questions and answers new for 2024 top score 100%
A nurse is assessing a client who had an abdominal aortic
aneurysm. Which of the following manifestations should the
nurse expect?
A. Midsternal chest pain
B. thrill
C. Pitting edema in lower extremity
D. Lower back discomfort - CORRECT ANSWER-D. Lower back
discomfort
A nurse is caring for a client who has an upper gastrointestinal
bleed and a hematocrit of 24%. Prior to initiating a transfusion
of packed red blood cells (RBCs), which of the following
actions should the nurse take? (Select all that apply)
A. Assess & document the client's vital signs
B. Restart the IV with a 22 gauge needle
C. Verify with another nurse the blood type & Rh of the
packed RBCs
D. Hang a bag of lactated ringer's IV solution
E. Change IV tubing to a set that has a filter - CORRECT
ANSWER-A. Assess & document the client's vital signs
,C. Verify with another nurse the blood type & Rh of the
packed RBCs
E. Change IV tubing to a set that has a filter
A nurse is reviewing the menu selections of a client who has
heart failure & anticipates discharge to home the following
day. Which of the following lunch choices should the nurse
identify as an indication that the client understands his dietary
instructions?
A. Turkey on whole wheat
B. Hamburger & French fries
C. Frankfurter on white roll
D. Macaroni & cheese - CORRECT ANSWER-A. Turkey on whole
wheat
A nurse is assessing a client who is 85 years old. Which of the
following findings should the nurse identify as a manifestation
of myocardial infarction?
A. Sudden hemoptysis
B. Acute diarrhea
C. Frontal headache
D. Acute confusion - CORRECT ANSWER-D. Acute confusion
, A nurse is assessing a client who has late-stage heart failure &
is experiencing fluid volume overload. Which of the following
findings should the nurse expect?
A. Weight gain of 1 kg (2.2lbs) in 1 day
B. Pitting edema +1
C. Client report of a nocturnal cough
D. B-type natriuretic peptide (BNP) level of 100 Pg/mL -
CORRECT ANSWER-A. Weight gain of 1 kg (2.2lbs) in 1 day
A nurse is completing a medication history for a client who is
reports using fish oil as al dietary supplement. Which of the
following substances in fish oil should the nurse recognize as a
health benefit to the client?
A. Omega-3 fatty acids
B. Antioxidants
C. Vitamins A, D, C
D. Beta-carotene - CORRECT ANSWER-A. Omega-3 fatty acids
A nurse is caring for a client with heart failure whose
telemetry readings displays a flattening of the T wave. Which
of the following laboratory results should the nurse anticipate
as the cause of this ECG change?