QUESTIONS AND ANSWERS (VERIFIED AND WELL
DETAILED ANSWERS) LATEST 2025/2026
A nurse is caring for a client who is at 33 weeks of gestation following an
amniocentesis. The nurse should monitor the client for which of the following
complications?
A. Vomiting
B. Hypertension
C. Epigastric pain
D. Contractions - CORRECT ANSWER- D. Contractions
A nurse is providing teaching to an older adult client about methods to promote
nighttime
sleep. Which of the following instructions should the nurse include?
A. Stay in bed at least 1 hr if unable to fall asleep
B. Take a 1 hr nap during the day
C. Perform exercises prior to bedtime
D. Eat a light snack before bedtime - CORRECT ANSWER- D. Eat a light snack
before bedtime
A nurse on a telemetry unit is caring for a client who becomes unconscious and
whose monitor displays ventricular tachycardia. Which of the following actions
should the nurse take first after determining the client does not have a palpable
pulse?
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,A. Assess heart sounds
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,B. Defibrillate
C. Establish IV access
D. Administer epinephrine - CORRECT ANSWER- B. Defibrillate
A nurse is admitting a client who 1 week postpartum and reports excessive vaginal
bleeding. The nurse does not speak the same language as the client. The client's
partner and 10-year-old child are accompanying her. Which of the following
actions should the
nurse take to gather the client's admission data?
A. Have the client's child translate
B. Allow the client's partner to translate
C. Request a female interpreter through the facility
D. Ask a nursing student who speaks the same language as the client to translate -
CORRECT ANSWER- C. Request a female interpreter through the facility
A nurse is caring for a client who is febrile. To reduce the client's fever, the nurse
applies a cooling blanket. Which of the following findings indicates the client is
having an adverse reaction to the cooling?
a. Flushing
b. Tachycardia
c. Restlessness
d. Shivering - CORRECT ANSWER- d. Shivering
A nurse is caring for a client who has deep-vein-thrombosis of the left lower
extremity. Which of the following actions should the nurse take? (Exhibit)
A. Position the client with the affected extremity lower than the heart
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, B. Withhold heparin IV infusion PTT- 30-40 seconds; x2 if on heparin
C. Administer acetaminophen
D. Massage the affected extremity every 4 hr - CORRECT ANSWER- B.
Withhold heparin IV infusion PTT- 30-40 seconds; x2 if on heparin
A nurse is reviewing assessment data from several clients. For which of the
following clients should the nurse recommend referral to a dietitian?
A. An older adult client who has a BMI of 24
B. A client who has a nonhealing leg ulcer
C. An older adult client who has presbyopia
D. A client who has an albumin level of 3.7 g/dL (normal 3.4-5.4) - CORRECT
ANSWER- B. A client who has a nonhealing leg ulcer
8. A nurse is providing discharge teaching to a client who has a chronic kidney
disease and is receiving hemodialysis. Which of the following instructions should
the nurse include in the teaching?
a. Eat 1 g/kg of protein per day
b. Take magnesium hydroxide for indigestion
c. Drink at least 3 L of fluid daily-
Consume foods high in potassium- restrict - CORRECT ANSWER- a. Eat 1 g/kg
of protein per day
A nurse is caring for a client who is receiving intermittent enteral tube feedings.
Which of
the following places the client at risk for aspiration?
A. Sitting in a high-Fowler's position during the feeding
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