Answers | Latest Version | 2025/2026 |
Correct & Verified
A client reports constipation for 5 days. Which food should the nurse encourage?
A. White rice
B. Cheese
✔✔C. Fresh pears
D. Eggs
A client prescribed lisinopril develops a persistent cough. What should the nurse do?
A. Advise to double the dose
✔✔B. Report the symptom to the provider
C. Encourage increased fluid intake
D. Suggest taking the medication at night
A nurse is providing care for a client with pressure injury on the sacrum. Which action is most
important?
A. Use donut cushions
1
,✔✔B. Reposition every 2 hours
C. Apply alcohol pads
D. Keep head of bed elevated 90 degrees
A client is admitted with dehydration. Which assessment finding is expected?
A. Bounding pulse
B. Edema in lower extremities
✔✔C. Poor skin turgor
D. Decreased hematocrit
A client receiving oxygen by nasal cannula at 2 L/min complains of dryness in the nose. Which
nursing action is best?
A. Increase flow rate to 4 L/min
✔✔B. Provide humidification
C. Encourage deep breathing exercises
D. Reassure the client it is normal
A nurse is caring for a client prescribed heparin infusion. Which lab should be monitored?
2
,A. Hemoglobin
✔✔B. aPTT
C. Platelets only
D. INR
A client reports difficulty swallowing pills. What should the nurse do?
A. Crush all medications together
✔✔B. Request liquid form of medication
C. Mix pills with thick pudding
D. Offer more water with pills
A nurse is caring for a client with an NG tube connected to suction. Which electrolyte imbalance
is most likely?
A. Hyperkalemia
✔✔B. Hypokalemia
C. Hypercalcemia
D. Hypernatremia
3
, A client is scheduled for surgery and is very anxious. Which nursing action is most therapeutic?
A. Tell the client not to worry
B. Change the subject
✔✔C. Encourage the client to verbalize fears
D. Give preoperative medication early
A nurse is reinforcing teaching about nitroglycerin. Which statement by the client indicates
understanding?
A. “I will take it with food to prevent nausea.”
✔✔B. “I may get a headache after taking it.”
C. “I will stop taking it if I feel dizzy.”
D. “I can take as many tablets as I want.”
A client with a new colostomy states, “I don’t think I can manage this.” What is the nurse’s best
response?
A. “You’ll get used to it soon.”
✔✔B. “Tell me what concerns you most.”
C. “Many clients feel the same way.”
4