and Answers | Latest Version | 2025/2026
| Correct & Verified
A nurse is caring for a client with a newly applied cast. Which finding should the nurse report
immediately?
A. Warm fingers with brisk capillary refill
✔✔ B. Severe pain not relieved by analgesics
C. Mild swelling around the cast
D. The client asks for water
Which action demonstrates proper aseptic technique when inserting a urinary catheter?
✔✔ A. Donning sterile gloves before touching the catheter
B. Cleaning the perineal area after inserting the catheter
C. Asking the client to hold the catheter
D. Using the same gloves to reposition the client
A client with COPD asks why oxygen therapy is limited. What is the nurse's best response?
A. "You don’t need extra oxygen since you're still breathing."
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,B. "Too much oxygen makes breathing harder."
✔✔ C. "High oxygen levels can reduce your drive to breathe."
D. "We save oxygen for emergencies only."
The nurse is reviewing a client’s lab results. Which value should be reported to the provider?
A. Sodium 138 mEq/L
✔✔ B. Potassium 2.9 mEq/L
C. Hemoglobin 13.2 g/dL
D. Platelet count 210,000/mm³
A client prescribed furosemide is at risk for which electrolyte imbalance?
A. Hypernatremia
✔✔ B. Hypokalemia
C. Hypercalcemia
D. Hypoglycemia
Which client statement indicates understanding of warfarin (Coumadin) therapy?
A. "I will take aspirin if I get a headache."
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,B. "I can eat all the spinach I want now."
✔✔ C. "I will use a soft toothbrush and electric razor."
D. "My nosebleeds mean the medicine is working."
Which assessment should the nurse perform before giving digoxin?
A. Respiratory rate
✔✔ B. Apical heart rate
C. Blood glucose
D. Capillary refill
A client newly diagnosed with diabetes is learning insulin injection. Which nurse action ensures
client safety?
✔✔ A. Observing the client perform a return demonstration
B. Giving all future injections for the client
C. Referring the client to dietary counseling
D. Advising the client to use expired insulin in emergencies
Which is the priority nursing diagnosis for a client with active suicidal thoughts?
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, A. Risk for injury
✔✔ B. Risk for suicide
C. Disturbed body image
D. Ineffective coping
A client with an NG tube complains of nausea. What is the nurse’s first action?
A. Administer antiemetic
✔✔ B. Check tube patency
C. Give water through the tube
D. Clamp the tube immediately
A nurse is teaching fall prevention to an elderly client at home. Which statement requires further
teaching?
A. "I will install grab bars in my bathroom."
✔✔ B. "I’ll wear my socks when walking on hardwood floors."
C. "I’ll remove loose rugs from the hallway."
D. "I will use a nightlight to find my way in the dark."
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