Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A client with COPD becomes short of breath while ambulating. Which action should the nurse
take first?
A. Increase oxygen flow rate
B. Place client in high-Fowler’s position
✔✔C. Instruct the client to use pursed-lip breathing
D. Encourage fluid intake
A client with type 2 diabetes reports blurred vision and increased urination. Which laboratory
result should the nurse review first?
A. Sodium
✔✔B. Blood glucose
C. Creatinine
D. Hemoglobin
A postoperative client is restless, with shallow respirations and a respiratory rate of 8 breaths/min
after receiving morphine. What is the nurse’s priority action?
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,A. Apply oxygen
✔✔B. Administer naloxone
C. Encourage coughing and deep breathing
D. Document findings
A client with heart failure reports sudden weight gain of 4 lb in two days. Which action is most
appropriate?
A. Offer a high-sodium meal
✔✔B. Notify the healthcare provider
C. Increase fluid intake
D. Encourage daily exercise
A client receiving a blood transfusion develops fever and chills. Which action should the nurse
take first?
A. Notify the laboratory
B. Administer acetaminophen
✔✔C. Stop the transfusion
D. Document the findings
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,A client with pneumonia has thick, tenacious sputum. Which intervention is most effective to
loosen secretions?
A. Limit fluid intake
✔✔B. Increase oral fluids
C. Encourage bedrest
D. Offer a low-sodium diet
A client is receiving digoxin for heart failure. Which finding is most concerning?
✔✔A. Apical pulse of 52 beats/min
B. Respiratory rate of 20/min
C. Blood pressure 130/78 mm Hg
D. Temperature 99°F
A nurse is caring for a client with cirrhosis who has ascites and difficulty breathing. Which
position is best?
A. Supine with legs elevated
✔✔B. High-Fowler’s
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, C. Prone
D. Side-lying
A client with diabetic ketoacidosis is receiving insulin therapy. Which laboratory value should be
monitored closely?
A. Sodium
B. Chloride
✔✔C. Potassium
D. Calcium
A client with a spinal cord injury is flushed, has a pounding headache, and blood pressure of
200/110 mm Hg. Which action is priority?
A. Place in supine position
✔✔B. Sit the client upright
C. Increase IV fluids
D. Administer pain medication
A client with chronic kidney disease is on a low-protein diet. Which food choice indicates
understanding?
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