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A nurse is caring for a terminally ill patient who expresses a strong desire to spend their last days at home. The patient’s family, however, insists on keeping the patient in the hospital for aggressive treatment. How should the nurse apply the definition of nursing in this situation?
A nurse discovers a colleague administering the wrong medication to a patient but chooses to remain silent to avoid confrontation. Which aspect of professionalism is the nurse failing to demonstrate?
In the 19th century, who challenged societal norms by advocating for the rights of mentally ill individuals and is often credited with establishing the first mental asylums in the United States?
A nurse working in a community health clinic identifies a pattern of foodborne illnesses in a specific neighborhood. What role is the nurse primarily fulfilling in this situation?
A nurse is caring for a patient with a life-threatening condition who refuses a blood transfusion based on religious beliefs. The patient’s family insists on the transfusion. What legal and ethical principles should guide the nurse’s actions?
A nurse is caring for a patient who is experiencing severe pain but is hesitant to take prescribed opioid pain medication due to concerns about addiction. How can the nurse best explain the role of nursing in managing the patient’s pain?
A nurse practicing in the Caribbean region is looking to connect with fellow Caribbean nurses and access resources specific to the local healthcare challenges. Which nursing professional organization in the Caribbean is most appropriate for the nurse to consider joining?
A 32-year-old woman with a history of ectopic pregnancy presents with severe abdominal pain, dizziness, and hypotension. On examination, she has signs of free intraperitoneal fluid. The nurse notifies the healthcare provider. What does the nurse anticipate that she will do next?
A patient has sustained full-thickness burns to the face, neck, and chest following a house fire. The patient is conscious but in severe pain. What is the priority nursing intervention?
A 10-year-old child is brought to the clinic with a fractured arm. The caregiver provides an explanation that seems inconsistent with the injury. You suspect child abuse. What is the next appropriate nursing action?
A patient presents with acute confusion, right-sided weakness, and expressive aphasia. The patient’s spouse reports these symptoms started 45 minutes ago. What should the nurse prioritize?
A patient with a fractured femur is in severe pain and has a deformity in the affected leg. What is the priority nursing action?
A patient with a forearm fracture has been placed in a plaster cast. After cast application, the patient complains of increased pain, numbness, and tingling in the fingers. What is the nurse’s immediate concern?
A patient who recently experienced a transient ischemic attack (TIA) is prescribed aspirin as part of secondary prevention. What education should the nurse provide to the patient?
You are caring for a patient who has just received a penicillin injection and suddenly develops hives, facial swelling, and difficulty breathing. What is the most appropriate action to take?
A patient with a history of alcohol abuse presents with jaundice, ascites, and confusion. Which assessment finding is most indicative of advanced cirrhosis?
A pediatric patient presents with red, itchy, and scaly skin lesions behind the knees and in the elbow creases. What is the most likely diagnosis?
A patient with hay fever continues to experience symptoms despite consistent use of intranasal corticosteroids and antihistamines. What additional intervention should the nurse suggest?
A patient with narcolepsy experiences frequent cataplexy attacks. Which pharmacological intervention is most appropriate for managing cataplexy?
A patient reports muscle weakness, irregular heartbeat, and numbness and tingling in their extremities. Which electrolyte imbalance is most likely responsible for these symptoms?
A patient presents with signs of opioid overdose, including slow, shallow breathing and pinpoint pupils. What is the appropriate antidote for opioid overdose?
You are assisting in the resuscitation of a patient who has gone into cardiac arrest. Which medication is administered during advanced cardiac life support (ACLS) to increase myocardial contractility and blood pressure?
You are instructed to administer 1000 mL of intravenous (IV) fluid over 8 hours using a macrodrip set with a drop factor of 10 gtt/mL. What should be the flow rate in drops per minute (gtt/min)?
A 50-year-old patient with a history of stable angina reports experiencing chest pain that is similar to their usual angina but lasts longer (over 30 minutes). They have taken multiple doses of nitroglycerin without relief. What is the most appropriate nursing action?
