LATEST 2023 (NEW)WITH REVISED AND FULL
QUESTIONS AND CORRECT DETAILED
ANSWERS|GRADED A+
A nurse in an emergency department is preparing to
perform an ocular irrigation for a
client. Which of the following actions should the nurse plan
to take?
a. Assess the client's visual acuity prior to irrigation
b. Have the client turn their head toward the unaffected eye
c. Hold the irrigator syringe 3.81 cm (1.5 in) above the eye
d. Perform the irrigation with sterile water for irrigation
answerD. Perform the irrigation with sterile water for
irrigation
A nurse is preparing to administer lactated ringer's via
continuous IV infusion at 200
ml/hr. The IV tubing has a drop factor of 10 drops/ml. How
many gtt/min should the
nurse set the IV pump to administer?
Round to near whole number.
A. 10
B. 22
C. 33
D. 4 answerC. 33 gtt/min
,A nurse is providing discharge teaching to a client who has a
new prescription for
sublingual nitroglycerin. Which of the following client
statements indicates an
understanding of the teaching?
a. I can keep my medications for 1 year before replacing it
b. I should lie down when I take this medication
c. I should discontinue this medication if I develop a
headache
d. I can take up to five tablets in 15 minutes before seeking
medical attention answerb. I should lie down when I take
this medication
A nurse is providing discharge teaching to an older adult
client following a left total hip
arthroplasty. Which of the following instructions should the
nurse include in the
teaching?
a. Clean the incision daily with hydrogen peroxide
b. You can cross your legs the ankles when sitting down
c. You should use an incentive spirometer every 8 hours
d. Install a raised toilet seat in your bathroom answerd.
Install a raised toilet seat in your bathroom
A nurse is planning care for a client following a cardiac
catheterization. Which of the
following actions should the nurse take?
a. Keep the client on bed rest for 24 hours
b. Limit the client's fluid intake to 1 l per day
c. Maintain the client's affected extremity in extension
,d. Change the client's dressing every 8 hour answerc.
maintain the clients affected extremity in extension
A nurse is caring for a client who has a lower extremity
fracture and a prescription for
crutches. Which of the following client statements indicates
that the client is adapting to
their role change?
a. I will need to have my partner take over shopping for
groceries and cooking the
meals for us
b. These crutches will make it impossible to care for my
child
c. I feel bad that I have to ask my partner to keep the house
clean
d. Its going to be difficult to tell my parents I cant take them
to their appointments
anymore answera. I will need to have my partner take over
shopping for groceries and cooking the meals for us
A nurse is caring for a client who has gastroenteritis. Which
of the following assessment
findings should the nurse recognize as an indication that the
client is experiencing
dehydration?
a. Pitting, dependent edema
b. Distended jugular veins
c. Increased BP
d. Decreased BP answerd. Decreased BP
, A nurse is caring for a client who has a contusion of the
brainstem and reports thirst.
The client's urinary output was 4,000 ml over the past 24
hour. The nurse should
anticipate a prescription for which of the following IV
medication?
a. Desmopressin
b. Epinephrine
c. Furosemide
d. Nitroprusside answera. Desmopressin
A nurse in a clinic receives a phone call from a client who
recently started therapy with
an ACE inhibitor and reports a nagging dry cough. Which of
the following responses by
the nurse is appropriate?
a. "your cough may require that you stop or change your
medication"
b. "Increasing your daily fluid intake may eliminate your
cough"
c. "sucking on lozenge may reduce the frequency of your
cough"
d. You cough should go away in time" answera. your cough
may require that you stop or change your medication
A nurse is taking an admission history from a client who
reports Raynaud's disease.
Which of the following assessment findings should the nurse
identify as a potential
trigger for exacerbations
of Raynaud's?