AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2025 Q&A | INSTANT DOWNLOAD PDF
1. A nurse is caring for a client who has a new prescription for warfarin. Which
of the following lab values should the nurse monitor?
a. Hemoglobin
b. INR
c. Platelets
d. BUN
INR is monitored to determine the therapeutic effectiveness of warfarin.
2. A client receiving digoxin has a serum potassium level of 3.0 mEq/L. Which
of the following is the nurse’s priority?
a. Monitor apical pulse
b. Notify the provider
c. Encourage potassium-rich foods
d. Hold the medication
Hypokalemia increases the risk of digoxin toxicity, so the provider must be notified
immediately.
, 3. A nurse is reinforcing teaching about home oxygen therapy. Which of the
following client statements indicates understanding?
a. "I will lay the oxygen tubing under my rugs."
b. "I’ll use an electric razor while on oxygen."
c. "I’ll keep a fire extinguisher near my oxygen."
d. "I’ll apply oil-based lotion around my nose."
Keeping a fire extinguisher nearby is a necessary safety measure when using
oxygen.
4. Which of the following foods should the nurse recommend to a client
taking ferrous sulfate?
a. Milk
b. Orange juice
c. Yogurt
d. Tea
Vitamin C in orange juice enhances the absorption of iron supplements like ferrous
sulfate.
5. A nurse is preparing to administer 10 units of regular insulin and 20 units of
NPH insulin. Which of the following actions should the nurse take first?
a. Inject air into the NPH vial
b. Inject air into the regular insulin vial
,c. Withdraw the NPH insulin
d. Mix the insulins and then inject air
Air is injected into the regular (short-acting) insulin vial first to prevent
contamination.
6. A client is scheduled for a lumbar puncture. Which of the following
positions should the nurse assist the client into for the procedure?
a. Prone with head elevated
b. Side-lying with knees pulled to chest
c. High Fowler's
d. Supine with legs elevated
The fetal position widens the space between vertebrae for needle insertion during
a lumbar puncture.
7. A nurse is reinforcing teaching to a client who is prescribed phenytoin.
Which statement by the client requires further teaching?
a. "I’ll brush my teeth after every meal."
b. "I’ll take my medication at the same time daily."
c. "If I stop taking it, I’ll be fine."
d. "I’ll avoid alcohol."
Sudden discontinuation of phenytoin can cause seizures and should be avoided.
, 8. A client is in Buck’s traction. Which of the following findings should the
nurse report?
a. The client reports pain at the pin site
b. The weights are resting on the floor
c. The client's foot is cool to the touch
d. The client’s leg is aligned with the body
Weights must hang freely to provide effective traction. Weights on the floor
compromise the therapy.
9. A nurse is assisting with the care of a client who has dysphagia. Which of
the following actions should the nurse take?
a. Place food on the affected side of the mouth
b. Have suction equipment available
c. Give thin liquids with a straw
d. Encourage the client to eat quickly
Having suction equipment nearby is essential in case the client aspirates.
10.A nurse is caring for a client with a potassium level of 5.8 mEq/L. Which of
the following foods should be limited?
a. Apples
b. Bananas
c. Rice
d. Bread