ANSWERS (VERIFIED AND WELL DETAILED ANSWERS) LATEST
2025/2026
A nurse is caring for a client who is at 33 weeks of gestation following an
amniocentesis. The nurse should monitor the client for which of the following
complications?
A. Vomiting
B. Hypertension
C. Epigastric pain
D. Contractions - CORRECT ANSWER- D. Contractions
A nurse is providing teaching to an older adult client about methods to
promote nighttime
Sleep. Which of the following instructions should the nurse include?
A. Stay in bed at least 1 hr if unable to fall asleep
B. Take a 1 hr nap during the day
C. Perform exercises prior to bedtime
D. Eat a light snack before bedtime - CORRECT ANSWER- D. Eat a light snack
before bedtime
A nurse on a telemetry unit is caring for a client who becomes unconscious
and whose monitor displays ventricular tachycardia. Which of the following
actions should the nurse take first after determining the client does not have a
palpable pulse?
A. Assess heart sounds
,B. Defibrillate
C. Establish IV access
D. Administer epinephrine - CORRECT ANSWER- B. Defibrillate
A nurse is admitting a client who 1 week postpartum and reports excessive
vaginal bleeding. The nurse does not speak the same language as the client.
The client's partner and 10-year-old child are accompanying her. Which of
the following actions should the
Nurse take to gather the client's admission data?
A. Have the client's child translate
B. Allow the client's partner to translate
C. Request a female interpreter through the facility
D. Ask a nursing student who speaks the same language as the client to
translate - CORRECT ANSWER- C. Request a female interpreter through the
facility
A nurse is caring for a client who is febrile. To reduce the client's fever, the
nurse applies a cooling blanket. Which of the following findings indicates the
client is having an adverse reaction to the cooling?
a. Flushing
b. Tachycardia
c. Restlessness
d. Shivering - CORRECT ANSWER- d. Shivering
A nurse is caring for a client who has deep-vein-thrombosis of the left lower
extremity. Which of the following actions should the nurse take? (Exhibit)
A. Position the client with the affected extremity lower than the heart
,B. Withhold heparin IV infusion PTT- 30-40 seconds; x2 if on heparin
C. Administer acetaminophen
D. Massage the affected extremity every 4 hr - CORRECT ANSWER- B.
Withhold heparin IV infusion PTT- 30-40 seconds; x2 if on heparin
A nurse is reviewing assessment data from several clients. For which of the
following clients should the nurse recommend referral to a dietitian?
A. An older adult client who has a BMI of 24
B. A client who has a nonhealing leg ulcer
C. An older adult client who has presbyopia
D. A client who has an albumin level of 3.7 g/dl (normal 3.4-5.4) -
CORRECT ANSWER- B. A client who has a nonhealing leg ulcer
8. A nurse is providing discharge teaching to a client who has a chronic kidney
Disease and is receiving hemodialysis. Which of the following instructions
should the nurse include in the teaching?
a. Eat 1 g/kg of protein per day
b. Take magnesium hydroxide for indigestion
c. Drink at least 3 L of fluid daily-
Consume foods high in potassium- restrict - CORRECT ANSWER- a. Eat 1 g/kg
of protein per day
A nurse is caring for a client who is receiving intermittent enteral tube
feedings.
Which of
The following places the client at risk for aspiration?
A. Sitting in a high-Fowler's position during the feeding
, B. A history of gastroesophageal reflux disease
C. Receiving a high osmolarity formula
D. A residual of 65 ml 1 hr postprandial? - CORRECT ANSWER- B. A history
of gastroesophageal reflux disease
?A nurse is providing prenatal teaching to a client who is at 12 weeks of
gestation. The nurse should tell the client that she will undergo which of the
following screening tests at 16 weeks of gestation?
A. Chorionic villus sampling- as early as 8 weeks
B. Cervical cultures for chlamydia- 1st appointment.
C. Nonstress test -28 weeks
D. Maternal serum alpha-fetoprotein- 16 to 18 weeks - CORRECT ANSWER-
D. Maternal serum alpha-fetoprotein- 16 to 18 weeks
A nurse is caring for a client who is on bed rest. The nurse should recognize
that which of
The following findings is a complication of immobility?
A. Decreased serum calcium levels- increased serum calcium
B. Increased blood pressure- hypotension
C. Swollen area on calf
D. Urinary frequency- - CORRECT ANSWER- C. Swollen area on calf
12. A nurse in acute care mental health facility is participating in a medication-
education group. The leader of the group uses a laissez-faire leadership style.
Which of the following actions should the nurse expect from the leader during
the session?