A nurse caring for a client who has an infected wound removes a dressing
saturated with blood and purulent drainage. How should the nurse dispose of the
dressing material?
A. Discard the dressing in the bedside trash receptacle.
B. Dispose of the dressing in a biohazardous waste container.
C. Enclose the dressing in a single clear plastic bag and discard in the bedside
trash receptacle. - CORRECT ANSWER-B. Dispose of the dressing in a biohazardous
waste container.
A nurse is caring for a female client who has recurrent kidney stones and is
scheduled for an intravenous pyelogram. Which of the following statements
should the nurse report to the provider?
A. "I drink at least 2 quarts of fluid every day."
B. "The last time I voided it was painful and red-tinged."
C. "My period ended 2 days ago."
,D. "I don't eat shellfish because it gives me hives." - CORRECT ANSWER-D. "I don't
eat shellfish because it gives me hives."
A nurse is preparing to administer 40 mEq of potassium chloride in 45% sodium
chloride (NaCl) 500 mL IV to infuse 10 mEq/hr. The nurse should set the IV pump
to deliver how many mL/hr? (Round the answer to the nearest whole number.
Use a leading zero if it applies. Do not use a trailing zero.)
CALCULATION - CORRECT ANSWER-125 mL/hr
A nurse working for a home agency is assessing an older adult male client. Which
of the following findings is the priority for the nurse to address?
A. Swollen gums
B. Pruritus
C. Urinary Hesitancy
D. Dysphagia - CORRECT ANSWER-D. Dysphagia
A nurse is going to give a presentation about preventing deep-vein thrombosis
(DVT). Which of the following should the nurse include as a risk factor for this
disorder? (Select all that apply.)
BMI of 20
Recent long flight
Hypertension
,High calcium intake
Immobility - CORRECT ANSWER-Flights
Immobility
A nurse is teaching a client who has a prescription of a nasogastric tube (NG) to
treat a pyloric obstruction. Which of the following rationales for the use of the
nasogastric tube should the nurse include in the teaching?
A. Determine the pH of the gastric secretions.
B. Supply nutrients via tube feedings.
C. Decompress the stomach.
D. Administer medications. - CORRECT ANSWER-C. Decompress the stomach.
A nurse provides a back massage as a palliative care measure to a client who is
unconscious, grimacing, and restless. Which of the following findings should the
nurse identify as indicating a therapeutic response? (Select all that apply.)
The shoulders droop.
The facial muscles relax.
The respiratory rate increases.
The pulse is within the expected range.
The client draws his legs up into a fetal position. - CORRECT ANSWER-The
shoulders droop.
, The facial muscles relax.
The pulse is within the expected range.
A nurse is assessing a client who is postoperative and has anemia due to excess
blood loss following surgery. Which of the following findings should the nurse
expect?
A. Fatigue
B. Hypertension
C. Bradycardia
D. Diarrhea - CORRECT ANSWER-A. Fatigue
A nurse is reviewing the arterial blood gas (ABG) results of a client who the
provider suspects has metabolic acidosis. Which of the following results should
the nurse expect to see?
A. pH below 7.35
B. HCO3 above 26 mEq/L
C. PaO2 below 70 mmHg
D. PaCO2 above 45 mmHg - CORRECT ANSWER-A. pH below 7.35
A hospice nurse is reviewing the prescriptions for a client who is receiving
palliative care. Which of the following prescriptions should the nurse expect?
(Select all that apply.)
saturated with blood and purulent drainage. How should the nurse dispose of the
dressing material?
A. Discard the dressing in the bedside trash receptacle.
B. Dispose of the dressing in a biohazardous waste container.
C. Enclose the dressing in a single clear plastic bag and discard in the bedside
trash receptacle. - CORRECT ANSWER-B. Dispose of the dressing in a biohazardous
waste container.
A nurse is caring for a female client who has recurrent kidney stones and is
scheduled for an intravenous pyelogram. Which of the following statements
should the nurse report to the provider?
A. "I drink at least 2 quarts of fluid every day."
B. "The last time I voided it was painful and red-tinged."
C. "My period ended 2 days ago."
,D. "I don't eat shellfish because it gives me hives." - CORRECT ANSWER-D. "I don't
eat shellfish because it gives me hives."
A nurse is preparing to administer 40 mEq of potassium chloride in 45% sodium
chloride (NaCl) 500 mL IV to infuse 10 mEq/hr. The nurse should set the IV pump
to deliver how many mL/hr? (Round the answer to the nearest whole number.
Use a leading zero if it applies. Do not use a trailing zero.)
CALCULATION - CORRECT ANSWER-125 mL/hr
A nurse working for a home agency is assessing an older adult male client. Which
of the following findings is the priority for the nurse to address?
A. Swollen gums
B. Pruritus
C. Urinary Hesitancy
D. Dysphagia - CORRECT ANSWER-D. Dysphagia
A nurse is going to give a presentation about preventing deep-vein thrombosis
(DVT). Which of the following should the nurse include as a risk factor for this
disorder? (Select all that apply.)
BMI of 20
Recent long flight
Hypertension
,High calcium intake
Immobility - CORRECT ANSWER-Flights
Immobility
A nurse is teaching a client who has a prescription of a nasogastric tube (NG) to
treat a pyloric obstruction. Which of the following rationales for the use of the
nasogastric tube should the nurse include in the teaching?
A. Determine the pH of the gastric secretions.
B. Supply nutrients via tube feedings.
C. Decompress the stomach.
D. Administer medications. - CORRECT ANSWER-C. Decompress the stomach.
A nurse provides a back massage as a palliative care measure to a client who is
unconscious, grimacing, and restless. Which of the following findings should the
nurse identify as indicating a therapeutic response? (Select all that apply.)
The shoulders droop.
The facial muscles relax.
The respiratory rate increases.
The pulse is within the expected range.
The client draws his legs up into a fetal position. - CORRECT ANSWER-The
shoulders droop.
, The facial muscles relax.
The pulse is within the expected range.
A nurse is assessing a client who is postoperative and has anemia due to excess
blood loss following surgery. Which of the following findings should the nurse
expect?
A. Fatigue
B. Hypertension
C. Bradycardia
D. Diarrhea - CORRECT ANSWER-A. Fatigue
A nurse is reviewing the arterial blood gas (ABG) results of a client who the
provider suspects has metabolic acidosis. Which of the following results should
the nurse expect to see?
A. pH below 7.35
B. HCO3 above 26 mEq/L
C. PaO2 below 70 mmHg
D. PaCO2 above 45 mmHg - CORRECT ANSWER-A. pH below 7.35
A hospice nurse is reviewing the prescriptions for a client who is receiving
palliative care. Which of the following prescriptions should the nurse expect?
(Select all that apply.)
