A, B & C | Questions & Verified Answers | Exam Prep
| Graded A+
1. Why might a charge nurse prefer to assign a nurse who is not pregnant to a
client recovering from shingles?
The client recovering from shingles requires more intensive care.
Shingles can be contagious, and it is safer for a pregnant nurse to
avoid exposure.
Pregnant nurses are not allowed to care for elderly patients.
The nurse who is pregnant has less experience than the others.
2. Why is it important for a patient on digoxin to report muscle weakness to
their healthcare provider?
Muscle weakness indicates the need for increased physical activity.
Muscle weakness can indicate digoxin toxicity or electrolyte
imbalances.
Muscle weakness is a common side effect of all medications.
Muscle weakness is unrelated to digoxin therapy.
3. Why is it inappropriate for assistive personnel to offer oral fluids to a client
after a bronchoscopy?
The client is required to drink fluids immediately after any procedure.
Oral fluids are always safe after any medical intervention.
The client should be encouraged to eat solid foods right after the
procedure.
, The client may have swallowing difficulties or risk aspiration after
the procedure.
4. The critical care nurse is making assignments. Which client should the charge
nurse assign to the nurse who is pregnant?
The client receiving I131 iodine for hyperthyroidism who had a MVA
The client who is immunosuppressed with Dx CMV
The client who is HIV positive and admitted for R/O myocardial
infarction
The client with intracavity radiation for cervical cancer who developed
ARDS
5. Why is it important for a nurse to report visible contusions on a client to Adult
Protective Services?
The nurse must gather more information before taking any action.
Reporting is essential to ensure the client's safety and investigate
potential abuse.
The nurse can handle the situation without involving authorities.
The nurse should only report if the client agrees to it.
6. A mailroom worker was exposed to anthrax (Bacillus anthracis). He is not sure
if he inhaled any of it or if it got on his skin because he dropped the envelope
when he saw the powder. What treatment(s) should the nurse anticipate?
Patient isolation to prevent spread of virus.
Immediate vaccinia immune globulin (VIG).
Ciprofloxacin (Cipro) to prevent systemic manifestations.
Induce vomiting and administer antitoxin.
7. Why is it important for a nurse to monitor the duration of contractions in a
, client receiving oxytocin?
To prevent uterine hyperstimulation and ensure safe labor
progression
To evaluate the effectiveness of pain management
To determine the need for cesarean delivery
To assess fetal heart rate variability
8. The nurse is caring for a 10-year-old who has an acute head injury, has a
pediatric Glasgow coma score of 9, and is unconscious. Which of following
interventions should the nurse include in the child's care plan?
perform chest percussion and suctioning every 1 to 2 hours
perform active ROM and nontherapeutic touch every 8 hours
elevate the head of the bed 15 to 30° with head maintained in
midline
maintain an active, stimulating environment
9. Which laboratory test is commonly used to assess long-term blood glucose
control in diabetic patients?
HbA1c
3-hr oral glucose tolerance test
Urinalysis for ketones
Fasting blood glucose test
10. A patient receiving enteral feedings presents with bounding pulses and
elevated blood pressure. What should the nurse's immediate priority be?
Increase the rate of enteral feedings to improve nutrition.
Document the findings and continue monitoring without intervention.
, Assess for signs of fluid overload and notify the healthcare
provider.
Administer a diuretic as prescribed without further assessment.
11. The mother of a 9-month-old infant calls the nurse at the pediatrician's office,
tells the nurse that her infant is teething, and asks what can be done to
relieve the infant's discomfort. The nurse instructs the mother to: Give the
infant cool liquids or a Popsicle and hard foods such as dry toast
Rub the infant's gums with baby aspirin that has been dissolved in
water
Schedule an appointment with a dentist for a dental evaluation
Give the infant cool liquids or a Popsicle and hard foods such as dry
toast
Obtain an over-the-counter (OTC) topical medication for gum-pain
relief
12. If a nurse fails to use a dedicated stethoscope while caring for a client with
neutropenia, what potential risk could this pose to the client?
Delayed medication administration
Increased risk of infection
Increased discomfort for the client
Inaccurate assessment of lung sounds
13. Which client report indicates a potential cardiac issue that requires
immediate assessment?
Constipation
Swollen ankles
Indigestion