2024/2025 – 100% Pass Guaranteed with Verified
Questions
The nurse is planning care for a client with chronic kidney disease he was a resident of a long-
term nursing facility. The client is anuric and has hemodialysis three times a week. Which
intervention should the nurse include in the clients plan of care?
A) Initiate toileting schedule.
B) Provide her nails skin barrier cream.
C) Encourage intake of high potassium foods.
D) Monitor for signs of anemia - ANSWER A) Initiate toileting schedule.
????
Client who is having G.I. difficulties is undergoing diagnostic procedures. The client asked the
nurse about the difference between ulcerative colitis and Crohn's disease. Which information
should the nurse offer?
,A) Anal abscess and fistula rarely occur in Crohn's disease.
B) Constipation is more common in Crohn's disease.
C) Rectal bleeding is a predominant symptom and ulcerative colitis.
D) Both disorders are distributed along the entire G.I. tract. - ANSWER C) Rectal bleeding is
a predominant symptom and ulcerative colitis.
The nurse assesses a child in 90-90s skeletal traction. Where should the nurse assess for signs of
compartment syndrome? Click on correct location. - ANSWER Click the lower calf area
above the ankle, for the leg in traction.
The nurse receives shift report about a client with obsessive-compulsive disorder. The nurse
completes morning rounds and approaches the client who is repeatedly washing the top of the
same table. Which intervention should the nurse implement?
A) Teach the client thought stopping techniques and ways to refocus behaviors.
B) Assist the client to identify stimuli that precipitate the activity.
C) Encourage the client to be calm and relax for a little while.
,D) Allow time for the behavior and then redirect the client to other activities. - ANSWER D)
Allow time for the behavior and then redirect the client to other activities.
Following morning care, a client with a C5 spinal cord injury who is sitting in a wheelchair
becomes flushed and complains of a headache. Which intervention should the nurse implement
first?
A) Assess the clients blood pressures every 15 minutes.
B) Relieve any kinks or obstruction in the clients Foley tubing.
C) Teach the client to recognize symptoms of dysreflexia.
D) Administer a prescribed PRN dose of hydralazine. - ANSWER A) Assess the clients blood
pressures every 15 minutes.
This likely dysreflexia but the BP needs to be monitored first. Dysreflexia is an abnormal
overreaction of the involuntary her nervous system. EXP, change in heart rate, blood pressure,
diaphoretic, skin flushing, throbbing HA, confusion/anxiety
In evaluating the effectiveness of a postoperative client intermittent pneumatic compression
devices, which assessment is most important for the nurse to complete?
, A) Observe both lower extremities for redness and swelling.
B) Monitor the amount of drainage from the clients incision.
C) Palpate all peripheral pulse points for volume and strength.
D) Evaluate the clients ability to use an incentive spirometer. - ANSWER C) Palpate all
peripheral pulse points for volume and strength.
Puzzler absent all week I can enter key compromise circulation, due to clock formation.
A client with a history of hypertension and diabetes mellitus is admitted with uncontrolled a fib.
The healthcare provider prefers synchronized cardioversion and prescribed a stat dose of
dronedarone 400 mg PO. Which assessment finding warrants immediate intervention by the
nurse?
A) Proximal a fib.
B) Third-degree heart block.
C) Elevated mean arterial pressure.
D) Premature ventricular beats. - ANSWER B) Third-degree heart block.