QUESTIONS AND A+ GRADED ANSWERS
2024
A staff nurse is observing a newly licensed nurse suction a client's
tracheostomy. Which of the following requires intervention by the staff
nurse?
A. Waits 2 minutes between suctions.
B. Encourages the client to cough during suctioning.
C. Apply suctioning for 15 seconds.
D. Inserts the catheter without applying suction. --ANSWER: A. Waits 2 minutes
between suctions.
A nurse is teaching at a community health fair about electrical fire
prevention. Which of the following information should the nurse include in
the teaching?
A. Use three pronged grounded plugs.
B. Cover extension cords with a rug.
C. Check the tingling sensations around the cord to ensure the electricity
is working.
D. Remove the plug from the socket by pulling the cord. --ANSWER: A. Use three
pronged grounded plugs.
A nurse is providing care for a group of clients. Which of the following
client's should the nurse identify as having the highest risk for developing a
pressure injury?
A. A client who has a T-tube following an open cholecystectomy.
B. A client who had a knee 2 days ago following a sports injury.
C. A client who has dementia and is incontinent of urine and feces
D. A client who has a myocardial infarction and is receiving thrombolytic
therapy. --ANSWER: A. A client who has a T-tube following an open
cholecystectomy.
A nurse is teaching a client who has glaucoma and a new prescription for
timolol eyedrops. Which of the following statements indicates an
understanding of the teaching?
A. "I will place the eye drops in the center of my eye"
B. "I will place pressure on the corner of my eye after using he eye drops"
C. "I should expect my tears to turn a red color after using the eye
drops."
D. "I should expect the eye drops to appear cloudy." --ANSWER: B. "I will place
pressure on the corner of my eye after using he eye drops"
A nurse is providing teaching to a client who is 14 weeks of gestation
about findings to report to the provider. Which of the following findings
should the nurse include in the teaching?
,A. Bleeding gums
B. Faintness upon rising
C. Swelling of the face
D. Urinary frequency --ANSWER: C. Swelling of the face
A nurse is caring for a client who has a diagnosis of stage IV metastatic
cancer. Which of the following responses should the nurse make?
A. "I would recommend sharing your feelings with a psychologist".
B. "I can give you information about making end of life decisions".
C. "You should discuss your end life decisions with your family"
D. "Everyone feels this way at first. You will start feeling better soon". --ANSWER:
B. "I can give you information about making end of life decisions".
A nurse is caring for a client who has severe hypertension and is to receive
nitroprusside via continuous IV infusion. Which of the following actions
should the nurse plan to take?
A. Keep client's calcium gluconate at the client's bedside
B. Monitor blood pressure every 2 hr.
C. Limit IV bag from exposure to light.
D. Attach tan inline filter to the IV tubing. --ANSWER: C. Limit IV bag from
exposure to light.
A nurse is caring for a client who is experiencing mild anxiety. Which of
the following findings should the nurse expect?
A. Feelings of dread
B. Heightened perceptual field
C. Rapid speech
D. Purposeless activity --ANSWER: B. Heightened perceptual field
A nurse is reviewing the laboratory report of a client who has been
having lithium carbonate for the past 12 months. The nurse notes a lithium
level of 0.8 mEq/L. Which of the following orders from the provider should the
nurse expect?
A. Withhold the next dose.
B. Increase the dosage.
C. Discontinue the medication.
D. Administer the medication. --ANSWER: D. Administer the medication.
A nurse is providing teaching to an older adult client about methods to
promote nighttime sleep. Which of the following instructions should the
nurse include?
A. Stay in bed at least 1hr if unable to fall asleep
B. Take 1 hr nap during the day
C. Perform exercise prior to bed
D. Eat a light snack before bedtime --ANSWER: D. Eat a light snack before bedtime
A nurse is caring for a client who has fibromyalgia and requests pain
medication. Which of the following medications should the nurse administer?
A. Pregabalin
B. Lorazepam
, C. Colchicine
D. Codeine. --ANSWER: A. Pregabalin
.A nurse is caring for a client following insertion of a chest tube 12 hrs ago.
Which of the following actions should the nurse take?
A. Assess the amount of drainage in the collection chamber.
B. Clamp the chest tube during ambulation.
C. Report continuous bubbling in the water seal chamber.
D. Strip the chest tube every 4 hr. to maintain patency. --ANSWER: C. Report
continuous bubbling in the water seal chamber.
A nurse is caring for a client who is receiving morphine 4 mg via IV bolus
every 4 hr. PRN. The nurse should monitor for which of the following adverse
effects?
A. Productive cough.
B. Urinary retention.
C. Rhinitis
D. Fever. --ANSWER: B. Urinary retention.
A nurse is interviewing the partner of a client who was admitted in the
manic phase of bipolar disorder. The partner states "I don't know what to do.
Everything has been happening so quickly." Which of the following by the
nurse is therapeutic?
A. "Can you talk about what happens with your partner at home?"
B. "Why do you think your partner's symptoms are progressing so
quickly?"
C. "You should make sure your partner takes the prescribed medication."
D. "You did the right thing by bringing your partner in for treatment." --ANSWER: A.
"Can you talk about what happens with your partner at home?"
A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year-
old. Which of the following actions should the nurse take?
A. (Unable to read)
B. Tell the child they will feel discomfort during the catheter insertion.
C. Use a mummy restraint to hold the child during the catheter insertion.
D. Require the parents to leave the room during the procedure. --ANSWER: B. Tell
the child they will feel discomfort during the catheter insertion.
A nurse is caring for a client who has arteriovenous fistula Which of the
following findings should the nurse report?
A. Thrill upon palpation.
B. Absence of a bruit.
C. Distended blood vessels
D. Swishing sound upon auscultation. --ANSWER: B. Absence of a bruit.
A nurse is providing discharge teaching for a client who has an
implantable cardioverter defibrillator which of the following statements
demonstrates understanding of the teaching?
A. "I will soak in the tub rather and showering"
B. "I will wear loose clothing around my ICD"