QUESTONS AND ANSWERS 100% CORRECT.
,A nurse is assessing an infant who has water intoxication. Which of the following findings should
the nurse expect? - CORRECT ANSWER-bounding pulse
A nurse is discussing the z-track administration of hydroxyzine with a newly licensed nurse.
Which of the following statements indicates the newly licensed nurse understands the purpose of
the technique - CORRECT ANSWER-a. This technique decreases the risk of subcutaneous
infiltration
1. A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the following
interventions should the nurse include in the plan? - CORRECT ANSWER-a. Monitor the client
for 1 hr after meals
A nurse notices smoke coming from a client's room and discovers a fire in the wastebasket. After
moving the client to safety, which of the followings is the priority action? - CORRECT
ANSWER-a. Close the fire door on the unit
A nurse is assessing a client who has delirium due to a febrile illness. Which of the following
findings should the nurse expect? - CORRECT ANSWER-a.
Hallucinations
1. A nurse is caring for a client following an open colectomy. Which of the following findings
places the client at risk for delayed wound healing? - CORRECT ANSWER-hyperemesis
1. A home health nurse is reviewing treatment goals with a client who has diabetes mellitus. The
nurse should evaluate which of the following laboratory tests to determine effective long-term
management of blood glucose levels? - CORRECT ANSWER-A1C
1. A nurse is caring for a client who has neutropenia due to HIV. Which of the following
precautions should the nurse take while caring for this client? - CORRECT ANSWER-a. Use a
dedicated stethoscope
,1. A nurse is caring for a client who reports difficulty falling asleep at night. Which of the
following actions should the nurse take? - CORRECT ANSWER-Tell the client to avoid
drinking fluids 1 hr before bedtime
1. A nurse is planning care for a newborn who has hyperbilirubinemia and is to receive
phototherapy. Which of the following interventions should the nurse include? - CORRECT
ANSWER-a. Place the newborn 45 cm from the light source
1. A nurse is planning care for a client who has schizophrenia and is having difficulty expressing
their feelings. Which of the following referrals should the nurse make? - CORRECT ANSWER-
social worker
1. A nurse is caring for a client who has heart failure and has started taking a loop diuretic.
Which of the following findings indicates the client is experiencing an adverse effect of the
medication - CORRECT ANSWER-decreased reflexes
1. At the start of an evening shift on a cardiac unit, a licensed practical nurse brings the nurse a
list of client reports. Which of the following client reports should the nurse assess first? -
CORRECT ANSWER-indigestion
1. A nurse is caring for a client who has just returned to the unit following a bronchoscopy.
Which of the following actions by the assistive personnel requires the nurse to intervene? -
CORRECT ANSWER-offer oral fluids to the client
1. A nurse on a medical unit has just received change-of-shift report. Which of the following
clients should the nurse assess first? - CORRECT ANSWER-a. A 68 year old client who had a
myocardial infarction 2 days ago and reports chest pain as a 4 on a scale of 0 to 10
1. A nurse is assessing a client prior to performing a blood draw. The nurse should identify that
an allergy to which of the following food can indicate that the client has an allergy to latex? -
CORRECT ANSWER-avocados
1. A nurse is preparing to witness a client's signature on an informed consent for a total knee
arthroplasty. Which of the following client statements indicates the
, nurse should contact the surgeon? - CORRECT ANSWER-a. I am thankful there are no serious
complications from this type of surgery
1. A nurse is admitting a client who has antisocial personality disorder. Which of the following
client behaviors should the nurse identify as consistent with this disorder? - CORRECT
ANSWER-a. Uses others for personal gain
1. A nurse is teaching the parent of a school-age child who has scabies about the application of
permethrin 5% cream. The nurse should include which of the following as a potential adverse
effect of the medication? - CORRECT
ANSWER-burning
1. A nurse is teaching a client who has a new prescription for digoxin. Which of the following
statements should the nurse include in the teaching? - CORRECT ANSWER-muscle weakness
1. A nurse is planning teaching for a client who is at 10 weeks of gestation and has a history of
urinary tract infections. Which of the following information should the nurse plan to include in
the teaching about UTI prevention? - CORRECT ANSWER-a. Empty the bladder before and
after intercourse
1. A nurse is providing discharge teaching to a client who is postpartum and plans to
breastfeed. Which of the following should the nurse recommend the client increase in their diet
during lactation? - CORRECT ANSWER-a. Calcium
1. A nurse is providing teaching about preventing mastitis to a client who is postpartum and
breastfeeding her newborn. Which of the following instructions should the nurse include? -
CORRECT ANSWER-a. Try to have your baby empty your breasts with each feeding."
1. A nurse is caring for a client who reports chest pain. Which of the following findings indicates
myocardial damage? - CORRECT ANSWER-a. Troponin I 1.8 ng/mL
1. A nurse is providing teaching about car seat safety to the parent of a term newborn. Which of
the following statements by the parent indicates an