2023/2024 A Questions with 100% Correct
Answers
A nurse is assisting with the care of a client who is postoperative following abdominal
surgery. Correct Answer Apply oxygen to the client via a face mask
Instruct the client to splint their abdomen with a pillow when coughing.
Plan to ambulate the client as soon as possible.
Monitor the client's pain level.
A nurse is reviewing the laboratory reports of a client who reports chest pain. Which of
the following laboratory results indicates the client is experiencing a myocardial
infarction? Correct Answer Elevated Troponin
For each finding, click to specify if the finding is consistent with emphysema, asthma, or
pneumonia. Each finding may support more than 1 disease process. Correct Answer
Temperature- Pneumonia
Breath Sounds- Emphysema, Asthma, Pneumonia
Respiratory Rate- Emphysema, Asthma, Pneumonia
Cough- Emphysema, Asthma, Pneumonia
A nurse is assisting with the care for a client who is suspected of having a myocardial
infarction. Which of the following actions should the nurse take to prepare the client for
an ECG? Correct Answer Cleanse the client's skin prior to electrode placement.
Drag 1 condition and 1 client finding to fill in each blank in the following sentence.
Correct Answer The client is experiencing manifestations of peritonitis due to the client's
abdominal x-ray results.
A nurse is assisting in the care of a client who is experiencing withdrawal from heroin.
Which of the following medications should the nurse expect the provider to prescribe?
Correct Answer Methadone
A nurse is preparing to remove a client's NG tube. Which of the following interventions
should the nurse take to decrease the risk for aspiration? Correct Answer Pinch the NG
tube.
A nurse is reinforcing teaching with a client who is on a low-sodium diet and asks about
how to improve the taste of bland food. Which of the following foods should the nurse
recommend? Correct Answer Lemon Juice
A nurse is assisting in the care of a client who has AIDS-related pneumonia. The client
is receiving antibiotic therapy and albuterol nebulizer treatments daily. Which of the
, following findings should indicate to the nurse that the client's therapeutic regimen is
effective? Correct Answer Decrease in exertion dyspnea.
A nurse is assisting with the care for a client who is postoperative and has an epidural
infusion. Which of the following findings should the nurse recognize as the priority?
Correct Answer Dyspnea
A nurse is providing information regarding transmission-based precautions for a client
who has Clostridium Difficile to an assistive personnel (AP). Which of the following
instructions should the nurse include? (Select all that apply.) Correct Answer "Provide
the client with disposable utensils and dishes for meals."
"Leave blood pressure equipment in the client's room"
"Clean contaminated surfaces with a bleach solution"
A nurse is contributing to the plan of care for a client who has just transferred to the
medical-surgical unit from the PACU following a right total knee arthroplasty. Which of
the following interventions should the nurse include in the plan? Correct Answer Assist
the client to change positions at least every 2 hr.
A nurse is preparing to administer scheduled medications to the client. Which of the
following prescriptions should the nurse verify with the provider? (Click on the exhibit
tabs for additional information about the client. There are three tabs that contain
separate categories of data.) Correct Answer Ceftriaxone
A nurse is examining a client's IV site and notes a hardened vein above their IV site.
The client reports a throbbing, burning pain at the IV site. The nurse should identify that
the client's manifestations indicate which of the following complications of IV therapy?
Correct Answer Thrombophlebitis
A nurse is reinforcing teaching with a client prior to the removal of a leg cast. Which of
the following statements should indicate to the nurse that the client understands the
teaching? Correct Answer "I will feel vibrations on my leg from the cast cutter."
A nurse is collecting data from a client and notices several skin lesions. Which of the
following findings should the nurse report as possible melanoma? Correct Answer
Irregular borders
A nurse is assisting with the care for a client who has difficulty swallowing. Which of the
following actions should the nurse implement to prevent aspiration? Correct Answer
Give the client liquids with increased viscosity.
A nurse is reinforcing teaching regarding the use of a continuous passive motion (CPM)
machine with a client who is scheduled for a total knee arthroplasty. Which of the
following information should the nurse include in the teaching? (Select all that apply.)
Correct Answer "Your knee is flexed and extended as prescribed by your provider."
"The machine is padded with sheep skin."