and Correct Verified Answers 2025
A client is having Radical Mastectomy. What is the position of choice
during the immediate postoperative period? -Answer:-C. Semi-
Fowler's position with the arm on the operative side elevated
A client is receiving 0.5 grams of a prescription medication that is
dispensed as 500 mg/5mL. How many ml should the PN administer?
(enter the numeric value only. If rounding is required, round to the
nearest tenth.) -Answer:-5
A client is receiving dexamethasone (Hexadrol, Decadron). What
symptoms should the nurse recognize as Cushioned side effects? -
Answer:-A. Moon face, Slow wound healing, muscle wasting sodium
and water retention
A client is receiving nitroglycerin sublingual tablets for angina. What
response should the nurse expect the client to manifest in response
to the administration of this drug during an acute anginal episode? -
Answer:-B. Cessation of acute chest pain
,A client is returning to the surgical unit after a total right knee
replacement. Which assessment findings are most important for the
nurse to include in this client's record? -Answer:-A. Pedal pulses,
pallor, pain, paresthesia or paralysis
A client is using an incentive spirometer on the first postoperative
day after an inguinal Herniorrhaphy. The nurse should re-teach the
proper use of the spirometer when the client demonstrates what
action? -Answer:-C. Blowing forcefully into the mouthpiece
A client presents in the clinic because of generalized swelling after a
bee sting. What intervention should the nurse implement first? -
Answer:-C. Determine respiratory status and apply a pulse oximeter
A client receives a new prescription for the angiotensin II receptor
antagonist losartan (Cozaar). Which client instruction should the
nurse encourage this client to follow? -Answer:-A. Move slowly
when getting up to prevent sudden dizziness
,A client requires application of an eye shield to the right eye. What
should the nurse do in order to apply tape in which direction to
anchor the shield most effectively? -Answer:-B. Longitudinally from
the right forehead to the right cheek
A client returns to the postoperative unit following an open
reduction and internal fixation of a hip fracture. The practical nurse
applies the prescribed sequential compression devise (SCD) to both
lower extremities. (BLE). What action is important when turning the
client to a lateral position? -Answer:-D. Observe the SCDs continue
to inflate and deflate when the client is turned
A client returns to the unit following a cardiac catheterization with a
Femoral artery Access. Which objective criteria is most important
for the nurse to obtain immediately upon the clients return? -
Answer:-B. Pedal pulses
A client's chief complaint is being able to swallow only small bites of
solid food and liquid's for the last 3months. The nurse should assess
the client for what additional information? -Answer:-A. History of
alcohol and tobacco use
, A client's daughter phones the charge nurse to report that the night
nurse did not provide good care for her mother. What response
should the nurse make? -Answer:-A. Ask for a description of what
happened during the night
A client who had a lobectomy two days ago has 2 chest tubes, each
attached to a water-sealed drainage system, Pleur-Evac. The nurse
observes that in the last 8 hours the serosanguineous fluid has
diminished to output in the drainage chamber. What is the most
likely outcome of this observation? -Answer:-B. Change the Pleur-
Evac system and re-assess output in the empty chamber
A client with diabetes is admitted with a 1cm size ulcer on the left
great toe. The nurse observes that the left foot has a dusky color. In
planning the client's care, which intervention should the nurse
implement first? -Answer:-D. Check the client's dorsalis pedis and
posterior tibialis pulse point
A client with Meningitis is in a coma and Nursing care includes
seizure precautions. To help prevent seizure activity, what