Answers | Latest Version | 2025/2026 |
Correct & Verified
A nurse is caring for a client with COPD who reports increased shortness of breath. What is the
first action?
A. Administer a sedative
B. Encourage coughing and deep breathing
✔✔C. Assess oxygen saturation and respiratory status
D. Call respiratory therapy to perform suctioning
A client is receiving IV morphine for pain. The client becomes drowsy and has a respiratory rate
of 8/min. What should the nurse do first?
A. Document the findings
✔✔B. Stop the infusion and notify the provider
C. Encourage the client to take deep breaths
D. Administer the next dose early
A nurse notes redness and warmth at an IV site. What is the priority action?
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,A. Apply ice to the area
✔✔B. Discontinue the IV and notify the provider
C. Flush the IV with saline
D. Cover the site with a bandage
A client is on a low-sodium diet. Which meal choice is appropriate?
A. Ham sandwich with pickles
✔✔B. Grilled chicken with steamed vegetables
C. Canned soup with crackers
D. Salami and cheese platter
A nurse is caring for a postoperative client who develops sudden hypotension and tachycardia.
What is the priority action?
A. Administer pain medication
B. Reposition the client
✔✔C. Assess for signs of bleeding
D. Apply compression stockings
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,A nurse is teaching a client about insulin administration. What statement indicates
understanding?
A. “I will inject insulin into a vein.”
✔✔B. “I will rotate injection sites to prevent tissue damage.”
C. “I should inject all insulin in the same spot each time.”
D. “I can mix any two insulins without checking the label.”
A client with heart failure is prescribed furosemide. Which assessment is most important before
administration?
A. Temperature
B. Lung sounds only
✔✔C. Blood pressure and potassium levels
D. Urine color
A nurse is preparing to administer digoxin. Which finding requires withholding the medication?
A. Heart rate 80 bpm
B. Blood pressure 120/70 mmHg
✔✔C. Heart rate 48 bpm
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, D. Respiratory rate 18/min
A client reports a new rash after starting an antibiotic. What should the nurse do first?
A. Tell the client to ignore it
✔✔B. Assess the client for signs of an allergic reaction
C. Document and continue therapy
D. Apply lotion to the rash
A nurse is teaching a client about deep vein thrombosis prevention. Which instruction is correct?
A. “You should avoid walking to rest your legs.”
✔✔B. “Perform ankle pumps and leg exercises regularly.”
C. “Sit with your legs crossed for comfort.”
D. “Do not wear compression stockings.”
A nurse is assessing a client with suspected hypoglycemia. Which sign is expected?
A. Polyuria
✔✔B. Sweating and tremors
C. Flushed skin
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