A patient with stable angina is scheduled for elective surgery. They ask the nurse whether they should take their nitroglycerin before going to the operating room. What is the nurse’s best response?
A patient with atrial fibrillation (AFib) is prescribed an anticoagulant. The patient asks the nurse why they need this medication when they don’t have any clots or history of stroke. What is the nurse’s best response?
A patient is admitted with ventricular tachycardia (VT). Despite initial treatment, VT persists, and the patient remains conscious and stable. What should the nurse prioritize next?
A patient with congestive heart failure (CHF) is prescribed digoxin. The patient asks the nurse about the purpose of this medication. What is the nurse’s best response?
A patient with a history of coronary artery disease (CAD) is being considered for coronary artery bypass grafting (CABG). The patient asks the nurse why this procedure is necessary when they are already taking medications for CAD. What is the nurse’s best response?
A patient diagnosed with a DVT is receiving anticoagulant therapy. During the course of treatment, the patient develops signs of bleeding, including gum bleeding and dark, tarry stools. What is the nurse’s priority action?
A 65-year-old patient with hypertension is prescribed a diuretic (thiazide) and an ACE inhibitor. After a week of treatment, the patient’s blood pressure remains elevated. What should the nurse’s initial action be?
A 45-year-old male patient presents with localized bone pain and swelling. An X-ray reveals an osteosarcoma in the left femur. What is the most appropriate initial nursing intervention for this patient?
A 70-year-old male patient complains of frequent urination and difficulty starting and stopping urination. He has a history of BPH. What nursing intervention should be implemented first?
A patient with a recent diagnosis of a brain tumor experiences sudden changes in consciousness, severe headache, and vomiting. The nurse suspects increased intracranial pressure (ICP). What action should the nurse take first?
A 50-year-old female patient has undergone a lumpectomy for breast cancer. What nursing care should be prioritized during the postoperative period?
A 35-year-old female patient complains of heavy menstrual bleeding, pelvic pain, and frequent urination. Pelvic examination reveals multiple uterine fibroids. What nursing intervention should be included in the plan of care?
A 22-year-old male patient is diagnosed with Hodgkin’s lymphoma and is scheduled to start chemotherapy. What nursing assessment is essential before initiating chemotherapy?
A 45-year-old female patient is newly diagnosed with acute leukemia and is about to start induction chemotherapy. What nursing intervention is a priority during the induction phase?
A 40-year-old female patient recently had a total hysterectomy for cervical cancer. She asks the nurse about the possibility of pregnancy. What is the most appropriate nursing response?
A 35-year-old female patient has been diagnosed with stage II breast cancer and is considering her treatment options. She asks the nurse about the advantages and disadvantages of breast-conserving surgery (lumpectomy) versus a mastectomy. What should the nurse include in the discussion?
A 40-year-old patient presents with weakness, hyperpigmentation, and electrolyte imbalances. What is the priority nursing intervention for this patient?
A patient with anemia is receiving iron supplementation. What should the nurse include in the education plan for this patient regarding iron therapy?
A patient with Cushing Syndrome is admitted to the medical-surgical unit. What nursing intervention is a priority for this patient?
A patient with type 1 diabetes mellitus is admitted with diabetic ketoacidosis (DKA). Despite insulin therapy, the patient’s anion gap remains elevated. What additional intervention should the nurse anticipate?
A patient with hyperglycemic hyperosmolar syndrome (HHS) has been stabilized with fluid resuscitation and insulin therapy. The patient’s blood glucose levels are improving. What nursing intervention is essential during the recovery phase of care?
A patient with gout is receiving long-term allopurinol therapy to reduce uric acid levels. The patient presents with a new rash and fever. What should the nurse suspect, and what action is most appropriate?
A 6-month-old infant is brought to the pediatric clinic due to poor weight gain and developmental delays. The infant’s weight is below the 5th percentile for age, and the parents report feeding difficulties. What should the nurse prioritize during the assessment?
