Questions with 100% Correct Verified Answers/ Graded A+
1. A nurse is assessing an infant who has water intox- bounding pulse
ication. Which of the following findings should the
nurse expect?
2. A nurse is discussing the z-track administration of a. This technique
hydroxyzine with a newly licensed nurse. Which of decreases the risk
the following statements indicates the newly licensed of subcutaneous
nurse understands the purpose of the technique infiltration
3. 1. A nurse is creating a plan of care for a client who a. Monitor the
has anorexia nervosa. Which of the following inter- client for 1 hr after
ventions should the nurse include in the plan? meals
4. A nurse notices smoke coming from a client's room a. Close the fire
and discovers a fire in the wastebasket. After moving door on the unit
the client to safety, which of the followings is the
priority action?
5. A nurse is assessing a client who has delirium due a. Hallucinations
to a febrile illness. Which of the following findings
should the nurse expect?
6. 1. A nurse is caring for a client following an open hyperemesis
colectomy. Which of the following findings places the
client at risk for delayed wound healing?
7. 1. A home health nurse is reviewing treatment goals A1C
with a client who has diabetes mellitus. The nurse
should evaluate which of the following laboratory
tests to determine effective long-term management
of blood glucose levels?
8. 1. A nurse is caring for a client who has neutropenia a. Use a dedicated
due to HIV. Which of the following precautions should stethoscope
the nurse take while caring for this client?
9. 1. A nurse is caring for a client who reports difficulty Tell the client to
falling asleep at night. Which of the following actions avoid drinking flu-
should the nurse take? ids 1 hr before
bedtime
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10. 1. A nurse is planning care for a newborn who has a. Place the new-
hyperbilirubinemia and is to receive phototherapy. born 45 cm from
Which of the following interventions should the nurse the light source
include?
11. 1. A nurse is planning care for a client who has schiz- social worker
ophrenia and is having difficulty expressing their
feelings. Which of the following referrals should the
nurse make?
12. 1. A nurse is caring for a client who has heart failure decreased reflex-
and has started taking a loop diuretic. Which of the es
following findings indicates the client is experiencing
an adverse effect of the medication
13. 1. At the start of an evening shift on a cardiac unit, indigestion
a licensed practical nurse brings the nurse a list of
client reports. Which of the following client reports
should the nurse assess first?
14. 1. A nurse is caring for a client who has just returned offer oral fluids to
to the unit following a bronchoscopy. Which of the the client
following actions by the assistive personnel requires
the nurse to intervene?
15. 1. A nurse on a medical unit has just received a. A 68 year old
change-of-shift report. Which of the following clients client who had a
should the nurse assess first? myocardial infarc-
tion 2 days ago
and reports chest
pain as a 4 on a
scale of 0 to 10
16. 1. A nurse is assessing a client prior to performing a avocados
blood draw. The nurse should identify that an allergy
to which of the following food can indicate that the
client has an allergy to latex?
17.
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1. A nurse is preparing to witness a client's signature a. I am thankful
on an informed consent for a total knee arthroplasty. there are no seri-
Which of the following client statements indicates the ous complications
nurse should contact the surgeon? from this type of
surgery
18. 1. A nurse is admitting a client who has antisocial a. Uses others for
personality disorder. Which of the following client be- personal gain
haviors should the nurse identify as consistent with
this disorder?
19. 1. A nurse is teaching the parent of a school-age burning
child who has scabies about the application of per-
methrin 5% cream. The nurse should include which
of the following as a potential adverse effect of the
medication?
20. 1. A nurse is teaching a client who has a new prescrip- muscle weakness
tion for digoxin. Which of the following statements
should the nurse include in the teaching?
21. 1. A nurse is planning teaching for a client who is at 10 a. Empty the blad-
weeks of gestation and has a history of urinary tract der before and af-
infections. Which of the following information should ter intercourse
the nurse plan to include in the teaching about UTI
prevention?
22. 1. A nurse is providing discharge teaching to a client a. Calcium
who is postpartum and plans to breastfeed. Which of
the following should the nurse recommend the client
increase in their diet during lactation?
23. 1. A nurse is providing teaching about preventing a. Try to have your
mastitis to a client who is postpartum and breastfeed- baby empty your
ing her newborn. Which of the following instructions breasts with each
should the nurse include? feeding."
24. 1. A nurse is caring for a client who reports chest pain. a. Troponin I 1.8
Which of the following findings indicates myocardial ng/mL
damage?
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25. 1. A nurse is providing teaching about car seat safety a. "I should place
to the parent of a term newborn. Which of the fol- my baby's car seat
lowing statements by the parent indicates an under- rear-facing until 6
standing of the teaching? months of age."
26. 1. A nurse is performing high-frequency chest com- a. The child has
pressions using a mechanical chest compression de- increased sputum
vice for a child who has cystic fibrosis. Which of the production
following findings indicates the treatment has been
effective?
27. 1. A nurse is caring for a client following a possible antitoxin
exposure to anthrax. Which of the following actions
should the nurse take?
28. 1. A nurse is caring for a client who has a newly im- a. Keep a 3 foot
planted sealed internal radiation device to treat cer- distance from the
vical cancer. Which of the following is an appropriate radiation implant
action for the nurse to take?
29. A nurse is admitting a client to the medical-surgical a. Observe the
unit. Which of the following actions should the nurse client's level of
take first? mobility
30. 1. A nurse at a public health clinic is caring for a group hep A
of clients. Which of the following should the nurse
identify as a reportable diagnosis to the CDC?
31. 1. A charge nurse is evaluating the time management a. Completes ac-
skills of a newly licensed nurse. Which of the follow- tivities for one
ing actions should the charge nurse identify as an client before mov-
effective time management skill? ing to the next
client
32. 1. A nurse is caring for a client who has opioid use a. Hyperreflexia
disorder and is experiencing withdrawal. Which of the
following findings should the nurse expect?
33.