EXAM | NEWEST ACTUAL EXAM
COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS GRADED A+ | 100%
CORRECT | 2024 UPDATE!!
A nurse is preparing to discharge a client who has a halo device and is
reviewing new prescriptions from the provider. The nurse should clarify
which of the following prescriptions with the provider?
a. increase intake of fiber-rich foods
b. may place a small pillow under the head when sleeping
c. may operate a motor vehicle when no longer taking analgesics
d. take a tub bath instead of shower - ✔✔✔ Correct Answer > c. may
operate a motor vehicle when no longer taking analgesics
A nurse is admitting a client to a medical unit following placement of a
permanent pacemaker. Which of the following findings requires further
assessment by the nurse?
a. sneezing
b. hiccups
c. presence of a sharp spike prior to the QRS complex on the ECG
,d. presence of intrinsic P waves following a QRS complex on the ECG -
✔✔✔ Correct Answer > b. hiccups
M/S pg 187 indicates generator is pacing diaphragm
A nurse is caring for a client who is receiving continuous bladder
irrigation following a transurethral resection of the prostate (TURP).
The client reports sharp lower abdominal pain. Which of the following
actions should the nurse first take?
a. increase the client's fluid intake
b. reposition the client in bed
c. check the client's urine output
d. administer PRN pain medication - ✔✔✔ Correct Answer > c. check
the client's urine output
A nurse is caring for a client who experienced extensive burns to the
arms and torso. Which fo the following actions should the nurse take
regarding the client's oral nutritional intake?
a. adhere to scheduled meal times three times daily
b. encourage the client to eat as many calories as possible
c. limit the client's fluid intake to 1,500 ml/day
d. avoid the use of supplemental feedings throughout the day - ✔✔✔
Correct Answer > b. encourage the client to eat as many calories as
possible
,A nurse is caring for a client who has Parkinson's disease and is
prescribed a level 1 dysphagia diet. Which of the following should the
nurse remove from the client's tray?
a. vanilla milkshake
b. peanut butter
c. chocolate pudding
d. applesauce - ✔✔✔ Correct Answer > b. peanut butter
A nurse in a provider's office is teaching a client about the self-
management of GERD. Which of the following instructions should the
nurse include?
a. eat a light meal 1 hour before bedtime
b. sleep with the head of your bed elevated 6 inches
c. Increase your caloric intake by 250 calories per day
d. lie down for 30 minutes after each meal - ✔✔✔ Correct Answer >
b. sleep with the head of your bed elevated 6 inches
A nurse is caring for a client who is postoperative following a partial
thyroidectomy. Which of the following findings is the priority for the
nurse to report to the provider?
a. client report of pain at the incsion site
b. High-pitched sound on inspiration
c. hypoactive bowel sounds
, d. loose tracheal secretions - ✔✔✔ Correct Answer > b. High-pitched
sound on inspiration
A nurse is caring for a client who is 2 days postoperative following a
below-the-knee amputation and asks about the purpose of maintaining
an elastic bandage around the residual limb of the extremity. Which of
the following is an appropriate response by the nurse?
a. the elastic bandage will prevent a post-op wound infection
b. the elastic bandage will prevent excessive edema
c. the elastic bandage will keep the sutures from loosening
d. the elastic bandage will keep you from seeing the surgical site -
✔✔✔ Correct Answer > b. the elastic bandage will prevent excessive
edema
A nurse is planning care for a client who is 8 hour post-op following a
coronary artery bypass grafting. Which of the following assessments
should the nurse plan to perform first?
a. examine the surgical incision for drainage
b. auscultate breath sounds
c. palpate pulses distal to the graft donor site
d. measure the client's core body temperature - ✔✔✔ Correct
Answer > b. auscultate breath sounds