EXAM QUESTIONS AND CORRECT
ANSWERS GRADED A+ ( 2025)
1. A nurse is reinforcing teaching with a client who is starting to take metformin extended release.
Which of the following instructions should the nurse include in the instructions?
a) Monitor blood glucose while taking this
medication.
b) Chew the medication before swallowing.
c) Expect muscle pain while taking this
medication.
d) Take the medication with breakfast.
A. Monitor blood glucose while taking this medication.
2. A nurse is assisting with the plan of care for an older adult client who has a new prescription for
transdermal clonidine. Which of the following information should the nurse include in the plan of
care?
a) Advise the client about increased dry mouth.
b) Check the client for increased
hypopigmentation under the patch.
c) Monitor the client for weight loss.
d) Inform the client of the adverse effect of
diarrhea.
B. Check the client for increased hypopigmentation under the patch.
,3. A nurse is receiving a change-of-shift report about the care of four clients. Which of the following
clients should the nurse see first?
a) A client who displays increased confusion
over the past 4 hr
b) A client who has a blood glucose level of 128
mg/dL
c) A client who has a blood pressure of 138/88
mm Hg
d) A client who reports a pain level of 4 on a
scale of 0 to 10
A. A client who displays increased confusion over the past 4 hr
4. A nurse is assisting care of a client whose cardiac monitor suddenly displays ventricular tachycardia.
Which of the following is the priority nursing action?
a) Determine palpable pulse.
b) Begin chest compressions.
c) Perform immediate defibrillation.
d) Provide pulmonary ventilation.
A. Determine palpable pulse.
5. A nurse is collecting data from a client who underwent a thyroidectomy 4 hr ago. Which of the
following client findings indicates a complication of the procedure?
a) Tingling of the fingers
b) Report of sore throat
c) Serosanguineous drainage on the dressing
d) Soreness at the incision site
A. Tingling of the fingers
,6. A nurse is reinforcing discharge teaching with a client who had an excisional biopsy of the left
breast. Which of the following instructions should the nurse include?
a) Refrain from wearing a bra for 10 days after
surgery.
b) Apply an ice pack to the incision site to treat
discomfort.
c) Expect numbness to last for up to 4 months.
d) Use bandages to absorb bleeding at the
incision site.
B. Apply an ice pack to the incision site to treat discomfort.
7. A nurse is collecting data from a client who has peritonitis. Which of the following findings should
the nurse expect?
a) Peripheral edema
b) Decreased respirations
c) Absent bowel sounds
d) Polyuria
C. Absent bowel sounds
8. A nurse is reinforcing teaching with a client about menopause. Which of the following statements by
the client indicates an understanding of the teaching?
a) "I will need hormone replacement therapy for
the rest of my life."
b) "I should expect to have an increased risk for
breast cancer."
c) "The use of black cohosh will decrease
, vaginal bleeding."
d) "I should use a vaginal douche to prevent
dryness."
B. "I should expect to have an increased risk for breast cancer."
9. A nurse is reinforcing teaching with a client who has gastroesophageal reflux disease. Which of the
following dietary instructions should the nurse include?
a) Chew food thoroughly.
b) Use a straw when drinking liquids.
c) Drink carbonated beverages with meals.
d) Limit meals to three per day with no snacking
in between.
A. Chew food thoroughly
10. A nurse is preparing a client for a colposcopy following an abnormal Papanicolaous (Pap) test. Which
of the following actions should the nurse take?
a) Place the client in the Sims' position.
b) Reinforce teaching that the procedure
involves dilation of the cervix.
c) Insert a tampon following the procedure.
d) Instruct the client to avid sexual intercourse
until the cervix is healed.
D. Instruct the client to avid sexual intercourse
until the cervix is healed.