2025 QUESTIONS AND ANSWERS
May not cause symptoms until serious complications occur - ANS When educating a female
client with gonorrhea, what should the nurse emphasize?
In women, gonorrhea:
melanoma - ANS While assessing the skin of a 45-year-old, fair-skinned female client, the
nurse notes a lesion on the medial aspect of her lower leg. It has irregular borders, with various
shades of black and brown. The client states that the lesion itches occasionally and bled slightly
a few weeks ago. She also reveals a history of sunburns. Based on these signs and symptoms,
the nurse suspects
Block radiant, convective, conductive, and evaporative losses. - ANS What is the nurse's
priority to regulate the temperature of a neonate?
current medications - ANS A multigravida prenatal client with a history of postpartum
depression tells the nurse that she is taking measures to make sure that she does not suffer
that complication, including taking St. John's wort. What is the most important assessment for
the nurse to make?
less difficulty breathing - ANS The nurse administers theophylline to a client. When
evaluating the effectiveness of this medication, what is an expected outcome?
monitor the patency of an indwelling urinary catheter to prevent its occlusion - ANS A full
bladder can precipitate autonomic dysreflexia. The nurse should _______, which could result in
a full bladder.
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, benzodiazepines (lorazepam) - ANS During detoxification from alcohol, changes in the
client's physiological status, especially an increase in blood pressure, may indicate a possible
seizure. Clients are treated with ________ to prevent this.
signs of exhaustion and dehydration - ANS The normal length of the latent stage of labor in a
primigravid client is 6 hours. If the client is having prolonged labor, the nurse should monitor
the client for:
"Drink 6 to 8 glasses of fluid daily while taking this medication." - ANS Which instruction
should a nurse give a client with prostatitis who is receiving co-trimoxazole double strength?
danger signs during pregnancy - ANS A pregnant client comes to the facility for her first
prenatal visit. When providing teaching, the nurse should be sure to cover which topic?
"I will eat five or six small meals each day and have some protein with each meal." -
ANS During a prenatal visit, a pregnant client with cardiac disease and slight functional
limitations reports increased fatigue. The nurse knows that the client understands the
management of the disorder when the client says:
Draw 0.5 ml medication into a syringe, draw the remaining 0.5 ml into another syringe, and ask
another nurse to witness the waste of 0.5 ml into the sink. - ANS The nurse is preparing the
prescribed fentanyl 25 mcg I.V. After obtaining a fentanyl 50 mcg/ml vial, what is the priority
action by the nurse?
goggles, gown, and respirator mask - ANS protective personnel equipment appropriate for
suctioning the client
using a cooling mist humidifier and administering dextromethorphan - ANS A client reports
having a dry, hacking cough that disturbs sleep at night. Which antitussive agent and
intervention are most appropriate for this client?
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