2024 NEWEST 90 ACTUAL EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT)
/ALREADY GRADED A+
a nurse is assisting with the care of a client who is postoperative following abdominal
surgery. which of the following actions should the nurse take? - ANSWER: -instruct
the client to splint their abdomen with a pillow when coughing.
-plan to ambulate the client as soon as possible.
-report the client's urinary output to the charge nurse
a nurse is reviewing the lab reports of a client who reports chest pain. Which of the
following lab results indicates the client is experiencing a myocardial infarction? -
ANSWER: elevated troponin
a nurse is assisting with the care of a client. For each finding, click to specify if the
finding is consistent with emphysema, asthma, or pneumonia. - ANSWER:
emphysema: breath sounds, respiratory rate, cough
Asthma: breath sounds, respiratory rate, cough
pneumonia: temp, breath sounds, respiratory rate, cough
a nurse is assisting with the care for a client who is suspected of having a myocardial
infarction. which of the following actions should the nurse take to prepare the client
for an ECG? - ANSWER: cleanse the client's skin prior to electrode placement.
a nurse is assisting with the care of a client. The client is experiencing manifestations
of __ due to the client's__. - ANSWER: 1st blank: peritonitis
2nd blank: abdominal x-ray results
a nurse is assisting in the care of a client who is experiencing withdrawal from
heroin. Which of the following medications should the nurse expect the provider to
prescribe? - ANSWER: methadone
a nurse is preparing to remove a client's NG tube. which of the following
interventions should the nurse take to decrease the risk of aspiration? - ANSWER:
pinch the NG tube
a nurse is reinforcing teaching with a client who is on a low-sodium diet and asks
about how to improve the taste of bland food. which of the following foods should
the nurse recommend? - ANSWER: lemon juice
a nurse is assisting in the care of a client who has AIDS-related pneumonia. The client
is receiving antibiotic therapy and albuterol nebulizer treatment daily. Which of the
following findings should indicate to the nurse that the client's therapeutic regimen
is effective? - ANSWER: decrease in exertional dyspnea
, a nurse is assisting with the care for a client who is postoperative and has an epidural
infusion. which of the following findings should the nurse recognize as the priority? -
ANSWER: dyspnea
a nurse is providing information regarding transmission-based precautions for a
client who has C. DIff to an AP. which of the following instructions should the nurse
include? - ANSWER: -provide the client with disposable utensils and dishes for meals
-leave blood pressure equipment in the client's room
-clean contaminated surfaces with a bleach solution
a nurse is contributing to the plan of care for a client who has just transferred to the
medical-surgical unit from the PACU following a right TKA. which of the following
interventions should the nurse include in the plan? - ANSWER: assist the client to
change positions at least every 2 hours.
a nurse is preparing to administer scheduled medications to a client. which of the
following prescriptions should the nurse verify with the provider? - ANSWER:
ceftriaxone
a nurse is examining a client's IV site and notes a hardened vein above their IV site.
the client reports a throbbing, burning pain at the IV site. the nurse should identify
that the client's manifestations indicate which of the following complications of IV
therapy? - ANSWER: thrombophlebitis
a nurse is reinforcing teaching with a client prior to the removal of a leg cast. which
of the following statements should indicate to the nurse that the client understands
the teaching? - ANSWER: I will feel vibrations on my leg from the cast cutter
a nurse is collecting data from a client and notices several skin lesions. which of the
following findings should the nurse report as possible melanoma? - ANSWER:
irregular borders
a nurse is assisting with the care for a client who has difficulty swallowing. which of
the following actions should the nurse implement to prevent aspiration? - ANSWER:
give the client liquids with increased viscosity
a nurse is reinforcing teaching regarding the use of continuous passive motion
machine with a client who is scheduled for a TKA. which of the following information
should the nurse include in the teaching? - ANSWER: -your knee is flexed and
extended as prescribed by your provider
-the machine is padded with sheep skin
a nurse is assisting with the care for a client who has a prescription for digoxin 0.25
mg PO daily. while taking the client's apical pulse the nurse notes a rate of 58/min.
which of the folowing actions should the nurse take? - ANSWER: withhold the dose