2025/2026 Update | 100% Correct Latest
Question 1
Which of these instructions should a nurse include in the plan of care for a 32-week gestation client who had an
amniocentesis today?
a. "Drink at least six glasses of fluids during the next six hours after the test."
b. "Call the clinic if you experience any abdominal cramps."
c. "Don't be concerned if you have some vaginal spotting in the next 12 hours."
d. "When you get home, stay on bed-rest for the next 48 hours."
Correct Answer
B
Question 2
A nurse inadvertently administers an incorrect medication to a client. Which of these actions should the nurse take first?
a. Assess the client.
b. Notify the physician.
c. Contact the nurse manager.
d. Complete an incident report.
Correct Answer
A
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,Question 3
A client who has Parkinson's disease has been identified as being at risk for falls. Which of these actions by a nurse is most
likely to reduce the client's risk of falling?
a. Monitor the client's blood pressure after ambulation.
b. Ensure the client wears socks when ambulating.
c. Encourage frequent weight-bearing exercise.
d. Assign an assistant to remain with the client when ambulating.
Correct Answer
d. Assign an assistant to remain with the client when ambulating.
Question 4
An elderly client who is receiving a blood transfusion develops a rapid bounding pulse and an elevated blood pressure.
Which of these actions should a nurse take?
a. Add a 5% dextrose solution to the line.
b. Raise the head of the bed.
c. Stop the transfusion.
d. Measure the client's temperature.
Correct Answer
C
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,Question 5
Which of these tasks should a licensed practical nurse (LPN) delegate to a nursing assistant?
a. Checking the 11 A.M. blood sugar for a client who has ketoacidosis.
b. Measuring the pulse oximetry level for a client who has status asthmaticus.
c. AMbulating a client who had a hip replacement three days ago.
d. Changing the dressing for a client who had wound debridement last week.
Correct Answer
c. AMbulating a client who had a hip replacement three days ago.
Question 6
Which of these interventions should plan for a child who is receiving chelation therapy for lead poisoning?
a. Keeping an accurate record of intake and output.
b. Instituting measures to prevent skeletal fractures.
c. Maintaining isolation precautions.
d. Maintaining strict bed rest.
Correct Answer
a
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, Question 7
Which of these statements, if made by a nurse, is non-therapeutic because it disregards a client's feelings and concerns?
a. "You appear anxious and tense."
b. "Everything will be okay."
c. "I notice you're biting your nails."
d. "I'm not sure I understand what you're saying."
Correct Answer
b. "Everything will be okay."
Question 8
A nurse is obtaining the health history of a client who is admitted for surgical repair of an inguinal hernia. Which of these
factors should the nurse recognize as having the greatest impact on the outcome of the surgery?
a. The client takes several acetylsalicylic acid (Aspirin) tablets daily for knee pain.
b. The client drinks one glass of beer every evening with dinner.
c. The client had a knee replacement six months prior to this admission.
d. The client is allergic to all penicillin-type antibiotics.
Correct Answer
a. The client takes several acetylsalicylic acid (Aspirin) tablets daily for knee pain.
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