2025/2026 Update | 100% Correct Latest
Question 1
A client, who is newly diagnosed with cancer says to anurse, "I suppose I need to complete all unfinished business as soon
as possible." Which of these responses is appropriate?
Correct Answer
"It sounds like you are concerned with your diagnosis."
Question 2
Which of these statements, if made by a client who had a total hip replacement, would indicate a correct understanding of
the postoperative instructions?
Correct Answer
"I will use a raised toilet seat in the bathroom."
Question 3
The mother of a 2-month-old tells a nurse that the baby is consuming six ounces of plain commercial formula seven times
a day, plus one ounce of cereal in the morning and at bedtime. Based on this information, the nurse should conclude that
the baby's diet is:
Correct Answer
A 59-year-old who has a history of hypertension.
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,Question 4
When determining the duration of a uterine contraction, a nurse should measure the contraction from the:
Correct Answer
beginning of one contraction to the end of that contraction.
Question 5
A nurse should place a child who is two hours post-tonsillectomy and adenoidectomy in which of these positions?
Correct Answer
Side-lying.
Question 6
A nurse reviews a client's prenatal record and notes that the client's last menstrual period (LMP) was on September 18th.
Using the Naegele's rule, the nurse should calculate that the client's expected date of delivery (EDD) will be:
Correct Answer
June 25th.
Question 7
Which of these assignments, if made by a nurse to a nursing assistant, indicates that the nurse needs additional
instructions regarding the principles of delegation?
Correct Answer
"Please bathe the client in room 10, administer a back rub, and then evaluate if the back rub eased the client's
discomfort."
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,Question 8
Which of these manifestations should a nurse expect to observe in a client who is diagnosed with paranoid schizophrenia?
Correct Answer
Suspiciousness.
Question 9
An 8-month-old infant is admitted to the hospital because of failure to thrive. Which of these actions should a nurse plan?
Correct Answer
Consistently assign the care of the infant to the same staff.
Question 10
Which of these instructions should a nurse include in the teaching plan for a client who had removal of a cataract in the left
eye?
Correct Answer
"Take the prescribed stool softener to avoid increasing intraocular pressure."
Question 11
Which of these preventative measures should a nurse manager in a long-term care facility plan to institute to decrease
clients' risks for falls?
Correct Answer
Monitoring clients frequently for evidence of activity intolerance.
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, Question 12
A client has the following order for regular insulin (Humulin R) on a sliding scale:
Blood sugar 150-180 mg: Give 2 units regular insulin
Blood sugar 181-200 mg: Give 4 units regular insulin
Blood sugar 201-220 mg: Give 6 units of regular insulin
Blood sugar above 220 mg: Call MD
At 11 A.M., a nurse obtains a finger stick glucose of 198 mg. The only syringe is a three milliliter one. Regular insulin is
available as 100 units per milliliter. How many milliliters should the nurse administer?
Correct Answer
0.04
Question 13
A client who had a coronary artery bypass graft four days ago suddenly develops sinus tachycardia and reports shortness
of breath and dizziness. Which of these interpretations and actions should a nurse take?
Correct Answer
This may be an early sign of heart failure; notify the physician.
Question 14
A licensed practical nurse (LPN) is assigned to care for all of these clients. Which client should the nurse assess first?
Correct Answer
A 49-year-old client who has an acute myocardial infarction related to cocaine ingestion.
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