ANSWERS LATEST 2025-2026 EXAM UPDATE
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The neonatal nurse instructs the family of a newborn about an apnea
monitor. The nurse is MOST concerned if a family member makes
which of the following statements?
1. "We will be able to leave our baby for brief periods of time."
2. "We plan to sleep by our baby's crib."
3. "We can remove the monitor during our baby's bath."
4. "A family member will closely watch the monitor all the time." -
Answer-4
A client has a cast applied for a fracture of the right femur. Three hours
later, the client complains that it is hot and painful under the cast. Which
of the following is the MOST appropriate action for the nurse to take?
1. Assess the cast for wet spots, and increase air circulation in the room.
2. Check the circulation in the casted extremity, and change the client's
position.
3. Take the client's temperature, and observe for other signs of
infection.
, 4. Medicate the client for pain, and notify the physician of his
complaint. - Answer-2
A client is admitted to the hospital with dry mucous membranes and
decreased skin turgor. The client's vital signs are BP 120/70, temperature
101°F (38.3°C), pulse 88, respirations 14. Laboratory tests indicate the
serum sodium is 150 mEq/L and the Hct is 48%. The nurse expects the
physician to order which of the following IV fluids?
1. D5NS.
2. 0.45% NaCl.
3. 0.9% NaCl.
4. Lactated Ringer's. - Answer-2
Which of the following plans is MOST appropriate for the nurse to use
to prepare a 10-year-old for a cardiac catheterization?
1. Show a videotape specifically prepared for children about cardiac
catheterization.
2. Provide the child with a pamphlet about the procedure, and
encourage him to read it.
3. Draw a picture of a heart, and explain where the tube will go and
what the doctor will see.
4. Present a puppet show explaining the anatomy and physiology of the
heart. - Answer-3
, The nurse cares for a client complaining of moderate pain. Which of the
following nursing actions is MOST important to provide the patient with
effective pain relief?
1. Teach the patient about the pain.
2. Establish a trusting relationship with the patient.
3. Determine how various relaxation techniques affect the pain.
4. Provide alternative measures to relieve pain - Answer-2
The nurse returns to the nurse's station after making client rounds and
finds four phone messages. Which of the following messages should the
nurse return FIRST?
1. A client with hepatitis A who states, "My arms and legs are itching."
2. A client with a cast on the right leg who states, "I have a funny
feeling in my right leg."
3. A client with osteomyelitis of the spine who states, "I am so
nauseated that I can't eat."
4. A client with arthritis who states, "I am having trouble sleeping at
night." - Answer-2
Following total hip arthroplasty, an elderly client is ordered to begin
ambulation with a walker. Which of the following statements by the
nurse is BEST?
, 1. "Sit in a low chair for ease in getting up to use the walker."
2. "Make sure rubber caps are in place on all four legs of the walker."
3. "You will begin weight bearing on the affected hip soon."
4. "Practice tying your own shoes before you begin ambulating." -
Answer-2
A client comes to the hospital at term in the early stages of labor. A
diagnosis of complete placenta previa is made. It is MOST important for
the nurse to take which of the following actions?
1. Start an IV of terbutaline (Brethine) and monitor the patient's vital
signs closely.
2. Prepare the patient for an immediate cesarean section.
3. Maintain the patient on bedrest until spontaneous vaginal delivery is
achieved.
4. Monitor the patient's length and duration of contractions. - Answer-2
Which of the following nursing observations indicates to the nurse that
a child diagnosed with epiglottitis is having an early complication of
hypoxemia?
1. Heart rate of 148 beats per minute (bpm).
2. Bluish discoloration of the skin.
3. Bluish discoloration around the mouth.
4. Difficulty swallowing. - Answer-1