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LATEST UPDATE 2025
A nurse manager is developing a protocol for an urgent care clinic that often
cares for clients who do not speak the same language as clinical staff. Which of
the following instructions shouldthe nurse include?
A. Use the client’s children to provide interpretation.
B. ( Answer was the nurse was going to do the interpretation)
,C. Offer client’s translation services for a nominal fee.
D. Evaluate the clients’ understanding at regular intervals.
A hospice nurse is visiting with the son of a client who has terminal
cancer. The son reports sleeping very little during the past week
due to caring for his mother.Which of the following responses
should the nurse make?
a. “I can give you information about respite care if you are interested.”
b. “You should consider taking a sleeping pill before bed each night”
c. “It must be difficult taking care of someone who is terminally ill”
d. “You are doing a great job taking care of your mother”
A nurse is assessing a child who is being treated for bacterial
pneumonia. The nurse notes an increase in the child’s glucose. The
nurse should identify this finding as an adverse effect of which of the
following medications
a. Methylprednisolone.
b. Ondansetron.
c. Guaifenesin.
d. Amoxicillin.
The nurse is providing teaching about folic acid to a client who is
prima gravida. Which of the following information should the nurse
include in the teaching?
a. “You should take folic acid to decrease the risk of
transmittinginfections to your baby”
b. “You should consume a maximum of 300 micrograms of
folic acidevery day”.
c. “You can increase your dietary intake of folic acid by eating
cereals andcitrus fruits”.
d. “You can expect your urine to appear red-tingled while
taking folic acidsupplements”.
A community health nurse is assessing an adolescent who
is pregnant.Which of the following assessments is the nurse’s
priority?
, a. Social relationship with peers.
b. Plans for attending school while pregnant.
c. (Unable to read) (Picked this one) Medicaid?
d. Understanding of infant care.
A nurse manager is planning to teach staff about critical pathways.
, Which of the following information should the nurse include?
a. Critical pathways have unlimited timeframe for
completion
b. (Unable to read) decrease health care costs.
c. (Unable to read) critical pathway if variances (Unable to
read)
d. (Unable to read) are used to create the critical pathway.
A nurse is reviewing the medical record
of a client who has schizophrenia. Which of
the following should the nurse report to the
provider?
Client with a history of chronic pain requests a nonopioid analgesic. The
client is alert but has difficulty describing the exact nature and location of
the pain to the nurse. What action should the nurseimplement next?
a. Assess the client’s vital signs.
b. Observe the client’s pupils for dilation.
c. Document the client’s drug
tolerance.d. Administer the
analgesic as requested
2-XXX An older female client has normal saline infusion at 45 mL/hour. She
complains of pain at the insertion site of the IV catheter. There is no redness
or edema around the IV site. Which action shouldthe nurse take?
a. Determine what IV medications have recently been administered.
b. Explain that without redness or edema, there is no need to re-start the
IV.
c. Consult with the health care provider about the best location to start a
new IV.
d. Convert the IV to a saline lock and continue to monitor the site.
3-XXX The nurse is reviewing blood pressure readings for a group of clients
on a medical unit. Whichclient is at the highest risk for complications