EXAM(2025)WITH CORRECT ANSWERS
AREADY GRADED A+.
A nurse in an emergency department completes an assessment on an
adolescent client that has conduct disorder. The client threatened suicide to
teacher at school. Which of the following statements should the
nurse include in the assessment?
a) Tell me about your siblings
b) Tell me what kind of music you like
c) Tell me how often do you drink alcohol
d) Tell me about your school schedule - CorreCt Answers -c) Tell me how
often do you drink alcohol
A nurse is assessing a client 1 hr following birth and notes that her uterus is
boggy and located 2
cm above the umbilicus. Which of the following actions should the nurse
take first?
a. Take vital signs.
b. Assess lochia.
c. Massage the fundus.
d. Give oxytocin IV bolus. - CorreCt Answers -c. Massage the fundus.
A nurse is caring for a client who is receiving intermittent enteral tube
feedings. Which of the
following interventions should the nurse perform
,a. Give 100 mL of water with every feeding.
b. Obtain gastric residuals every 24 hr.
c. Position the head of bed at 30 degrees during feeding.
d. Mix the clients medications with the tube feedings - CorreCt Answers -c.
Position the head of bed at 30 degrees during feeding.
A nurse is caring for a 7 month-old infant who is being treated for severe
dehydration. Which of
the following assessment findings indicates treatment has been effective?
a. Skin turgor displays tenting
b. Flat anterior fontanel
c. Cool, mottled skin
d. hyperpnea - CorreCt Answers -b. Flat anterior fontanel
A nurse is providing teaching to a client who has esophageal cancer and is
scheduled to start radiation therapy. Which of the following should the
nurse include in the teaching?
a. Remove dye markings after each radiation treatment.
b. Apply a warm compress to the irradiated site.
c. Wear clothing over the area of radiation treatment.
d. Use a washcloth to bathe the treatment area. - CorreCt Answers -c. Wear
clothing over the area of radiation treatment.
A nurse in a provider's office is providing education to a client who is 16
weeks of gestation and
has a new prescription for ferrous sulfate. Which of the following
instructions should the nurse provide
,a. Avoid strawberries, citrus fruit, and melon to ensure that your iron
medication is effective."
b. "Take your iron medication with fluids other than coffee or tea."
c. "It is important to take your iron medication on a full stomach."
d. "If you miss a dose one day, take two doses the next day." - CorreCt
Answers -b. "Take your iron medication with fluids other than coffee or
tea."
175 A nurse receives a change-of-shift report on four clients. Based on the
shift report information,
which of the following clients should the nurse plan to assess
a. A client who had a hip arthroplasty reports pain and erythema in his calf
b. A client who has anorexia and peripheral edema
c. A client who has Addison's disease with a blood glucose level of 75 mg/dL
d. A client who had a barium enema 2 days ago and reports constipation -
CorreCt Answers -a. A client who had a hip arthroplasty reports pain and
erythema in his calf
A nurse administers a dose of metoclopramide to a client prior to
chemotherapy treatment. Which
of the following medications should the nurse administer?
a. Albuterol sulfate
b. Hydromorphone
c. Diphenhydramine
d. Amitriptyline - CorreCt Answers -c. Diphenhydramine
, A client who does not speak English arrives at the emergency department
accompanied by a child.
Which of the following actions should the nurse take?
a. Ask the assistive personnel to assist the client in signing consent for
treatment
b. Ask the child to interpret for the client.
c. Ascertain what language the client speaks and get an interpreter.
d. Try to find an adult relative to help the client communicate. - CorreCt
Answers -c. Ascertain what language the client speaks and get an
interpreter.
A nurse is caring for a client who has severe preeclampsia and is receiving
magnesium sulfate
intravenously. The nurse discontinues the magnesium sulfate after the
client displays toxicity. Which of
the following actions should the nurse take?
a. Position the client supine.
b. Prepare an IV bolus of dextrose 5% in water
c. Administer calcium gluconate IV.
d. Administer methylergonovine IM. - CorreCt Answers -c. Administer
calcium gluconate IV.
A nurse is using Naegeles rule to calculate the expected delivery date for a
newly pregnant
primigravida. The first day of the clients last period was October. What is
the expected delivery date? - CorreCt Answers -a. 0711 (July 7, 2011)