A 50-year-old patient with type 1 diabetes mellitus is admitted to the emergency department with severe hypoglycemia, confusion, and seizures. The patient is unresponsive. What is the nurse’s immediate priority action?
A school nurse is investigating an outbreak of enterobiasis among students. Which of the following preventive measures is most effective in controlling the spread of the infection within the school?
A nurse is educating a group of travelers about preventing helminthiasis while visiting a tropical country. What preventive measures should the nurse emphasize to the travelers?
A healthcare worker is advising a pregnant woman planning to travel to a malaria-endemic area. What is the most appropriate antimalarial prophylaxis for pregnant travelers?
A child with head lice has not responded to over-the-counter treatments. What treatment option should be considered to address possible resistance?
A patient with scabies is being treated with a topical scabicide. What is the most important information to provide to the patient regarding treatment?
A traveler reports swimming in freshwater in an area where schistosomiasis is endemic. What diagnostic test can help confirm the presence of schistosome infection?
A 30-year-old pregnant woman presents with symptoms of dengue. What advice should be given regarding pain relief?
You are a nurse at a local hospital during a disaster response. A patient presents with respiratory distress, coughing, and red eyes after a nearby chemical plant explosion. What should you suspect as the most likely cause of these symptoms?
A patient presents with a high fever, joint pain, and a skin rash. They mention recent travel to a tropical region. What vector-borne disease should you suspect?
In your community, there has been an increase in cases of tick-borne diseases due to deforestation and changes in wildlife habitat. What ecological imbalance is contributing to this situation?
Several patients from the same event catering company present with symptoms of nausea, vomiting, and diarrhea after consuming a meal at a corporate event. What is the most likely cause of their illness?
You are conducting a home visit as part of your nursing duties and notice that the house has mold growth on the walls. What health issue is associated with prolonged exposure to indoor mold?
A 10-year-old patient with sickle cell anemia presents with sudden onset severe abdominal pain and tenderness. What should the nurse suspect?
A 45-year-old patient has been diagnosed with a cataract. They ask the nurse about treatment options. Which response by the nurse is most accurate?
A teenage patient presents with recurrent urinary tract infections (UTIs). The nurse suspects vesicoureteral reflux (VUR). What diagnostic test is most appropriate to confirm this condition?
A patient with severe hemophilia experiences a head injury and presents with signs of increased intracranial pressure. What is the nurse’s immediate action?
A 14-year-old patient with sickle cell anemia is admitted with a painful vaso-occlusive crisis. What nursing intervention is essential in managing this crisis effectively?
A 1-year-old with repaired cleft lip and palate is scheduled for a dental check-up. What information should the nurse provide to the parents regarding oral care?
A nurse is caring for an infant with a suspected congenital heart condition. What clinical manifestation should the nurse recognize as suggestive of a left-to-right shunt?
A child is diagnosed with cryptorchidism, a condition where one testicle has not descended into the scrotum. What education should the nurse provide to the parents?
A nurse is providing education to the parents of a child with hemophilia. What advice should the nurse offer regarding injury prevention?
A 3-year-old child with hydrocephalus has a ventriculoperitoneal shunt. What signs should the nurse monitor for to detect shunt malfunction?
A newborn is diagnosed with Hirschsprung’s disease. Which nursing intervention is essential to manage this condition postoperatively?
A patient with chronic bronchitis presents with increased sputum production and shortness of breath. What nursing intervention is essential to manage this patient’s condition?
A patient with severe COPD experiences acute exacerbation with increased dyspnea, wheezing, and cyanosis. Which nursing action is the top priority during this exacerbation?
A patient presents with redness, discharge, and pain in the eye. The nurse suspects conjunctivitis (pink eye). What nursing action is essential in managing this condition?
A patient with suspected appendicitis is admitted to the emergency department. What nursing assessment finding is most concerning and should be immediately reported to the healthcare provider?
A nurse is caring for a COVID-19 patient who is being discharged home. What instruction should the nurse provide?
A nurse is providing education on prevention measures for sexually transmitted infections (STIs). What nursing advice should be given to a sexually active individual?
