The nurse is caring for a child with a ventriculoperitoneal (VP) shunt placed for hydrocephalus. Which clinical presentation is most indicative of a possible shunt complication?
A nurse places a patient on a telemetry monitor and obtains…
A nurse places a patient on a telemetry monitor and obtains a 6 second strip reading. The nurse interprets this rhythm as:
A nurse is working in the emergency triage area during a mas…
A nurse is working in the emergency triage area during a mass casualty event. Which of the following patients should be tagged as BLACK?
A nurse is assessing four children during a community health…
A nurse is assessing four children during a community health visit. Which child is most at risk for lead poisoning?
Emergency medical services (EMS) bring multiple clients to t…
Emergency medical services (EMS) bring multiple clients to the emergency department following a mass casualty incident. Joe, a triage nurse with 10 years of experience, must quickly assign triage tags. Which of the following clients should be assigned a RED tag? (Select all that apply.)
A nurse is assessing a fetal heart rate (FHR) strip. Which o…
A nurse is assessing a fetal heart rate (FHR) strip. Which of the following are considered normal findings in a term fetus? (Select all that apply.)
A 52-year-old patient reports noticing several breast change…
A 52-year-old patient reports noticing several breast changes over the past month, including generalized breast tenderness before menstruation, a firm irregular lump in the upper outer quadrant of the left breast, and intermittent clear nipple discharge. Which finding should the nurse recognize as most concerning for breast cancer?
A patient is hospitalized with acute kidney injury (AKI). Wh…
A patient is hospitalized with acute kidney injury (AKI). Which assessment finding will be most useful to the nurse in evaluating improvement in kidney function?
The nurse is assessing a 7-year-old diagnosed with acute oti…
The nurse is assessing a 7-year-old diagnosed with acute otitis media. Which finding should the nurse expect?
The nurse reviews the medical records of four patients with…
The nurse reviews the medical records of four patients with cancer. Which patient should the nurse place on neutropenic precautions?