?
57.Nutritional assess - A pregnant woman
58.CRF - Avoid salt substitutes
59.Moist skin, fine hair, prominent eyes, lid retraction, staring - Graves disease
60.Accommodation - Ask the client to look at a distant object and then at an
object held 10 cm from the nose
61.Prioritizing care - The client who has a new onset of breathing difficulties
62.Exraoyramidal rx to psych meds - Tell the receptionist to have the healthcare
provider return the phone call
63.Eval med effectiveness - Reports decrease in pain
64.Saline enema - History of inflammatory bowel disorders
65.Documenting narrative notes - S1 murmur auscultated in supine position
66.BSE - Five to seven days after menses cease
67.BF abuse - Young adult female presents with periorbital ecchymosis on right
side, 3 cm laceration on left parietal area, approximately 1 cm deep with
tissue bridging. States her boyfriend is abusive.
68.Low potassium diet - Dried prunes
69.Phys assess, norm - Regular pulsation at the epigastric area when the client is
supine
70.Encephalopathy r/t hyperbilirubinemia - Lethargy or irritability
71.Home phototherapy - I will keep the babys eyes covered when the baby is
under the light.
72.TB - Assign the client to a negative air-flow room
73.DM 2 & Flu - One chronic and one acute illness
74.ED code, POA - Stop the code immediately
75.AMA, chart - The chart is the property of the hospital but I will see that a copy
is made for you
76.Tamoxifen - This anti-estrogen drug inhibits malignancy growth

77.Alt. cerebral fxn - Change in level of consciousness

78.14 yo - Early adolescence is a developmental stage of normal
experimentation
79.Comm primary prevention - Immunizations that decrease occurrences of
many contagious diseases
80.Prenatal dx testing - Diagnostic testing may indicate a fetal problem that
could be treated prior to delivery
81.Milwaukee brace - Remove the brace one hour each day for bathing only
82.Durable POA - It will identify someone that can make decisions for your
healthcare if you are in a coma or vegetative state
83.Anabolic steroids - Describes working hard to develop muscles
84.Fundus - Palpate above the symphysis for the bladder
85.Diverse ethnic group - Individual beliefs
86.Chronic back pain, opioid use - When did the symptoms begin after the last
dose of opiate analgesic
87.Emergency c-section - Stimulate contraction of the uterus
88.Prescription, empty stomach - Give one hour before or two hours after a meal
89.16 yo - Obtain the permission of the custodial parent for the surgery
90.Hx alcohol abuse & Tylenol - Liver
91.Bacterial conjunctivitis - Avoid sharing towels and washcloths with siblings
92.Care map - Multidiciplinary group
93.Abd surg, posy op outcomes - Administer analgesics prior to encouraging
progressive activities and ambulation
94.Spouse answering questions - Ask the spouse to step out for a few minutes
95.Triple marker screening test - Preparing for other diagnostic testing
96.Unable to void - Drinks 240 mL of fluid five times during the shift
97.Verapamil - Administer the dose as prescribed
98.Petechiae - Purplish-red pinpoint lesions of the skin
99.PKU - Assess the newborns feeding patterns of formula or breast milk which
has come in
100.
Chest tube inserted - Rubber-tipped clamps
101.
Assist client to express feelings of anger - Ask a client to describe
triggers of anger
102.
Reporter - Confidentiality
103.
9 yo - To protect you because you can get an infection very easily
104.
Priority in pre-planning a schedule - Medication administration
105.
Neutrogenic shock - Spinal Cord injury
106.
Comp therapies - Recognizes the value of a clients input into their own
health care
107.
STI - Chlamydia
108.
Chronic osteomyelitis - The infection has walled off into an area of
infected bone creating a barrier to antibiotics
109.
Breech - Supine with the foot of the bed elevated
110.
Denver II screening tool - This tool identifies achievement of
development milestones in infants and young children
111.
TKA - Progressive leg exercises to obtain 90-degree flexion
112.
Face mask smothering - Nasal cannula
113.
External otitis - Swimming lessons in an indoor pool
114.
Bruit over thyroid - Hyperthyroidism
115.
Lasix - Perform hand hygiene

116.
Planned unit change - Staff members are aware of the need for change
117.
Severe postpartum depression - Supervised and guided visits with
infant
118.
Upper eyelid droop - Ptosis on the left eyelid
119.
80 yo MS - Tricyclic antidepressants
120.
Care over 24 hr period - Primary nursing
121.
Antipsych med - Increase daily intake of raw fruits and vegetables
122.
Atenolol - Administer the medication
123.
Pneumonectomy - Use a soft-tip rubber suction catheter and avoid
deep vigorous suctioning
124.
105% above ht/wt - Inadequate lifestyle changes in diet and exercise
125.
Abd surg - Mark the drainage on the dressing and take vital signs
Comprehesive Exam 2
1. 44 lb kid = 400
2. High school senior, smoking = encourage the student to associate with nonsmokers only while attempting to stop smoking
3. Cope w/dx of cancer = a teacher who seeks information about her disease
and wants to continue teaching
4. MS & resps = attempt to arouse the client to stimulate respirations
5. Resuscitation = the healthcare team must honor the written wishes of the
client
6. TPN, CVC = describe the placement and rationale for care of the catheter
7. Mech vent = suction the clients endotracheal tube and auscultate following
suctioning
8. Bact pneu = stop the IV piggyback infustion and increase the oxygen flow to
3 L/min
9. CKD = stimulates erythropoiesis in the bone marrow to increase circulating
erythrocytes
10.Wound culture = areas containing purulent or pooled exudates
11.UA = clamp drainage bag, label specimen, place in bio bag, document
12.Med allergy = Tell the HCP that both of you should talk to the supervisor now
13.ANS = QRS interval of 0.14 second
14.Thyroidectomy = call for emergency assistance
15.Tx postop from PACU = Take the clients VS
16.Comm. Healthcare funds = Survivors of violence that occurred at least 5
years ago
17.Toddler, snack = give the toddler nutritious snacks
18.Teething 4 mth old = A slight fever is often associated w/teething, but a fever
lasting more than three days requires medical attention
19.Bonding = bonding is a process that occurs over time and begins with the
first parent-newborn contact
20.IM injection angle = 90
21.HA presbycusis= Begin wearing the aids in quiet environments to experiment
w/adjustments
22.MAP = 111
23.8 mth old, assess = auscultate heart and lungs
24.Hep A = Ensure that all enrolled children have been immunized for Hep A
25.Teaching, DM 2, MI = Storing nirtoglycerin
26.Enviro influences = economics, technology, legislation/regulation

27.RN delivery = functional nursing

28.Cocaine, VT to VF = Defib at 200 joules
29.Elderly phys assess = Arrange the exam sequence to minimizes position
changes
30.Anorexia nervosa = Consume at least 50% of all meals
31.Precipitous delivery = ensure an adequate airway in the newborn
32.Delusional fem pt = I dont talk about thinks like that anymore
33.Hydronephrosis = Obstruction at the urinary bladder neck
34.Uterine atony = massage the fundus
35.CBI = stop the irrigation flow
36.MODS = an older client w/intestinal obstruction and septic shock
37.Numerous txs = prioritize tasks w/the most crucial needs first
38. cardiac workload = increase in size
39.Emergency admits = a client scheduled for a femoro-popliteal bypass
tomorrow
40.Management style = patient focused and primary nursing
41.Tracheostomy care = Oxygenate w/100% oxygen
42.RN & PN = A client w/an epidural infusion reports lower extremity parasthesia
43.Deep tendon reflexes = Reflex hammer
44.Abd surgery = Record these findings in the clients record
45.Duchenne muscular dystrophy = develop an active ROM exercise schedule
46. ANS = assess breathing pattern after transport is completed
47.Amniocentesis = presence of genetic disorders
48.Med error, diltiazem = measure VS, Review meds, Notify HCP, Incident report
49.Dopamine = UO to 55 ml/hr
50.Elderly phys assess = functional abilities
51.r/o skin cancer =border irreg, lesion w/asymmetry, lesion w/color variations
52. ANS = refer for further diagnostic eval
53.Float RN = Arrange for someone to be available to assess and assist the float
nurse
54.Fam assess = an exploration of the group relationships, structure, functions,
and roles
55.RN float pt = An adult who had a colon reception yesterday and has an IV
56.BP variation = retake the BP in the same arm, deflating the cuff slowly
57.IV gravity infuse = gather the supplies needed to d/c the IV fluid
58.Demographic screen, RN, UAP = close the demographic screen on the
computer
59.Oral care unconscious = raise bed, lower rail, position in flat side-lying
position, emesis basin
60.Free radicals, destruction of cell mem = enzyme release from lysosomes
61.Infection, risk = assess & document skin condition around the incision and IV
site at each shift
62.Pain 7/10 = Airway & breathing, Pain, Sleep/Rest, definitive therapy
63.Ulcerative colitis = cleanse perianal area w/mild soap & H2O after each
diarrhea stool
64.Biological practices = Standard precautions, N-95, Blood-bourne pathogen
standard
65.Tooth viability = place the tooth in milk or H2O
66.Psych, distort sense percept =Place the client in mechanical restraints until
calm

