Answers | Latest Version | 2025/2026 |
Correct & Verified
A nurse is caring for a child with epiglottitis. Which action is contraindicated?
A. Keep the child calm
✔✔B. Inspect the throat with a tongue depressor
C. Provide humidified oxygen
D. Prepare for possible intubation
A client on chemotherapy has a WBC count of 2,000/mm³. Which nursing action is most
important?
A. Encourage a high-protein diet
✔✔B. Implement neutropenic precautions
C. Increase fluid intake
D. Provide passive range-of-motion exercises
A nurse is reinforcing teaching about nitroglycerin sublingual tablets. Which statement by the
client indicates correct use?
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,A. “I should swallow the tablet immediately.”
✔✔B. “I can take one tablet every 5 minutes for up to three doses if chest pain persists.”
C. “I should take it with a full meal.”
D. “I will keep it in a pill organizer.”
A client with a chest tube reports shortness of breath and the nurse notes tracheal deviation. What
is the priority action?
A. Document the finding
✔✔B. Notify the healthcare provider immediately
C. Increase suction
D. Milk the chest tube
A nurse is preparing to administer insulin lispro to a diabetic client. The nurse should
A. Administer 30 minutes before meals
✔✔B. Administer within 15 minutes of a meal
C. Give at bedtime
D. Mix only with long-acting insulin in the same syringe
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,A nurse is caring for a client with cirrhosis and ascites. Which dietary instruction is appropriate?
A. Increase sodium intake
B. Increase fluid intake
✔✔C. Restrict sodium intake
D. Avoid high-protein foods
A client with schizophrenia reports hearing voices. The nurse’s best initial response is to
A. Tell the client the voices are not real
✔✔B. Acknowledge the client’s feelings and redirect
C. Ask the client to ignore the voices
D. Call security
A nurse is caring for a client who had a thyroidectomy. Which finding is most concerning?
A. Hoarseness
B. Sore throat
✔✔C. Difficulty breathing
D. Mild neck pain
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, A client receiving IV antibiotics develops hives and shortness of breath. The nurse should first
A. Notify the provider
✔✔B. Stop the infusion immediately
C. Elevate the legs
D. Give pain medication
A nurse is providing discharge teaching to a client with a new colostomy. Which statement
indicates understanding?
A. “I will avoid all physical activity.”
✔✔B. “I will empty the pouch when it is one-third to one-half full.”
C. “I will change the pouch daily.”
D. “I will avoid showering with the pouch on.”
A client receiving furosemide reports muscle cramps. Which lab value should the nurse check
first?
A. Sodium
✔✔B. Potassium
C. Glucose
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