NCLEX QUESTION TRAINER TEST WITH
VERIFIED ANSWERS
The fnurse freturns fto fthe fnurse's fstation fafter fmaking fclient frounds fand ffinds ffour
fphone fmessages. fWhich fof fthe ffollowing fmessages fshould fthe fnurse freturn fFIRST?
f1. fA fclient fwith fhepatitis fA fwho fstates, f"My farms fand flegs fare fitching."
f2. fA fclient fwith fa fcast fon fthe fright fleg fwho fstates, f"I fhave fa ffunny ffeeling fin fmy fright
fleg."
f3. fA fclient fwith fosteomyelitis fof fthe fspine fwho fstates, f"I fam fso fnauseated fthat fI fcan't
feat."
f4. fA fclient fwith farthritis fwho fstates, f"I fam fhaving ftrouble fsleeping fat fnight." f-
fCORRECT✅✅2
Following ftotal fhip farthroplasty, fan felderly fclient fis fordered fto fbegin fambulation fwith fa
fwalker. fWhich fof fthe ffollowing fstatements fby fthe fnurse fis fBEST?
f1. f"Sit fin fa flow fchair ffor fease fin fgetting fup fto fuse fthe fwalker."
f2. f"Make fsure frubber fcaps fare fin fplace fon fall ffour flegs fof fthe fwalker."
f3. f"You fwill fbegin fweight fbearing fon fthe faffected fhip fsoon."
f4. f"Practice ftying fyour fown fshoes fbefore fyou fbegin fambulating." f- fCORRECT✅✅2
A fclient fcomes fto fthe fhospital fat fterm fin fthe fearly fstages fof flabor. fA fdiagnosis fof
fcomplete fplacenta fprevia fis fmade. fIt fis fMOST fimportant ffor fthe fnurse fto ftake fwhich
fof fthe ffollowing factions?
f1. fStart fan fIV fof fterbutaline f(Brethine) fand fmonitor fthe fpatient's fvital fsigns fclosely.
f2. fPrepare fthe fpatient ffor fan fimmediate fcesarean fsection.
f3. fMaintain fthe fpatient fon fbedrest funtil fspontaneous fvaginal fdelivery fis fachieved.
f4. fMonitor fthe fpatient's flength fand fduration fof fcontractions. f- fCORRECT✅✅2
Which fof fthe ffollowing fnursing fobservations findicates fto fthe fnurse fthat fa fchild
fdiagnosed fwith fepiglottitis fis fhaving fan fearly fcomplication fof fhypoxemia?
f1. fHeart frate fof f148 fbeats fper fminute f(bpm).
f2. fBluish fdiscoloration fof fthe fskin.
f3. fBluish fdiscoloration faround fthe fmouth.
f4. fDifficulty fswallowing. f- fCORRECT✅✅1
After fstabilizing fa fclient fwith fsevere fmultiple ftrauma finjuries ffrom fa fmotor fvehicle
faccident, fwhich fof fthe ffollowing factions fby fthe fnurse fis fBEST?
f1. fLimit fvisiting fhours fto fpromote foptimal frest.
f2. fArrange ffor fclergy fto fvisit fwith fthe fclient fand ffamily fas frequested.
,f3. fArrange ffor fa fpsychologist fto fvisit fwith fthe ffamily.
f4. fArrange ffor fthe ffamily fto fmeet fwith fa fsocial fworker fto fdiscuss ffinancial faid. f-
fCORRECT✅✅2
The fnurse's faide fcomes fto ftake fa fclient fby fwheelchair ffor fa fmagnetic fresonance
fimaging f(MRI) fscan fof fthe fhead fand fneck. fWhich fof fthe ffollowing fobservations, fif
fmade fby fthe fnurse, frequires fan fintervention?
f1. fThe fclient fremoves fher fdentures fand fgives fthem fto fher fspouse.
f2. fThe fclient's fvital fsigns fare fBP f120/70, fpulse f80, frespirations f12, ftemperature f99°F
f(37.3°C).
f3. fThe fclient fhas fa fnitroglycerine fpatch fon fthe fright fchest farea.
f4. fThe fclient fhas fred fnail fpolish fon fboth ffingers fand ftoes. f- fCORRECT✅✅3
The fneonatal fnurse finstructs fthe ffamily fof fa fnewborn fabout fan fapnea fmonitor. fThe
fnurse fis fMOST fconcerned fif fa ffamily fmember fmakes fwhich fof fthe ffollowing
fstatements?
