COMPLETE ACTUAL EXAM WITH ALL APPROVED
QUESTIONS AND WELL ELABORATED ANSWERS
(CORRECT VERIFIED ANSWERS) NEWEST UPDATED
VERSION 2024 |GUARANTEED PASS.
A nurse in the emergency department is evaluating a young
adult client for bacterial meningitis. Which of the following
actions should the nurse take as part of the focused
assessment?
a. Run a tongue blade on the outside of the client's sole and
note any flaring of the toes.
b. Tap the client's facial nerve and note any facial twitching.
c. Gently elevate the client's head and note any nuchal rigidity.
d. Strike the client's patellar tendon with a percussion hammer
and note any increase in response
answer- Gently elevate the client's head and note any nuchal
rigidity
A nurse is planning care for a client who is postoperative
following insertion of an arteriovenous graft in their left
,forearm. Which of the following actions should the nurse
include in the plan of care?
a. Splint the left forearm to prevent damage to the graft.
b. Collect blood specimens from the graft.
c. Check the pulse distal to the graft.
d. Keep the left forearm below the level of the heart.
Answer- Check the pulse distal to the graft.
A nurse in a clinic is assessing a client who has type 1 diabetes
mellitus. The client is diaphoretic, has a heart rate of 92/min,
and reports palpitations. The client states, "I went for my
morning run and feel exhausted." Which of the following
responses should the nurse make?
a. "Did you decrease your insulin intake before you exercised?"
b. "It is normal to feel this way after a morning run."
c. "It becomes easier when exercise is a routine."
d. "Were you careful to not have carbohydrates after the run?"
answer- "Did you decrease your insulin intake before you
exercised?"
,A nurse is teaching about food choices to a client who has
chronic kidney disease and must limit potassium intake. Which
of the following choices should the nurse recommend as
containing the least potassium?
a. 1 cup white rice
b. 1 medium baked potato with skin
c. 2 tbsp peanut butter
d. 1/2 cup nonfat yogurt
answer- 1 cup white rice
A nurse is preparing a teaching plan for a client who has
mucositis related to chemotherapy treatment. Which of the
following instructions should the nurse include?
a. "Brush your teeth for 60 seconds twice daily."
b. "Wear your dentures only during meals."
c. "Floss your teeth gently following each meal."
d. "Rinse your mouth with hydrogen peroxide."
, Answer- a. "Brush your teeth for 60 seconds twice daily."
A nurse is assessing a client who has myasthenia gravis. Which
of the following client statements should indicate to the nurse
that the client needs a referral for occupational therapy?
a. "I've been having problems with bladder control."
b. "I would rather be in a wheelchair than use a walker to get
around."
c. "I have a hard time with brushing my hair."
d. "I have difficulty swallowing food."
Answer- "I have a hard time with brushing my hair."
A nurse is caring for a client in the ICU. The client's ECG monitor
tracing reveals sinus bradycardia and S-T segment elevation.
The client reports shortness of breath and feeling dizzy and
faint. Which of the following medications should the nurse
administer?
a. Atropine