WITH REAL QUESTIONS AND CORRECT DETAILED ANSWERS
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A nurse is assessing a client who has acute cholecystitis. Which of the
following findings is the nurses priority? - CORRECT ANSWER
tachycardia
A nurse is caring for a client who is undergoing hemodialysis to treat
end stage kidney disease. The client reports muscle cramps, and
tingling sensation in their hands. Which of the following medications
should the nurse plan to minister? - CORRECT ANSWER Calcium
carbonate
A nurse is providing teaching to a client who is receiving
chemotherapy and has a new prescription for epoetin alfa. Which of
the following client statements indicates an understanding of the
teaching? - CORRECT ANSWER " I will monitor my blood pressure
while taking this medication"
- common adverse effect: hypertension
A nurse is caring for a group of clients. The nurse should plan to make
a referral to physical therapy for which of the following clients? -
CORRECT ANSWER A client who is receiving preoperative teaching
for a right knee arthroplasty
A nurse is providing teaching to a female client who has a history of
UTIs. Which of the following information should the nurse include in
the teaching? - CORRECT ANSWER Take daily cranberry
supplements
A nurse is providing instructions to a client who has type 2 diabetes
mellitus and a new prescription for metformin. Which of the following
statements by the client indicates an understanding of the teaching? -
CORRECT ANSWER "I should take this medication with a meal."
,A nurse is caring for a client who is receiving total parenteral nutrition.
A new bag is not available when the current infusion is nearly
completed. which of the following actions should the nurse take? -
CORRECT ANSWER Administer dextrose 10% in the water until the
new bag arrives.
A nurse in a community clinic is caring for a client who reports an
increase in the frequency of of migraine headaches. To help reduce
the risk of migraine headaches which of the following foods should the
nurse recommend to avoid? - CORRECT ANSWER Aged cheese
A nurse is preparing a client who has supra, ventricular tachycardia
for elective cardioversion. Which of the following prescribe medication
should the nurse instruct the client to withhold for 48 hours prior to
cardioversion? - CORRECT ANSWER Digoxin
A nurse is caring for a client who has anorexia, low-grade fever, night
sweats, and a productive cough. Which of the following action should
the nurse take first? - CORRECT ANSWER Initiate airborne
precautions
A nurse is caring for a client who has stage three pressure injury.
Which of the following findings contributes to delayed wound healing?
- CORRECT ANSWER Urine output 25ml/hr
A nurse is caring for a client who has emphysema and is receiving
mechanical ventilation. The client appears anxious and restless, the
high-pressure alarm is sounding. Which of the following actions should
the nurse take first? - CORRECT ANSWER Instruct the client to allow
the machine to breathe for them.
A nurse is caring for a client who has hepatic encephalopathy and is
being treated with lactulose. The client is experiencing excessive
stools. Which of the following findings is an adverse effect of this
medication? - CORRECT ANSWER Hypokalemia
A nurse in an emergency department is caring for a client who reports
vomiting and diarrhea for the past three days. Which of the following
,findings should indicate to the nurse of the clients experiencing fluid
volume deficit? - CORRECT ANSWER Heart rate 110/min
A nurse is caring for a client who has pancreatitis. The nurse should
expect which of the following laboratory results to be below the
expected reference range? - CORRECT ANSWER Calcium
A nurse in an acute care facility is caring for a client who is at risk for
seizures. Which of the following precautions should the nurse
implement? - CORRECT ANSWER Ensure that the client has a patent
IV.
A nurse is assessing a client who has had a plaster cast applied to
their left leg two hours ago. Which of the following actions should the
nurse take? - CORRECT ANSWER Check that one finger fits between
the cast in the leg.
A nurse is caring for a client one hour following a cardiac
catherization. The nurse notes the information of a hematoma at the
insertion site and a decreased pulse rate in the affected extremity.
Which of the following interventions of the nurses priority? - CORRECT
ANSWER Apply firm pressure to the insertion site
A nurse is teaching a class about client rights. Which of the following
instructions should the nurse include? - CORRECT ANSWER A client
should sign an informed consent before receiving a placebo during a
research trial.
A nurse in a providers office is caring for a client who requests
sildenafil to treat erectile dysfunction. Which of the following
statements should the nurse make? - CORRECT ANSWER You will
not be able to use sildenafil if you are taking nitroglycerin.
(The client should not use sildenafil when taking nitroglycerin because
both medications can cause vasodilation and lead to significant
hypotension)
A nurse is caring for a client who has chronic glomerulonephritis with
oliguria. Which of the following findings should the nurse identify as a
, manifestation of chronic glomerular nephritis? - CORRECT ANSWER
Hyperkalemia
A nurse is assessing a client who has a suspected stroke. The nurse
should place the priority on which of the following findings? -
CORRECT ANSWER Dysphagia
A nurse is caring for a client who has a prescription for enalapril. The
nurse should identify which of the following findings as an adverse
effect of the medication? - CORRECT ANSWER orthostatic
hypotension
A nurse is assessing a client who had extracorporeal shock wave
lithotripsy (ESWL) 6 hours ago. Which of the following findings should
the nurse expect? - CORRECT ANSWER Stone fragments in the urine
A nurse is providing teaching to a client who has chronic kidney
disease in a new prescription for erythropoietin. Which of the following
statement by the client indicates an understanding of the teaching? -
CORRECT ANSWER I am taking this medication to increase my
energy level
A nurse is creating a plan of care for a client who has a neutropenia as
a result of chemotherapy. Which of the following intervention should
the nurse include in the plan? - CORRECT ANSWER Monitor the
clients temperature every 4 hours
A nurse is evaluating a client who has a new diagnosis of type one
diabetes mellitus. Which of the following client statements indicates
the client is successfully coping with the change? - CORRECT
ANSWER I used to never worry about my feet. now, I inspect my feet
every day with a mirror.
A nurse is planning care to decrease psychosocial health issues for a
client who is starting dialysis treatment for chronic kidney disease.
Which of the following intervention should the nurse include in the
plan? - CORRECT ANSWER Tell the client that it is possible to return
to similar previous levels of activity