ANSWERS] WITH PRACTICE EXAM DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST UPDATE 2025 GRADED A
When care is planned for Mr. Mathis, which nursing diagnosis should take priority? -
CORRECT ANSWER Impaired physical mobility.
Which goal is correct for Mr. Mathis' diagnosis of impaired physical mobility? -
CORRECT ANSWER The client will sit in the chair for each meal beginning on the
day of admission.
Which instructions should the nurse convey to help prevent venous thromboembolism
(VTE) in Mr. Mathis' legs? - CORRECT ANSWER -Teach Mr. Mathis to dorsal flex
and plantar flex his feet while in the bed and chair.
-Instruct Mr. Mathis to wear sequential compression stockings.
-Explain that enoxaparin injections will be administered routinely.
The nurse is observing a student nurse perform a peripheral assessment on Mr. Mathis.
Which action requires the nurse to intervene? - CORRECT ANSWER Assessing the
Homan's sign in bilateral extremities.
The HCP has prescribed thigh-high antiembolic hose for Mr. Mathis. The nurse
assesses the client's legs every 8 hours. Which assessment finding reflects signs of
possible thrombophlebitis that should be reported to the HCP? - CORRECT ANSWER
Unilateral calf edema.
Which instruction should the nurse give to the unlicensed assistive personnel (UAP) for
positioning Mr. Mathis' legs? - CORRECT ANSWER Use two pillows and place one
lengthwise under each calf.
Which nursing diagnosis best applies to Mr. Mathis' nutritional assessment? -
CORRECT ANSWER Imbalanced nutrition: less than body requirements.
The nurse instructs Mr. Mathis to increase his intake of which foods to prevent a
decrease in bone density? - CORRECT ANSWER Calcium rich foods.
Which foods should the nurse encourage? - CORRECT ANSWER Milk, oatmeal, and
an orange.
How should the nurse teach the UAP to position the chair to ensure a safe transfer? -
CORRECT ANSWER Position the chair at a 45 degree angle to the bed on Mr.
Mathis' left side.