f1. f"We fwill fbe fable fto fleave four fbaby ffor fbrief fperiods fof ftime."
f2. f"We fplan fto fsleep fby four fbaby's fcrib."
f3. f"We fcan fremove fthe fmonitor fduring four fbaby's fbath."
f4. f"A ffamily fmember fwill fclosely fwatch fthe fmonitor fall fthe ftime." f- fCORRECT✅✅4
A fclient fhas fa fcast fapplied ffor fa ffracture fof fthe fright ffemur. fThree fhours flater, fthe
fclient fcomplains fthat fit fis fhot fand fpainful funder fthe fcast. fWhich fof fthe ffollowing fis fthe
fMOST fappropriate faction ffor fthe fnurse fto ftake?
f1. fAssess fthe fcast ffor fwet fspots, fand fincrease fair fcirculation fin fthe froom.
f2. fCheck fthe fcirculation fin fthe fcasted fextremity, fand fchange fthe fclient's fposition.
f3. fTake fthe fclient's ftemperature, fand fobserve ffor fother fsigns fof finfection.
f4. fMedicate fthe fclient ffor fpain, fand fnotify fthe fphysician fof fhis fcomplaint. f-
fCORRECT✅✅2
A fclient fis fadmitted fto fthe fhospital fwith fdry fmucous fmembranes fand fdecreased fskin
fturgor. fThe fclient's fvital fsigns fare fBP f120/70, ftemperature f101°F f(38.3°C), fpulse f88,
frespirations f14. fLaboratory ftests findicate fthe fserum fsodium fis f150 fmEq/L fand fthe
fHct fis f48%. fThe fnurse fexpects fthe fphysician fto forder fwhich fof fthe ffollowing fIV
ffluids?
f1. fD5NS.
f2. f0.45% fNaCl.
f3. f0.9% fNaCl.
f4. fLactated fRinger's. f- fCORRECT✅✅2
Which fof fthe ffollowing fplans fis fMOST fappropriate ffor fthe fnurse fto fuse fto fprepare fa
f10-year-old ffor fa fcardiac fcatheterization?
,f1. fShow fa fvideotape fspecifically fprepared ffor fchildren fabout fcardiac fcatheterization.
f2. fProvide fthe fchild fwith fa fpamphlet fabout fthe fprocedure, fand fencourage fhim fto
fread fit.
f3. fDraw fa fpicture fof fa fheart, fand fexplain fwhere fthe ftube fwill fgo fand fwhat fthe fdoctor
fwill fsee.
f4. fPresent fa fpuppet fshow fexplaining fthe fanatomy fand fphysiology fof fthe fheart. f-
fCORRECT✅✅3
The fnurse fcares ffor fa fclient fcomplaining fof fmoderate fpain. fWhich fof fthe ffollowing
fnursing factions fis fMOST fimportant fto fprovide fthe fpatient fwith feffective fpain frelief?
f1. fTeach fthe fpatient fabout fthe fpain.
f2. fEstablish fa ftrusting frelationship fwith fthe fpatient.
f3. fDetermine fhow fvarious frelaxation ftechniques faffect fthe fpain.
f4. fProvide falternative fmeasures fto frelieve fpain f- fCORRECT✅✅2
A fclient fdiagnosed fwith fa fnecrotizing fspider fbite fis fto fperform fdressing fchanges fat
fhome. fThe fnurse fdetermines fwhich fof fthe ffollowing fstatements, fif fmade fby fthe fclient,
findicates fa fcorrect funderstanding fof faseptic ftechnique?
f1. f"I fneed fto fbuy fsterile fgloves fto fredress fthis fwound."
f2. f"I fshould fwash fmy fhands fbefore fredressing fmy fwound."
f3. f"I fshould fkeep fthe fwound fcovered fat fall ftimes."
f4. f"I fshould fuse fan fover-the-counter fantimicrobial fointment." f- fCORRECT✅✅2
An fadult fclient fis fadmitted fto fan facute flocked fpsychiatric funit fone fmonth fprior fto fan
felection. fThe fclient frequests fthe fopportunity fto fvote fin fthe fupcoming felection. fWhich
fof fthe ffollowing fresponses fby fthe fnurse fis fBEST?
f1. f"You fare fnot feligible fto fvote fbecause fyou fare fa fpsychiatric fpatient."
