AND ANSWER(S)ALL ANSWERS 100% CORRECT
LATESTUPDATE 2026 GUARANTEED SUCCESS
RATEDA+
• The mother of the 12- month-old with cystic fibrosis reports that her child is
experiencing increasing congestion despite the use of chest physical therapy (CPT) twice
a day, and has also experiences a loss of appetite. What instruction should the nurse
provide?
• Perform CPT after meals to increase appetite and improve food intake.
• CPT should be performed more frequently, but at least an hour before
meals.
• Stop using CPT during the daytime until the child has regained an appetite.
• Perform CPT only in the morning, but increase frequency when
appetite improves.
• Rationale: CPY with inhalation therapy should be performed several times a
day to loosen the secretions and move them from the peripheral airway into the
central airways where they can be expectorated. CPT should be done at least
one hour before meals or two hours after meals.
• A client is being discharged home after being treated for heart failure (HF).
Whatinstruction should the nurse include in this client’s discharge teaching plan?
• Weigh every morning
• Eat a high protein diet
, • Perform range of motion exercises
• Limit fluid intake to 1,500 ml daily
• What is the priority nursing action when initiating morphine therapy via
anintravenous patient-controlled analgesia (PCA) pump?
• Initiate the dosage lockout mechanism on the PCA pump
• Instruct the client to use the medication before the pain becomes severe
• Assess the abdomen for bowel sounds.
• Assess the client ability to use a numeric pain scale
, A+
• A client is admitted to the hospital after experiencing a brain attack, commonly referred to
as a stroke or cerebral vascular accident (CVA). The nurse should request a referral for
speech therapy if the client exhibits which finding?
• Abnormal responses for cranial nerves I and II
• Persistent coughing while drinking
• Unilateral facial drooping
• Inappropriate or exaggerated mood swings
• An adult client experiences a gasoline tank fire when riding a motorcycle and
is admitted to the emergency department (ED) with full thickness burns to all surfaces of
both lower extremities. What percentage of body surface area should the nurse document
in the electronic medical record (EMR)?
• 9%
• 18 %
• 36 %
, • 45 %
• Rational: according to the rule of nines, the anterior and posterior surfaces of one
lower extremity is designated as 18 %of total body surface area (TBSA), so both
extremities equals 36% TBSA, other options are incorrect.
• A client with hyperthyroidism is receiving propranolol (Inderal). Which finding indicates
HthEatSthIe PmN
edication is having the desired effect?
EXIT EXAM V3 100 QUESTIONS