Artificial Intelligence Adaptive Test #5

Active surveillance is selected as the course of treatment for a client who has been diagnosed with stage 2 prostate cancer. Which of the following activities should the nurse plan on scheduling for this client?

A client with multiple myeloma has a history taken by the nurse. What assessment results would the nurse anticipate observing? Select all that apply.

After being admitted to the hospital, a client is given a possible diagnosis of Hodgkin’s disease. Which finding from the assessment should the nurse especially anticipate observing in the client?

The nurse finds the internal cervical radiation in the bed implant while caring for a client with cervical cancer. What would be the nurse’s initial action?

A client with lung cancer and bone metastases is under the nurse’s care. What symptoms and signs would the nurse perceive as signals of a potential oncological emergency? Select all that apply.

The nurse gathers the client’s medical history as the client with ovarian cancer is admitted to the hospital for surgery. What kind of clinical manifestation would the nurse check for?

A nurse is addressing the prevention of esophageal cancer in response to a question posed by a participant in a health promotion workshop. What action has the greatest potential to prevent esophageal cancer?

At home, members of the client’s family care for the terminally ill client who suffers from extreme discomfort linked with pancreatic cancer. Which of the nurse’s findings suggests that the instruction about managing pain has been effective?

Which meal option must the nurse recommend to the client who will be treated with an external beam for abdominal cancer?

The nurse educates a client scheduled for a prostate needle biopsy on what to expect from the operation. Which of the following client statements signifies successful client education?

A postmenopausal client diagnosed with stage III breast cancer receives education from the nurse on the anticipated results of cancer therapy. Which of the following client statements demonstrates that the instruction has been successful?

A client going through external radiation treatment for Hodgkin’s cancer reports to the nurse, “I am so exhausted that I can hardly get out of bed in the morning.” Which of these interventions should be included in the plan of care by the nurse?

A client with colon cancer who is scheduled to undergo external radiation treatment to the abdomen is now under the nurse’s care. Which findings from the nurse’s assessment point to the need to provide instruction to the client?

A nurse gives a client an IV vesicant chemotherapeutic drug. Which of the following actions is critical for the nurse to take?

A leukemia client is contemplating whether to undergo hematopoietic stem cell transplantation (HSCT). Which information will the nurse include in the client’s education plan?

The nurse is caring for a client who has stage I colon cancer. Which nurse question will provide the most information when evaluating the need for psychological support?

The nurse gathers information on a hospitalized client undergoing colorectal cancer treatment. Which detail about the client causes the nurse to contact the health care provider to explore a potential change in cancer therapy?

A client who is about to get outpatient treatment for non-Hodgkin lymphoma is receiving health promotion education from the clinical nurse educator. Which of the following should be recommended by the nurse?

A client with stage IV lung cancer informs the nurse about new-onset back discomfort. Which of the following actions should the nurse take first?

A 50-year-old woman has been diagnosed with breast cancer and is sobbing with the nurse. According to the client, “they tell me my disease is aggressive, yet my coworker’s breast tumor was benign. I do not comprehend.” The nurse must be aware of what distinguishes malignant cells from benign cells of the same tissue type before preparing an appropriate treatment for this client. Which of the following is accurate for the nurse to use as a basis for her response?

A client with advanced colon cancer experiences acute vomiting after each chemotherapy infusion. Which of the following actions, if done by the nurse, is appropriate?

A client who has been able to keep their chronic pain under control by using fentanyl (Duragesic) patch reports that they are experiencing rapid onset pain at a level 9 (on a scale of 0 to 10) and asks for “something for pain that will work quickly.” How will the nurse document the type of pain that this client has reported?

External-beam radiation is planned for a client with cervical cancer. What instructions should the nurse give it to the client to prevent complications from the effects of the radiation?

A client who has been exposed to external radiation has experienced a dry desquamation of the skin in the treated region. The nurse instructs the client on how to manage the skin response. Which of the following statements, if mentioned by the client, shows that the instruction was effective?

