LATEST UPDATED VERSION QUESTIONS AND
VERIFIED CORRECT ANSWERS JUST RELEASED
A nurse in a providers office is assessing a client who has heart failure. The client has
gained weight since her last, and her an,les are edematous. Which of the following
findings is another clinical manifestation of fluid volume excess
A) Sunken eyeball
B) Hypotension
C) Poor skin turgor
D) Bounding pulse - answer>>>D) Bounding pulse
A nurse in an oncology clinic is assessing a client who is undergoing treatment for ovarian
cancer. Which of the following statements by the client indicates she is experiencing
psychological distress?
A) "My parents are retired, and they have come to help with our children
B) "I am going to ask my husband to go to counseling with me"
C) "I keep having nightmares about my upcoming surgery"
D) "My girlfriends bought me a nice wig" - answer>>>C) "I keep having night,ares about
my upcoming surgery"
A nurse is assessing a client who has a sudden onset of severe back pain of unknown
origin. Which of the following questions should the nurse ask to encourage discussion
with the client?
A) "Does the medication you're taking relieve the pain?"
B) "Can you point to where the pain is the worst?"
C) "What do you think caused the onset of your pain?"
,D) "Changing positions makes your pain worse, right?" - answer>>>C) "What do you think
caused the onset of your pain?"
A nurse is caring for a client who has acute renal failure. Which of the following
assessments provides the most accurate measure of the clients fluid status?
A) Daily weight
B) Blood pressure
C) specific gravity
D) Intake and output - answer>>>A) Daily weight
A nurse is caring for a client who is unstable and has vital sign measured every 15
minutes by an electronic blood pressure machine. The nurse notices the machine begins
to measure the blood pressure at varied intervals, and the readings are inconsistent.
Which of the following actions should the nurse take?
A) Turn on the machine every 15 min to measure the clients blood pressure
B) Record only the blood pressure reading needed for 15 min intervals
C) Obtain manual and automatic readings and compare them
D) Disconnect the machine and measure the blood pressure manually every 15 min -
answer>>>D) Disconnect the machine and measure the blood pressure manually every
15 min
A nurse is caring for a client who has a temperature of 38.7 C (101.7 F). Which of the
following actions should the nurse take?
A) Apply an alcohol-water solution to the clients skin
B) Keel the clients bed linens dry
C) Apply ice packs to the groin
D) Limit the clients fluid intake to 1183 mL (40 oz) of fluid per day - answer>>>B) Keep
the clients bed linens dry
, A nurse is supervising a newly licensed nurse who is administering a controlled
substance. Which of the following actions by the newly licensed nurse indicates an
understanding of the procedure?
A) Placing an unused portion of the medication in a sharps box
B) Asking another nurse to observe the disposal of an unused portion of the medication
C) Counting the inventory of the available narcotic after administering the medication
D) Ensuring that another nurse signs the control inventory form after disposal of an
unused portion of medication - answer>>>B) Asking another nurse to observe the
disposal of an unused portion of the medication
A nurse is teaching a client with lower extremity weakness how to use a 4-point crutch
gait. Which of the following instructions should the nurse included in the teaching?
A) "Support the majority of your weight on the axillae"
B) "Keep your elbows extended"
C) "Bear weight on both of your legs"
D) "Move both crutches forward at the same time" - answer>>>C) "Bear weight on both
of your legs"
A nurse is obtaining a capillary blood sample to determine a clients blood glucose level.
The nurse prepares and punctures the clients finger for the procedure but does not
obtain an adequate amount of blood. Which of the following actions should the nurse
take next?
A) Smear the small amount of blood onto the testing strip
B) Hold the finger above heart level
C) Massage the clients fingertip
D) Wrap the clients finger in a warm washcloth - answer>>>D) Wrap the clients finger in a
warm washcloth