ANSWERS 2026/2027
impaired tissue perfusion - ANS ✔✔While performing an admission assessment for a client to
nurse the client has varicose veins and ulceration sound lower extremity edema with a report a
feeling of heaviness which diagnosis is best
systolic murmur - ANS ✔✔Well auscultating a clients heart sounds the nurse here's turbulence
between the swan and S2 heart sounds the nurse should document this finding is which of the
following
Beans - ANS ✔✔A nurse is teaching a client about following a low cholesterol diet after
coronary artery bypass crafting. Which of the following client food choices reflects the clients
understanding of these dietary instructions
I am going to take a stress management class - ANS ✔✔A nurse is reviewing discharge
instructions with a client who has Reynaud disease which of the following client statements
indicates an understanding of the teaching
Exercise at least three times per week - ANS ✔✔A nurse is providing discharge teaching to a
client who has a new diagnosis of heart failure which of the following instruction should the
nurse include in the teaching
Flexing her knees and feet frequently - ANS ✔✔A nurse is providing discharge instructions to a
client who develop deep vein Trumbo sis DVT post operatively and is prescribed anticoagulant
therapy which of the following instruction should the nurse include
Wheezes - ANS ✔✔The nurses auscultating the bread sounds of a client who has asthma when
the client exhales the nurse here is continuous high-pitched squeaking sounds then there
should document this as which sound
, Document the clients allergies in the electronic medical record - ANS ✔✔A nurse is completing
the initial admission assessment in history for a client which of the following is the priority
action for the nurse to take
More than 100 bpm - ANS ✔✔When the nurse assesses an apical heart sound and those blank
it is called tachycardia
The fourth heart sound S4 - ANS ✔✔A nurse is auscultating a clients heart sounds and here's an
extra heart sound before what should be considered the first heart sound S one. The nurse
should document this as what
More difficulty seeing due to a greater sensitivity to glare
Decreased cough reflex
Decreased bladder capacity
Dehydration of intravertebral disc's - ANS ✔✔A nurse is teaching a class of older adults about
the expected physiologic changes of aging which of following changes
Having a decrease ability to perceive colors - ANS ✔✔A nurse in an ophthalmology clinic is
interviewing a client who was referred by his primary care provider for suspicion of cataracts.
The nurse should expect the client to report
Cheyenne Stokes respirations - ANS ✔✔A nurse is caring for a client who is unconscious and has
a breathing pattern characterized by alternating periods of hyperventilation and apnea. The
nurse should document that the client has which of the following respiratory alterations
A dry red rash across the bridge of the nose and on the cheeks - ANS ✔✔A clinic nurse is
performing a physical assessment on a client who has systemic lupus which of the following
findings