EXAM] LATEST VERSION [QUESTIONS AND ANSWERS] WITH
PRACTICE EXAM DETAILED AND VERIFIED FOR GUARANTEED
PASS- LATEST UPDATE 2025 GRADED A (BRAND NEW!!)
When should a client take ferrous gluconate for anemia? - ✔✔✔✔✔ The medication
should be taken between meals.
What daily hygiene practice should a nurse recommend for a client with cellulitis? -
✔✔✔✔✔ Wash daily with an antibacterial soap.
What should a nurse instruct a postoperative client with an ileostomy regarding
medication forms? - ✔✔✔✔✔ Avoid medications in capsule or enteric form.
What is the purpose of an escharotomy in burn care? - ✔✔✔✔✔ Large incisions will be
made in the burned tissue to improve circulation.
What symptom might a client with a cataract report? - ✔✔✔✔✔ Decreased color
perception.
What position should a client with an intestinal obstruction be maintained in? - ✔✔✔✔✔
Fowler's position.
What clinical manifestations should a nurse expect in a client with Cushing's syndrome?
- ✔✔✔✔✔ Buffalo hump, purple striations, and moon face.
What action should a nurse take for a client in the oliguric phase of acute kidney injury?
- ✔✔✔✔✔ Monitor intake and output hourly.
What pre-procedure instruction should a nurse give for an
esophagogastroduodenoscopy? - ✔✔✔✔✔ You will remain NPO for 8 hours before
the procedure.
What term describes the state of a client who is difficult to arouse after a seizure? -
✔✔✔✔✔ Postictal phase.
,What should a nurse advise a client experiencing right shoulder pain after laparoscopic
cholecystectomy? - ✔✔✔✔✔ The pain will dissipate if you ambulate frequently.
What should a nurse do if there is no bubbling in the suction control chamber of a chest
tube? - ✔✔✔✔✔ Verify that the suction regulator is on.
What actions should a nurse take immediately following a lumbar puncture? - ✔✔✔✔✔
Encourage fluid intake and monitor the puncture site for hematoma.
What is the priority action for a nurse caring for a client with a wired jaw after mandible
surgery? - ✔✔✔✔✔ Prevent aspiration.
What finding should a nurse expect when assessing a client with scleroderma? -
✔✔✔✔✔ Hardened skin.
What should a nurse do for an older adult client with dysphagia and left-sided weakness
after a stroke? - ✔✔✔✔✔ Add thickener to fluids.
What type of burns might a nurse expect in a client with injuries to the head, neck, and
chest? - ✔✔✔✔✔ Partial-thickness and full-thickness burns.
What is the priority action for a nurse caring for a client with a 3-way urinary catheter
who has not had urinary output in the last hour? - ✔✔✔✔✔ Determine the patency of
the tubing.
What should a nurse instruct a client with myasthenia gravis regarding the timing of
neostigmine administration? - ✔✔✔✔✔ Take the medication 45 minutes before eating.
How should a nurse respond to a client expressing fear about pain during a bone
marrow biopsy? - ✔✔✔✔✔ The biopsy can be uncomfortable, but we will try to keep
you as comfortable as possible.
What intervention should a nurse include in the care plan for a client recovering from a
left-hemispheric stroke? - ✔✔✔✔✔ Re-establish communication.
What manifestation should a nurse monitor for in a client with diabetes insipidus? -
✔✔✔✔✔ Hypotension.
What instruction should a nurse provide to a client with HIV being discharged home? -
✔✔✔✔✔ Take temperature once a day.
,What method can a nurse use to thin secretions for a client postoperative following a
tracheostomy? - ✔✔✔✔✔ Provide humidified oxygen.
What nursing action should be taken for a client with a vascular occlusion reporting cold
feet? - ✔✔✔✔✔ Obtain a pair of slipper socks for the client.
What is the priority finding for a nurse to report for a client who is 4 hours postoperative
following TURP? - ✔✔✔✔✔ Thick, red-colored urine.
What adverse effect should a nurse monitor for in a client using a hypothermia blanket?
- ✔✔✔✔✔ Shivering.
What statement by a client with type 1 diabetes indicates understanding of exercise
precautions? - ✔✔✔✔✔ I will not exercise if my urine is positive for ketones.
What should a nurse do first when a small section of bowel is protruding from a
postoperative incision? - ✔✔✔✔✔ Cover the client's wound with a moist, sterile
dressing.
What manifestation should a nurse expect in a client with alcohol use disorder
experiencing metabolic acidosis? - ✔✔✔✔✔ Hyperventilation.
What should a nurse include in discharge teaching for a client following cataract
extraction? - ✔✔✔✔✔ Avoid bending at the waist.
What is the first action a nurse should take for a client with heart failure who refuses
breakfast and reports nausea after taking digoxin? - ✔✔✔✔✔ Check the client's vital
signs.
What type of drainage should a nurse report for a client whose wound appears yellow
and thick post-cholecystectomy? - ✔✔✔✔✔ Purulent.
What should be reinforced during discharge teaching for a client following arthroscopic
surgery to prevent complications? - ✔✔✔✔✔ Administer an opioid analgesic to the
client 30 min prior to initiating CPM exercises.
What are common findings a nurse should expect in a client with emphysema? -
✔✔✔✔✔ Dyspnea, barrel chest, clubbing of the fingers, and shallow respirations.
, What should a nurse do first when noticing clear drainage from a client's nostril after a
basal skull fracture? - ✔✔✔✔✔ Test the drainage for glucose.
What is a significant risk for a client with a spinal cord injury at T-4? - ✔✔✔✔✔ The
client is at risk for autonomic dysreflexia.
What is a key intervention to prevent autonomic dysreflexia in a spinal cord injury client?
- ✔✔✔✔✔ Prevent bladder distention.
What finding should a nurse expect from a client being evaluated for endometrial
cancer? - ✔✔✔✔✔ Abnormal vaginal bleeding.
What is the nurse's priority finding for a client following an open reduction and internal
fixation of a fractured femur? - ✔✔✔✔✔ Altered level of consciousness.
What priority finding should a nurse report for a client with a chest tube post-lung
resection? - ✔✔✔✔✔ Abdomen is distended.
What instruction should a nurse include for a client caring for a newly created ileal
conduit? - ✔✔✔✔✔ Change the ostomy pouch daily.
What action should a nurse include in the care plan for a client who had a pituitary gland
removal? - ✔✔✔✔✔ Change the nasal drip pad as needed.
Why is aspirin 325 mg prescribed for a client following a myocardial infarction? -
✔✔✔✔✔ To prevent blood clotting.
What finding should a nurse expect when collecting data from a client with open-angle
glaucoma? - ✔✔✔✔✔ Loss of peripheral vision.
What priority finding should a nurse identify for a client with acute gastroenteritis? -
✔✔✔✔✔ Potassium 2.5 mEq/L.
What statement by a client after a total abdominal hysterectomy indicates a need for
further teaching? - ✔✔✔✔✔ I will take a tub bath instead of a shower.
What action should a nurse take for a client in skeletal traction with a femur fracture? -
✔✔✔✔✔ Ensure the client's weights are hanging freely from the bed.
What actions should a nurse take following a lumbar puncture? - ✔✔✔✔✔ Encourage
fluid intake and monitor the puncture site for hematoma.