VERSIONS WITH 100% CORECT VERIFIED ANSWERS
VERSION 1
1. A nurse is caring for a client who is at 14 weeks
gestation and reports feelings of ambivalence about being
pregnant. Which of the following responses should the
nurse make?
A. “Describe your feelings to me about being pregnant”
B. “You should discuss your feelings about being pregnant with
your provider”
C. “Have you discussed these feelings with your partner?”
D. “When did you start having these feelings?”
2. A nurse is planning care for a client who has a
prescription for a bowel- training program following a
spinal cord injury. Which of the following actions should
the nurse include in the plan of care?
A. Encourage a maximum fluid intake of 1,500 ml per day.
B. Increase the amount of refined grains in the client’s diet.
C. Provide the client with a cold drink prior to defecation.
D. Administer a rectal suppository 30 minutes prior to scheduled
defecation times.
,3. A nurse is caring for a client who is in active labor and
requests pain management. Which of the following actions
should the nurse take?
A. Administer ondansetron.
B. Place the client in a warm shower.
C. Apply fundal pressure during contractions.
D. Assist the client to a supine position.
4. a nurse in an emergency department is performing
triage for multiple clients following a disaster in the
community. To which of the following types of injuries
should the nurse assign the highest priority?
A. Below-the knee amputation
B. Fractured tibia
C. 95% full-thickness body burn
D. 10cm (4in) laceration to the forearm
5. a nurse manager is updating protocols for the use of
belt restraints. Which of the following guidelines should
the nurse include?
A. Remove the client’s restraint every 4hr
B. Document the client’s condition every 15 min
C. Attach the restrain to the bed’s side rails
D. Request a PRN restrain prescription for clients who are
aggressive
6.
7. A nurse in a pediatric unit is preparing to insert an IV
catheter for 7-year-old. Which of the following actions
should the nurse take?
, A. (Unable to read)
B. Tell the child they will feel discomfort during the catheter
insertion.
C. Use a mummy restraint to hold the child during the catheter
insertion.
D. Require the parents to leave the room during the procedure.
8. A nurse is caring for a client who has arteriovenous
fistula Which of the following findings should the nurse
report?
A. Thrill upon palpation.
B. Absence of a bruit.
C. Distended blood vessels
D. Swishing sound upon auscultation.
9. A nurse is providing discharge teaching for a client
who has an implantable cardioverter defibrillator which
of the following statements demonstrates understanding
of the teaching?
A. “I will soak in the tub rather and showering”
B. “I will wear loose clothing around my ICD”
C. “I will stop using my microwave oven at home because of my
ICD”
D. “I can hold my cellphone on the same side of my body as the
ICD”
10. A nurse is teaching an in-service about nursing
leadership. Which of the following information should the
nurse include about an effective leader?
A. Acts as an advocate for the nursing unit.
B. (Unable to read) for the unit
C. Priorities staff request over client needs.
, D. Provides routine client care and documentation.
11. A nurse is reviewing the laboratory findings of a client
who has diabetes mellitus and reports that she has been
following her (unable to read) care. The nurse should
identify which of the following findings indicates a need to
revise the client’s plan of care.
A. Serum sodium 144 mEq/
B. (Unable to read)
C. Hba1c 10 %
D. Random serum glucose 190 mg/dl.