f2. f"I'll fmake fthe fappropriate farrangements ffor fyou fto fvote."
f3. f"You fmay fvote fonly fif fyou fare fdischarged fby fElection fDay."
f4. f"I'll fcontact fthe fElection fBoard fto fsee fif fyou fare fregistered fto fvote." f-
fCORRECT✅✅2
The fnurse fadministers fsublingual fnitroglycerin f(Nitrostat) fto fa fclient fcomplaining fof
fchest fpain. fWhich fof fthe ffollowing fobservations fis fMOST fimportant ffor fthe fnurse fto
freport fto fthe fnext fshift?
f1. fThe fclient findicates fthe fneed fto fuse fthe fbathroom.
f2. fBlood fpressure fhas fdecreased ffrom f140/80 fto f90/60.
f3. fRespiratory frate fhas fincreased ffrom f16 fto f24.
f4. fThe fclient findicates fthat fthe fchest fpain fhas fsubsided. f- fCORRECT✅✅2
, One fof fthe fgoals fthe fnurse fand fa fclient fdiagnosed fwith fposttraumatic fstress fdisorder
f(PTSD) fmutually fagreed fupon fis fthat fthe fclient fwill fincrease fparticipation fin fout-of-the
fapartment factivities. fWhich fof fthe ffollowing frecommendations, fif fmade fby fthe fnurse,
fis fMOST ftherapeutic fto fachieve fthis fgoal?
f1. fTake fa fday ftrip fwith fa ffriend.
f2. fTake fan f11-minute fbus fride falone.
f3. fJoin fa fsupport fgroup, fand fparticipate fin fa fvictim fassistance forganization.
f4. fTake fa f10-minute fwalk fwith fthe fspouse faround fthe fblock. f- fCORRECT✅✅3
A fclient fis fscheduled ffor fa ftraditional fabdominal fcholecystectomy. fWhich fof fthe
ffollowing fstatements, fif fmade fby fthe fnurse fto fthe fclient fthe fnight fbefore fsurgery, fis
fMOST fimportant?
f1. f"It fis fimportant ffor fyou fto feat ffoods ffrom fevery flevel fof fthe ffood fpyramid fand
favoid fexcessive ffats fin fyour fdiet."
f2. f"Place fthe fpillow fagainst fyour fabdomen, ftake fthree fdeep fbreaths, fhold fyour
fbreath, fand fthen fcough ftwo for fthree ftimes."
f3. f"There fwill fbe fa fmachine favailable fto fyou fafter fsurgery ffor fyou fto fuse fto
fcontinuously freceive fpain fmedication."
f4. f"You fmay fcome fback ffrom fsurgery fwith fa ftube fin fyour fnose fthat fdrains fyour
fgallbladder." f- fCORRECT✅✅2
A fmother fof fa f4-year-old fboy fcomes fto fthe fprenatal fclinic fto fconfirm fher fsecond
fpregnancy. fDuring fthe finitial fvisit, fit fis fMOST fimportant ffor fthe fnurse fto ftake fwhich fof
fthe ffollowing factions?
f1. fAssess fthe fclient's ffeelings fabout fpregnancy, flabor, fand fdelivery.
f2. fObtain fa fhistory fof fthe fclient's flast flabor fand fdelivery.
f3. fDetermine fhow fthe fclient's f4-year-old ffeels fabout fthe fpregnancy.
f4. fIdentify fthe fclient's fgeneral fhealth fneeds. f- fCORRECT✅✅4
The fnurse fprepares fthe fclient ffor fa fskin fbiopsy. fWhich fof fthe ffollowing fclient
fstatements fshould fthe fnurse freport fto fthe fphysician?
f1. f"I've fbeen ftaking faspirin ffor fmy fsore fknees."
f2. f"Using flotion fhas fhelped fmy fdry fskin."
f3. f"I fwent fto fthe ftanning fsalon fyesterday."
f4. f"I fhad fa fbig fbreakfast fthis fmorning." f- fCORRECT✅✅1
The fnurse fcares ffor fa fclient fdiagnosed fwith fa fperforated fbowel fsecondary fto fa fbowel
fobstruction. fAt fthe ftime fthe fdiagnosis fis fmade, fwhich fof fthe ffollowing fshould fbe fa
fpriority fin fthe fnursing fcare fplan?
f1. fMaintain fthe fclient fin fa fsupine fposition.
f2. fNotify fthe fclient's fnext fof fkin.