67.PN assignment = Administer a bolus tube feeding through a gastrostomy

tube
68.Bowel resection = Unrelieved pain impairs resp & GI function & can impair
recovery from surgery
69.Dry, brittle hair = current hair care practices
70.Overwt adolescent = ask if she is going to the bathroom frequently
71.Wrong med written = Contact HCP to clarify prescription intended for the
client
72.Cardiac cirrhosis = Peripheral edema
73.Life is sacred = A terminally ill and depressed client w/cancer
74.Yellow liquid out of eyes = an abx ointment is placed in newborns eyes to
prevent infection
75.I do not use many drugs = Tell me about the drugs you use now
76.DVT, Heparin = Avoid any intramuscular meds to prevent bleeding
77.Sub q inject teach = Method used to aspirate medication from a vial
78.Terminal panc ca pt = Morphine sulfate (roxanol) 5 to 10 mg SL as needed
79.Empty O2 tank = Complete an adverse occurrence report and submit it to the
nurse-manager
80.Trach occlusion pressure = Inject air until no sound is auscultated over the
tracheostomy during a deep breath
81.Est. date of birth = November 21
82.41 wk gestation = Place the client on her left side
83.10 yo diabetic = Peanut butter crackers
84.GTPAL = 4-1-2-0-4
85.Severe depression = I have known many clients w/depression who have felt
better after several weeks of treatment
86.Blood transfusion = VS
87.6 yo imbalanced nutrition = encourage family members to bring foods from
home
88. ANS = confabulation
89.Confrontation eye exam = Sit facing client and while look directly at the
clients face, move an object inward from the periphery
90.RN manager role = Delivery of client care while meeting agency goals
91.Paint fumes = Abuse of any of the inhalants can eventually lead to addiction
92.UAP BP = Observe the UAP performing BP measurements
93.Immigrant = Continue the interview process and record the findings
94.Intervention STAT = A young adult who is reporting an anaphylactic response
to an abx
95.OCD = Participates in one social or recreational activity each morning and
afternoon
96. ANS = Atropine sulfate 0.4 mg IM on call to operating room
97.IV infusion & abx = Evaluation of the need for continued IV abx to achieve the
desired outcomes
98.Ulcerative colitis & J pouch = Stool is eventually expelled through the rectum
99.Vag delivery, lochia = Review the CBC
100.
Spinal surg C7 = SPO2 is 88% w/shallow, slow respirations
101.
Acute pancreatitis = Intensity of pain
102.
Multiple trauma MVA = Renal function
103.
Paranoid schizo = Approach the client w/the medication 30 minutes
later

104.
Refuse fluids = Offer the child a popsicle and allow him to pick the
flavor he prefers
105.
Hx heart fail = Get up and walk around frequently during the day
106.
Chemotherapy = Start the first transfusion of blood
107.
Insert urinary catheter = Apply a sterile lubricant to the end of the
catheter
108.
Nephrotic syndrome = Protein
109.
DJD = Contact the clients HCP to report assessment findings
110.
Implement teach plan = Teach the info that the client wants to learn
first
111.
Tylenol antidote = Acetylcysteine (Mucomyst) 140 Mg/kg
112.
Contact precaution = Dispose of soiled dressings in plastic bags that
are securely closed
113.
26 wks gestation = The cervix is effacing and dilated to 2 cm
114.
CKD risk 2nd to DM = Type 1 DM and retinopathy and mild vision loss
115.
Diuretic, ACE inhibitor, carvedilol = Explain the rationale for the admin
of all three meds to the client
116.
Crutch walking = Observe the client while demonstrating crutch
walking
117.
Elder abuse = The caregivers stress level is overwhelming
118.
Barbiturate withdrawal = Notify the HCP of the clients status
119.
Hearth rhythm change = Reassess the rate and characteristics of the
clients pulse
120.
Cephalexin = Determine if the client has ever had a hypersensitivity
reaction to penicillins
121.
Normal newborn wt & length = Abover average in wt but avg in length
122.
Interior eye structure assessment = Adjust the diopters
123.
NG tube insertion = Let us review the procedure, then I will supervise
you while you perform the procedure
124.
C-section, infected wound = A private room on a med unit
125.
Preeclampsia = RR of 10

Comprehensive Exam 3
1. Hydrocephalus & ventriculoperitoneal shunt shunt malfunction or infection
requires immediate treatment
2. Terminally ill, N/V offer high protein foods
3. NG comatose gastric residual of 150 mL
4. Cholelithiasis upper right abdominal pain that occurs after meals and
radiates to the back or right shoulder
5. Adolescent diet incorporate favorite foods into the adolescents diet
6. Podofilox Redness, peeling, and itching may occur at the site of application

