and detailed answers ||2025
A.nurse.is.caring.for.a.toddler.at.a.well-
child.visit.when.the.mother.calls.to.the.nurse,."Help!.My.baby.is.choking.on.his.food.".
Which.of.the.following.findings.indicates.the.toddler.has.an.airway.obstruction?.~.Corr
ect.answer.~.Inability.of.the.toddle.to.cry.or.speak.
bc.no.sounds.passing.through.vocal.cords.
use.heimliech.maneuver
A.nurse.is.planning.care.for.a.client.who.has.a.prescription.for.collection.of.a.sputum.sp
ecimen.for.culture.and.sensitivity..Which.of.the.following.actions.should.the.nurse.tak
e.when.obtaining.the.specimen?.~.Correct.answer.~.Collect.the.specimen.upon.arising.i
n.the.morning.
in.the.morning.it's.easier.to.cough.up.secretions.
deepest.specimens.are.usually.collected.in.morning
try.to.collect.before.breakfast.
prior.to.coughing.into.container:.rinse.mouth.and.deep.breathe
A.nurse.is.caring.for.a.client.who.has.a.history.of.dysrhythmias..Upon.entering.the.roo
m,.the.nurse.discovers.the.client.is.unresponsive.to.verbal.or.painful.stimuli,.has.no.re
spirations,.and.is.pulseless..Which.of.the.following.actions.should.the.nurse.take.first?.
~.Correct.answer.~.Start.chest.compressions.
give.priority.to.the.factor.or.situation.posing.the.greatest.safety.risk.
, A.nurse.is.teaching.a.client.who.is.recovering.from.gallbladder.surgery.how.to.use.an.i
ncentive.spirometer..Which.of.the.following.information.should.the.nurse.include.in.th
e.teaching?.~.Correct.answer.~.Hold.breath.for.5.seconds.after.goal.volume.is.reached.
Rationale:.decreases.collapse.of.alveoli,.which.helps.prevent.risk.of.atelectasis.and.pne
umonia
nurse.is.preparing.to.remove.an.NG.tube.for.a.client.who.had.a.partial.colectomy..Whic
h.of.the.following.actions.should.the.nurse.take?.~.Correct.answer.~.Pinch.the.NG.tube.
while.removing.the.tube.
decreases.risk.of.aspiration.of.any.GI.contents
A.nurse.is.providing.teaching.to.a.client.who.has.a.new.colostomy.about.proper.care..W
hich.of.the.following.information.should.the.nurse.include.in.the.teaching..~.Correct.an
swer.~.Cleanse.the.skin.around.the.stoma.with.warm.water.
using.soap.can.leave.a.residue.and.cause.poor.adherence.of.pouch
A.nurse.is.performing.a.straight.urinary.catheterization.for.a.female.client.who.has.ur
inary.retention..Which.of.the.following.actions.indicates.the.nurse.is.maintaining.steri
le.technique?.~.Correct.answer.~.Wipes.the.labia.minor.in.an.anteroposterior.direction.
.The.nurse.should.wipe.anteroposterior.both.the.right.&.left.labia.minora.w/.sperate.co
tton.swabs.to.destroy.any.microorganisms.in.the.area.that.would.contaminate.
A.nurse.is.caring.for.a.client.who.has.an.NG.tube.for.intermittent.enteral.feedings..Wh
ich.of.the.following.actions.should.the.nurse.take?
..~.Correct.answer.~.Elevate.the.client's.head.of.bed.45.degrees.before.the.feeding..
Rationale:.the.nurse.should.do.this.to.prevent.aspiration