VERIFIED ANSWERS
The fnurse freturns fto fthe fnurse's fstation fafter fmaking fclient frounds fand ffinds ffour
fphone fmessages. fWhich fof fthe ffollowing fmessages fshould fthe fnurse freturn fFIRST?
f1. fA fclient fwith fhepatitis fA fwho fstates, f"My farms fand flegs fare fitching."
f2. fA fclient fwith fa fcast fon fthe fright fleg fwho fstates, f"I fhave fa ffunny ffeeling fin fmy fright
fleg."
f3. fA fclient fwith fosteomyelitis fof fthe fspine fwho fstates, f"I fam fso fnauseated fthat fI fcan't
feat."
f4. fA fclient fwith farthritis fwho fstates, f"I fam fhaving ftrouble fsleeping fat fnight." f-
fCORRECT✅✅2
Following ftotal fhip farthroplasty, fan felderly fclient fis fordered fto fbegin fambulation fwith fa
fwalker. fWhich fof fthe ffollowing fstatements fby fthe fnurse fis fBEST?
f1. f"Sit fin fa flow fchair ffor fease fin fgetting fup fto fuse fthe fwalker."
f2. f"Make fsure frubber fcaps fare fin fplace fon fall ffour flegs fof fthe fwalker."
f3. f"You fwill fbegin fweight fbearing fon fthe faffected fhip fsoon."
f4. f"Practice ftying fyour fown fshoes fbefore fyou fbegin fambulating." f- fCORRECT✅✅2
A fclient fcomes fto fthe fhospital fat fterm fin fthe fearly fstages fof flabor. fA fdiagnosis fof
fcomplete fplacenta fprevia fis fmade. fIt fis fMOST fimportant ffor fthe fnurse fto ftake fwhich
fof fthe ffollowing factions?
f1. fStart fan fIV fof fterbutaline f(Brethine) fand fmonitor fthe fpatient's fvital fsigns fclosely.
f2. fPrepare fthe fpatient ffor fan fimmediate fcesarean fsection.
f3. fMaintain fthe fpatient fon fbedrest funtil fspontaneous fvaginal fdelivery fis fachieved.
f4. fMonitor fthe fpatient's flength fand fduration fof fcontractions. f- fCORRECT✅✅2
Which fof fthe ffollowing fnursing fobservations findicates fto fthe fnurse fthat fa fchild
fdiagnosed fwith fepiglottitis fis fhaving fan fearly fcomplication fof fhypoxemia?
f1. fHeart frate fof f148 fbeats fper fminute f(bpm).
f2. fBluish fdiscoloration fof fthe fskin.
f3. fBluish fdiscoloration faround fthe fmouth.
f4. fDifficulty fswallowing. f- fCORRECT✅✅1
After fstabilizing fa fclient fwith fsevere fmultiple ftrauma finjuries ffrom fa fmotor fvehicle
faccident, fwhich fof fthe ffollowing factions fby fthe fnurse fis fBEST?
f1. fLimit fvisiting fhours fto fpromote foptimal frest.
f2. fArrange ffor fclergy fto fvisit fwith fthe fclient fand ffamily fas frequested.
,f3. fArrange ffor fa fpsychologist fto fvisit fwith fthe ffamily.
f4. fArrange ffor fthe ffamily fto fmeet fwith fa fsocial fworker fto fdiscuss ffinancial faid. f-
fCORRECT✅✅2
The fnurse's faide fcomes fto ftake fa fclient fby fwheelchair ffor fa fmagnetic fresonance
fimaging f(MRI) fscan fof fthe fhead fand fneck. fWhich fof fthe ffollowing fobservations, fif
fmade fby fthe fnurse, frequires fan fintervention?
f1. fThe fclient fremoves fher fdentures fand fgives fthem fto fher fspouse.
f2. fThe fclient's fvital fsigns fare fBP f120/70, fpulse f80, frespirations f12, ftemperature f99°F
f(37.3°C).
f3. fThe fclient fhas fa fnitroglycerine fpatch fon fthe fright fchest farea.
f4. fThe fclient fhas fred fnail fpolish fon fboth ffingers fand ftoes. f- fCORRECT✅✅3
The fneonatal fnurse finstructs fthe ffamily fof fa fnewborn fabout fan fapnea fmonitor. fThe
fnurse fis fMOST fconcerned fif fa ffamily fmember fmakes fwhich fof fthe ffollowing
fstatements?