7. Cellulitis, Ampicillin a malpractice suit based on lack of reasonable and

prudent care
8. Phase of therapeutic relationship orientation phase
9. Best documentation 0830IV fluid rate increased to 100ml/hour according to
protocol
10.Informatics the input and retrevial of electronic data about a clients
medical history
11.Heating pad, PVD all elements are present to find the nurse liable for
damages
12.Eriksons development model Generativity vs stagnation
13.Trisomy 21 use a bedside cool mist vaporizer during naps and night time
14.Peptic ulcer a ridged, board like abdomen
15.IM landmarks ventrogluteal the anterosuperior iliac spine and the greater
trochanter
16.Saliva presence of gag reflex
17.Open reduction notify HCP
18.Pregestational diabetes diet and insulin needs will change significantly
throughout my pregnancy
19.IV insulin insulin regular (humulin R)
20.Continuous Quality Improvement the benchmark was not met and an action
plan should be developed
21.Carbohydrate loading rest and increased carbohydrate intake
22.DM 1, exercise shakiness
23.Abd-perineal resection maintain dry perineal dressings
24.Pediculosis capitis use a fine toothed comb or tweezers to remove nits
25.Assessment interview tell me about your family
26.Chinese cupping to remove colds and coughs
27.Local pop utilization conduct a focus group in community to gather data on
culturally significant needs
28.Myasthenia gravis ptosis
29.Nissen fundoplication irrigate the NGT w/normal saline
30.Drug dosages for a child body surface area
31.NG feeding check residual volume every four hours
32.Nitroglycerin this is a common side effect due to the vasodilatory effects of
the medication
33.MM O2 sat smoking, jaundice, hypotension, DM 1
34.Bone marrow aspiration use a compression dressing for firm pressure to the
site
35.d/c payment continue the clients d/c process
36.External fetal monitor, FHR umbilical cord compression
37.Withdrawing sol from ampule flick stem, wrap neck, break neck, stabilize,
withdraw sol
38.Cardiac cath, stent obtain UO for the past 4 hours
39.Paracentesis a needle is inserted to remove excessive fluid from the
abdominal peritoneal cavity
40.6 yo report the situation to appropriate authorities
41.38 yo assess the clients needs for food, liquids, and rest
42.Colon resection aspirate the tube contents to test the pH

43.Management model operational shared governance

44.8 yo supervisor of nurses providing care
45.Reminiscence strategies stimulate memory chains through associations
46.Sleep deprivation mood swings and irritability
47.Glasgow coma scale a nasopharyngeal tube
48.Terminal cancer of liver I notice you have a bible. Is that a source of
spiritual strength for you?
49.Report FHA late decelerations
50.Hypomania firmly inform the client that acting out anger is not acceptable
51.2 yo removes a reinforce that a child is receiving
52.Ankylosing spondylitis initiate a smoking cessation program
53.Family centered care enabling and empowering
54.Intractable pain respiratory acidosis
55.32 yo reassure the client that he is safe and should rest
56.Trache suction, rhonchi each pass of the suction catheter should take no
longer than five seconds
57.Atropine blurred vision
58.Living will allow the client to die with dignity and without life prolonging
techniques
59.50 lb wt loss amenorrhea
60.Fat embolism petechiae of the anterior chest wall
61.Pressure ulcer risk tissue ischemia
62.Med effectiveness assign nurse manager
63.ETOH w/d monitor VS
64.Diuretic therapy I/O & daily wt
65.Advocate ask the surgeon to return to clarify questions for the client
66.Cirrhosis, hepatic encephalopathy apply a pressure relieving mattress under
the client
67.HIV/AIDS safe & effective care environment
68.Practice context factors and systems that contribute to delivery of nursing
care
69.11 yo tell the child to go to the gym to play basketball
70.50 yo spiritual distress
71.CKD explore options with the regional dialysis center about reducing the
cost of home dialysis
72.Rh incompatibility infant of an Rh negative mother and a father who is Rh
positive and homozygous for the Rh factor
73.False positive occult stool fish, beef, vitamin C, advil
74.Constipation inadequate intake of dietary fiber and fluids
75.EBP Id practice problem, review research, implement data, Id & develop
plan
76.Gram stain gonorrhea is often asymptomatic in women because the
infection is not visible
77.Puerperal infection temperature of 100.8 F 24 hours after delivery
78.Informatics a new sense of order to a problem that facilitates cost effective
analysis and evaluation of care
79.Bipolar maintain an environment that reduces stimulation of the client
80.7 yo insert 5 ml of 2% lidocaine lubricant into the urethra

81.UAP delegate the scope of practice defines which nursing interventions that
can be delegated
82.Timolo maleate receives carvedilol (Coreg) for heart failure
83.Degenerative arthritis How intense does the client rate his pain on a scale
of 1 to 10
84.Addisons disease adrenal insufficiency is an autoimmune dysfunction that
results from white blood cells damaging the adrenal cortex
85.Labs calcium, potassium, sodium
86.JVD observe the vertical distention of the veins as the client is gradually
elevated to an upright position
87.Chinese reliance on family members to assist with care
88.Primiparous arrest of active phase
89.Mass causality prioritize care for victims with life threatening problems
according to likelihood of survival
90.Hepatitis C Intravenous drug abuse
91.IOP use of prescribed eye drops since last exam by ophthalmologist
92.Trache care hydrogen peroxide
93.Fluid volume excess elevated BP
94.Risperidone wt gain
95.Dysphagia divides solid food items into one inch cube pieces
96.Ammonia failure of the liver to convert ammonia absorbed from the bowel
to urea
97.Informed consent a 16 yo mother for her newborn
98.32 wk gest providing breast milk ensures the premature newborn can easily
digest and absorb the nutrients
99.Sleep pattern has a decline in stage 4 sleep
100.
76 yo powerlessness
101.
32 wks gest ensure patency of the ET tube
102.
Alzheimers encourage verbal and nonverbal communication,
maintain a calm demeanor during all interactions
103.
Leadership style fosters positive behavior changes in staff members
104.
Total gastrectomy Vitamin B12
105.
Antabuse Vomiting
106.
Adolescent, impulsivity explain the consequences for breaking the
unit rules
107.
Need for home care clients are more acutely ill when d/c from acute
care facilities
108.
GERD aspiration pneumonia
109.
Self worth plan regular visits with the client throughout the day
110.
Anthrax flu like symptoms, GI distress, and papular lesions
111.
Biliroth I Notify the HCP
112.
4 wk old infant Social smiling begins at approximately 2 months of
age
113.
Suicide A loaded gun
114.
Sterile technique point out the observation immediately to the
surgical team
115.
Allergies, surg document a possible Type 1 latex allergy

