and Answers Latest Updated 2025/2026
(Graded A+)
A..nurse..is..caring..for..a..client..who..is..24..hours..postop..following..a..total..hip..arth
roplasty...Which..of..the..following..action..should..the..nurse..take?..-
..Correct..Answer-Maintain..abduction..of..the..affected..extremity
A..nurse..is..providing..teaching..to..a..client..who..is..scheduled..for..a..bronchoscopy
...Which..of..the..following..statements..should..the..nurse..include..in..the..teaching?.
.-..Correct..Answer-
"You..will..not..be..able..to..eat..or..drink..after..the..procedure..until..you..are..able..to..
cough."
-
..A..client..who..had..a..bronchoscopy..received..a..local..anesthetic..that..can..suppres
s..the..cough..reflex...The..cough..reflex..protects..the..client..from..aspirating..fluids..
or..food...Therefore,..the..client..should..not..eat..or..drink..until..the..cough..reflex..ret
urns.
A..nurse..is..assessing..a..clients..understanding..of..a..surgical..procedure..prior..to..
witnessing..their..signature..on..the..informed..consent..form...The..nurse..determin
es..that..the..client..does..not..understand..what..the..procedure..will..involve...Which..
of..the..following..action..should..the..nurse..take?..-..Correct..Answer-
Contact..the..provider..who..will..be..performing..the..procedure
A..nurse..is..providing..discharge..teaching..to..a..client..who..has..COPD...Which..of..
the..following..instruction..should..the..nurse..include..in..the..teaching?..-
..Correct..Answer-Consume..a..diet..that..is..high..in..calories
,A..nurse..is..providing..teaching..about..dietary..options..for..a..client..who..has..cholit
hiasis..which..of..the..following..statements..should..the..nurse..include..in..the..teach
ing..-..Correct..Answer-Select..desserts,..such..as..angel..food..cake
A..nurse..is..monitoring..a..client..who..has..a..traumatic..brain..injury,..which..of..the..
following..findings..should..the..nurse..identify..as..a..manifestation..of..Cushing's..tr
iad..-..Correct..Answer-Increase..in..blood..pressure..from..130/80..to..180/100
A..nurse..is..teaching..a..client..who..has..a..new..diagnosis..of..type..one..diabetes..mel
litus,..which..of..the..following..statement..by..the..client..indicates..an..understandin
g..of..the..teaching..-..Correct..Answer-
I..am..aware..that..my..diabetes..is..caused..by..an..auto..immune..disorder
A..nurse..is..caring..for..a..client..who..has..a..small..bowel..obstruction..and..an..NG..t
ube..in..place..which..of..the..following..action..should..the..nurse..take..-
..Correct..Answer-Maintain..low..intermittent..suction
A..nurse..is..assessing..a..client..who..has..a..chest..tube..connected..to..a..closed..wate
r..seal..drainage..system..which..of..the..following..findings..should..the..nurse..report
..to..the..provider..-..Correct..Answer-
CONSTANT..BUBBLING..IN..THE..WATER..SEAL..CHAMBER.
-
..Constant..bubbling..in..the..water..seal..chamber..can..be..an..indication..of..an..air..l
eak,..which..is..caused..by..a..disruption..in..the..system..such..as..a..loose..connection
...Pulmonary..air..leaks..create..intermittent..bubbling..that..is..synchronous..with..re
spiration...This..finding..should..be..reported..to..the..provider..immediately.
, A..nurse..is..providing..teaching..for..a..client..who..has..neutropenia..and..is..receivin
g..chemotherapy,..which..of..the..following..client..statements,..indicates..an..unders
tanding..of..the..teaching?..Select..all..that..apply...-..Correct..Answer-
I..will..avoid..crowds,..and..I..will..take..my..temperature..daily
I..nurse..is..preparing..to..administer..propranolol..to..several..clients...For..which..of..
the..following..clients..to..the..nurse..clarify..the..prescription..with..the..provider..bef
ore..administration...-..Correct..Answer-A..client..has..a..history..of..asthma
Nurses..analyzing..the..ABG..results..of..a..client..who..is..in..respiratory..acidosis,..w
hich..of..the..following..mechanisms..to..the..nurse,..identify..as..responsible..for..this
..acid-base..imbalance..-..Correct..Answer-Retention..of..carbon..dioxide
A..nurse..is..planning..care..for..a..client..who..is..tuberculosis..which..of..the..followin
g..precautions..should..the..nurse..implement..for..this..client..-..Correct..Answer-
Airborne..precautions
A..nurse..is..caring..for..a..client..who..is..three..hours,..post..operative,..and..exhibitin
g..signs..of..hypokalemia..which..of..the..following..findings...Should..the..nurse..ide
ntify..as..a..manifestation..of..hypovolemia...-..Correct..Answer-Rapid..pulse..rate
A..nurse..is..caring..for..a..client..who..has..a..prescription..for..lactated..ringers..by..co
ntinuous..IV..infusion..to..replace..output..from..an..NG..tube..which..of..the..followi
ng..findings..should..indicate..to..the..nurse..that..this..therapy..is..effective..-
..Correct..Answer-A..urine..specific..gravity..of..1.020
A..nursing..emergency..department..is..caring..for..a..client..who's..confused,..has..a..
temperature..of..104°F,..a..blood..pressure..of..74/52..and..a..diagnosis..of..exertional..
heat..stroke..which..of..the..following..action..should..the..nurse..take..first..-
..Correct..Answer-Administer..oxygen..using..a..high..concentration..mask