QUESTIONS & VERIFIED CORRECT
ANSWERS PASSED 100%
The registered nurse (RN) is assisting the healthcare provider (HCP) with the removal
of a chest tube. Which intervention has the highest priority and should be anticipated by
the RN after the removal of the chest tube?
A.Prepare the client for chest x-ray at the bedside.
B.Review arterial blood gases after removal.
C.Elevate the head of bed to 45 degrees.
D.Assist with disassembling the drainage system. - CORRECT ANSWER A.Prepare
the client for chest x-ray at the bedside.
The registered nurse (RN) is caring for a client who developed oliguria and was
diagnosed with sepsis and dehydration 48 hours ago. Which assessment finding
indicates to the RN that the client is stabilizing?
A.Urine output of 40 mL/hour.
B.Apical pulse 100 and blood pressure 76/42.
C.Urine specific gravity 1.001.
D.Tented skin on dorsal surface of hands. - CORRECT ANSWER A.Urine output of 40
mL/hour.
Which action should the registered nurse (RN) implement to complete an assessment
for a client while using an interpreter?
A.Ask closed-ended questions with the assistance of the interpreter.
B.Maintain eye contact with the client while listening to the translation.
C.Instruct interpreter to answer questions from interpreter's point of view.
D.Protect the client's privacy by asking a limited number of questions. - CORRECT
ANSWER B.Maintain eye contact with the client while listening to the translation.
The registered nurse (RN) is caring for a client with tuberculosis (TB) who is taking a
combination drug regimen. The client complains about taking "so many pills." W hat
information should the RN provide to the client about the prescribed treatement?
A.The development of resistant strains of TB are decreased with a combination of
drugs.
B.Compliance to the medication regimen is challenging but should be maintained.
C.Side effects are minimized with the use of a single medication but is less effective.
, D.The treatment time is decreased from 6 months to 3 months with this standard
regimen. - CORRECT ANSWER A.The development of resistant strains of TB are
decreased with a combination of drugs.
The nurse palpates a weak pedal pulse in the client's right foot. Which assessment
findings should the RN document that are consistent with diminished peripheral
circulation?
(Select all that apply.)
A.Diminished hair on legs
B.Bruising on extremities
C.Skin cool to touch
D.Capillary refill less than 3 seconds
E.Darkened skin on extremities - CORRECT ANSWER A.Diminished hair on legs
C.Skin cool to touch
The registered nurse (RN) is caring for an Asian client who refuses to make eye contact
during conversations. How should the RN assess this client's response?
A.The client cannot understand the nurse.
B.The client is uncomfortable with the nurse.
C.The client is treating the nurse with respect.
D.The client is purposefully disrespecting the nurse. - CORRECT ANSWER C.The
client is treating the nurse with respect.
A client with cirrhosis of the liver asks the registered nurse (RN) to explain how varicose
veins can occur in the esophagus. Which statement should the RN provide to teach the
client about the physiological etiology?
A.The enlarged liver presses on the lower half of the esophagus which weakens blood
vessel walls.
B.Abnormal vessels form as a result of liver damage that causes chronic low serum
protein levels.
C.Esophageal swelling and tissue damage causes blood to circulate blood back through
the stomach.
D.Increased portal pressure causes blood flow through liver to be shunted to the
esophageal vessels. - CORRECT ANSWER D.Increased portal pressure causes blood
flow through liver to be shunted to the esophageal vessels.
A client is admitted for dehydration, weight loss, and a flat affect. After reviewing the
client's history, the registered nurse (RN) discovers that the client's spouse died 2
weeks ago. Which nursing interventions should the RN implement to help the client
begin the process of dealing with loss?
Select all that apply