116.
5 yo the child focuses on another connection because the siblings
death is misunderstood
117.
External otitis media decreases inflammation and pain
118.
Accountability evaluating a clients outcomes after implementation of
care
119.
4 mth old assign the same nurse to care for the child each day
120.
IOP, glaucoma identify coping mechanisms r/t the eventual loss of
peripheral vision
121.
4 yo impaired social interaction
122.
Fecal impaction decrease risk for bradycardia
123.
DKA Kussmaul respirations
124.
Eating disorder dance and movement therapy
125.
Research utilization the value of calcium channel blockers use over
ACE inhibitors

Multidiciplinary Assignment Quiz

1) Dry, brittle hair current hair care practices
2) 35-yo married woman how did this happen to you
3) PTCA give a SL nitro tab

4) Triple lumen cath flush lumen with the saline solution and administer the
medication through the lumen
5) First stage of active labor help her breathe into a paper bag
6) Handle linens that are soiled place the soiled linens in a pillow case
7) Newborn colostomy potential for fluid volume deficit
8) 4 mth old normal growth curve of a bf infant
9) Diuretic, ACE, Coreg explain the rationale
10)
6 mth old let us talk about the child care options
11)
Instrument for deep tendon reflex hammer
12)
Ineffective health maintenance r/t lack motivation eats anything and
does not think diet
13)
37 wks gestation wrap, collect, restrain, cleanse
14)
Written learning objective upon discharge
15)
Auditory hallucinations ensure that there is physical space
16)
Hx ETOH w/cmpd fx ask the client about the quantity, freq
17)
Inguinal herniorrhaphy determine the time the client last voided
18)
UAP lift bend at the knees
19)
Assess first 55 yo w/jaw pain & indigestion
20)
Occupation: Set goals, formulate policy manager
21)
Positive sign of pregnancy FHT heard with a Doppler
22)
OTC pregnancy test using an anticonvulsant for epilepsy
23)
Sickle cell eval effectiveness of narcs
24)
Occupation: est. provider network, recommend tx plans case
manager
25)
Oncology teacher
26)
8 wks gestation the heart develops in the third to fifth wks after
conception
27)
Menopause onset smoking, oophorectomy w/hyster, early menarche,
genetic influence, chemo
28)
14 yo scoliosis record I&O, assess BS q4, initiate logrolling, give MS
29)
Syphilis gloves
30)
Older client phys assess arrange the exam sequence to minimize
31)
Acute panc intensity of pain
32)
Implement teach plan teach info wanted to learn
33)
16 yo hep b
34)
Prednisone the dose must be tapered
35)
25 wks gest fetus can respond
36)
Preeclampsia RR 10
37)
WHO - # of people w/o access to health care
38)
28 wks gest changes in fetal heart rate patterns
39)
4 yo IV ask for mothers presence
40)
Borderline personality do you frequently have temper tantrums
41)
Ritalin ADHD admin at least six hours before bedtime
42)
PET scan results show activity in various portions of the brain
43)
Tx bed to chair pre medicate, inform the client, ask the client to push
the IV pole, assess BP
44)
Hydronephrosis obstruction at the urinary bladder neck
45)
Pain 7/10 air, pain, sleep, definitive therapy
46)
Occupation: deves research questions, conducts research researcher

47)
48)
49)
50)

Terminal panc ca MS
Well baby, blanket, block object permanence
Peptic ulcer, Nexium take at same time eqch day one hr before meal
First trimester calcium eat more green, leafy veggies

1) Assess 1st 55 yo new admit c/o jaw pain and indigestion

2) POA the client signs a document that designates another person to make
legally binding healthcare decisions if client is unable to do so
3) BP 100/88, norm 120/60 retake the BP in the same arm, deflating the cuff
slowly
4) Kawasaki disease high risk for alt tissue perfusion, cardiopulmonary
5) Hep A ensure that all enrolled children have been immunized
6) Oral contraceptives take 2 pills a day for 2 days
7) Man puts small box in cafeteria use nearest phone to notify hosp security
8) 4 yo IV ask mother to be present
9) Child skin turgor poor skin turgor
10)
UAP, VS, mastectomy apply BP cuff to the arm on the unop side
11)
40 wks gestation Intensity of contractions is 130 mm Hg