f1. f"We fwill fbe fable fto fleave four fbaby ffor fbrief fperiods fof ftime."
f2. f"We fplan fto fsleep fby four fbaby's fcrib."
f3. f"We fcan fremove fthe fmonitor fduring four fbaby's fbath."
f4. f"A ffamily fmember fwill fclosely fwatch fthe fmonitor fall fthe ftime." f- fCORRECT✅✅4
A fclient fhas fa fcast fapplied ffor fa ffracture fof fthe fright ffemur. fThree fhours flater, fthe
fclient fcomplains fthat fit fis fhot fand fpainful funder fthe fcast. fWhich fof fthe ffollowing fis fthe
fMOST fappropriate faction ffor fthe fnurse fto ftake?
f1. fAssess fthe fcast ffor fwet fspots, fand fincrease fair fcirculation fin fthe froom.
f2. fCheck fthe fcirculation fin fthe fcasted fextremity, fand fchange fthe fclient's fposition.
f3. fTake fthe fclient's ftemperature, fand fobserve ffor fother fsigns fof finfection.
f4. fMedicate fthe fclient ffor fpain, fand fnotify fthe fphysician fof fhis fcomplaint. f-
fCORRECT✅✅2
A fclient fis fadmitted fto fthe fhospital fwith fdry fmucous fmembranes fand fdecreased fskin
fturgor. fThe fclient's fvital fsigns fare fBP f120/70, ftemperature f101°F f(38.3°C), fpulse f88,
frespirations f14. fLaboratory ftests findicate fthe fserum fsodium fis f150 fmEq/L fand fthe
fHct fis f48%. fThe fnurse fexpects fthe fphysician fto forder fwhich fof fthe ffollowing fIV
ffluids?
f1. fD5NS.
f2. f0.45% fNaCl.
f3. f0.9% fNaCl.
f4. fLactated fRinger's. f- fCORRECT✅✅2
Which fof fthe ffollowing fplans fis fMOST fappropriate ffor fthe fnurse fto fuse fto fprepare fa
f10-year-old ffor fa fcardiac fcatheterization?
,f1. fShow fa fvideotape fspecifically fprepared ffor fchildren fabout fcardiac fcatheterization.
f2. fProvide fthe fchild fwith fa fpamphlet fabout fthe fprocedure, fand fencourage fhim fto
fread fit.
f3. fDraw fa fpicture fof fa fheart, fand fexplain fwhere fthe ftube fwill fgo fand fwhat fthe fdoctor
fwill fsee.
f4. fPresent fa fpuppet fshow fexplaining fthe fanatomy fand fphysiology fof fthe fheart. f-
fCORRECT✅✅3
The fnurse fcares ffor fa fclient fcomplaining fof fmoderate fpain. fWhich fof fthe ffollowing
fnursing factions fis fMOST fimportant fto fprovide fthe fpatient fwith feffective fpain frelief?
f1. fTeach fthe fpatient fabout fthe fpain.
f2. fEstablish fa ftrusting frelationship fwith fthe fpatient.
f3. fDetermine fhow fvarious frelaxation ftechniques faffect fthe fpain.
f4. fProvide falternative fmeasures fto frelieve fpain f- fCORRECT✅✅2
A fclient fdiagnosed fwith fa fnecrotizing fspider fbite fis fto fperform fdressing fchanges fat
fhome. fThe fnurse fdetermines fwhich fof fthe ffollowing fstatements, fif fmade fby fthe fclient,
findicates fa fcorrect funderstanding fof faseptic ftechnique?
f1. f"I fneed fto fbuy fsterile fgloves fto fredress fthis fwound."
f2. f"I fshould fwash fmy fhands fbefore fredressing fmy fwound."
f3. f"I fshould fkeep fthe fwound fcovered fat fall ftimes."
f4. f"I fshould fuse fan fover-the-counter fantimicrobial fointment." f- fCORRECT✅✅2
An fadult fclient fis fadmitted fto fan facute flocked fpsychiatric funit fone fmonth fprior fto fan
felection. fThe fclient frequests fthe fopportunity fto fvote fin fthe fupcoming felection. fWhich
fof fthe ffollowing fresponses fby fthe fnurse fis fBEST?
f1. f"You fare fnot feligible fto fvote fbecause fyou fare fa fpsychiatric fpatient."
