2026 LATEST!!! 210 QUESTIONS AND VERIFIED
ANSWERS| 100% CORRECT
1. a nurse is assessing the heart sounds of a client who has developed chest pain that becomes
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worse with inspiration. the nurse auscultates a high-pitched scratching sound duringboth
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systoleanddiastolewiththediaphragmofthestethoscopepositionedatthe
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leftsternalborder.whichheartsoundsshouldthenursedocument?ANS:pericardial friction
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rub
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2. anurseisobtainingthebloodpressureinaclientslowerextremity.whichaction
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shouldthenursetake? ANS:placethebladderofthecuffovertheposterioraspectof the thigh
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3. achargenurseisteachingadultCPRtoagroupofnewnurses.whichactionsshould
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thechargenurseteachasthefirstresponseinCPR?ANS:confirmunresponsiveness
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4.anurseiscaringforaclientwhorequiresachestxray.priortotheclientbeing
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,transportedfortheprocedure,whichactionsshouldthenursetakefirst?ANS: x x x x x x x x x x x
identifytheclientusingtwoidentifiersx x x x x
5. anurseiscaringforachildwhoispostopfollowingatonsillectomy.whichactions
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shouldthenursetake? ANS:administeranalgesicstothechildona routineschedule
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throughout the day and night
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6. anurseisprovidingteachingtoa clientwhohasheartfailureabouthowtoreduce his
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daily intake of sodium. which factors is the most important in determining the
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clientsabilitytolearnnewdietaryhabits?ANS:theinvolvementoftheclientinplanning the
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change
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7. achargenurseisobservinganewnurseperformtracheostomycareforaclient.
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whichactionsbythenewnurserequiresintervention? ANS:obtainingcottonballsfor the
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trach care
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8. anurseispreparingtoperformmouthcareforanunresponsiveclient.whichactions
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shouldthenurseplantotake?ANS:raisethelevelofthebed
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9.anurseiswitnessingaclientsignaninformedconsentformforsurgery.which
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, describeswhatthenurseisaffirmingbythisaction?ANS:thesignatureonthepreop consent
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form is the clients
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10. anurseispreparingtoprovidetracheostomycareforaclient.whichactions
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shouldthenursetakefirst?ANS:performhandhygiene
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11. a nurse is caring for an older adult client who becomes agitated when the nurse requests
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thatthe clientsdenturesberemovedpriortosurgery.whichresponsesshould
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thenursemake?ANS:whatworriesyouaboutbeingwithoutyourteeth?
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12. a nurse in an oncology clinic is assessing a client who is undergoingtreat- ment for ovarian
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cancer.whichassessmentstatementsby theclientindicates sheisexperiencing
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psychologicaldistress? ANS:ikeephavingnightmaresaboutmy upcoming surgery x x x x x x x x x x