2024/2025 QUESTIONS & CORRECT VERIFIED ANSWERS
100% GUARANTEED PASS (GRADE A+)
A nurse in an emergency department is preparing to perform ocular irrigation for a client. Which
of the following actions should the nurse plan to take?
a. Assess the client's visual acuity prior to irrigation
b. Have the client turn their head toward the unaffected eye
c. Hold the irrigator syringe 3.81 cm (1.5in) above the eye
d. Perform the irrigation with sterile water for irrigation
Ans>> d. perform the irrigation with sterile water for irrigation
A nurse is preparing to administer lactated ringer's via continuous IV infusion at 200 ml/hr. The IV
tubing has a drop factor of 10 drops / mL. How many gtt/min should the nurse set the IV pump to
administer? Round to the nearest whole number
Ans>> 33 gtt/min
A nurse is providing discharge teaching to a client who has a new prescription for sublingual
nitroglycerin. Which of the following client statements indicates an understanding of the teaching?
a. I can keep my medications for 1 year before replacing it.
b. I should lie down when I take this medication
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,c. I should discontinue this medication if I develop a headache.
d. I can take up to 5 tablets in 15 minutes before seeking medical attention
Ans>> b. I should lie down when I take this medication
M/S c. 31/p. 201 "Stop activity and rest. Heachace is a common AE of this medication, change
positions slowly"
A nurse is providing discharge teaching to an older adult following a left total hip arthroplasty.
Which of the follwoing instructions should the nurse include in the teaching?
a. clean the incision daily with hydrogen peroxid
b. you can cross your legs and the ankles when sitting down
c. you should use an incentive spirometer every 8 hours
d. install a raised toilet in your bathroom
Ans>> d. install a raised toilet in your bathroom
M/S c. 68/ p. 455 "Follow position restrictions to avoid dislocation, use elevated seating and a
raised toilet seat"
A nurse is planning care for a client following a cardiac catheterization. Which of the following
actions should the nurse take?
a. keep the client on bed rest for 24 hours
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,b. limit the client's fluid intake to 1L per day.
c. maintain the client's affected extremity in extension
d. change the client's dressing every 8 hours.
Ans>> c. maintain the client's affected extremity in extension
M/S c. 27/p. 173 "Maintain bed rest in supine position with extremity straight for prescribed
time"
A nurse is caring for a client who has a lower extremity fracture and a prescription for crutches.
Which of the following client statements indicates the client is adapting to their role change?
a. I will need to have my partner take over shopping for groceries and cooking the meal for us
b. These crutches make it impossible to care for my child
c. I feel bad that I have to ask my partner to keep the house clean
d. it's going to be difficult to tell my parents I can't take them to their appointment.
Ans>> a. I will need to have my partner take over shopping for groceries and cooking the meal
for us
A nurse is caring for a client who has gastroenteritis. Which of the following assessment findings
should the nurse recognize as an indication that the client is experiencing dehydration?
a. pitting, dependent edema
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, b. distended jugular veins
c. increased BP
d. decreased BP
Ans>> d. decreased BP
M/S C. 43/ p. 277 "signs of dehydration or hypovolemia include, hypothermia, tachycardia,
thready pulse, HYPOTENSION, orthostatic hypotension, decreased central venous pressure,
tachypnea, hypoxia
A nurse is caring for a client who has a contusion of the brainstem and reports thirst. The client's
urinary output was 4,000 ml over the past 24 hours. The nurse should anticipate a prescription for
which of the following IV medications?
a. Desmopressin
b. Epinephrine
c. Furosemide
d. Nitroprusside
Ans>> a. Desmopressin
M/S c. 14/p. 85 "Diabetes insipidous is a possible complication"
Pharm c. 40/ p.323 "desmopressin is an agent of choice for DI"
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