QUESTIONS AND VERIFIED ANSWERS 2025 GRADED
A+
A nurse is monitoring a client who had a cystoscopy six hours ago. The nurse should inform the physician
of which these manifestations?
a. The client has pink-tinged urine.
b. The client reports burning on urination.
c. The client's white blood cell count is 15,000 mm3.
d. The client appears drowsy.
c. The client's white blood cell count is 15,000 mm3.
Which of these actions should a nurse perform prior to a client's scheduled hemodialysis?
a. Administer prophylactic antibiotics.
b. Weigh the client.
c. Give the client normal saline solution to drink.
d. Measure the urine specific gravity.
b. Weigh the client.
Which of these behaviors, if taken by a staff nurse on a psychiatric unit, indicates a correct understanding
of therapeutic techniques?
a. A nurse smiles when speaking with clients who are manic.
b. A nurse uses touch to communicate concern with a depressed client.
c. A nurse sets consistent limits with manipulative clients.
d. A nurse shares own anxiety reduction techniques with a client who has panic attacks.
c. A nurse sets consistent limits with manipulative clients.
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,A client has been in bed for the past three days. Which of these measures should a nurse include before
assisting the client out of bed?
a. Having the client drink a glass of water.
b. Raising the head of the bed.
c. Flexing the client's knees.
d. Assessing the lung sounds.
b. Raising the head of the bed.
A client who has insulin-dependent diabetes mellitus asks a nurse, "What should I do when I feel
nervous, sweaty, and hungry?" The nurse should give the client which of these instructions?
a. "Lie down and rest."
b. "Eat a carbohydrate snack."
c. "Take your prn dose of insulin."
d. "Add a slice of bread to your next meal."
b. "Eat a carbohydrate snack."
Which of these tasks should a licensed practical nurse (LPN) delegate to a nursing assistant?
a. Checking the 11 A.M. blood sugar for a client who has ketoacidosis.
b. Measuring the pulse oximetry level for a client who has status asthmaticus.
c. AMbulating a client who had a hip replacement three days ago.
d. Changing the dressing for a client who had wound debridement last week.
c. AMbulating a client who had a hip replacement three days ago.
A 36-week-pregnant woman awakens to find she is having profuse, red vaginal bleeding. A nurse should
prepare the woman to have an immediate sonogram to determine the:
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,a. location of the placenta.
b. uterine response to labor.
c. the fetus's current weight.
d. condition of the uterine vascular bed.
location of the placenta.
A nurse is planning to interview a client who speaks limited English. Which of these strategies should the
nurse include?
a. Smile frequently during the interview interview to reduce the client's anxiety.
b. Observe the client for indicators of confusion or not understanding questions.
c. Maintain constant eye contact throughout the interview.
d. Keep the interview short to decrease the client's fatigue.
b. Observe the client for indicators of confusion or not understanding questions.
A nurse takes the weight of a normal 2-year-old child who comes in to the pediatric clinic for a well-child
visit. If the child weighted 7 lbs, 2 oz. at birth, how much should the nurse expect the child to weight at this
visit?
a. 14 lbs, 2 oz.
b. 18 lbs, 6 oz.
c. 28 lbs, 8 oz.
d. 45 lbs, 10 oz.
c. 28 lbs, 8 oz.
A nurse has been discussing the nutritional needs of children with a group of parents in a clinic. Which of
these statements, if made by the parent of a 2-year-old child, should the nurse follow up?
a. "I give my child slices of cheese as an afternoon snack."
b. "I give my child a cup of skim milk as an afternoon snack."
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, c. "I give my child some popcorn as an afternoon snack."
d. "I give my child some yogurt as an afternoon snack."
c. "I give my child some popcorn as an afternoon snack."
Which of these client care situations has the greatest potential for presenting an ethical dilemma for a
nurse?
a. Participating in pregnancy termination procedures.
b. Counseling a client who is terminally ill with AIDS.
c. Discussing contraception options with adolescents.
d. Caring for a client who is from a different culture than the nurse.
Participating in pregnancy termination procedures.
Which assessment information should a nurse obtain first when a pregnant woman and her husband arrive
at the Labor and Delivery Unit?
a. Whether the couple attended birthing classes.
b. The frequency and intensity of labor contractions.
c. The number of previous pregnancies and outcomes.
d. The amount and time of the client's last food intake.
b. The frequency and intensity of labor contractions.
A client who has Parkinson's disease has been identified as being at risk for falls. Which of these actions
by a nurse is most likely to reduce the client's risk of falling?
a. Monitor the client's blood pressure after ambulation.
b. Ensure the client wears socks when ambulating.
c. Encourage frequent weight-bearing exercise.
d. Assign an assistant to remain with the client when ambulating.
d. Assign an assistant to remain with the client when ambulating.
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