In the women’s health clinic, a nurse gives clients instructions on how to recognize gynecological issues. Which of the following is an early sign of cervical cancer should a client seek medical attention for?

A client walks into the mental health clinic and says to the nurse, “Life is just not the same without my wife. I can’t even function without her around.” Which of the following responses by the nurse would be most therapeutic at this time?

When developing a plan for a client using crisis management principles, the nurse knows to base interventions on which of the following primary tasks of crisis management?

An adult client who is diagnosed with depression tells the nurse, “I won’t allow myself to cry because it affects my loved ones when I cry”. This statement is an example of which defense mechanism?

A mother comes to the pediatric clinic because her previously continent 7-year-old child has resumed bedwetting. Upon assessment, the nurse learns that there is a new baby in the home. The child is most likely exhibiting which defense mechanism?

The nurse is caring for a newly admitted client who experiences false sensory perceptions with no basis in reality. The nurse identifies this as which assessment finding?

A client is taking antidepressants after being diagnosed with major depression. The client has concerns about their medication and asks the nurse, “How long do I have to take these pills?” Which response by the nurse would be most accurate for this client?

A client who has been diagnosed with bipolar disorder has been receiving lithium for the past 2 weeks. What is most important to emphasize to the client when planning client teaching?

A client has been started on monoamine oxidase (MAO) inhibitor. Which of the following information is important for the nurse to include when teaching the client about this type of medication?

When caring for a client diagnosed with antisocial personality disorder, the nurse makes sure to place the highest priority on which of the following nursing actions?

x

A new client has an intense fear of riding an elevator. The client shares, “As if I will die inside. I just can’t breathe.” The client is suffering from which specific phobia?

Which behavior would the nurse most likely encounter for a client who is diagnosed with Illness Anxiety Disorder?

A newly admitted client is demanding, hyperactive, and exhibiting pressurized speech. How would the nurse initially provide care for this client?

A client who is exhibiting paranoia becomes angry and tells the nurse to leave him alone. How should the nurse respond to this client?

A 47-year-old client was diagnosed with schizophrenia and currently exhibiting negative symptoms of the disease. Negative symptoms of schizophrenia are characterized by all of the following except for which signs and symptoms?

When providing care for a client with anorexia nervosa, which of the following observations will indicate to the nurse that the client’s condition is improving?

A client with anorexia nervosa is characterized by the following with the exception of which assessment finding?

Methylphenidate (Ritalin) is prescribed to a 12-year-old client to manage hyperactivity. The client’s parents ask the nurse when the best time is to give the medication to the client. The nurse identifies that which of the following information shows correct understanding of the teaching when repeated by the client’s parents?

Which of the following actions does not belong to the therapeutic approaches in providing care to a child diagnosed with autism spectrum disorder?

Dementia, unlike delirium is characterized by which symptom?

A client in the emergency department presents with needle tracts on his arm and pinpoint pupils. He is difficult to rouse. The nurse expects that the management for this client will most likely include which medication?

The nurse assigned in the detoxification unit attends to various clients with substance-related disorders. A male client shared that he experienced a marked increase in his intake of alcohol to achieve the desired effect. This description is indicative of which substance abuse-related concept?

Which comment about a 4-year-old child if made by the parent may be indicative of child abuse?

The client seems very dejected after hearing about the progress of her treatment for valium dependency following several incidences of noncompliance with the therapy. When asked by the nurse, the client replies “I’ve screwed everything up. I’m hopeless. I’ll never get better! It’s no use!” In responding to the client, which of the following would be most appropriate?

A client whose husband recently filed for divorce is admitted to the hospital with severe depression. The nurse suspects that the client is at risk for suicide. Which of the following questions would be most appropriate and helpful for the nurse to ask the client during an assessment for suicide risk for this client?

