UPDATED 180 QUESTIONS AND VERIFIED
ANSWERS GUARANTEED PASS EXAM
1. A nurse is caring for a client who is at 33 weeks of gestation following an
x x x x x x x x x x x x x x x
amniocentesis.Thenurseshouldmonitortheclientforwhichofthefollowing
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complications?
x
A. Vomiting
B. Hypertension
C. Epigastricpain x
D. ContractionsANS:D.Contractions x x x
2. Anurseisprovidingteachingtoanolderadultclientaboutmethodsto
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promote nighttime
x x
sleep.Whichofthefollowinginstructionsshouldthenurseinclude?
x x x x x x x x x
A. Stayinbedat least1hrif unable tofallasleep
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B. Takea1hrnapduringtheday
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C. Performexercisespriortobedtime x x x x
D. Eatalightsnackbeforebedtime ANS:D.Eatalightsnackbeforebedtime
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3. Anurseonatelemetryunitiscaringforaclientwhobecomesunconscious
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,and whose monitor displays ventricular tachycardia.Which of the following
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actionsshouldthenursetakefirstafterdetermining theclientdoesnothave a
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palpable pulse?
x x
A. Assessheartsounds x x
B. Defibrillate
C. EstablishIVaccess x x
D. AdministerepinephrineANS:B.Defibrillate x x x x
4. A nurse is admitting a client who 1 week postpartum and reports excessive
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vaginal bleeding. The nurse does not speak the same language as the client. The
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client's partner and 10-year-old child are accompanying her. Which of the
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following actions should the
x x x x
nursetaketogathertheclient'sadmissiondata?
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A. Havetheclient'schildtranslate
x x x x
B. Allowtheclient'spartnertotranslate
x x x x x
C. Requestafemaleinterpreterthroughthefacility x x x x x x
D. Askanursingstudentwhospeaksthesamelanguageastheclientto
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translate ANS: C. Request a female interpreter through the facility
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5. A nurse is caring for a client who is febrile. To reduce the client's fever, the nurse
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applies a cooling blanket. Which of the following findings indicates the client is
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having an adverse reaction to the cooling?
x x x x x x x
a. Flushing
b. Tachycardia
, c. Restlessness
d. ShiveringANS:d.Shivering x x x
6. A nurse is caring for a client who has deep-vein-thrombosis of the left lower
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extremity.Which of the following actions should the nurse take? (Exhibit)
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A. Positiontheclientwiththeaffectedextremitylowerthantheheart x x x x x x x x x x
B. WithholdheparinIVinfusionPTT-30-40seconds;x2ifonheparin x x x x x x x x x x
C. Administeracetaminophen x
D. Massagetheaffectedextremityevery4hrANS:B.WithholdheparinIV x x x x x x x x x x x
infusion PTT- 30-40 seconds; x2 if on heparin
x x x x x x x x
7. A nurse is reviewing assessment data from several clients. For which of the
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following clients should the nurse recommend referral to a dietitian?
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A. AnolderadultclientwhohasaBMIof24
x x x x x x x x x
B. Aclientwhohasanonhealing legulcer
x x x x x x x
C. Anolderadultclientwhohaspresbyopia
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D. A client who has an albumin level of 3.7 g/dL (normal 3.4-5.4) ANS: B. A client who
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has a nonhealing leg ulcer
x x x x x
8. 8. A nurse is providing discharge teaching to a client who has a chronic kid- ney
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disease and is receiving hemodialysis. Which of the following instructions should
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the nurse include in the teaching?
x x x x x x
a. Eat1 g/kgofproteinperday x x x x x x
b. Takemagnesiumhydroxideforindigestion x x x x
, c. Drinkatleast 3 Loffluiddaily-
x x x x x x x
Consumefoodshighinpotassium-restrictANS:a.Eat1g/kgofproteinperday
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9. Anurseiscaringforaclientwhoisreceivingintermittententeraltube
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feedings. Which of
x x x
thefollowingplacestheclientatriskforaspiration?
x x x x x x x x
A. Sittinginahigh-Fowler'spositionduringthefeeding
x x x x x x x
B. Ahistoryofgastroesophagealrefluxdisease
x x x x x
C. Receivingahighosmolarityformula x x x x
D. Aresidualof65mL1hrpostprandial?ANS:B.Ahistoryofgastroesophageal reflux
x x x x x x x x x x x x x x
disease
x
10. ?A nurse is providing prenatal teaching to a client who is at 12 weeks of
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gestation. The nurse should tell the client that she will undergo which of the
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following screening tests at 16 weeks of gestation?
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A. Chorionic villussampling-asearlyas8weeks x x x x x x x
B. Cervicalculturesforchlamydia-1stappointment. x x x x x
C. Nonstresstest-28weeks x x x