Comprehensive test saunders EXAM WITH ACTUAL QUESTION AND CORRECT ANSWERS NEWEST
2025
741. The nurse reinforces home care instructions to the parents of a child hospitalized with pertussis.
The child is in the convalescent stage and is being prepared for discharge. Which statement by the
parents indicates a need for further teaching?
1. "We need to encourage adequate fluid intake."
2. "Coughing spells may be triggered by dust or smoke."
3. "We need to maintain respiratory precautions and a quiet environment for at least 2 weeks."
4. "Good hand-washing techniques need to be instituted to prevent spreading the disease to others."
- CORRECT ANSWER-3
742. A client enters the emergency department confused, twitching, and having seizures. His family
states he recently was placed on corticosteroids for arthritis and was feeling better and exercising
daily. Upon assessment, he has flushed skin, dry mucous membranes, an elevated temperature, and
poor skin turgor. His serum sodium level is 172 mEq/L. Which interventions would the health care
provider likely prescribe? Select all that apply.
1. Monitor the vital signs.
2. Monitor intake and output.
3. Increase water intake orally.
4. Monitor the electrolyte levels.
5. Provide a sodium-reduced diet.
6. Administer sodium replacements. - CORRECT ANSWER-1,2,3,4,5
743. The nurse is monitoring a client receiving glipizide (Glucotrol). Which outcome indicates an
ineffective response from the medication?
1. A decrease in polyuria
2. A decrease in polyphagia
,3. A fasting plasma glucose of 100 mg/dL
4. A glycosylated hemoglobin level of 12% - CORRECT ANSWER-4
744. The nurse is reinforcing discharge instructions to a client receiving sulfisoxazole. Which should
be included in the plan of care for instructions?
1. Maintain a high fluid intake.
2. Discontinue the medication when feeling better.
3. If the urine turns dark brown, call the health care provider immediately.
4. Decrease the dosage when symptoms are improving to prevent an allergic response. - CORRECT
ANSWER-1
745. Before administering an intermittent tube feeding through a nasogastric tube, the nurse checks
for gastric residual volume. Which is the best rationale for checking gastric residual volume before
administering the tube feeding?
1. Observe the digestion of formula.
2. Check fluid and electrolyte status.
3. Evaluate absorption of the last feeding.
4. Confirm proper nasogastric tube placement. - CORRECT ANSWER-3
746. A postoperative client requests medication for flatulence (gas pains). Which medication from
the following PRN list should the nurse administer to this client?
1. Ondansetron (Zofran)
2. Simethicone (Mylicon)
3. Acetaminophen (Tylenol)
4. Magnesium hydroxide (milk of magnesia, MOM) - CORRECT ANSWER-2
747. A client is admitted to the hospital with a diagnosis of major depression. During the admission
interview, the nurse determines that a major concern is the client's altered nutrition related to poor
nutritional intake. Which nursing intervention related to altered nutrition should be the initial
choice?
1. Weigh the client three times per week, before breakfast.
2. Explain to the client the importance of a good nutritional intake.
3. Report the nutritional concern to the psychiatrist and obtain a nutritional consult as soon as
possible.
, 4. Offer the client several small, frequent meals daily, and schedule brief nursing interactions with
the client during these times. - CORRECT ANSWER-4
748. A client received 20 units of NPH insulin subcutaneously at 8:00 am. The nurse should check the
client for a potential hypoglycemic reaction at which time?
1. 5:00 pm
2. 10:00 am
3. 11:00 am
4. 11:00 pm - CORRECT ANSWER-1
749. The nurse assists in developing a plan of care for a client with hyperparathyroidism receiving
calcitonin-human (Cibacalcin). Which outcome has the highest priority regarding this medication?
1. Relief of pain
2. Absence of side effects
3. Reaching normal serum calcium levels
4. Verbalization of appropriate medication knowledge - CORRECT ANSWER-3
750. The nursing instructor asks a nursing student about the cause of hemophilia. The student
correctly responds by telling the instructor which fact about hemophilia?
1. Hemophilia is a Y-linked hereditary disorder.
2. A splenectomy resolves the bleeding disorders.
3. Hemophilia A results from deficiency of factor VIII.
4. A bone marrow transplant is the treatment of choice. - CORRECT ANSWER-3
751. A 4-year-old child is admitted to the hospital with suspected acute lymphocytic leukemia (ALL).
The nurse understands that which diagnostic study should confirm this diagnosis?
1. A platelet count
2. A lumbar puncture
3. Bone marrow biopsy
4. White blood cell (WBC) count - CORRECT ANSWER-3
752. A child with leukemia is experiencing nausea related to medication therapy. The nurse,
concerned about the child's nutritional status, should offer which during an episode of nausea?
