ACTUAL AUTHENTIC EXAM QUESTIONS AND
ANSWES (A+ GUIDE SOLUTION)
Terms in this set (130)
When preparing to B) Withhold the medication until the dosage can be confirmed.
administer a prescribed
medication to a homeless
client at a community
psychiatric clinic. The client
tells the nurse that the usual
dosage taken is different
from the dose the nurse is
giving. Which action should
the nurse take?
A) Inform the client
thathe may refuse the
medication and document
whether or not the client
takes it.
B) Withhold
themedication until the
dosage can be confirmed. C)
Explain to the client that the
dosage has been changed.
D) Tell the client to take the
medication then verify the
dosage at the next
healthcare team meeting.
,The charge nurse is making B) Viral meningitis whose temperature change from 101 S to
assignments for one 102F.
practical nurse and three
registered nurses who are
caring for neurologically
compromised clients. Which
client with which change in
status is best to assign to the
PN?
A) Subdural
hematomawhose blood
pressure changed from
150/80 to 170/60.
B) Viral meningitis
whosetemperature change
from
101 S to 102F.
C) Diabetic keto acidosis who
is Glasgow coma scale score
changed from
10 to 7.
D) Myxedema, whose
blood pressure change
from 80/50 to 70/40.
,The nurse is caring for a A) Maintain strict intake and output.
client with pneumonia who
now develops initial signs of
septic shock and multi organ
failure. The healthcare
provider prescribes a sepsis
protocol. Which intervention
is most important for the
nurse to include in the plan
of care?
A) Maintain strict
intakeand output.
B) Keep head of
bedraised 45°.
C) Excess warmth
ofextremities.
D) Monitor blood
glucoselevel.
, And adolescent client is D) Go to the clients room and ask what happened.
admitted to the hospital
because of writing a suicide
note to a teacher at school.
On the second day of
hospitalization, the nurse
asked the client to meet with
the treatment team. After
the team meeting, the client
leaves in tears and goes to
their room. Which nursing
intervention is best?
A) Let the client
restquietly in their room for
a while.
B) Explore the
clientsgoals and desire for
treatment.
C) Ask the treatment
teamabout the clients
behavior. D) Go to the clients
room and ask what
happened.