NEWEST 2025 QUESTIONS AND CORRECT
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A nurse is assessing a 1, 3, 4
client with cardiogenic
shock. Which clinical Pale skin, tachycardia, and narrow pulse pressure are
findings should the nurse signs of cardiogenic shock. Nausea and decreased
expect? Select all that respirations are not expected with cardiogenic shock.
apply.
1. Pallor
2. Nausea
3. Tachycardia
4. Narrow pulse pressure
5. Decreased respirations
, A 75-year-old client has a 4
baseline blood pressure
of 140/90 mm Hg. The Further assessment is necessary before the nurse can
nurse obtains a sitting plan a course of action. Advising the client to restrict
blood pressure in the fluid and sodium intake is not an initial nursing action;
client's left arm, and the further assessment is the priority. The nurse must
reading is 160/100 mm Hg. gather more data before consulting with the health
What action should the care practitioner. This is not an expected blood
nurse take next? pressure for an older adult; both systolic and diastolic
pressures are elevated.
1. Advise the client to
restrict fluid and sodium
intake, then begin to
develop a teaching plan
for the client.
2. Contact the primary
health care provider
immediately to report the
blood pressure reading.
3. Record the findings,
recognizing that the result
is expected for an older
adult.
4. Take the blood pressure
in the right arm, and then
take the blood pressure in
both arms while the client
is standing.