2025
741. The nurse reinforces home care instructions to the parents of a child hospitalized with pertussis.
The child is in the convalescent stage and is being prepared for discharge. Which statement by the
parents indicates a need for further teaching?
1. "We need to encourage adequate fluid intake."
2. "Coughing spells may be triggered by dust or smoke."
3. "We need to maintain respiratory precautions and a quiet environment for at least 2 weeks."
4. "Good hand-washing techniques need to be instituted to prevent spreading the disease to others."
- CORRECT ANSWER-3
742. A client enters the emergency department confused, twitching, and having seizures. His family
states he recently was placed on corticosteroids for arthritis and was feeling better and exercising
daily. Upon assessment, he has flushed skin, dry mucous membranes, an elevated temperature, and
poor skin turgor. His serum sodium level is 172 mEq/L. Which interventions would the health care
provider likely prescribe? Select all that apply.
1. Monitor the vital signs.
2. Monitor intake and output.
3. Increase water intake orally.
4. Monitor the electrolyte levels.
5. Provide a sodium-reduced diet.
6. Administer sodium replacements. - CORRECT ANSWER-1,2,3,4,5
743. The nurse is monitoring a client receiving glipizide (Glucotrol). Which outcome indicates an
ineffective response from the medication?
1. A decrease in polyuria
2. A decrease in polyphagia
,3. A fasting plasma glucose of 100 mg/dL
4. A glycosylated hemoglobin level of 12% - CORRECT ANSWER-4
744. The nurse is reinforcing discharge instructions to a client receiving sulfisoxazole. Which should
be included in the plan of care for instructions?
1. Maintain a high fluid intake.
2. Discontinue the medication when feeling better.
3. If the urine turns dark brown, call the health care provider immediately.
4. Decrease the dosage when symptoms are improving to prevent an allergic response. - CORRECT
ANSWER-1
745. Before administering an intermittent tube feeding through a nasogastric tube, the nurse checks
for gastric residual volume. Which is the best rationale for checking gastric residual volume before
administering the tube feeding?
1. Observe the digestion of formula.
2. Check fluid and electrolyte status.
3. Evaluate absorption of the last feeding.
4. Confirm proper nasogastric tube placement. - CORRECT ANSWER-3
746. A postoperative client requests medication for flatulence (gas pains). Which medication from
the following PRN list should the nurse administer to this client?
1. Ondansetron (Zofran)
2. Simethicone (Mylicon)
3. Acetaminophen (Tylenol)
4. Magnesium hydroxide (milk of magnesia, MOM) - CORRECT ANSWER-2
747. A client is admitted to the hospital with a diagnosis of major depression. During the admission
interview, the nurse determines that a major concern is the client's altered nutrition related to poor
nutritional intake. Which nursing intervention related to altered nutrition should be the initial
choice?
1. Weigh the client three times per week, before breakfast.
2. Explain to the client the importance of a good nutritional intake.
3. Report the nutritional concern to the psychiatrist and obtain a nutritional consult as soon as
possible.
, 4. Offer the client several small, frequent meals daily, and schedule brief nursing interactions with
the client during these times. - CORRECT ANSWER-4
748. A client received 20 units of NPH insulin subcutaneously at 8:00 am. The nurse should check the
client for a potential hypoglycemic reaction at which time?
1. 5:00 pm
2. 10:00 am
3. 11:00 am
4. 11:00 pm - CORRECT ANSWER-1
749. The nurse assists in developing a plan of care for a client with hyperparathyroidism receiving
calcitonin-human (Cibacalcin). Which outcome has the highest priority regarding this medication?
1. Relief of pain
2. Absence of side effects
3. Reaching normal serum calcium levels
4. Verbalization of appropriate medication knowledge - CORRECT ANSWER-3
750. The nursing instructor asks a nursing student about the cause of hemophilia. The student
correctly responds by telling the instructor which fact about hemophilia?
1. Hemophilia is a Y-linked hereditary disorder.
2. A splenectomy resolves the bleeding disorders.
3. Hemophilia A results from deficiency of factor VIII.
4. A bone marrow transplant is the treatment of choice. - CORRECT ANSWER-3
751. A 4-year-old child is admitted to the hospital with suspected acute lymphocytic leukemia (ALL).
The nurse understands that which diagnostic study should confirm this diagnosis?
1. A platelet count
2. A lumbar puncture
3. Bone marrow biopsy
4. White blood cell (WBC) count - CORRECT ANSWER-3
752. A child with leukemia is experiencing nausea related to medication therapy. The nurse,
concerned about the child's nutritional status, should offer which during an episode of nausea?
