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.Thenurseshouldmonitortheclientforwhichofthe following
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complications?
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A. Vomiting
B. Hypertension
C. Epigastric pain q
D. ContractionsANS:D.Contractions q q q
2. Anurse is providing teaching toan older adult client about methods to
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promote nighttime
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sleep.Whichofthe following instructions shouldthe nurse include?
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A. Stay in bed at least 1 hr if unable to fall asleep
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B. Take a 1 hr nap during the day
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C. Performexercisespriortobedtime q q q q
D. Eata light snack before bedtime ANS:D.Eat a lightsnackbefore bedtime
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3. Anurse ona telemetryunit is caringfora clientwhobecomesunconscious
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,and whose monitor displays ventricular tachycardia.Which of the following
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actions should the nurse take first after determining the client does not have a
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palpable pulse?
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A. Assess heart sounds q q
B. Defibrillate
C. EstablishIV access q q
D. AdministerepinephrineANS:B.Defibrillate q q q q
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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nurse take to gather the client's admission data?
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A. Have the client's child translate
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B. Allow the client's partner totranslate
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C. Request a female interpreter throughthe facility q q q q q q
D. Ask a nursing student who speaks the same language as the client to
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translate ANS: C. Request a female interpreter through the facility
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5. Anurse 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 q q q
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. Position the clientwith the affected extremitylower than the heart
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B. WithholdheparinIV infusion PTT- 30-40 seconds;x2 if on heparin q q q q q q q q q q
C. Administeracetaminophen q
D. Massagethe affected extremity every 4 hr ANS:B.Withhold heparin IV
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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 older adult client who has a BMI of 24
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B. A client who has a nonhealing leg ulcer
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C. An older adult client who has presbyopia
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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
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who 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. Eat 1 g/kg of protein per day
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b. Takemagnesiumhydroxide for indigestion
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, c. Drink at least 3 L of fluid daily-
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Consumefoods high in potassium- restrict ANS:a.Eat 1 g/kg of protein per day
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9. A nurse is caring for a client who is receiving intermittent enteral tube
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feedings. Which of
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the following places the client atrisk for aspiration?
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A. Sitting in a high-Fowler's position during the feeding
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B. A history of gastroesophageal reflux disease
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C. Receivinga high osmolarity formula q q q q
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 villus sampling- as early as 8 weeks q q q q q q q
B. Cervicalculturesfor chlamydia- 1st appointment.
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C. Nonstress test -28 weeks q q q