| Latest Version | 2025/2026 | Correct &
Verified
A client with diabetes becomes pale and shaky during assessment. What should the nurse give
first?
A. A slice of cheese
B. Peanut butter on toast
✔✔C. 4 ounces of orange juice
D. A small green apple
After a thyroidectomy, a client develops noisy breathing and difficulty speaking. What should the
nurse do first?
A. Offer ice chips
B. Encourage coughing
✔✔C. Notify the healthcare provider immediately
D. Reassure the client
A client with osteoporosis needs teaching about calcium intake. Which food should the nurse
recommend?
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,A. White bread
B. Iceberg lettuce
✔✔C. Low-fat yogurt
D. Black coffee
A nurse assesses a chest tube system and notes gentle tidaling in the water-seal chamber. How
should the nurse respond?
A. Call the provider immediately
✔✔B. Continue to monitor as this is expected
C. Clamp the chest tube
D. Increase suction pressure
A stroke client has left-sided weakness and difficulty swallowing. What should the nurse do
when feeding?
A. Offer liquids through a straw
✔✔B. Place food on the unaffected side of the mouth
C. Encourage rapid eating to prevent aspiration
D. Mix liquids and solids to make swallowing easier
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,During a blood transfusion, a client develops chills and a fever. What is the nurse’s priority?
A. Slow the transfusion rate
✔✔B. Stop the transfusion immediately
C. Notify the laboratory
D. Document the reaction
A client with Addison’s disease is prescribed hydrocortisone. Which statement requires further
teaching?
A. “I will take my medication at the same time every day.”
✔✔B. “I will stop my medicine if I start feeling better.”
C. “I will wear a medical alert bracelet.”
D. “I will increase my dose during times of stress.”
A nurse checks a new colostomy and finds the stoma pale and dusky. What should the nurse do?
A. Clean the stoma gently
B. Document the finding for later review
✔✔C. Notify the healthcare provider immediately
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, D. Apply a new ostomy pouch
A client with peptic ulcer disease reports sudden severe abdominal pain and a rigid abdomen.
What should the nurse do first?
✔✔A. Notify the healthcare provider
B. Give the client milk
C. Provide a prescribed antacid
D. Reposition the client on the left side
A client with myasthenia gravis reports increasing shortness of breath. What should the nurse do
first?
✔✔A. Encourage deep breathing exercises
B. Offer high-protein snacks
C. Provide diversional activities
D. Document the finding
A client with pneumonia is producing thick sputum. Which action should the nurse take to help
loosen secretions?
A. Restrict oral fluids
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