1. The nurse is caring for a client who is ordered colostomy irrigations. Which of the following positions is best to place the client in when performing the irrigations?

2. The nurse is assisting in the care of a client with a diabetic leg ulcer. The physician has planned to debride the wound in the morning, but the client, who is alert and oriented, tells the nurse that she changed her mind and does not want to have the debridement. The nurse should tell the client which of the following?

3. The nurse is caring for a client with hepatitis A. The nurse is aware that which of the following factors can cause hepatitis A?

4. The nurse is caring for a client in end-stage renal failure. The client is ordered to receive 100 units/kg of Procrit (epoetin alfa) subcutaneously. The client weighs 70 kg and the Procrit is supplied in a 20,000 unit/mL vial. How many mLs of Procrit will the nurse administer?

5. The nurse is caring for a client with a tracheostomy. The client requires suctioning. The nurse understands that while withdrawing the suction catheter from the client's tracheostomy tube, which of the following techniques is correct?

6. The nurse is participating in the care of a pediatric client with appendicitis. The nurse knows that pain from appendicitis occurs in which part of the abdomen?

7. The nurse is participating in the care of a client who is diagnosed with a panic disorder. The nurse is aware that which of the following physical signs and symptoms may be experienced during a panic attack? Select all that apply.
1. bradycardia
2. delayed speech
3. diarrhea
4. dizziness
5. shortness of breath
6. sweating

8. The nurse is caring for multiple clients on a restraint-free nursing unit. She is concerned about preventing falls. Which of the following tasks would be inappropriate for the nurse to delegate to the nursing assistant?

9. The nurse is participating in the care of a client with cerebral palsy. The chart states that the client has athetosis. The nurse expects the client to exhibit

10. The nurse is caring for a client with MRSA in his wound. Prior to entering the room to perform the dressing change, the nurse should do which of the following? Select all that apply.
1. wash hands
2. put on a gown
3. put on gloves
4. put on a mask

11. The nurse is assisting in the discharge of a new mother and her newborn. The nurse states that the newborn should travel home from the hospital in the

12. A client delivered an infant with Dandy-Walker syndrome. The nurse overhears the client tell a friend that the infant is 'perfectly fine.' The nurse knows that this statement indicates that the client is in which stage of grief?

13. The nurse is participating in the care of a newly admitted client to a chemical dependency unit. The client's drug screen is positive for cocaine. The nurse should monitor the client for which of the following?

14. The nurse is participating in the care of a client admitted to the medical-surgical unit with a diagnosis of acute pyelonephritis. The nurse understands that which of the following nursing interventions is a priority while caring for this client?

15. The nurse is participating in the care of a client who must have a routine screening for colorectal cancer. The nurse needs to obtain a fecal sample for occult blood testing. Which of the foods should the nurse instruct the client to avoid 48 to 72 hours before the test and throughout the collection period? Select all that apply.
1. cantaloupe
2. fish
3. high-fiber foods
4. peas
5. tomatoes
6. turnips

16. The nurse is reinforcing teaching about antacid therapy for a client who has been diagnosed with a gastric ulcer and who is preparing for discharge. The nurse's follow-up teaching should include which of the following instructions?

17. The nurse is caring for a 30-year-old client diagnosed with ulcerative colitis. The client is experiencing bowel incontinence. Which of the following nursing interventions is most appropriate when managing this client?

18. The nurse is caring for a client diagnosed with pernicious anemia. Which of the following assessments can the nurse expect to find?

19. A client has end-stage metastatic lung cancer and is taking IV morphine for pain management. The nurse notices that the client has needed an increasingly stronger dosage of the medication to control her pain. The nurse recognizes that the client is experiencing which of the following?

20. The nurse is participating in the care of a client admitted to a nursing home for bladder training after a traumatic brain injury. The client tells the nurse, 'I'm not drinking a lot so I can stay dry longer.' Which of the following responses by the nurse is most appropriate in this situation?

21. The nurse is assigned to care for an adolescent client who overdosed on acetylsalicylic acid (aspirin). The nurse expects to care for a client with which of the following? Select all that apply.
1. jaundice
2. oliguria
3. abdominal pain
4. tinnitus

22. The nurse is participating in the care of a client diagnosed with left-sided heart failure. While caring for the client, the nurse should monitor which of the following on a daily basis?

23. The nurse is administering amoxicillin to a child. The order reads 500 mg of amoxicillin q 4 hours. On hand is amoxicillin 125 mg/tsp. How many teaspoons should the nurse administer?

24. The nurse is caring for a client complaining of pain (7/10 on the pain scale). The nurse will administer the client's prescribed Demerol (meperidine hydrochloride). The client is ordered 50 mg I.M. and the medication is supplied in a 100 mg/mL ampule. What amount should the nurse administer?

25. The nursing care plan includes off-loading pressure from the client's heels. To implement this intervention, the nurse should