Latest Update 2025 With Complete
Questions And Correct Answers
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A home health nurse is caring for a child who has Lyme disease. Which of the following
is an appropriate action for the nurse to take? -100%CORRECT VERIFAID ANSWER-
Ensure the state health department has been notified.
,A nurse is caring for a client who has a vented NG tube set to low intermittent suction
and has vomited. Which of the following actions should the nurse perform first? -
100%CORRECT VERIFAID ANSWER-Evaluate functioning of the suction device.
While performing a routine assessment, a nurse notices fraying onto the electrical cord
of a client's continuous passive motion (CPM)device. Which of the following actions
should the nurse take first? -100%CORRECT VERIFAID ANSWER-Remove the device
from the room.
A nurse is setting up a sterile field to perform wound irrigation for a client. Which of the
following actions should the nurse take when pouring the sterile solution? -
100%CORRECT VERIFAID ANSWER-Remove the cap and place it sterile side up on a
clean surface.
A nurse is creating a plan of care for a female client who has recurrent urinary tract
infections. Which of the following interventions should the nurse include in the plan?
correct answerWear loose fitting underwear.
A nurse is caring for an infant who has gastroenteritis. Which of the following
assessments findings should the nurse report to the provider? -100%CORRECT
VERIFAID ANSWER-Sunken fontanels and dry mucous membranes.
A nurse is conducting health promotion education regarding contraindications to
combination oral contraceptive use to a group of women. Which of the following
conditions should the nurse include in the teaching? -100%CORRECT VERIFAID
ANSWER-Hypertension
A nurse is providing teaching to a client who has a depressive disorder and a new
prescription for amitriptyline. Which of the following statements by the client indicates
understanding of the teaching? -100%CORRECT VERIFAID ANSWER-"I know it will be
a couple of weeks before the medication helps me feel better."
A nurse is caring for a client who is immobile. Which of the following interventions is
appropriate to prevent contracture? -100%CORRECT VERIFAID ANSWER-Align a
trochanter wedge between the client's legs.
A nurse is assessing a client who is postoperative following abdominal surgery and has
an indwelling urinary catheter that is draining dark yellow urine at 25 mL/hr. Which of
the following interventions should the nurse anticipate? -100%CORRECT VERIFAID
ANSWER-Obtain a urine specimen for culture and sensitivity
A nurse is reporting a client's laboratory tests to the provider to obtain a prescription for
the client's daily warfarin. Which of the following laboratory tests should the nurse plan
, to report to obtain the prescription for the warfarin? -100%CORRECT VERIFAID
ANSWER-INR
A nurse is assessing a client who is taking haloperidol and is experiencing
pseudoparkinsonism. Which of the following findings should the nurse document as a
manifestation of pseudoparkinsonism? -100%CORRECT VERIFAID ANSWER-
Shuffling gait
A nurse is caring for a client who is experiencing expressive aphasia and right
hemiparesis following a stroke. Which of the following actions by the nurse best
promotes communication among staff caring for the client? -100%CORRECT
VERIFAID ANSWER-Having interdisciplinary team meetings for the client on a regular
basis.
A nurse is caring for a 2-year-old toddler. Which of the following food choices should the
nurse recommend to promote independence in eating? -100%CORRECT VERIFAID
ANSWER-Banana slices A nurse on a medical-surgical unit is notified that a mass
casualty event has occurred in the community. Which of the following actions should the
nurse plan to take? -100%CORRECT VERIFAID ANSWER-Recommend to the
provider specific acute care clients for discharge.
A nurse is receiving change-of-shift report for four clients. Which of the following clients
should the nurse assess first? -100%CORRECT VERIFAID ANSWER-A client who was
just given a glass of orange juice for low blood glucose level.
A nurse is performing postmortem care for a recently deceased client prior to the client's
family visit. Which of the following actions should the nurse plan to take? -
100%CORRECT VERIFAID ANSWER-Hold the client's eyes shut for a few seconds.
A nurse is admitting a client who has schizophrenia. The client states, "I'm hearing
voices." Which of the following responses is the priority for the nurse to state? -
100%CORRECT VERIFAID ANSWER-"What are the voices telling you?"
A nurse is administering furosemide IV bolus to a client who has fluid volume excess.
The nurse should recognize which of the following as an indication that the medication
has been effective? -100%CORRECT VERIFAID ANSWER-Weight loss
A nurse is caring for a client who requires nasotracheal suctioning. Identify the
sequence the nurse should follow to perform suctioning. -100%CORRECT VERIFAID
ANSWER-1. Turn on the suction and set the pressure.
2. Don sterile gloves.
3. Insert the catheter during the client's inspiration.
4. Apply suction while rotating the catheter. 5. Rinse the catheter to remove secretions.