Testing and Remediation Advanced Test Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

Testing and Remediation Advanced Test Questions and Answers | Latest Version | 2025/2026 | Correct & Verified What is the priority nursing action when a client develops sudden shortness of breath and chest pain? Elevate the head of the bed and apply oxygen What lab value should the nurse monitor for a client on warfarin therapy? INR What is a key nursing consideration when administering a beta-blocker? Check the client’s blood pressure and heart rate before administration What is the appropriate nursing action for a client experiencing a blood transfusion reaction? Stop the transfusion immediately and keep the IV line open with normal saline What is a sign of digoxin toxicity in an older adult? Visual disturbances and bradycardia 2 What intervention can help prevent ventilator-associated pneumonia in intubated clients? Perform oral care every 2 hours What should the nurse assess for in a client receiving opioids for pain management? Respiratory rate and level of consciousness A client with heart failure is gaining 2 pounds in 24 hours. What should the nurse suspect? Fluid retention and possible worsening heart failure What is the most reliable method for verifying the correct placement of a central venous catheter? Chest X-ray What electrolyte imbalance is most likely with prolonged vomiting? Hypokalemia What is the priority nursing action for a client with a potassium level of 2.8 mEq/L? 3 Notify the provider and prepare to administer potassium replacement A client with COPD is receiving oxygen at 4 L/min via nasal cannula. What is the nurse’s concern? High oxygen flow may suppress respiratory drive What is a complication of long-term corticosteroid use? Osteoporosis and hyperglycemia What intervention should the nurse implement for a client with increased intracranial pressure? Keep the head of the bed elevated to 30 degrees What finding indicates a positive Chvostek’s sign? Facial twitching in response to tapping the facial nerve What is a priority assessment after a thyroidectomy? Monitor for signs of airway obstruction or hypocalcemia 4 What is the expected action of furosemide? Increases urine output by promoting diuresis A client with cirrhosis has a distended abdomen.