12)
Comm health nurse, sources for funding offers healthcare services to
comm membs in local factories, schools, and churches
13)
Barbiturates withdrawal notify the HCP of clients status
14)
Neonate high pitch cry, jittery, twitch obtain serum glucose and
serum calcium levels
15)
Nitrostat place under tongue PRN q 5 min x 3
16)
Student takes copy of med admin rec explain that the records are
hospital property and may not be removed
17)
ETOH withdrawal prepare the environment to prevent self injury
18)
Peptic ulcer c/b Helicobacter pylori clarithromycin, omeprazole,
metronidazole
19)
75 yo hx end stage renal failure determine who is legally empowered
to make decisions
20)
Role of nurse-midwife the pregnancy should progress normally and
be considered low risk
21)
Hemicolectomy notify the surgeon
22)
UAP heart rhythm reassess the rate & characteristics of the clients
pulse
23)
RN hears MD lying to pt HCP
24)
Cefadroxil use an additional form of contraception until your
menstrau cycle
25)
PPH risk a multiparous pt receiving mag sulfate during induction for
severe preeclampsia
26)
GTPAL 4,1,2,0,4
27)
Single mom, two teenagers tell me what you would like to see
happen with you children in the future
28)
Inguinal herniorrhaphy determine the time the client last voided
29)
GI finding 28 wks gestation pica
30)
35 yo female w/cancer eval the clients mental status for competence
to refuse tx
31)
2nd day postop, pulseless, apneic, unresponsive call, initiate, vent,
delegate
32)
Oral care, unconscious raise, lower, position, place
33)
HIV discuss retesting to verify the results which will ensure continuing
contact
34)
Wet sounding lung sounds turn client q2h
35)
Emotional intelligence- interpersonal and intrapersonal skills
36)
Graduate nurse folder on food cart biculturalism
37)
Midazolam (versed) withhold the drug until the client validates
understanding of the surgical procedure and signs the consent form
38)
Stridor on exhalation call for emergency assistance
39)
Negative comments and antagonistic behavior psychoanalytical
40)
Meperidine (Demerol) for laboring client narcan
41)
Bloodtinged sputum, bronshoscopy allow the client nothingby mouth
until the gag reflex returns
42)
CKD, epoetin alfa stimulates erythropoiesis in the bone marrow to
increase circulating erythrocytes
43)
Divorce 4 years
44)
5 yo assess last throat

45)
3 yo swing the mother is slurring her words and is not attentive to
discharge instructions
46)
Chvosteks sign ask the client about numbness or tingling in the
hands
47)
Comm health nurse adjunct issue retirement issues
48)
Topiramate do not crush the tablet prior to admin
49)
SIDS infanst should be positioned supine or supported laterally to
sleep
50)
Blood bank, x-ray return the blood to the blood bank for refrigeration
within 30 min
1) Crying toddler, BP quiet the child and retake the BP
2) Short high-pitched sounds in lungs crackles in the right and left lower lobes
3) Importance of keeping infant warm a large body surface area favors heat
loss to the environment
4) Chemo 2 wks ago, acute leukemia start the first transfusion of blood
5) Snake bite secure the antivenin
6) Cyclosporine renal allograft creatine 28 mg/dl
7) 12 yo bacterial meningitis admin broad spectrum abx before results of C&S
are returned
8) 3rd day postop, constipation prune juice before bed
9) MS RR 6 attempt to arouse the client to stim resps
10)
Furosemide, digoxin, lab potassium
11)
IV infuse at 250, need 125 slow infusion to KVO
12)
Agency nurse, new trache ask the nurse about her competency to
care for the client
13)
Renin HTN
14)
3 mths prego, pee q 5 min the growing uterus is putting pressure
on the bladder
15)
CBC, adolescent, AML risk for injury
16)
Bleed from patch of hair loss, hubby require the hubby to leave the
cubicle while the client is being treated
17)
1 yo pulse apical
18)
STI cervical ca human papillomavirus
19)
Outpt therapy apt drunk tell client that therapy cannot take place
while shes intoxicated
20)
60 yo homeless refer for further diagnostic eval
21)
RN & PN medicare reimbursement documentation of skilled care
service provided during the visit
22)
Liver transplant no more express concern over his disappointment
23)
RN meds in pocket accused of diversion
24)
Prioritizing care admin insulin per sliding scale to pt w/ bg 285
25)
18 mth old w/pot belly, lordosis, bowed legs document general
physical appearance of normally developed toddler
26)
4 yo old ventilator acknowledge, set, refuse, ask
27)
Older female w/cog impairment confabulation
28)
Pagets disease, calcitonin observe the client for signs of
hypersensitivity
29)
Position for gravity during delivery squatting

