200 Practice Questions, Stepwise Rationales, and Complete
Nursing Study Resource
A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and tenacious secretions. Which of
1) Provide humidified oxygen.
2) Perform chest physiotherapy prior to suctioning.
3) Prelubricate the suction catheter tip with sterile saline when suctioning the airway.
4) Hyperventilate the client with 100% oxygen before suctioning the airway..
Following admission, a client with a vascular occlusion of the right lower extremity calls the nurse and reports difficulty sleeping
because of cold feet. Which of the following nursing actions should the nurse take to promote the client's comfort?
1) Rub the client's feet briskly for several minutes.
2) Obtain a pair of slipper socks for the client.
3) Increase the client's oral fluid intake.
4) Place a moist heating pad under the client's feet.
A nurse is caring for a client is who is 4 hr postoperative following a transurethral resection of the prostate (TURP). Which of the
following is the priority finding for the nurse report to the provider?
1) Emesis
the following is an acceptable method for the nurse to use to thin this client's secretions?
,1) Cover the client's wound with a moist, sterile dressing.
2) Have the client lie supine with knees flexed.
3) Check the client's vital signs.
4) Inform the client about the need to return to surgery.
A nurse is collecting data from a client who has alcohol use disorder and is experiencing metabolic acidosis. Which of the
following manifestations should the nurse expect?
1) Cool, clammy skin.
2) Hyperventilation
3) Increased blood pressure
4) Bradycardia
A nurse is reinforcing discharge teaching with a client following a cataract extraction. Which of the following should the nurse
include in the teaching?
1) Avoid bending at the waist.
2) Remove the eye shield at bedtime.
3) Limit the use of laxatives if constipated.
4) Seeing flashes of light is an expected finding following extraction.
A nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg daily. The client refuses breakfast and
reports nausea. Which of the following actions should the nurse take first?
A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the following instructions
should the nurse include in the teaching?
1) Take temperature once a day.
2) Wash the armpits and genitals with a gentle cleanser daily.
3) Change the litter boxes while wearing gloves. 4) Wash dishes in warm water.
, 1) Suggest that the client rests before eating the
A nurse is caring for a client who has a spinal cord injury at T-4. The nurse should recognize that the client is at risk for
autonomic dysreflexia. Which of the following interventions should the nurse take to prevent autonomic dysreflexia?