Verified Answers | 2026 Exam Prep | Graded A+
1. Which medication's laboratory values should be reviewed for a client exhibiting
rapid speech and decreased sleep?
Lorazepam
Divalproex
Fluoxetine
Olanzapine
2. The practical nurse (PN) is working with the registered nurse (RN) to provide care
for several clients. Which task should the RN, rather than the PN, perform?
Remove the staples from a client's incision one week after hip arthroplasty.
Apply a neck brace prior to ambulating a client the first day after a cervical
laminectomy.
Assist a healthcare provider performing a joint fluid aspiration of a client's
knee.
Irrigate and pack the stage IV coccygeal pressure ulcer for a client with
paraplegia.
3. What is the correct response the nurse should give to the mother regarding toilet
training for boys?
Inform the mother that toilet training is slower for boys
Provide disposable training pants while calming the mother
Refer the mother to a community parent education program
, Suggest that the mother consult a pediatric nephrologist
4. What type of rash is commonly seen in newborns that typically resolves after
several days?
An allergic reaction
A medication reaction A
sign of infection
A common newborn rash
5. What is the most significant lifestyle factor related to gastritis that the nurse should
consider in the teaching plan?
Snacks on foods with very high salt content on a daily basis
Consumes 10 or more drinks of alcohol every weekend
Recently became a vegetarian and eats a lot of high fiber foods
Exercises vigorously every evening right before going to bed
6. Why is blood glucose monitoring considered a critical self-care measure for clients
diagnosed with type 2 diabetes mellitus?
Blood glucose monitoring is only necessary for clients on insulin therapy.
Blood glucose monitoring is only required during hospital stays.
Blood glucose monitoring is less important than meal planning.
Blood glucose monitoring helps clients manage their diabetes by tracking
their glucose levels and making necessary adjustments.
7. If a nurse observes that the UAP is attempting to transfer a client without locking
the wheelchair, what immediate action should the nurse take?
, Instruct the UAP to lock the wheelchair before proceeding with the transfer.
Suggest using a different method of transfer.
Allow the UAP to continue and observe the transfer.
Ask the UAP to wait until the client is ready.
8. A nurse is assisting with the discharge of a child who has sickle anemia and is
recovering from an acute sickle cell crisis. Which of the following instructions
should the nurse reinforce with the child's parents?
Restrict outdoor play activity to 1 hr per day
Monitor the child's temperature twice per day
Encourage the child to increase his fluid intake
Have the child eat a high-protein diet
9. If a nurse observes that a previously toilet-trained child is having accidents during
hospitalization, what is the best nursing intervention to support the child?
Immediately start a retraining program for toileting.
Increase the frequency of bathroom visits to prevent accidents.
Provide reassurance and inform the parents that this behavior is common
during hospitalization.
Encourage the use of diapers to avoid messes.
10. What is the purpose of the Modified Checklist for Autism in Toddlers (MCHAT)?
To screen for autism spectrum disorders in toddlers.
To evaluate behavioral issues in adolescents.
To measure social skills in preschoolers.
, To assess cognitive development in children.
11. If a client taking metformin is scheduled for a CT scan with contrast, what is the
most appropriate nursing intervention?
Hold the metformin medication for 48 hours after the scan.
Administer metformin as usual before the scan.
Consult the physician to switch to insulin before the scan.
Increase the metformin dosage prior to the scan.
12. If a client with postpartum depression successfully engages in one client to client
interaction daily, what might be the next appropriate goal to include in the care
plan?
Sleep at least 8 hours per night
Refuse all social interactions
Consume 3 meals and 2000 mL of fluid per day
Attend one group activity per day
13. An S3 heart sound is auscultated in a client in her third trimester of pregnancy.
What intervention should the nurse take?
Notify the healthcare provider
Prepare the client for an echocardiogram
Document in the client's record
Limit the client's fluids
14. If the mother of the infant expresses continued concern about the rash after being
informed it is common, what should the nurse do next to ensure the mother's
peace of mind?