30)
Tension pneumothorax a deviation of the trachea toward the side
opposite the pneumothorax
31)
UAP dele accompany a d/c client w/chronic renal failure to a private
car
32)
Placents early fxn secretes both estrogen and progesterone
33)
Barrier gloves emptying urinary catheter drainage bag for a client
w/Alzheimers
34)
Falls, group therapy, psychosis ask a group member to seek help
35)
Homeless female Im feeling really isolated and cannot seem to find
help
36)
Newborn drug withdrawal swaddle the infant snugly and hold tightly
37)
Spanish speaking a PN working on another unit who speak fluent
English
38)
Occupation: advanced PM who provides workers with primary care
services clinician nurse practitioner
39)
Major depression, suicide search the client personal belongings
40)
PKU from newborn after ingestion of a source of protein
41)
41 wks gestation one fetal movement noted in an hour
42)
Hospice, gurgling inform the family that death is imminent
43)
Coping behaviors of parents endowing the illness with meaning
44)
Therapeutic tool, care to psychiatric pt self-analysis
45)
Passive ROM cradle the client heel
46)
Substance addiction therapy, freq relapse the client must participate
in making decisions about their own physical and mental health
47)
Male newborn VS assess the infants BG level
48)
Sternum tents continue the planned nursing interventions to
restore fluid vol
49)
Imipramine decreases transmission of pain impulses by altering
serotonin and norepi activity
50)
Anencephaly prepare the fam to explore ways to cope with the
imminent death of the infant
51)
Meperidine narcan
52)
5 yo, bilat eye patches orient child to immediate surroundings
53)
Hysperectomy comp psychological adjust 29 yo whose uterus
ruptured
54)
CBI, Prostatectomy stop the irrigation flow
55)
DRE, PSA stony, irreg nodules palpated on the prostate should be
further eval
56)
Gabapentin continue gabapentin
57)
MMR, CDC 4 to 6 yoa
58)
Further assess for preschooler gains 2 lbs in 12 mths
59)
Teacher pass down legacy Generativity
60)
Norm UA older adult pH 6, sugar neg, bili neg, sg 1.015
61)
carisoprodal alcoholic beverages
62)
knee needle aspiration witness the clients signature on the consent
form
63)
rectum, tap water enema ask the client to relax and run a small amt
of fluid into the rectum
64)
experienced UAP obtain a sterile UA from an indwelling cath with a
closed drain sys

65)
raynauds disease biofeedback allwas the client to control invol
responses to promote peripheral vasodilation
66)
stage 4 pressure ulcer wet to dry dressing
67)
newborn, diffuse edema,scalp caput succedaneum
68)
PRBC VS
69)
Non-Hodgkins lymphoma check stools for occult blood
70)
UA from indwell cath clamp, label, place, document
71)
Cardiovasc findings, 20 wks gestation decrease in pulse rate
72)
Hemophilia a sons, hemophilia
73)
Low birth wt infant, neutral thermal enviro maintain a high humidity
atmosphere
74)
Sterile liquid to sterile field consider the sterile field contaminated if it
becomes wet
75)
Child w/fever prolonged exhalations
76)
WHO, healthcare issue - # of people w/o access to healthcare
77)
Chronic a-fib, slow vent response an electrical stimulus is d/c when
no vent response is noted
78)
3rd day postpartum exhibit interest in learning more about infant care
79)
24 hr old newborn, rash document the finding as erythema toxicum
80)
Script to admin to newborn to reduce complications r/t birth trauma
vitamin k
81)
Paranoid schizo, meds poison approach w/meds 30 min later
82)
Major depression, single episode increased thyroid stimulating
hormone (TSH)
83)
Labor augmented w/oxytocin FHR is 180 bpm w/o variability
84)
One-to-one interaction, mom death self-awareness
85)
Immobile client, RN dx impaired gas exchange
86)
Rectal bleeding withhold the admin of the suppository until
contacting the HCP
87)
3 yo mistreated the injury sustained is highly unusual for 3 yo
children
88)
High risk neonate, radiant warmer report findings to HCP
89)
85 yo renewal of meds measure BP
90)
8 wks gestation, CHD the heart develops in the 3 rd to 5th weeks after
conception
91)
Program for disabled children approval by the network HCP
92)
Miscarriage ask the client what name she had picked out for the
infant
93)
In evaluating client care, which action should the nurse take first
determine if the expected outcomes of care were achieved
94)
Minocycline (minocin) loss of balance and dizziness
95)
Panic disorder, break up drugs taken in last 7 days
96)
Bedrest, progress activity advise client to sit on side of bed for a few
minutes before standing
97)
Bacterial pneumonia, ticarcillin stop IV piggyback infusion and
increase oxygen flow to 3 L/min
98)
Low sodium, protein diet snack of, lunch of, breakfast, bedtime
99)
Adolescent, bulimia, low K+ - cardiac arrhythmias
100)
Amitriptyline avoid consumption of ETOH
101)
Infant, diarrhea, lethargy tachycardia