A client with a metastatic brain tumor state, “If I could only live until I can see my daughter pass her NCLEX, I will donate all of my money to research.” The nurse reports that the client is in which phase of the grief process?

A client was prescribed heparin therapy after surgery on the right hip. Which of the following should be the nurse’s initial action?

A client had just an open reduction of hip fracture. The client starts heparin therapy twice a day given via the subcutaneous route. The nurse’s plan of action should include which of the following actions? Select all that apply.

Which of these IV complications would be characterized by pallor, coolness of the skin, and edema at the intravenous site?

Atropine sulfate is more commonly used for which of the following purposes?

Which assessment findings are consistent with IV infiltration?
Select all that apply.

Which technique would the nurse teach the client who is experiencing obesity and must self-administer insulin at home?

A client who was newly diagnosed with cancer has been prescribed a chemotherapeutic regimen with doxorubicin HCl (Adriamycin). What diagnostic test results should the nurse review before administering this treatment?

A client was instructed to take sublingual nitroglycerin tablets as needed for the client’s chest pain. Which instruction is vital to include in the client’s teaching plan?

The Primary Healthcare Provider prescribes digitalis (Digoxin) for a client who was recently diagnosed with congestive heart failure. Which intervention should the nurse implement before giving the digoxin to the client?

A client with congestive heart failure is taking furosemide (Lasix) 40 mg twice daily. The nurse plans to monitor this client for the development of which possible complication?

Clients receiving disulfiram (Antabuse) for treatment of alcoholism should be warned about the importance of alcohol avoidance because a disulfiram (Antabuse) reaction may be initiated. Which assessment finding would indicate that the client is experiencing a reaction to disulfiram (Antabuse) therapy?

The client is receiving alprazolam (Xanax) for anxiety. Which of the client’s behaviors would indicate that the drug is effective if observed by the nurse?

A client discharged from the mental health facility with a prescription for haloperidol (Haldol). Which instruction should the nurse include in the client’s discharge teaching plan?

The client who was previously given heparin treatment for a pulmonary embolism is being discharged with a prescription for warfarin (Coumadin). The nurse informs the client to have which diagnostic test monitored regularly after discharge?

Which assessment finding indicates that the medication was effective when assessing the client after sublingual nitroglycerin administration?

What prophylactic drug should the nurse expect to administer to a client who has a positive skin test for tuberculosis?

A Primary Healthcare Provider prescribes naloxone (Narcan) for a client in the emergency room. Upon observation, which assessment data would indicate that the naloxone has been effective for the client?

A primigravida client is experiencing anxiety during the active phase of labor. She requests medication for the pain. Which analgesic should the nurse anticipate will be prescribed to this client?

A client received 20 units of NPH insulin subcutaneously at 8:00 in the morning. The nurse anticipates that a hypoglycemic reaction can happen at which time?

Propythiouracil (PTU) is prescribed for a client following a diagnosis of hyperthyroidism. The nurse instructs the client to notify the Primary Healthcare Provider if which of the following signs occur as part of the medication teaching for the client?

What is the most reliable effective treatment for opioid dependence?

The nurse knows that the most important side effect to watch for in administering anti-psychotic drugs such as Thorazine is which untoward effect?

Dry mouth

Constipation

Sedation

A client is admitted to the detoxification unit. The client admits to drinking increasingly larger amounts of alcohol for the past few years. Her partner accompanies her to the hospital. The client states that her drinking is causing problems with her relationship and that she wants to stop. What question is most important for the nurse to ask initially?

The nurse is assessing blood pressures for a client taking Chlorpromazine hydrochloride (Thorazine). Which of the following results would cause the nurse to withhold the next dose of this drug?

The client is prescribed thioridazine (Mellaril) 100 mg thrice a day. Upon checkup at the clinic, he shares that he’s having some discomfort and feels like his mouth is “always dry”. The nurse knows that this side effect is related to which of the following concepts?