A 25-year-old male patient presents with facial and periorbital edema, hematuria, and hypertension. Based on the assessment findings, the nurse suspects acute glomerulonephritis. What is the most likely cause of this condition?
A 10-year-old child with autism spectrum disorder is scheduled for surgery. The child is non-verbal and exhibits severe sensory sensitivities. What specialized nursing intervention is essential for providing effective care in this situation?
A nurse is working with a teenage patient diagnosed with conduct disorder. The patient frequently engages in aggressive and illegal activities. Which nursing approach is most appropriate for managing this patient’s behavior?
A 7-year-old child continues to experience enuresis and encopresis despite interventions. What should the nurse prioritize when discussing the issue with the child’s parents?
A patient with epilepsy is prescribed a ketogenic diet as an adjunct therapy to help manage seizures. What is the primary goal of the ketogenic diet in epilepsy management?
A 35-year-old patient with bipolar II disorder is experiencing a depressive episode. The patient is not responding to traditional antidepressant medications. What pharmacological intervention is most appropriate in this situation?
A patient with bulimia nervosa presents with electrolyte imbalances and dehydration due to frequent purging behaviors. What medical complications should the nurse closely monitor for in this patient?
As a nurse manager, you are facing resistance from some of your nursing staff regarding the implementation of a new patient care protocol. Which leadership approach would be most effective in this situation to facilitate their acceptance of the change?
You are a nurse leader in a busy emergency department, and you have noticed that the staff morale has significantly decreased due to a high workload and increased stress levels. Which type of communication would be most appropriate to address this issue effectively?
As a nurse manager, you receive feedback from your nursing staff that they are feeling overwhelmed and stressed due to increased patient admissions. What is the most appropriate action to address this situation effectively?
As a nurse manager, you have conducted a thorough analysis and identified a significant lack of clear communication among the nursing team, which has resulted in errors in patient care and compromised patient safety. What is the most appropriate action to implement a comprehensive solution to improve communication within the team while addressing the underlying issues?
As a nurse leader responsible for a unit that has been consistently falling behind in meeting patient care quality standards, you are facing a complex situation where some members of the nursing staff are resistant to change and prefer the status quo. What is the most appropriate action to address this multifaceted challenge effectively and foster a culture of continuous improvement?
As a nurse manager, you receive a report that a nurse on your team has been consistently arriving late for shifts and providing subpar patient care. What is the most appropriate action to address this issue?
A 28-year-old woman visits the clinic for a pregnancy test. She reports experiencing amenorrhea, breast tenderness, and frequent urination. What sign of pregnancy is most likely present?
A pregnant woman at 28 weeks’ gestation asks about the purpose of the non-stress test (NST). What should the nurse explain about this test?
A woman in active labor is experiencing a prolonged deceleration in the fetal heart rate following a uterine contraction. What is the nurse’s immediate action?
A postpartum mother complains of severe perineal pain and difficulty passing urine. On assessment, the nurse notes perineal swelling and ecchymosis. What condition should the nurse suspect?
A neonate presents with jaundice within the first 24 hours of life. What condition should the nurse be concerned about?
A pregnant woman at 36 weeks’ gestation presents with hypertension, proteinuria, and generalized edema. The healthcare provider has diagnosed her with severe preeclampsia. Which intervention should take priority in her care?
A breastfeeding mother is concerned about her milk supply, as she feels her baby is not getting enough milk. What should the nurse prioritize when assessing this situation?
A pregnant woman at 12 weeks’ gestation has a history of gestational diabetes in a previous pregnancy. She asks the nurse about her risk of developing gestational diabetes again. What is the nurse’s best response?
A postpartum mother expresses concern about her abdominal pain and discomfort, which she describes as “afterbirth pains.” What is the nurse’s explanation for these pains?
A pregnant woman with preeclampsia is receiving magnesium sulfate to prevent seizures. The nurse observes her deep tendon reflexes becoming absent. What is the nurse’s immediate action?