Form A, B And C Actual 2024 Exam
A nurse is caring for a client who is receiving total parental nutrition. For
which of the following
findings should the nurse monitor as a potential complication of TPN?
A. Constipation
B. Respiratory depression
C. Hypotension
D. Electrolyte imbalance - ✔️CORRECT ANSWER✅-Electrolyte
imbalance
A nurse is analyzing the laboratory data on a client who has dehydration.
Which finding should
the nurse anticipate in a client who has fluid volume deficit?
A. Decreased serum osmolarity
B. Decreased hematocrit
,C. Elevated blood urea nitrogen
D. Lower urine specific gravity - ✔️CORRECT ANSWER✅-Elevated
blood urea nitrogen
A nurse is performing high-frequency chest compressions using a
mechanical chest compression
device for a child who has cystic fibrosis. Which of the following findings
indicates the treatment has
been effective?
A. The child develops a dry, hacking cough
B. The child has increased nasal secretions
C. The child has increased sputum production
D. The child develops diminished breath sounds - ✔️CORRECT
ANSWER✅-The child has increased sputum production
A nurse in an inpatient mental health facility is caring for a client who has
major depressive
disorder and refuses to take her medication. Which of the following
actions should the nurse take
,first?
A. Explain to the client the consequences of refusal
B. Identify the reason for the client's refusal
C. Document the client's refusal in the medical record
D. Inform the provider of the client's refusal - ✔️CORRECT ANSWER✅-
Identify the reason for the client's refusal
A nurse is providing discharge teaching about disease prevention to a
client who has active
tuberculosis. Which of the following should the nurse include?
A. Educating the client how to cover nose and mouth with tissues when
coughing
B. Recommending the client may return to work after two negative
sputum cultures
C. Instructing the client that he is no longer contagious after 1 week of
medication therapy
D. Teaching the client's family to wear protective masks while with the
client - ✔️CORRECT ANSWER✅-Educating the client how to cover nose
and mouth with tissues when coughing
, A nurse is caring for a client following a possible exposure to anthrax.
Which of the following
actions should the nurse take?
A. Administer an antitoxin
B. Quarantine the client
C. Monitor the client for a productive cough
D. Begin prophylactic treatment with ciprofloxacin - ✔️CORRECT
ANSWER✅-Begin prophylactic treatment with ciprofloxacin
A nurse enters a client's room and finds the client lying on the floor in a
puddle of water. Which of
the following statements should the nurse document in an incident
report?
A. Client fell out of bed because an assistive personnel left the rails of the
bed down
B. Client's roommate thinks the client is confused and fell when getting
out of bed