f2. f"I'll fmake fthe fappropriate farrangements ffor fyou fto fvote."
f3. f"You fmay fvote fonly fif fyou fare fdischarged fby fElection fDay."
f4. f"I'll fcontact fthe fElection fBoard fto fsee fif fyou fare fregistered fto fvote." f-
fCORRECT✅✅2
The fnurse fadministers fsublingual fnitroglycerin f(Nitrostat) fto fa fclient fcomplaining fof
fchest fpain. fWhich fof fthe ffollowing fobservations fis fMOST fimportant ffor fthe fnurse fto
freport fto fthe fnext fshift?
f1. fThe fclient findicates fthe fneed fto fuse fthe fbathroom.
f2. fBlood fpressure fhas fdecreased ffrom f140/80 fto f90/60.
f3. fRespiratory frate fhas fincreased ffrom f16 fto f24.
f4. fThe fclient findicates fthat fthe fchest fpain fhas fsubsided. f- fCORRECT✅✅2
, One fof fthe fgoals fthe fnurse fand fa fclient fdiagnosed fwith fposttraumatic fstress fdisorder
f(PTSD) fmutually fagreed fupon fis fthat fthe fclient fwill fincrease fparticipation fin fout-of-the
fapartment factivities. fWhich fof fthe ffollowing frecommendations, fif fmade fby fthe fnurse,
fis fMOST ftherapeutic fto fachieve fthis fgoal?
f1. fTake fa fday ftrip fwith fa ffriend.
f2. fTake fan f11-minute fbus fride falone.
f3. fJoin fa fsupport fgroup, fand fparticipate fin fa fvictim fassistance forganization.
f4. fTake fa f10-minute fwalk fwith fthe fspouse faround fthe fblock. f- fCORRECT✅✅3
A fclient fis fscheduled ffor fa ftraditional fabdominal fcholecystectomy. fWhich fof fthe
ffollowing fstatements, fif fmade fby fthe fnurse fto fthe fclient fthe fnight fbefore fsurgery, fis
fMOST fimportant?
f1. f"It fis fimportant ffor fyou fto feat ffoods ffrom fevery flevel fof fthe ffood fpyramid fand
favoid fexcessive ffats fin fyour fdiet."
f2. f"Place fthe fpillow fagainst fyour fabdomen, ftake fthree fdeep fbreaths, fhold fyour
fbreath, fand fthen fcough ftwo for fthree ftimes."
f3. f"There fwill fbe fa fmachine favailable fto fyou fafter fsurgery ffor fyou fto fuse fto
fcontinuously freceive fpain fmedication."
f4. f"You fmay fcome fback ffrom fsurgery fwith fa ftube fin fyour fnose fthat fdrains fyour
fgallbladder." f- fCORRECT✅✅2
A fmother fof fa f4-year-old fboy fcomes fto fthe fprenatal fclinic fto fconfirm fher fsecond
fpregnancy. fDuring fthe finitial fvisit, fit fis fMOST fimportant ffor fthe fnurse fto ftake fwhich fof
fthe ffollowing factions?
f1. fAssess fthe fclient's ffeelings fabout fpregnancy, flabor, fand fdelivery.
f2. fObtain fa fhistory fof fthe fclient's flast flabor fand fdelivery.
f3. fDetermine fhow fthe fclient's f4-year-old ffeels fabout fthe fpregnancy.
f4. fIdentify fthe fclient's fgeneral fhealth fneeds. f- fCORRECT✅✅4
The fnurse fprepares fthe fclient ffor fa fskin fbiopsy. fWhich fof fthe ffollowing fclient
fstatements fshould fthe fnurse freport fto fthe fphysician?
f1. f"I've fbeen ftaking faspirin ffor fmy fsore fknees."
f2. f"Using flotion fhas fhelped fmy fdry fskin."
f3. f"I fwent fto fthe ftanning fsalon fyesterday."
f4. f"I fhad fa fbig fbreakfast fthis fmorning." f- fCORRECT✅✅1
The fnurse fcares ffor fa fclient fdiagnosed fwith fa fperforated fbowel fsecondary fto fa fbowel
fobstruction. fAt fthe ftime fthe fdiagnosis fis fmade, fwhich fof fthe ffollowing fshould fbe fa
fpriority fin fthe fnursing fcare fplan?
f1. fMaintain fthe fclient fin fa fsupine fposition.
f2. fNotify fthe fclient's fnext fof fkin.
