| Latest Version | 2025/2026 | Correct &
Verified
A nurse is preparing to discharge a client with heart failure. Which statement indicates correct
teaching?
a. “I should increase salt in my diet.”
✔✔b. “I will weigh myself every day at the same time.”
c. “I can skip my medications if I feel well.”
d. “I will drink unlimited fluids.”
A nurse is caring for a client post-op with low urine output. What is the first action?
✔✔a. Assess fluid status and check bladder
b. Restrict fluids
c. Give diuretic
d. Notify family
A client reports new shortness of breath after surgery. Which assessment is priority?
✔✔a. Oxygen saturation
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,b. Pain level
c. Urine output
d. Temperature
A nurse is assessing a client with hypoglycemia. Which symptom is most likely?
✔✔a. Sweating and irritability
b. Increased thirst
c. Slow healing wounds
d. Dry skin
A client with TB asks why airborne precautions are needed. What is the best response?
✔✔a. “It prevents the spread of bacteria through the air.”
b. “It protects you from reinfection.”
c. “It improves your breathing.”
d. “It helps the medication work better.”
A client with a chest tube suddenly develops absent breath sounds on one side. What should the
nurse suspect?
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, ✔✔a. Pneumothorax
b. Pleural effusion
c. Atelectasis
d. Pneumonia
A nurse is preparing to teach a client about EpiPen use. What is the priority teaching?
✔✔a. Use it immediately if severe allergic symptoms occur
b. Store it in the refrigerator
c. Use only if blood pressure drops
d. Inject slowly over 10 seconds
A client with cirrhosis reports confusion. What lab value should the nurse check?
✔✔a. Ammonia level
b. Sodium
c. Potassium
d. Calcium
A nurse is caring for a client on a PCA pump. What is the priority assessment?
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