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EDAPT: Introduction to NCLEX Readiness
Questions and Answers Latest Update
The nurse is caring for a client with a phosphate level of 6.2 mg/dL
(reference range: 3 - 4.5 mg/dL). For each finding, click to specify if the
assessment finding is anticipated or not anticipated. Ans: Anticipated:
Hypotension
Diminished peripheral pulses
Positive Chvostek's sign
Prolonged cardiac QT interval
Not Anticipated:
Absent deep tendon reflexes
Hypoactive bowel sounds
Serum calcium level 10 mg/dL
The nurse is caring for a client with telemetry monitoring and observes an
electrocardiogram (ECG) rhythm that shows:
one P wave for every QRS interval
PR interval 0.16 seconds
QRS complex 0.06 seconds
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heart rate 64 beats per minute
Which action should the nurse take? Ans: Document the findings.
The nurse is providing dietary education to a pregnant client with
phenylketonuria (PKU). Which foods, if appearing on the client's lunch tray,
would indicate a need for further teaching? Select all that apply. Ans: Dairy
Eggs
Legumes
Meat
Nuts
The nurse is caring for a client diagnosed with diabetes mellitus type 1. The
client reports feeling irritable and anxious with diaphoresis and tremors.
After serving the client a glass of milk, the nurse should next __________.
Ans: Check serum glucose
The nurse is caring for a client in Stage 1 of labor and analyzing the fetal
heart rate pattern. Match the fetal heart rate deceleration to the
corresponding cause and initial action. Ans: Early deceleration:
Cause: Fetal head compression
Initial Action: Continue to monitor
Variable deceleration:
Cause: Umbilical cord compression
Initial Action: Position change
Late declaration:
© 2025 All rights reserved
EDAPT: Introduction to NCLEX Readiness
Questions and Answers Latest Update
The nurse is caring for a client with a phosphate level of 6.2 mg/dL
(reference range: 3 - 4.5 mg/dL). For each finding, click to specify if the
assessment finding is anticipated or not anticipated. Ans: Anticipated:
Hypotension
Diminished peripheral pulses
Positive Chvostek's sign
Prolonged cardiac QT interval
Not Anticipated:
Absent deep tendon reflexes
Hypoactive bowel sounds
Serum calcium level 10 mg/dL
The nurse is caring for a client with telemetry monitoring and observes an
electrocardiogram (ECG) rhythm that shows:
one P wave for every QRS interval
PR interval 0.16 seconds
QRS complex 0.06 seconds
© 2025 All rights reserved
, 2 | Page
heart rate 64 beats per minute
Which action should the nurse take? Ans: Document the findings.
The nurse is providing dietary education to a pregnant client with
phenylketonuria (PKU). Which foods, if appearing on the client's lunch tray,
would indicate a need for further teaching? Select all that apply. Ans: Dairy
Eggs
Legumes
Meat
Nuts
The nurse is caring for a client diagnosed with diabetes mellitus type 1. The
client reports feeling irritable and anxious with diaphoresis and tremors.
After serving the client a glass of milk, the nurse should next __________.
Ans: Check serum glucose
The nurse is caring for a client in Stage 1 of labor and analyzing the fetal
heart rate pattern. Match the fetal heart rate deceleration to the
corresponding cause and initial action. Ans: Early deceleration:
Cause: Fetal head compression
Initial Action: Continue to monitor
Variable deceleration:
Cause: Umbilical cord compression
Initial Action: Position change
Late declaration:
© 2025 All rights reserved
