A nursing student asks her co-assigned nurse how to assess the frequency of a laboring client's contraction pattern. What is the nurse's best response?

A nurse is discharging a 57-year-old patient who was diagnosed as having a transient ischemic attack (TIA). Her symptoms of right-sided weakness and aphasia lasted for 15 minutes. Which symptom or risk factor does the patient have that is considered the greatest risk for a future stroke after a TIA?

The nurse is caring for a client experiencing an acute myocardial infarction. Which assessment findings indicate a decrease in the client's cardiac output? Select all that apply.

The nurse is assessing a laboring client and notes an external fetal monitor tracing showing late decelerations. Which action should the nurse take first?

The nurse is caring for a client in active labor. Based on the fetal heart tracing, what collaborative actions will the nurse implement? Select all that apply.

The nurse is caring for a premature infant with an intraventricular hemorrhage. What assessment findings will the nurse recognize to be associated with intraventricular hemorrhage in a premature infant?

An 18-year-old pregnant client gravida 1 para 0, is admitted to the labor and delivery unit with moderate contractions every 5 minutes that last 40 seconds. The client states, "My contractions are so strong that I don't know what to do with myself.”. What is the nurse's most appropriate response?

The nurse is reviewing an immunization record for a 4-year-old child to determine the risk for epiglottitis. The patient is up to date on all vaccines. Which vaccine received by the patient will indicate the lowest risk for the child to contract this illness?

The nurse is caring for a patient in the emergency department who has been diagnosed with an ST-segment myocardial infarction (STEMI). The client appears restless, anxious, and diaphoretic with a blood pressure of 150/92. What is the nurse's priority action?

The nurse is monitoring a client in labor and notes a significant change in the fetal heart rate pattern. Which action should the nurse perform first?

The nurse is reviewing the histories of several clients who presented to labor and delivery for induction of labor. Which of the following clients does the nurse recognize would be appropriate candidates for induction? (Select all that apply).

The nurse is monitoring a fetal heart rate tracing and notes a specific pattern. Which action is most appropriate for the nurse to take based on the assessment?

A nurse in the Emergency Department is admitting a 56-year-old client with left-sided weakness, slurred speech, and facial drooping. The client's past medical history is significant for atrial fibrillation. What action(s) is/are appropriate for the nurse to perform at this time? (Select all that apply).

A client is 6 weeks pregnant. She had a previous spontaneous abortion at 13 weeks of gestation and a pregnancy that ended at 38 weeks with the birth of a girl. What does the nurse determine is her gravida and para?

The nurse is coordinating the transfer of a client with ischemic stroke to a rehabilitation unit. What is the priority goal during this level of care?

The nurse obtains a health history for a client admitted to the hospital after experiencing a stroke. Which condition(s) does the nurse identify as a predisposing factor for an embolic stroke? (Select all that apply)

The nurse is assessing the nutritional intake of a client with a stroke, with no diagnosed or reported visual effects. The nurse observes that the client is only eating from one side of the plate. What is the most appropriate nursing action to be taken at this time?

The nurse is educating a pregnant client at 39 weeks gestation about when to call the provider. What signs and symptoms will the nurse include in her teaching? (Select all that apply)

The nurse is caring for a 73-year-old client admitted to the Emergency Department at 2130. Based on the client's current assessment and history, what testing does the nurse determine to have the lowest priority at this time?

A child with laryngotracheobronchitis is presenting in the Emergency Department with stridor at rest and retractions. The nurse therefore quickly provides this priority intervention to help ease the child's distress:

The RN is co-assigned with an LPN to care for a group of clients in the cardiac unit. Which action by the LPN requires the RN to intervene immediately?

A 58-year-old hospitalized patient recovering from a myocardial infarction has expressed to the nurse their uncertainty about their position as a partner in an accounting firm and thoughts of working for a local charity. What psychosocial crisis does the nurse identify that the patient is experiencing according to Erikson's Stages of Psychosocial Development?

When the registered nurse is delegating care, which action cannot be delegated to an experienced unlicensed assistive personnel (UAP) for a stroke client with residual left-sided weakness?

The nurse is evaluating teaching provided to a 50-year-old client with coronary artery disease. Which client statement(s) indicate that additional teaching is required? Select all that apply.