ANSWERS GUARANTEED SUCCESS A+
Question .1
A .school-age .client .with .diabetes .is .placed .on .an .intermediate-
.acting .insulin .and .regular .insulin .before .breakfast .and .before
.dinner. .She .will .receive .a .snack .of .milk .and .cereal .at .bedtime.
.What .does .the .nurse .tell .the .client .the .snack .is .intended .to .do?
You . Selected:
• Prevent .late .night .hypoglycemia.
Correct . response:
• Prevent .late .night .hypoglycemia.
Question .2
A .well-known .public .official .of .a .small .community .is .admitted .to
.the .emergency .department .following .an .episode .of .chest .pain.
Several .nurses .from .the .medical .unit .are .aware .of .the .admission .and
.access .the .official’s .electronic .medical .record .to .obtain .a .status
.update. .What .is .the .best .response .for .the .nurse .manager .to .make .to
.the .nurses .regarding .this .situation?
You .Selected:
• “Assessing .the .official’s .medical .record .is .a .breach .of
.confidentiality.”
Correct . response:
• “Assessing .the .official’s .medical .record .is .a .breach .of
.confidentiality.”
,Question .3
A .four-year-old .child .is .diagnosed .as .having .acute .lymphocytic
.leukemia. .The .white .blood .cell .(WBC) .count, .especially .the
.neutrophil .count, .is .low. .What .is .the .most .important .intervention
.the .nurse .should .teach .the .parents?
You . Selected:
• Protect .your .child .from .infections .because .his .resistance .to
.infection .is .decreased
Correct . response:
• Protect .your .child .from .infections .because .his .resistance .to
.infection .is .decreased
Question .4
The .nurse .is .caring .for .a .client .with .influenza. .The .most .effective
.way .to .decrease .the .spread .of .microorganisms .is:
You . Selected:
• placing .the .client .in .isolation.
Correct . response:
• washing .the .hands .frequently.
Question .5
A .client .with .a .history .of .hypertension .has .been .prescribed .a .new
.antihypertensive .medication .and .is .reporting .dizziness. .Which .is
.the .best .way .for .the .nurse .to .assess .blood .pressure?
You . Selected:
• in .the .supine, .sitting, .and .standing .positions
,Correct . response:
• in .the .supine, .sitting, .and .standing .positions
Question .6
A .client .has .a .soft .wrist-safety .device. .Which .assessment .finding
.should .the .nurse .investigate .further?
You . Selected:
• cool, .pale .fingers
Correct . response:
• cool, .pale .fingers
Question .7
A .nurse .is .caring .for .a .female .client .before .surgery. .The .client .states
.that .she .is .glad .that .she .will .not .be .going .through .menopause .as .a
.result .of .her .surgery .and .is .only .having .her .uterus .removed. .The
.nurse .reviews .the .consent .form .and .notes .that .the .surgery .is .for .a
.total .abdominal .hysterectomy .with .a .salpingo-oophorectomy. .What
.should .the .nurse .do .in .this .situation?
You . Selected:
• Contact .the .surgeon .to .explain .that .the .client .needs .further
.clarification .regarding .surgery.
Correct . response:
• Contact .the .surgeon .to .explain .that .the .client .needs .further
.clarification .regarding .surgery.
, Question .8
A .young .client .diagnosed .with .schizophrenia .is .talking .with .the
.nurse .and .says, ."You .know, .when .I .thought .everyone .was .out .to .get
.me, .I .was .staying .in .my .apartment .all .the .time. .Now, .I .would .like .to
.get .out .and .do .things .again." .What .is .the .best .initial .response .by .the
.nurse?
You . Selected:
• "What .activities .did .you .enjoy .in .the .past?"
Correct . response:
• "What .activities .did .you .enjoy .in .the .past?"
Question .9
A .client .with .anemia .has .been .admitted .to .the .medical-surgical .unit.
.Which .assessment .findings .are .characteristic .of .iron .deficiency
.anemia?
You . Selected:
• nausea, .vomiting, .and .anorexia
Correct . response:
• dyspnea, .tachycardia, .and .pallor
Question .10
The .nurse .is .discontinuing .an .intravenous .catheter .on .a .10-year-old
.client .with .hemophilia. .What .would .be .the .most .important
.intervention .for .this .client?
You . Selected: