2025 WITH VERIFIED ANSWERS
A nurse is providing teaching about immunizations to a
client who is pregnant. Which statements should the nurse
include in the teaching?
a. The immunization for varicella should be given at
least 1 month prior to delivery
b. You can receive rubella immunization during third
trimester
c. Hep B immunization should not be obtained until after
you finish breast feeding
d. You can received the immunization for influenza at any
time during pregnancy - ANSWER-d. You can received the
immunization for influenza at any time during pregnancy
A case manager is meeting with a client who asks about
using alternative therapies to manage her rheumatoid
arthritis. Which statements should the nurse make?
a. We can review some info to help you select a safe
alternative practitioner
b. If there are therapies available to you, your provider
will tell you about them.
c. Feel free to try whatever therapies that fit within
your personal belief system
,d. I'm sure you can find alternative remedies through an
online support group. - ANSWER-a. We can review some info
to help you select a safe alternative practitioner
A nurse is prepare to obtain a heath history from a
client on bedrest. Which positions should the nurse take
to place the client at ease?
a. Sit in a chair next to the bed
b. Stand at the side of the bed
c. Sit on the bed next to the client
d. Stand at the foot of the bed - ANSWER-a. Sit in a
chair next to the bed
A nurse is care for a newborn whose mother was talking
methadone during pregnancy. Which findings indicate the
newborn is experiencing withdrawal?
a. Bulging fontanels
b. Acrocyanosis
c. Bradycardia
d. Hypertonicity - ANSWER-d. Hypertonicity
A nurse is care for a client who is receiving TPN. The
bag has 20 mL remaining to infuse, but a new bag is not
readily available. Which actions should the nurse take?
,a. Administer dextrose 10% in water
b. Give 500 mL lactated Ringer's
c. Slow TPN infusion rate
d. Temporarily discontinue the infusion - ANSWER-a.
Administer dextrose 10% in water
A nurse is auscultating for crackles on a pneumonia
client. Which area of the anterior chest wall should the
nurse auscultate? - ANSWER-C: below left chest
A nurse is planning teaching for a client and their
family about home oxygen therapy. Which info should the
nurse plan to teach?
a. Apply petroleum jelly to soothe the mucous membranes
b. Use synthetic fabrics for the client's bedding
c. Clean the equipment with an alcohol-based cleaning
product
d. Avoid using nail polish remover around the client -
ANSWER-d. Avoid using nail polish remover around the
client
A nurse is instructing a school-age child who has asthma
about peak expiratory flow meter. Which instructions
should the nurse include in the teaching?
a. Place tongue on the mouthpiece of the meter
, b. Maintain a semi-fowler's position during testing
c. Record the average of the readings
d. Blow into the meter as hard and quickly as possible -
ANSWER-d. Blow into the meter as hard and quickly as
possible
A nurse is caring for a client who is 12 hr postpartum
and has 3rd degree perineal laceration. Client report not
having a bowel movement for 4 days. Which med should the
nurse give?
a. Bisacodyl 10 mg rectal suppository
b. Magnesium hydroxide 30 mL PO
c. Famotidine 20 mg PO
d. Loperamide 4 mg PO - ANSWER-b. Magnesium hydroxide 30
mL PO
A nurse is provide discharge teaching to the parents of a
toddler who has cystic fibrosis. Which instructions
should the nurse include?
a. Perform chest percussion and postural drainage at
least twice daily
b. Restrict intake of foods that contain gluten
c. Administer pancreatic enzymes on an empty stomach
d. Use a nebulizer to administer a bronchodilator
following airway clearance therapy. - ANSWER-a. Perform
chest percussion and postural drainage at least twice
daily