Advanced Nurse Logic Exam: Testing & Remediation| 2024/2-25| Correct and Verified Q&A

Advanced Nurse Logic Exam: Testing & Remediation| 2024/2-25| Correct and Verified Q&A A nurse is caring for a client who is postoperative following abdominal surgery. The client’s vital signs are stable, but the nurse notes the abdominal dressing is saturated with blood. Which action should the nurse take first? Reinforce the dressing and notify the provider A nurse is reviewing the lab results of a client with heart failure who is receiving furosemide. Which finding should the nurse report immediately? Potassium 2.9 mEq/L A nurse is assessing a client who is 2 hours postoperative following a cardiac catheterization via the right femoral artery. The client reports right groin pain, and the nurse notes a hematoma at the site. What should the nurse do first? Apply firm pressure over the puncture site A nurse is reviewing admission orders for a client who has pneumonia and a history of COPD. Which order should the nurse question? Oxygen via nonrebreather mask at 10 L/min A nurse is reinforcing discharge instructions to a client newly prescribed warfarin. Which statement by the client indicates understanding? "I will use an electric razor to shave." 2 A nurse is caring for a client who is experiencing chest pain unrelieved by one dose of sublingual nitroglycerin. Which action should the nurse take next? Administer a second dose of nitroglycerin A nurse in an urgent care clinic is assessing a toddler who has a 3-day history of vomiting and diarrhea. Which finding requires immediate intervention? Capillary refill greater than 3 seconds A nurse is reviewing the health record of a client who has diabetes mellitus and is scheduled for a CT scan with contrast. Which finding should the nurse report to the provider? Creatinine 2.1 mg/dL A nurse is caring for a client admitted with a stroke who is now confused and trying to get out of bed. Which action should the nurse take first? Move the client to a room close to the nurses' station A nurse is assessing a client receiving magnesium sulfate for preeclampsia. Which finding should the nurse report immediately? Respiratory rate of 10/min A nurse is evaluating a client’s understanding of post-angiography care after receiving sedation. Which client action would require intervention? The client bends the leg at the puncture site to adjust position A nurse is providing discharge instructions to a client with newly diagnosed heart failure. Which statement by the client shows a need for further teaching? "I will weigh myself once a week." A nurse is preparing to administer a blood transfusion to a client. Which action should the nurse 3 take before initiating the transfusion? Verify client identification with another nurse A nurse is reinforcing teaching with a client who has a new prescription for digoxin. Which client statement indicates an understanding of the teaching? "I will call my provider if my pulse is less than 60." A nurse is caring for a client newly admitted with diabetic ketoacidosis (DKA). Which action is the priority? Initiate IV access for fluid replacement A nurse is caring for a client who reports shortness of breath after receiving IV morphine. Which action should the nurse take first? Administer naloxone A nurse is reviewing a medication administration record (MAR) for a client with end-stage renal disease. Which medication should the nurse question?