Correct Answers 100% Solved
A nurse is preparing to administer an afternoon dose of ampicillin to a
client. The client appears upset and refuses to take the medication before
throwing the pill on the floor. Which of the following entries should the
nurse enter into the client's medical record?
A. The client refused to take medication
B. The client stated, "I will not take this pill."
C. The client seemed angry and hostile
D. The client threw the medication on the floor - 🧠 ANSWER ✔✔D.
,-The nurse should document exactly what took place for an accurate,
factual account of the events. The nurse should document the client's
actions in the medical record
A nurse is caring for a client who has major depressive disorder. The client
tells the nurse, "Don't bother me. Find someone else to talk with. I don't
have anything to say that's worth sharing." Which of the following
statements should the nurse make?
A. "Surely you can't think I don't want to talk to you."
B. "I would like to sit quietly with you for a while."
C. "I'm assigned to take care of you, so I intend to spend time with you."
D. "Let's talk about what you would like for lunch today." - 🧠 ANSWER
✔✔B.
-This is a therapeutic response because the nurse is offering availability,
which lets the client know that the nurse has a desire to understand
A nurse is administering an IM injection to a 5-month-old infant. Which of
the following injection sites should the nurse use?
,A. Deltoid
B. Ventrogluteal
C. Vastus lateralis
D. Dorsogluteal - 🧠 ANSWER ✔✔C.
-The nurse should use the vastus lateralis site over the anterior thigh for IM
injections for infants and children
A nurse is teaching a client who is postoperative about the importance of
turning, coughing, and breathing deeply. Which of the following statements
should the nurse identify as an indication that the client understands the
instructions?
A. "If I do this often, I won't experience muscle wasting"
B. "If I do this often, I won't get pneumonia"
C. "If I do this often, I won't get constipation"
D. "If I do this often, I won't have a fast heartbeat" - 🧠 ANSWER ✔✔B.
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, -Turning, coughing, and breathing deeply help prevent respiratory
complications such as pneumonia by promoting lung expansion and
secretion removal
A charge nurse is planning an in-service training session about client
advocacy with a group of staff nurse. Which of the following situations
should the nurse include as an example of client advocacy?
A. Discussing treatment options with a client who was diagnosed with
pancreatic cancer
B. Notifying the provider when a client has questions about procedure
C. Helping a client make a list of questions to ask the provider
D. Clarifying the dosage of a medication prescribed for a client who has
impaired liver function
E. Carrying out the end-of-life wishes outlined in the living will of an older
adult client who has end-stage renal disease - 🧠 ANSWER ✔✔B, C, D, E
-As a client advocate, the nurse should make sure clients have all their
questions answer and possess the information needed to make an
informed decision