2025 | ALL QUESTIONS AND CORRECT ANSWERS |
ALREADY GRADED A+ | VERIFIED ANSWERS |
LATEST EXAM (JUST RELEASED)
A nurse is caring for a client who is 2 days postoperative following a below-
the-knee amputation and asks about the purpose of maintaining an elastic
bandage around the residual limb of the extremity. Which of the following is
an appropriate response by the nurse?
a. the elastic bandage will prevent a post-op wound infection
b. the elastic bandage will prevent excessive edema
c. the elastic bandage will keep the sutures from loosening
d. the elastic bandage will keep you from seeing the surgical site ---------
CORRECT ANSWER-----------------b. the elastic bandage will prevent
excessive edema
A nurse is planning care for a client who is 8 hour post-op following a
coronary artery bypass grafting. Which of the following assessments should
the nurse plan to perform first?
a. examine the surgical incision for drainage
b. auscultate breath sounds
c. palpate pulses distal to the graft donor site
d. measure the client's core body temperature ---------CORRECT
ANSWER-----------------b. auscultate breath sounds
A nurse is providing instructions to a client who has primary syphilis. Which
of the following instructions should the nurse include in the discharge plan?
a. you will need cryotherapy for 1 to 2 weeks.
b. you will need to take an antiviral medication for 6 months
c. you will need 3 follow-up blood tests within a 24 month period
d. you will need to be monitored for 15 minutes after receiving each
medication dose. ---------CORRECT ANSWER-----------------c. you will need
3 follow-up blood tests within a 24 month period
,A nurse is caring for a client who has hypotension, cool clammy skin,
tachycardia, and tachypnea. In which of the following ositions should the
nurse place the client?
a. reverse trendelenburg
b. feet elevated
c. high-fowlers
d. side lying ---------CORRECT ANSWER-----------------c. high-fowlers
A nurse is teaching a client how to use a quad cane for ambulation follwing
a right-hemisheric stroke. Which of the following client actions indicates an
understanding of the teaching?
a. client takes a step before advancing the cane
b. client holds the cane with the left hand
c. client moves the cane 2 feet ahead
d. client advances the weaker left forward first ---------CORRECT
ANSWER-----------------d. client advances the weaker left forward first
A nurse is providing discharge teaching for a client who has new
traceostomy. Which of the following statments by the client indicates an
understanding of the teaching?
a. I'll remove the soiled tracheostomy ties prior to cleansing my stoma
b. I'll cut a slit in a clean gauze pad to use as a stoma dressing
c. I'll insert the oburator after cleaning my stoma
d. I'll cleanse the cannula with half-strength hydrogen peroxide. ---------
CORRECT ANSWER-----------------c. I'll insert the oburator after cleaning
my stoma
A nurse is preparing to administer furosemide to a client who has acute
heart failure. Which of the following laboratory results should the nurse
identify as contraindications for receiving this medications?
a. BUN 18 mg/dl
b. Creatinine 0.8 mg/dl
, c. Potassium 3.2 mEq/l
d. Sodium 136 mEq/l ---------CORRECT ANSWER-----------------c.
Potassium 3.2 mEq/l
A nurse is caring for a client admitted with a skull fracture. Which of the
following assessment findings should be of greatest concern to the nurse?
a. Bilateral pupil diameter changes from 4-2.
b. WBC count changes from 9,000 to 16,000
c. Pulse pressure changes rom 30-20 mm Hg
d. Glasgow Coma Scale score changes from 14 to 9 ---------CORRECT
ANSWER-----------------d. Glasgow Coma Scale score changes from 14 to 9
A nurse is assessing a client who has myasthenia gravis. Which of the
following client statements should indicate to the nurse that the client needs
a referral for occupational therapy?
a. I have a hard time with brushing my hair
b. I would rather be in a wheelchair than use a walker to get around
c. I've been having problems with bladder control
d. I have difficulty swallowing food ---------CORRECT ANSWER----------------
-a. I have a hard time with brushing my hair
A nurse is providing discharge teaching to a client who will be self-
administering insulin at home. Which of the following information should the
nurse include regarding needle disposal?
a. secure the cap tightly over the needle before you discard it.
b. remove the needles from the syringe before you place it in the trash.
c. you can discard needles in an empty bleach bottle with a lid
d. place your storage container in a recycle bin when it is full ---------
CORRECT ANSWER-----------------c. you can discard needles in an empty
bleach bottle with a lid