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A nurse is teaching a patient with C. "If I feel dizzy or shaky, I should eat a Snickers
newly diagnosed Type 2 Diabetes candy bar immediately."
Mellitus about self-management of
their condition. Which statement by
the patient indicates a need for further
teaching?
A. "I will check my blood sugar before
meals and at bedtime as instructed."
B. "I should inspect my feet daily for
cuts, blisters, or redness."
C. "If I feel dizzy or shaky, I should eat
a Snickers candy bar immediately."
D. "I will keep a log of my blood sugar
readings to share with my healthcare
provider."
,A nurse is caring for a 45-year-old B) Monitor the patient for signs of dehydration and
patient who was admitted for continue to assess vital signs.
respiratory distress. The patient's vital
signs are as follows:
Temperature: 99.0°F (37.2°C)
Heart rate: 120 beats per minute
Respiratory rate: 30 breaths per
minute
Blood pressure: 138/88 mmHg
What is the most appropriate nursing
action based on these findings?
A) Administer an antipyretic for the
slightly elevated temperature.
B) Monitor the patient for signs of
dehydration and continue to assess
vital signs.
C) Administer oxygen via nasal
cannula to address the elevated heart
rate.
D) Notify the healthcare provider
immediately about the abnormal vital
signs.
,A 70-year-old patient is recovering Document the findings and continue routine post-
from a hip replacement surgery. The operative monitoring.
nurse notes the following vital signs:
Temperature: 99.1°F (37.3°C)
Heart rate: 52 beats per minute
Respiratory rate: 16 breaths per minute
Blood pressure: 120/72 mmHg
Which of the following is the most
appropriate action for the nurse?
A) Notify the healthcare provider
immediately about the bradycardia.
B) Document the findings and
continue routine post-operative
monitoring.
C) Administer IV fluids to address the
patient's bradycardia.
D) Increase the oxygen flow rate to
4L/min via nasal cannula.
, : A nurse is assessing a 60-year-old Continue to monitor vital signs and assess for signs of
male patient who is post-cardiac infection.
surgery. The following vital signs are
recorded:
Temperature: 100.2°F (37.9°C)
Heart rate: 88 beats per minute
Respiratory rate: 18 breaths per minute
Blood pressure: 110/68 mmHg
What is the most appropriate next
action by the nurse?
A) Administer antipyretics for the
elevated temperature.
B) Continue to monitor vital signs and
assess for signs of infection.
C) Notify the healthcare provider
immediately about the elevated
temperature.
D) Increase the oxygen flow rate to
4L/min via nasal cannula to support
the patient's condition.
A nurse is educating a pregnant A) Fortified breakfast cereals, D) Dark leafy greens
patient on how to increase folate
intake to prevent neural tube defects.
Which of the following foods should
the nurse recommend as the best
sources of folate during pregnancy?
A) Fortified breakfast cereals
B) Fresh orange juice
C) Lean meats
D) Dark leafy greens
E) Whole grain breads