FORM A VERIFIED QUESTIONS AND 100%
CORRECT ANSWERS LATEST UPDATE
2026/2027|GRADED A+
A client who has a diagnosis of complete placenta previa is admitted to the labor and delivery suite at 36
weeks gestation with contractions 5 min in frequency and 1 min in duration. Which of the following actions
should the nurse take?
A. Rupture the amniotic sac
B. Medicate the client for pain
C. Prepare the client for a cesarean section
D. Perform a vaginal exam
correct answer Prepare the client for a cesarean section
A nurse enters a client's room and finds the client lying on the floor in a puddle of water. Which of the
following statements should the nurse document in an incident report?
A. Client fell out of bed because an assistive personnel left the rails of the bed down
B. Client's roommate thinks the client is confused and fell when getting out of bed
C. Client appears to have slipped in water but reports no injuries
D. Client found lying on the floor near the bedside table
correct answer Client found lying on the floornear the bedside table A charge nurse on a pediatric unit is
making assignments for a float nurse from the medical unit.
Which of the following clients is appropriate to assign to the float nurse?
,A. A 10 year old client who has pneumonia and is receiving respiratory treatments
B. A 4 year old client who has a Wilms tumor and is receiving chemotherapy
C. An 8 month old client who is scheduled for a surgical repair of a ventricular septal defect tomorrow
D. A 14 year old client who is scheduled for discharge today following placement of a Herrington rod
correct answer A 10 year old client who has pneumonia and is receiving respiratory treatments
A nurse is preparing to administer vancomycin to a client who has an infected wound. The nurse should
plan to monitor for which of the following adverse reactions?
A. Hepatotoxicity B. Ototoxicity
C. Hypercalcemia
D. Hypertension
correct answer Ototoxicity
A nurse is assessing an infant who has water intoxication. Which of the following findings should the nurse
expect?
A. Generalized edema
B. Elevated urine specific gravity
C. Thready pulse
D. Increased hematocrit
correct answer Generalized edema
A home health nurse is conducting an initial home visit for a client who has terminal breast cancer. The
client has two school age children and a limited support system. Which of the following is the priority
nursing action?
A. Inform the client of available community resources
,B. Assist the client in finding childcare options
C. Agree upon short term goals for the client
D. Ask the client about their understanding of the diagnosis
correct answer Inform the client ofavailable community resources
A nurse in an emergency department is assessing a client who has a nasal fracture. Which of the following
findings should cause the nurse to suspect a skull fracture?
A. Clear fluid drainage from the nares
B. Report of pain around the eyes
C. Dried blood in the mouth
D. Mandibular asymmetry
correct answer Clear fluid drainage from the nares
A nurse in an urgent care clinic is collecting admission history from a client who is at 16 weeks of gestation
and has bacterial vaginosis. The nurse should recognize that which of the following clinical findings are
associated with this infection?
A. Profuse milky white discharge
B. Frequency and dysuria
C. Low grade fever
D. Hematuria
correct answer Profuse milky white discharge
A nurse is discussing the z track administration of hydroxyzine with a newly licensed nurse. Which of the
following statements indicates the newly licensed nurse understands the purpose of the technique?
A. This technique prevents injury to the sciatic nerve
, B. This technique decreases the risk of subcutaneous infiltration
C. This technique allows a larger amount of medication to be injected
D. This technique increases the absorption rate of the drug
correct answer This technique decreasesthe risk of subcutaneous infiltration
10. A nurse is caring for a full term newborn immediately following birth. Which of the following actions
should the nurse take first?
A. Instill erythromycin ophthalmic ointment in the newborn's eyes
B. Weigh the newborn
C. Place identification bracelets on the newborn
D. Dry the newborn
correct answer Dry the newborn
A nurse is planning to provide community education about viral hepatitis. Which of the following should
the nurse plan to include in the teaching?
A. A series of four hepatitis vaccines is recommended to prevent viral hepatitis
B. Hepatitis B is transmitted by contaminated food
C. Chronic hepatitis can lead to renal cell cancer
D. Clients who have a history of viral hepatitis are unable to donate blood
correct answer Clients whohave a history of viral hepatitis are unable to donate blood
A nurse in a residential mental health facility is planning care for a new client who has obsessive compulsive
disorder. Which of the following is appropriate for the nurse to include in the plan of care?
A. Work with the client to create a flexible daily schedule
B. Gradually decrease the time allowed for ritualistic behavior