Review Questions and Answers |
Latest Version | 2025/2026 | Correct &
Verified
What is the first action a nurse should take when discovering a fire in a client’s room?
✔✔ Move the client to safety
What is the correct angle for a subcutaneous injection?
✔✔ 45 to 90 degrees
What is the antidote for a heparin overdose?
✔✔ Protamine sulfate
What is the priority action for a client who reports chest pain and shortness of breath?
✔✔ Apply oxygen
What is a common adverse effect of furosemide?
✔✔ Hypokalemia
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,What is the expected finding in a client with hypocalcemia?
✔✔ Positive Chvostek’s sign
What position should a client be in for a thoracentesis?
✔✔ Sitting upright, leaning over a bedside table
What is the normal range for blood glucose in a fasting adult?
✔✔ 70 to 110 mg/dL
What type of precaution is required for a client with tuberculosis?
✔✔ Airborne
What is the best method to confirm placement of a nasogastric tube?
✔✔ X-ray
What is a priority action for a client experiencing anaphylaxis after receiving a medication?
✔✔ Administer epinephrine
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,What lab value should be monitored for a client taking warfarin?
✔✔ INR
What is a common sign of fluid volume overload?
✔✔ Crackles in the lungs
What is the primary purpose of incentive spirometry?
✔✔ Prevent atelectasis
What is a therapeutic communication technique when a client expresses fear?
✔✔ "Tell me more about how you're feeling."
What is the priority nursing intervention for a client with a new tracheostomy?
✔✔ Maintain a patent airway
What is the first step in the nursing process?
✔✔ Assessment
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, What should the nurse do first if a client’s IV site is red and swollen?
✔✔ Discontinue the IV
What is the best site for an IM injection in an infant?
✔✔ Vastus lateralis
What is a symptom of digoxin toxicity?
✔✔ Nausea and visual disturbances
What is the correct action for a nurse to take when a client refuses a prescribed medication?
✔✔ Document the refusal and notify the provider
What food should a client taking MAOIs avoid?
✔✔ Aged cheese
What is the priority action for a client experiencing active bleeding after surgery?
✔✔ Apply pressure and notify the provider
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