2025 VERIFIED WITH
CORRECT
QUESTION AND
ANSWERS
AInurseIisIcaringIforIaIclientIwhoIhasIaIlegIcastIandIisIreturningItoIdemonstrateIonItheIproperIuseIofI
crutchesIwhileIclimbingIstairs.IIdentifyItheIsequenceItheIclientIshouldIfollowIwhenIdemonstratin
gIcrutchIuse.
- BringsItheIcrutchesIandItheIaffectedIlegIupItoItheIstair
- PlacesIbodyIweightIonItheIcrutches
- ShiftsIweightIfromItheIcrutchesItoItheIunaffectedIleg
- AdvancesItheIunaffectedIlegIontoItheIstairI-I-IPlacesIbodyIweightIonItheIcrutches
- AdvancesItheIunaffectedIlegIontoItheIstair
- ShiftsIweightIfromItheIcrutchesItoItheIunaffectedIleg
- BringsItheIcrutchesIandItheIaffectedIlegIupItoItheIstair
AInurseIisIcaringIforIaIclientIwhoIhasIhypothyroidism.IWhichIofItheIfollowingImanifestationsIsho
uldItheInurseIexpect?
- Constipation
- Insomnia
- Tachycardia
- DiaphoresisI-I-IConstipation
RATIONALE:IAIclientIwhoIhasIhypothyroidismIcanIexperienceIconstipationIdueItoItheIdecreas
eIinItheIclient'sImetabolism,IresultingIinIslowImotilityIofItheIGIItract.ITheInurseIshouldIinstructIth
eIclientItoIincreaseIfiberIandIfluidIintakeItoIreduceItheIriskIforIconstipation.
AInurseIisIassessingIaIclientIwhoIhasIaIdiagnosisIofIrheumatoidIarthritis.IWhichIofItheIfollowingIn
onpharmacologicalIinterventionsIshouldItheInurseIsuggestItoItheIclientItoIreduceIpain?
- IncreaseIintakeIofIfoodsIcontainingIcalcium
- AlternateIapplicationIofIheatIandIcoldItoItheIaffectedIjoints
- KeepItheIaffectedIextremitiesIelevated
- LimitImovementIofItheIaffectedIjointsI-I-
IAlternateIapplicationIofIheatIandIcoldItoItheIaffectedIjoints
RATIONALE:ITheInurseIshouldIinstructItheIclientItoIalternateIheatIandIcoldIapplicationsItoIdec
reaseIjointIinflammationIandIpain.ITheIapplicationIofIcoldIcanIrelieveIjointIswellingIandItheIapp
licationIofIheatIcanIdecreaseIjointIstiffnessIandIpain.
AInurseIisIcaringIforIaIclientIwhoIisIreceivingIaIbloodItransfusion.ITheIclientIbecomesIrestless,Idys
pneic,IandIhasIcracklesInotedItoItheIlungIbases.IWhichIofItheIfollowingIactionsIshouldItheInurseIan
ticipateItaking?
- AdministerIanIantihistamine
- SlowItheIinfusionIrate
- GiveItheIclientIaIcorticosteroid
,- ElevateItheIclient'sIlowerIextremitiesI-I-ISlowItheIinfusionIrate
, RATIONALE:IDyspnea,Irestlessness,IandItheIonsetIofIcracklesIduringIaIbloodItransfusionIareIma
nifestationsIofIcirculatoryIoverload.ITheInurseIshouldIslowIorIstopItheIinfusionItoIimproveItheIclie
nt'sIabilityItoIbreath,IplaceItheIclientIinIanIuprightIposition,IandInotifyItheIprovider.
TheIproviderImightIprescribeIaIdiureticItoIalleviateItheIfluidIoverload.
AInurseIinItheIemergencyIdepartmentIisIassessingIaIclientIwhoIhasIaIdetachedIretina.IWhichIofItheI
followingIshouldItheInurseIexpectItheIclientItoIreport?
- "It'sIlikeIaIcurtainIclosedIoverImyIeye."
- "ThisIsharpIpainIinImyIeyeIstartedI2IhoursIago."
- "I'veIbeenIhavingImoreIandImoreIdifficultyIseeingIoverItheIlastIfewIweeks."
- "IIseemItoIhaveImoreIproblemsIseeingIdifferentIcolors."I-I-
I"It'sIlikeIaIcurtainIclosedIoverImyIeye."
RATIONALE:IAIretinalIdetachmentIisItheIseparationIofItheIretinaIfromItheIepithelium.IItIcanIocc
urIbecauseIofItrauma,IcataractIsurgery,Iretinopathy,IorIuveitis.IClientsIwhoIhaveIretinalIdetachme
ntItypicallyIreportItheIsensationIofIaIcurtainIbeingIpulledIoverIpartIofItheIvisualIfield.
AInurseIisIteachingIaIclientIwhoIhasIaIfamilyIhistoryIofIcolorectalIcancer.IToIhelpImitigateIthisIris
k,IwhichIofItheIfollowingIdietaryIalterationsIshouldItheInurseIrecommend?
- AddIfull-fatIyogurtItoItheIdiet
- AddIcabbageItoItheIdiet
- ReplaceIbutterIwithIcoconutIoil
- ReplaceIshellfishIwithIredImeatI-I-IAddIcabbageItoItheIdiet
RATIONALE:IToIhelpIreduceItheIriskIforIcolorectalIcancer,ItheIclientIshouldIconsumeIaIdietIthatI
isIhighIinIfiber,IlowIinIfat,IandIlowIinIrefinedIcarbohydrates.IBrassicaIvegetables,IsuchIasIcabbage,
Icauliflower,IandIbroccoli,IareIhighIinIfiber.
AInurseIisIcaringIforIaIclientIwhoIisIpostoperativeIfollowingIabdominalIsurgery.
AInurseIisIcaringIforIaIclientIwhoIisIpostoperative.IWhichIofItheIfollowingIactionsIshouldItheInurse
Itake? I(SelectIallIthatIapply.)
- AskItheIclientItoIrateItheirIpainIonIaI0ItoI10IpainIscale
- InstructItheIclientItoIsplintItheIabdomenIwithIaIpillowIforIcoughing
- PlanItoIambulateItheIclientIasIsoonIasIpossible
- ApplyIoxygenIviaIaIfaceImask
- ReportIurinaryIoutputItoItheIproviderI-I-
IInstructItheIclientItoIsplintItheIabdomenIwithIaIpillowIforIcoughing
RATIONALE:IItIisIimportantIforItheIclientItoIturn,Icough,IandIdeepIbreatheItoIreduceItheIriskIforIre
spiratoryIcomplications.ITheInurseIshouldIinstructItheIclientItoIsplintItheIincisionIwhileIperformin
gItheseIactionsItoIreduceItheIriskIofIcomplicationsItoItheIsurgicalIincision.
- PlanItoIambulateItheIclientIasIsoonIasIpossible
RATIONALE:ITheInurseIshouldIplanItoIambulateItheIclientIasIsoonIasIpossibleItoIpromoteIventila
tionIandIdecreaseItheIriskIofIthrombosis..
- ReportIurinaryIoutputItoItheIprovider