ANSWERS LATEST UPDATE 2024/2025
A nurse is preparing to administer eye drops to a client. Which of the
following nursing actions is appropriate?
Have the client tilt her head slightly so that the medication enters the
nasolacrimal duct
A nurse is caring for a client who reports the use of chondroitin and
glucosamine. The health benefit of this supplement combination is to do which
of the following?
Improve joint functioning
A nurse is performing a nutritional assessment on a client who has a calcium
deficiency. The nurse should identify that the client is at risk for which of the
following?
Tetany
A nurse is assessing a client who has systemic lupus erythematous (SLE). Which
of the following is an expected finding?
Dry, raised facial rash
A nurse is assessing a client who is 8 hr postoperative following a right-
modified radical mastectomy. Which of the following should the nurse
recognized as the priority finding?
Coughing frothy, pink secretions
, A nurse in a provider’s office is caring or a client who has Parkinson’s
disease and has been taking levodopa for the past 5 weeks. The client reports
a new onset of muscle twitching. Which of the following statements by the
nurse is appropriate?
,“This is a manifestation of drug toxicity and may require a dosage reduction.”
A nurse in the labor and delivery unit is receiving medications for a group of
clients. Which of the following medications places the fetus at risk for
teratogenic effects?
Phenytoin for seizure disorder
A nurse is providing discharge teaching about disease prevention to a
client who has active tuberculosis. Which of the following should the
nurse include?
Educating the client how to cover nose and mouth with tissue when coughing
A nurse is planning care for a client who has neutropenia. Which of
the following nursing interventions is appropriate to include in the care
plan?
Remove fresh flowers from the client’s room.
A nurse is planning to change the dressing on a school age child who has
sustained multiple burns. Which of the following actions should the nurse plan
to take?
Apply the dressing in a proximal to distal pattern
An older adult client tells the nurse,” I thought immunizations were for kids.”
The nurse informs the client that older adults should receive which of the
following immunizations?
Herpes zoster vaccine
a nurse is caring for a client who was involuntarily admitted to the psychiatric
unit following a failed suicide attempt. The provider prescribes a medication that
is part of an experimental treatment. Which of the following actions should the
, nurse take?
Exclude the client from the study due to involuntary admission
A nurse analyzing the laboratory data on a client who has dehydration.
Which finding should the nurse anticipate in a client who has fluid volume
deficit?
Elevated blood urea nitrogen
a community health nurse is evaluating eligibility for home assistance for a
client who is quadriplegic. Which of the following actions should the nurse
perform first?
Determine the client’s living situation
a nurse is caring for a client who has heart failure and has started taking a loop
diuretic. Which of the following findings indicates the client is experiencing an
adverse effect of the medication?
Jugular vein distention
A nurse is assessing a client who is preparing for surgery. The client tells the
nurse, “If something happens to me from which I cannot recover don’t want to
go on a ventilator.” Which of the following is an appropriate response by the
nurse?
“You’re concerned that something may go wrong?”
A nurse is interviewing a client who presents with multiple injuries that are
consistent with intimate partner abuse. After establishing trust and rapport,
which of the following should the nurse say?
“has you partner physically hurt you before?”
A nurse is caring for a client who reports pain. Which of the following