Questions & Answers | 100% Verified solutions (2026)
UPDATE |2026!! STUDY GUIDE EXAM
1. If a client describes their nausea as severe and persistent, what should the
nurse's next step be after gathering this information?
Offer ginger ale to the client.
Ask the client to wait and see if it improves.
Provide a cool cloth for the forehead.
Administer anti-nausea medication as prescribed.
2. Why is obtaining a 12-lead ECG considered the most appropriate action for a
patient with a heart rate of 120 bpm and palpitations?
It allows for monitoring of blood pressure changes.
It provides immediate treatment for the palpitations.
It is a routine procedure for all patients with elevated heart rates.
It helps to assess the patient's cardiac rhythm and identify any
underlying issues.
3. If a patient with heart failure reports increased shortness of breath during
physical therapy, what should the nurse's immediate action be?
Continue the therapy session as planned.
Increase the patient's fluid intake to prevent dehydration.
Assess the patient's vital signs and oxygen saturation levels.
Document the finding and schedule a follow-up appointment.
4. If a nurse observes that a patient's affected leg is shorter than the other leg
, post-surgery, what should be the nurse's immediate action?
Encourage the patient to move their legs.
Document the finding in the patient's chart.
Notify the healthcare provider about the finding.
Reassess the patient's pain level.
5. If a diabetic patient is unresponsive and unable to swallow, what should the
nurse do next after assessing the situation?
Administer glucagon as per protocol.
Administer glucose tablets.
Call for emergency medical assistance.
Provide a snack with protein.
6. Why is it important for asthma patients to avoid known triggers?
Avoiding known triggers is unnecessary if medication is taken.
Avoiding known triggers is only important during allergy season.
Avoiding known triggers helps prevent asthma attacks and manage
symptoms effectively.
Avoiding known triggers can lead to overuse of medication.
7. The nurse visits the home of a client with heart failure. Which assessment
finding indicates to the nurse that the client's tolerance to activity is
deteriorating?
Bilateral lower extremity edema +1
Weight loss of 0.5 kg (1.1 lbs.)
Fatigue after walking to answer the door