REAL QUESTIONS AND WELL VERIFIED
ANSWERS || ALREADY GRADED A+||
GUARANTEED PASS | LATEST VERSION 2025
A nurse is conducting an admission interview with a client. Which of the
following pieces of assessment information should the nurse collect during the
introductory phase of the interview?"
A) Clients level of comfort and ability to participate in the interview
B) Previous illnesses and surgeries
C) Events surrounding the clients recent illness
D) Sociocultural history - ANSWER-A) Clients level of comfort and ability to
participate in the interview
A nurse is planning to assess the abdomen of a client who reports feeling
bloated for several weeks. Which of the following methods of assessment
should the nurse use first?
A) inspection
B) Auscultation
C) Percussion
D)Palpation - ANSWER-A) Inspection
A nurse is performing a comprehensive physical assessment of a client. The
nurse should use inspection to assess which of the following?
A) Liver size
B) Pedal edema
C) Skin texture
,D) Gait - ANSWER-D) Gait
A nurse is caring for a client who is immobile. The nurse should recognize that
immobility places the client at risk of which of the following health alterations?
A) Increased intestinal motility
B) Respiratory alkalosis
C) Decreased cardiac output
D) Hypocalcemia - ANSWER-C) Decreased cardiac output
A nurse is preparing to perform mouth care for an unresponsive client. Which of
the following actions should the nurse plan to take?
A) Place the client supine
B) Keep both side rails up
C) Raise the level of the bed
D) Inspect the clients mouth using a finger sweep - ANSWER-C)Raise the level
of the bed
A nurse is preparing to administer an afternoon dose of ampicillin to a client.
The client appears upset and refuses to take the medication before throwing the
pill on the floor. Which of the following entries should the nurse enter into the
clients medical record?
A) the client refuses to take medication today
B) The client states, "I will not take this pill."
C) The client seemed angry and hostile
D) The client threw the medication on the floor - ANSWER-D) The client
threw the medication on the floor
A nurse is a rehabilitation facility is observing an assistive personal (AP) help a
client transfer from a bed to a wheelchair. Which of the following actions
indicates to the nurse that the AP understands how to perform this task A)
Locking the brakes on the bed and the wheelchair before moving the client
,B) Lowering the footplates of the wheelchair before the transfer
C) Placing the wheelchair perpendicular to the bed
D) Placing the wheelchair on the clients weaker side prior to the transfer -
ANSWER-A) Locking the brakes on the bed and the wheelchair before moving
the client
A nurse is performing a physical assessment of a client. The nurse should
recognize that which of the following places the client at risk of impaired skin
integrity?
A) 3+ Achilles reflex
B) Faint pedal pulses
C) Feet warm to the touch bilaterally
D) Capillary refill of <2 seconds - ANSWER-B) Faint pedal pulse
A nurse is assessing a client. Which of the following findings should the nurse
identify as an indication of protein-calorie malnourishment (SATA)
A) Gingivitis
B) Dry, brittle hair
C) Edema
D) Spoon-shaped nails
E) Poor wound healing - ANSWER-B) Dry, brittle hair
D) Spoon-shaped nails
E) Poor wound healing
A nurse is caring for a client who has bilateral casts on her hands. Which of the
following actions should the nurse take when assisting the client with feeding?
A) Sit at the bedside while feeding the client
B) Order puréed foods
C) Make sure feedings are provided at room temperature
, D) Offer the client a drink after every bite - ANSWER-A) Sit at the bedside
while feeding the client
A nurse is changing the dressing for a client recovering from an appendectomy
following a ruptured appendix. The clients surgical wound is healing by
secondary intention. Which of the following observations should the nurse
report to the provider?
A) Tenderness when touched
B) Pink, shiny tissue with a granular appearance
C) Serosanguineous drainage
D) Halo of erythema on the surrounding skin - ANSWER-D) Halo of erythema
on the surrounding skin
A nurse is caring for a client with alcohol use disorder who has undergone
detoxification. Which of the following medications should the nurse expect the
provider to prescribe to assist the client with maintaining sobriety
A) Varenicline
B) Clonidine
C) Buprenorphine
D) Disulfiram - ANSWER-D) Disulfiram
A newly admitted client who has major depressive disorder states to the nurse,
"I'm a failure, I can't even cope with the little things anymore." Which of the
following responses should the nurse provide?
A) "What happened in your life to make you feel like such a failure?"
B) "It sounds as if you are feeling pretty overwhelmed right now"
C) "Do you feel like you don't deserve to feel good about yourself?"
D) "I know you feel like that now, but you'll feel differently when you get
better" - ANSWER-C) "Do you feel like you don't deserve to feel good
about yourself?"