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
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amniocentesis.Thenurseshouldmonitortheclientforwhichofthefollowing
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complications?
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A. Vomiting
B. Hypertension
C. Epigastricpain ,
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D. ContractionsANS:D.Contractions ,
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2. Anurseisprovidingteachingtoanolderadultclientaboutmethodsto
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promote nighttime
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sleep.Whichofthefollowinginstructionsshouldthenurseinclude?
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A. Stayinbedat least1 hrif unable tofallasleep
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B. Takea1hrnapduringtheday,
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C. Performexercisespriortobedtime ,
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D. EatalightsnackbeforebedtimeANS: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?
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A. Assessheartsounds x, x,
B. Defibrillate
C. EstablishIVaccess ,
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D. AdministerepinephrineANS:B.Defibrillate ,
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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
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nursetaketogathertheclient'sadmissiondata?
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A. Havetheclient'schildtranslate ,
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B. Allowtheclient'spartnertotranslate x, ,
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C. Requestafemaleinterpreterthroughthefacility ,
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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?
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a. Flushing
b. Tachycardia
, c. Restlessness
d. ShiveringANS:d.Shivering ,
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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 ,
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B. WithholdheparinIVinfusionPTT-30-40seconds;x2ifonheparin ,
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C. Administeracetaminophen ,
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D. Massagetheaffectedextremityevery4hr ANS:B.WithholdheparinIV ,
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infusion PTT- 30-40 seconds; x2 if on heparin
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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. An olderadultclientwhohasaBMIof24
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B. Aclientwhohasanonhealing legulcer
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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
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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?
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a. Eat1 g/kgofproteinperday x, x, x, x, x, x,
b. Takemagnesiumhydroxideforindigestion ,
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, c. Drinkatleast3 Lof fluid daily-
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Consumefoodshighinpotassium-restrictANS:a.Eat1g/kgofproteinperday
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9. Anurseiscaringforaclientwhoisreceivingintermittententeraltube
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feedings. Which of
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thefollowingplacestheclientatriskforaspiration?
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A. Sittinginahigh-Fowler'spositionduringthefeeding
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B. Ahistoryofgastroesophagealrefluxdisease
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C. Receivingahighosmolarityformula ,
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D. Aresidualof65mL1hrpostprandial?ANS:B.Ahistoryofgastroesophageal reflux
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disease
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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, ,
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B. Cervicalculturesforchlamydia-1stappointment. ,
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C. Nonstresstest-28weeks x, x, ,
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