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Author Archives: Anonymous

The mother of a young female asks when her daughter can rece…

The mother of a young female asks when her daughter can receive the human papilloma virus (HPV) vaccine. The nurse understands that it is recommended at which of the following ages?

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The nurse strokes her finger up the lateral edge and across…

The nurse strokes her finger up the lateral edge and across the ball of the infant’s foot. Which reflex response indicates a normal finding?

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What information obtained by the nurse should the nurse reco…

What information obtained by the nurse should the nurse record in the patient’s health history?

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The patient has a respiratory rate of 9 breaths/minute. How…

The patient has a respiratory rate of 9 breaths/minute. How should the nurse document their findings?

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When assessing muscle strength, the nurse observes a patient…

When assessing muscle strength, the nurse observes a patient complete a full range of motion movement against full resistance. What grade of muscle strength should the nurse document?

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The nurse is examining a patient’s ears and notices cerumen…

The nurse is examining a patient’s ears and notices cerumen in the external canal. Which of these statements about cerumen is correct?

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The nurse is assessing a 9-year-old girl who asks, “Am I nor…

The nurse is assessing a 9-year-old girl who asks, “Am I normal? I don’t seem to need a bra yet, but I have some friends who do. What if I never get breasts?” Which response by the nurse is best?

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A nursing student performs a focused abdominal assessment on…

A nursing student performs a focused abdominal assessment on her patient in clinical. Which of the following actions performed by the nurse warrants further education?

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The nurse understands that the patient must be able to do ac…

The nurse understands that the patient must be able to do activities of daily living (ADLs) prior to returning home. Which is NOT an example of an ADL?

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The nurse is assessing a patient’s stool. What does a positi…

The nurse is assessing a patient’s stool. What does a positive hemoccult test indicate?

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