Answers | Latest Version | 2025/2026 |
Correct & Verified
A client with pneumonia is producing thick, yellow sputum. Which intervention should the nurse
encourage?
A. Restrict oral fluids
✔✔B. Increase fluid intake
C. Use a low-sodium diet
D. Limit ambulation
A client receiving furosemide for heart failure has a potassium level of 2.8 mEq/L. Which is the
nurse’s priority action?
A. Monitor intake and output
✔✔B. Notify the healthcare provider
C. Encourage low-potassium foods
D. Measure daily weight
A client with chronic kidney disease presents with hyperkalemia. What is the first action?
1
,✔✔A. Place the client on a cardiac monitor
B. Start IV fluids
C. Provide a high-protein snack
D. Measure abdominal girth
A post-op client develops redness and warmth in the left calf. Which is the priority action?
A. Massage the calf
B. Apply ice
✔✔C. Notify the healthcare provider
D. Encourage walking
A client with newly diagnosed hypertension asks how to lower blood pressure naturally. Which
statement shows understanding?
✔✔A. “I will limit my salt intake.”
B. “I will avoid exercise.”
C. “I will stop medications when my pressure is normal.”
D. “I will check my pressure once a year.”
2
,A client undergoing chemotherapy reports painful mouth sores. Which meal is most appropriate?
A. Fresh salad
B. Spicy chicken wings
✔✔C. Mashed potatoes with gravy
D. Citrus fruit
A client with COPD has an oxygen saturation of 88%. What should the nurse do first?
A. Place the client in Trendelenburg
✔✔B. Encourage pursed-lip breathing
C. Provide high-carbohydrate snacks
D. Increase oxygen above prescribed
A client with cirrhosis develops confusion. Which lab should the nurse review first?
A. Sodium
✔✔B. Ammonia
C. Calcium
D. Hemoglobin
3
, Before giving digoxin, the nurse finds an apical pulse of 54 beats/min. What is the priority
action?
✔✔A. Hold the medication and notify the provider
B. Give the medication with food
C. Monitor temperature
D. Offer oral fluids
A diabetic client is pale, sweaty, and shaky. Which snack should be given first?
A. Slice of cheese
B. Peanut butter on toast
✔✔C. 4 oz orange juice
D. Apple slices
After a thyroidectomy, the client has noisy breathing and difficulty speaking. What is the nurse’s
first action?
A. Suction the client
✔✔B. Notify the healthcare provider immediately
C. Offer ice chips
4