Answers | Latest Version | 2025/2026 |
Correct & Verified
A nurse is caring for a client who has just received a diagnosis of tuberculosis. Which of the
following actions should the nurse take first?
A. Notify the infection control nurse
B. Start the client on oxygen therapy
✔✔C. Initiate airborne precautions
D. Encourage the client to increase fluid intake
Which statement by a client taking enalapril for hypertension should concern the nurse most?
A. “I get lightheaded when I stand too fast.”
B. “I check my blood pressure every morning.”
✔✔C. “I noticed swelling in my face and lips.”
D. “I take it every morning with breakfast.”
A nurse is reviewing medication instructions with a client taking levothyroxine. Which statement
indicates a need for further teaching?
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,A. “I will take this on an empty stomach.”
✔✔B. “I can stop taking this when I feel better.”
C. “I’ll have my blood levels checked regularly.”
D. “I should take this medication at the same time daily.”
The nurse is reinforcing education about insulin administration. Which statement by the client
requires further clarification?
A. “I will rotate injection sites.”
✔✔B. “I can inject insulin into my thigh just before jogging.”
C. “I will check my blood glucose before meals.”
D. “I will store unopened insulin in the refrigerator.”
A nurse is caring for a client with left-sided stroke. Which of the following findings should the
nurse expect?
✔✔A. Difficulty with speech
B. Left-sided weakness
C. Loss of peripheral vision
D. Impulsive behavior
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,A client receiving chemotherapy reports mouth sores. Which intervention should the nurse
suggest?
✔✔A. Rinse with warm saline after meals
B. Use a firm-bristled toothbrush
C. Apply alcohol-based mouthwash
D. Eat spicy foods to stimulate appetite
A nurse is planning care for a client with COPD. Which of the following is an appropriate
nursing intervention?
A. Encourage a high-carbohydrate diet
✔✔B. Encourage pursed-lip breathing
C. Maintain bedrest to conserve energy
D. Increase oxygen flow to 10 L/min as needed
The nurse is caring for a client with newly diagnosed diabetes mellitus. Which of the following
findings indicates the client is experiencing hypoglycemia?
✔✔A. Sweating and irritability
B. Increased thirst and urination
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, C. Dry mouth and confusion
D. Rapid deep respirations
A client with a fractured femur is in Buck’s traction. Which action should the nurse take?
A. Remove weights every shift
✔✔B. Ensure weights hang freely at all times
C. Elevate the leg above heart level
D. Turn the client every hour
Which of the following actions should the nurse take when a fire alarm sounds in the hospital?
A. Call the provider
B. Turn off all electrical equipment
✔✔C. Move clients from immediate danger
D. Gather the fire extinguishers
A client is taking furosemide. Which of the following indicates a need for further evaluation?
✔✔A. Muscle cramps and weakness
B. Increased urinary output
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