N125 Exam 1 Blueprint Questions With Complete Solutions
A client has died after a long hospital stay. The family was
present at the time of the client's death. Which postmortem
action does the nurse implement?
A- Asks the family if they wish to help wash the client
B-Asks the family to leave
C-Raises the head of the bed and opens the client's eyes
D-Removes dentures and any prosthetics Correct Answer
Asks the family if they wish to help wash the client
A client with a history of seizures is placed on seizure
precautions what emergency equipment will the nurse provide at
the bedside? Correct Answer oxygen setup, suction set up,
artificial oral airway
A client with right-sided weakness is receiving antihypertensive
medications. What does the RN communicate to the physical
therapist (PT), who is planning to help the client walk?
A-"Monitor the client for weakness and fatigue during exercise."
B-"Move the client from lying to standing slowly."
C- "Remind the client to use the left side to grip."
D-Use a gait belt when ambulating the client." Correct Answer
"Move the client from lying to standing slowly."
A client with terminal pancreatic cancer is near death and
complains of increasing shortness of breath with associated
anxiety. Which hospice protocol order does the nurse implement
first?
A- Albuterol (Proventil) 0.5% solution per nebulizer
,B- Morphine sulfate (Roxanol) 5 to 10 mg sublingually as
needed Correct
C-Oxygen 2 to 6 L/min per nasal cannula
D- Prednisone (Deltasone) elixir 10 mg orally Correct Answer
Morphine sulfate (Roxanol) 5 to 10 mg sublingually as needed
A dying client becomes increasingly withdrawn and begins to
refuse to eat and drink. What intervention does the nurse
implement?
A- Brings in the client's favorite Chinese take-out food
B-Calls the family to come in right away
C- Gives intravenous hydration
D-Offers ice chips Correct Answer Offers ice chips
A dying client exhibits signs of agitation. The Foley catheter has
drained 100 mL in the last 3 hours, and the client's last bowel
movement was yesterday evening. What does the nurse do first?
A-Administers an analgesic
B-Arranges for a consultation with a bereavement counselor
C- Assesses the client for impaction
D-Changes the Foley catheter to ensure adequate drainage
Correct Answer Administers an analgesic
A dying client is having difficulty swallowing oral medications.
Which intervention does the nurse implement for this client?
A-Asks the pharmacy to substitute intramuscular (IM)
equivalents for the medications
B-Asks the provider if the medications can be discontinued or
substituted
C-Crushes the pills, opens the sustained-release capsules, and
mixes them with a spoonful of applesauce
, D- Does not give the medications and documents: "Unable to
swallow" Correct Answer Asks the provider if the
medications can be discontinued or substituted
A nurse is assessing an older adult client's alcohol use. Which
client statement warrants a follow-up collection of more data?
A- "I am a 'tea-totaller'; I never drink anything alcoholic."
B- "I had three (3) glasses of champagne at my granddaughter's
wedding last month.
C- "I like to have a glass of wine every once in awhile."
D-I usually drink two (2) vodkas to help me get to sleep each
night." Correct Answer D- "I usually drink two (2) vodkas to
help me get to sleep each night
A nursing student is following a medical-surgical nurse and
identifies a way to improve a procedure used for client care.
What does the student nurse do next? Correct Answer Asks
the nurse about the rationale for doing the procedure that way
A paraplegic client is being discharged home from
rehabilitation. What primary concerns does the nurse include in
the client's discharge plan?- select all that apply
Assistive and adaptive devices
Cast care
Depression prevention
Range-of-motion (ROM) exercises
Wheelchair accessibility Correct Answer Assistive and
adaptive devices
Depression prevention
Range-of-motion (ROM) exercises
Wheelchair accessibility
A client has died after a long hospital stay. The family was
present at the time of the client's death. Which postmortem
action does the nurse implement?
A- Asks the family if they wish to help wash the client
B-Asks the family to leave
C-Raises the head of the bed and opens the client's eyes
D-Removes dentures and any prosthetics Correct Answer
Asks the family if they wish to help wash the client
A client with a history of seizures is placed on seizure
precautions what emergency equipment will the nurse provide at
the bedside? Correct Answer oxygen setup, suction set up,
artificial oral airway
A client with right-sided weakness is receiving antihypertensive
medications. What does the RN communicate to the physical
therapist (PT), who is planning to help the client walk?
A-"Monitor the client for weakness and fatigue during exercise."
B-"Move the client from lying to standing slowly."
C- "Remind the client to use the left side to grip."
D-Use a gait belt when ambulating the client." Correct Answer
"Move the client from lying to standing slowly."
A client with terminal pancreatic cancer is near death and
complains of increasing shortness of breath with associated
anxiety. Which hospice protocol order does the nurse implement
first?
A- Albuterol (Proventil) 0.5% solution per nebulizer
,B- Morphine sulfate (Roxanol) 5 to 10 mg sublingually as
needed Correct
C-Oxygen 2 to 6 L/min per nasal cannula
D- Prednisone (Deltasone) elixir 10 mg orally Correct Answer
Morphine sulfate (Roxanol) 5 to 10 mg sublingually as needed
A dying client becomes increasingly withdrawn and begins to
refuse to eat and drink. What intervention does the nurse
implement?
A- Brings in the client's favorite Chinese take-out food
B-Calls the family to come in right away
C- Gives intravenous hydration
D-Offers ice chips Correct Answer Offers ice chips
A dying client exhibits signs of agitation. The Foley catheter has
drained 100 mL in the last 3 hours, and the client's last bowel
movement was yesterday evening. What does the nurse do first?
A-Administers an analgesic
B-Arranges for a consultation with a bereavement counselor
C- Assesses the client for impaction
D-Changes the Foley catheter to ensure adequate drainage
Correct Answer Administers an analgesic
A dying client is having difficulty swallowing oral medications.
Which intervention does the nurse implement for this client?
A-Asks the pharmacy to substitute intramuscular (IM)
equivalents for the medications
B-Asks the provider if the medications can be discontinued or
substituted
C-Crushes the pills, opens the sustained-release capsules, and
mixes them with a spoonful of applesauce
, D- Does not give the medications and documents: "Unable to
swallow" Correct Answer Asks the provider if the
medications can be discontinued or substituted
A nurse is assessing an older adult client's alcohol use. Which
client statement warrants a follow-up collection of more data?
A- "I am a 'tea-totaller'; I never drink anything alcoholic."
B- "I had three (3) glasses of champagne at my granddaughter's
wedding last month.
C- "I like to have a glass of wine every once in awhile."
D-I usually drink two (2) vodkas to help me get to sleep each
night." Correct Answer D- "I usually drink two (2) vodkas to
help me get to sleep each night
A nursing student is following a medical-surgical nurse and
identifies a way to improve a procedure used for client care.
What does the student nurse do next? Correct Answer Asks
the nurse about the rationale for doing the procedure that way
A paraplegic client is being discharged home from
rehabilitation. What primary concerns does the nurse include in
the client's discharge plan?- select all that apply
Assistive and adaptive devices
Cast care
Depression prevention
Range-of-motion (ROM) exercises
Wheelchair accessibility Correct Answer Assistive and
adaptive devices
Depression prevention
Range-of-motion (ROM) exercises
Wheelchair accessibility
