Answers | Latest Version | 2025/2026 |
Correct & Verified
A client with pneumonia is receiving IV antibiotics. Which finding indicates the treatment is
effective?
A. Temperature 101°F
B. White blood cell count 15,000
✔✔C. Clear breath sounds and improved oxygen saturation
D. Productive cough with yellow sputum
A client is prescribed warfarin. Which instruction is most important?
A. Take medication with milk
B. Limit intake of citrus fruits
✔✔C. Report unusual bruising or bleeding immediately
D. Expect frequent headaches as a side effect
A client with COPD is prescribed oxygen at 2 L/min via nasal cannula. Why is this rate
important?
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,A. It improves lung compliance
✔✔B. Higher oxygen can suppress respiratory drive
C. It prevents atelectasis
D. It reduces bronchospasms
A nurse is assessing a client receiving digoxin. Which finding requires immediate action?
A. Heart rate 72/min
✔✔B. Heart rate 48/min
C. Blood pressure 130/70 mmHg
D. Respiratory rate 20/min
A client with diabetes reports blurry vision and frequent urination. Which complication is most
likely?
A. Hypoglycemia
✔✔B. Hyperglycemia
C. Hyponatremia
D. Hypocalcemia
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,A client is scheduled for surgery and says, “I’m afraid I won’t wake up.” Which nursing response
is best?
A. “Don’t worry, everything will be fine.”
B. “Why would you think that way?”
✔✔C. “It sounds like you are feeling anxious. Tell me more about your fears.”
D. “Many people feel scared before surgery.”
A postpartum client with a firm fundus reports heavy bleeding. What is the priority action?
A. Administer IV fluids
✔✔B. Assess for bladder distension
C. Call the provider immediately
D. Increase oxytocin infusion
A client with heart failure is prescribed furosemide. Which dietary teaching is correct?
A. Avoid bananas
B. Eat more processed foods
✔✔C. Increase potassium-rich foods
D. Restrict protein intake
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, A nurse is teaching a client prescribed sertraline for depression. Which statement indicates
understanding?
A. “I can stop this medication once I feel better.”
✔✔B. “It may take a few weeks before I notice improvement.”
C. “This medication will make me sleepy all the time.”
D. “I can drink alcohol with this medication.”
A client is receiving blood transfusion and develops fever and chills. What is the nurse’s first
action?
✔✔A. Stop the transfusion immediately
B. Document the reaction
C. Administer acetaminophen
D. Notify the blood bank
A client with cirrhosis has ascites and shortness of breath. Which intervention is most important?
A. Encourage ambulation
✔✔B. Place the client in high Fowler’s position
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