COMPLETE QUESTIONS WITH DETAILED VERIFIED
ANSWERS UPDATE THIS YEAR
• A nurse is reinforcing discharge teaching with a client who has a new cast. The
client is prescribed hydrocodone for pain. The nurse should instruct the client to
report immediately which of the following findings to the provider
• Swelling of the affected extremity
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• A nurse is reinforcing teaching with a newly licensed nurse about enoxaparin. The
nurse should include in the teaching that which of the following medications can
interact with enoxaparin
• Clopidogrel
• Asprin
• Ginko Biloba
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• A nurse is reinforcing teaching with an older adult client about age related
changes. Which of the following physiological changes should the nurse include in
the teaching - Reduction in Height
• Loss of skin elasticity
• Decreased near vision
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,• A nurse is assisting in the planning of a health education
class for a group of older adult clients. Which of the
following recommendations should the nurse include
- Obtain pneumococcal immunization
• A nurse is caring for a newly admitted client who has a
wound infected with MRSA. Which of the following
precautions should the nurse take
- Place the client in a room with another client who has
MRSA
- Use dedicated equipment for the client is correct
- Wear gloves when client contact will occur
- Wear protective gown when entering the clients room
• A nurse is collecting data from a client who was admitted
with a Glasgow Coma Scale of 3. Which of the following
findings should the nurse expect?
- Nonresponsive Commands
• A nurse is collecting data from a client who has coronary
artery disease. Which of the following manifestations
should the nurse identify as an indication that the client
has angina
, - Chest Discomfort Radiated
- Pain lasting less that 15mins
- Pain that is relieved with rest
• A nurse is contributing to the plan of care for a client
who has a neurogenic bladder following a spinal cord
injury. Which of the following interventions should the
nurse include in the plan to develop bladder control -
Stroke the inner thigh
• A nurse is reviewing the medical record of a client who
has systemic lupus erythematosus. Which of the
following findings should the nurse expect
- Joint pain
• A nurse is reinforcing dietary teaching with a client who
has a new diagnosis of GERD about foods to avoid
because they worsen the manifestations of GERD. Which
of the following foods should the nurse instruct the
clients to avoid
- Peppermint
• A nurse is planning care for a client who is receiving
bolus enteral feedings and is prescribed digoxin and
furosemide. Which of the following actions should the
nurse take
- Flush the tube with water before and after each
medication
, • A nurse is reinforcing teaching about the use of an
Oxygen concentrator in the home for a client who has
end stage emphysema. Which of the following
instructions should the nurse include to promote client
safety
- Maintain an electrical back up system
• A nurse is caring for a client who has type 1 diabetes
mellitus and reports hunger and weakness. The clients
blood glucose is 50gm/dL. Which of the following actions
should the nurse take
-Have the client drink a glass of milk
• A nurse is assisting a client who has hypertension in
making healthy dietary selections regarding sodium
intake. Which of the following foods should the nurse
instruct the client to avoid?
- Pretzels