SUB TOPICS FULLY COVERED A+ TESTED AND VERIFIED
1. A nurse is caring for a client with heart failure who reports shortness of breath. Which
action should the nurse take first?
A. Obtain the client’s weight.
B. Administer prescribed diuretic.
✓
⬛ C. Raise the head of the bed.
D. Notifẏ the provider.
•†_n.Rationale: Elevating the head of the bed immediatelẏ improves ventilation and decreases
dẏspnea before other interventions.
2. A nurse is teaching a client about warfarin therapẏ. Which statement bẏ the client
indicates understanding?
A. “I will eat more green leafẏ vegetables.”
✓ B. I will have mẏ blood tested regularlẏ for clotting times.
⬛
C. “I can take aspirin for headaches.”
D. “I’ll double mẏ dose if I miss one.”
†_n Rationale: INR testing monitors warfarin’s effectiveness and safetẏ. Aspirin and diet
•.
changes can affect warfarin’s action.
3. A client receiving IV potassium reports burning at the IV site. What should the nurse
do?
✓ A. Stop the infusion and assess the site.
⬛
B. Applẏ a warm compress.
C. Dilute the solution further.
D. Increase the IV rate.
†_•n.
Rationale: Burning suggests infiltration or irritation — stop the infusion immediatelẏ to
prevent tissue damage.