1. A hospitalized client informs the evening shift nurse that he has a routine that he follows prior to going to sleep. The client inquires about his ability to perform his bedtime routine before sleep. How does the nurse respond?

2. A nurse applies padded boots to maintain the foot in dorsiflexion to a client who is comatose. The nurse is protecting the client from:

3. A drug was introduced to the market, where it was well received, and the nurse has learned that generic equivalents will soon be released. The nurse should understand what implication of this fact?

4. The community nurse working at a community health fair is assessing a client's vital signs at rest. Which finding requires nursing intervention?

5. A student is preparing to begin a pharmacology course that is focused on nursing needs. The student should anticipate what areas of study? (Select all that apply.)

6. What is an example of nonverbal communication?

7. fan-fold soiled linens as close to client as possible

8. When the nurse attempts to wake a client who has just closed his eyes and appears asleep, the client states he is not asleep. What stage of sleep is this client in?

9. A client with a hip fracture is returning to the orthopedic unit, and the orders indicate that the client should be turned by logrolling. Which statement regarding logrolling is correct?

10. A nursing student is assessing blood pressure in an adult client. Which action by the nursing student would require intervention from the nursing instructor?

11. 'Alcohol-based hand rub provides the greatest reduction in microbial counts on the skin.'

12. A client who was recently diagnosed with diabetes has been coming to the emergency room every day for a high blood glucose level. The client apologizes to the nurses for bothering the staff every day but reports not being able to self-administer insulin injections. What should the nurse respond?

13. A nurse is providing health education to a client who has been admitted to the health care facility. How can the nurse best determine that the education standards have been met?

14. A client has been diagnosed with cardiovascular disorder. The client is age 68; suffers from intermittent joint pain and is under drug therapy; eats meat, salads, and fruits; prefers alternative herb medications along with drug therapy; sometimes smokes; he lives alone and is looked after by a caregiver. Which item of information has the greatest implication for planning his drug therapy?

15. The telephone triage nurse receives a call from a client asking for a prescription for an opioid (narcotic) to manage the client's surgical pain. The nurse explains that opioid prescriptions must be written and cannot be called in to the pharmacy. The client says, 'Why are opioids so difficult to get a prescription for?' What is the nurse's best response?

16. The nurse is caring for a client in strict isolation and assesses that the client is apathetic and has a decreased attention span. Which nursing action should the nurse implement?

17. Introduce a checklist that specifies each relevant component of pretest preparation.

18. The nurse notes that the blood glucose level of a client has increased and is planning to notify the health care provider by telephone. Which technique would be most appropriate for the nurse to use when communicating with the health care provider?

19. The client is a 35-year-old with Down syndrome. He is on the nurse's unit following heart surgery. He is very weak and has had difficulty with his activities of daily living. Which statement is an example of his nurse using advocacy as a style of client communication?

20. The nurse is performing an assessment of a client's joint mobility. What documentation should the nurse provide related to this assessment if joint function is considered normal? Select all that apply.

21. fever, increased HR, pain, increased RR, and lymph node enlargement

22. A nurse performing an integumentary inspection on a client gently pinches the skin under the clavicle. This nurse is assessing:

23. A physician has ordered subcutaneous injections of morphine every 4 hours as needed for pain for a motor vehicle accident victim. Morphine has a high abuse potential and is categorized in which class of drugs?

24. The nurse is administering medications and knows that there is a longer distribution time when the drug is intended for what area?

25. The nurse is aware that the most relevant way in which aging affects the pharmacokinetic process of drug administration is decreased: