QUESTIONS AND WELL VERIFIED
ANSWERS 2024\2025
1. A nurse is assisting with the plan of care for a client following a
transurethral resection of the prostate. Which of the following interventions
should the nurse include in the plan of care?
Answer The nurse should irrigate the bladder using strict sterile technique and maintain closed catheter
drainage system to minimize the rick of infection.
2. A nurse is reviewing a client's electronic medical record and finds that an
assistive per sonnel recorder the client's temperature as 35.3 degrees Celsius
(95.5 degrees F) 2 hrs earlier. Which of the following actions should the nurse
take firsT?
Answer check the clients temp
3. A nurse is receiving change-of-
shift report for four clients. Which of the following clients should the nurse see
,first?
Answer A client whose urinary output was 100mL for the past 12 hrs
4. A nurse in reinforcing teaching about weight loss with a female older adult
client who is overweight. Which of the following statements should the nurse
include in teaching?
Answer keep fat intake to no more that 30% of daily caloric intake.
5. A nurse is collecting data from a client who has iron deficiency anemia. Which
of the following findings should the nurse expect?
Answer diflculty concentrating
6. A Nurse is collecting data from an older adult client who is 48 hr postoperative
following abdominal surgery. The provider writes a prescription to advance the
client to a re gular Diet. For which of the following findings should the nurse
notify the provider?
Answer The client has absent bowel sounds
7. A parent brings her adolescent son to an urgent care center and states. "He
,is high on something and needs help" The client is
exhibiting agitation and paranoia and reports visual hallucinations. The nurse
should suspect intoxication with which of the following substances?Answer
Methamphet- amines
8. A nurse notices an assistive personnel taking a nap in the break room during
he meal t ime. The AP appears drowsy while performing routine tasks. Which
of the following a ctions should the nurse take?
Answer Report the observations about the ap to the unit's nurse manager.
9. A nurse is reinforcing teaching with a client who has a fluid volume deficit
about selec ting foods that have a high water content. The nurse should include
, that which of the following raw foods contains the highest amount of water per
1 cup serving?
Answer cherry tomatoes
10. The nurse is position a client who is scheduled for a lumbar puncture. The
nurse should assist the client into which of the following positions?
Answer lateral recumbent
11. A nurse is talking with a client whose son died in a motor- vehicle crash 2
weeks ago. The client states "I really thought I'd be back to my usual routines
by now, but I can't think of anythingelse except my son is gone" Which of the
following responses should the nurse make?
Answer Grieving for your son is hard work. It will take as much time as you need to come to terms with
your loss.
12. A nurse is assisting with monitoring a client who is at 40 weeks of gestation
and is in active labor. The nurse recognizes late deceleration on the fetal
monitor tracing. Whichof the following actions should the nurse take?