102)
Korean-american the RN case manager for the unity with 1 years
experience
103)
Ondansetron (Zofran) headache
104)
Cerebellar fxn 5 yo finger to nose
105)
Sacral ulcer position prone with small pillow below the diaphragm
106)
Neurological soft signs poor coordination and sense of position
107)
79 yo, increasingly forgetful cannot mentally retrace objects that
were recently misplaced
108)
PTCA give SL nitro
109)
5 yo examine last throat
110)
30 yo, g2, p1, 26 wks gestation maternal and FHR
111)
Asymptomatic primary syphilis deficient knowledge
112)
Meningitis cefotaxime cefotaxime provides therapeutic CNS
concentrations
113)
35 wks gestation check-up periodic abdominal pain
114)
Older client can stand not ambulate place transfer belt around client,
assist stand, pivot chair at right angle to bed
115)
Neonate 10 min, nonpathologic cyanosis feet and hands
116)
Pregnancy induced hypertension (PIH) blurred vision
117)
Consequence of radiation therapy pathologic fracture of two ribs on
the right chest
118)
6 mth old vaccines Hib, IPV, Hep B, DTaP
119)
Sexual activity after AMI sexual activity is similar in cardiac workload
and energy expenditure as climbing two flights of stairs
120)
2nd trimester, drink abstinence is strongly recommended throughout
pregnancy
121)
Delegate UAP bathe an unconscious client with decubitus ulcers
122)
Glaucoma, hx allergic rhinitis, OTC avoid allergy medications that
contain pseudoephedrine or phenylephrine
123)
Pressure sore one inch pressure sore draining serous fluid
124)
Cuffed tracheostomy, spontaneous breathing observe client for
coughing colored sputum after drinking small amount of colored water
125)
Daughter dress as tomboy and plays baseball adolescents try on
different roles while seeking their identity
126)
Jaundice, Rh incompatibility bilirubin
127)
12 wks gestation, dairy canned sardines
128)
2 yo laceration allow the child to hold a favorite toy or blanket
129)
Acute asthma exacerbation wheezing becomes louder
130)
Cystitis, cephalexin determine if the client has ever had a sensitivity
rxn to penicillins
131)
Bomb threat obtain current roster of clients assigned to the unit
132)
15 yo wants a baby can you tell me how your life will be if you have
an infant
133)
ACE inhibitor renal artery stenosis
134)
Rxn to contrast media epinephrine
135)
Sterile field contimanate identify the break in surgical asepsis and
provide another set of sterile supplies
136)
Penetrating eye injury apply a fox shield to affected eye and any type
of patch to the other eye
137)
Police officer threats, hears voices, reports, says

138)
Diazepam OD prepare a set up for endotracheal intubation
139)
Chronic pain which activities during a routine day are impacted by
your pain
140)
37 wks gestation, bag of water place client in knee-chest position
141)
Nursing process in planning care as a tool to organize thinking and
clinical decision making about clients healthcare needs
142)
Teenage smoking the incidence of smoking among teenage
population
143)
Smash head against doors place client in mechanical restraints until
calm
144)
get out of my room what is concerning you this morning
145)
Irregular bluish hue on sacral are of 1 day old Mongolian spots
146)
Sims position raise bed to waist height working level
147)
Purpose of beginning chemo tumor small the cell count of the tumor
reduces by half with each dose
148)
Implement change in work environ solicit input from coworkers at the
beginning of the process
149)
Skin changes from pregnancy striae gravidarum
150)
18 mth old crying breath sounds allow child to play with steth and
distract during auscultation
151)
15 yo criticizing teens create psychological distance from parents in
order to separate from them
152)
2 mth old DTaP mild reactions are common and most frequently
include low-grade fever
153)
Muslium ask one of the female nurses to bathe you
154)
6th unit PRBCs flushed skin and headache
155)
Nephrotic syndrome, prednisone protein
156)
Coumadin INR of 2 to 3
157)
Step after visual inspection of abd auscultation
158)
Boggy displaced uterus assist client to bathroom
159)
Female homosexual relationship domestic violence interventions
160)
Nulliparous ask client to describe why she thinks she is in labor
161)
HIV, MAC return to pre-illness weight
162)
Aminoglycoside abx admin initial dose of aminoglycoside abx asap
163)
Accurate info assess of older client use reliable assessment tools for
older adults
164)
28 wks gestation bright red blood, painless vag abd ultrasound
165)
28 wks gestation, abd trauma changes in fetal heart rate patterns
166)
First pass effect oral
167)
Curettage for hydatidiform mole diagnostic testing for human
chorionic gonadotropin (hCG) levels are elevated by pregnancy
168)
Multiparous 8 hr labor, ROM assess the FHR and pattern
169)
Measure 14 mth old child supine recumbent position
170)
Fecal impaction for client pulse rate decreases from 78 to 52
beats/min
171)