VERIFIED QUESTIONS AND ANSWERS||
ALREADY GRADED A+ || GUARANTEED PASS ||
LATEST UPDATE 2025
A nurse is receiving change-of- shift report for four clients. Which of the
following clients should the nurse assess first?
a. A client who has leukemia and a platelet level of 95,000/mm3 (150-400)
b. A client who has hepatitis B and total bilirubin of 1.2 mg/dL (0.1-1.0)
c. A client who has diabetes mellitus and a HbA1c of 5.2%
d. A client who received IV furosemide and has a serum potassium of 3.6
mEq/L - ANSWER-a. A client who has leukemia and a platelet level of
95,000/mm3 (150-400)
A nurse is admitting a client who has a history of atrial fibrillation. The nurse
should recognize the atrial fibrillation places the client at risk for which
conditions?
a. cardiac tamponade
b. pulmonary emboli
c. hemothorax
d. widened pulse pressure - ANSWER-B. pulmonary emboli
A nurse is teaching about home care to the parents of an infant who has a
tracheostomy. Which of the following instruction should the nurse include in
the teaching?
,a. set the suction machine to 60 mm Hg
b. advance the suction catheter just past the point of resistance
c. instill 2 ml of saline in the tracheostomy prior suctioning
d. apply suction for 30 seconds after advancing the catheter - ANSWER-a. set
the suction machine to 60 mm Hg
A nurse is caring for a client who has given informed consent for
electroconvulsive therapy. Just before the procedure, the client tells the nurse
she is considering not going forward with the treatment. Which of the following
statements by the nurse is appropriate?
a. "You don't have to go through with the treatment"
b. "It's okay to be nervous before this treatment"
c. "Most people who have this procedure feel better following the treatment"
d. "Your doctor wouldn't have ordered this treatment unless it was necessary" -
ANSWER-a. "You don't have to go through with the treatment"
A home health nurse is providing teaching about home safety to an older adult
client. Which of the following statements by the client indications that the
teaching has been effective?
A. I put on socks when getting out of bed at night
b. I have marked the steps with black tape
c. I have grab bars next to my tub
d. I have played throw rugs in the hallways - ANSWER-C. I have grab bars next
to my tub
A nurse is reviewing laboratory results for a client who has a heart failure and
notes a serum potassium level of 5.2 mEq/L. Which of the following
medications should the nurse withhold?
a. Furosemide
,b. Spironolactone
c. Atorvastatin
d. Metoprolol - ANSWER-b. Spironolactone
A nurse is teaching a client who has migraine headaches how to use
biofeedback to reduce the need for pharmacological interventions. Which of the
following information should the nurse include in the teaching?
A. "Biofeedback stimulates certain pressure points to relax muscles"
B. "Biofeedback improves energy flow through soft tissue manipulation to
increase circulation"
C. "Biofeedback requires concentration to control physiological responses"
D. "Biofeedback uses herbs to reduce inflammation" - ANSWER-C.
"Biofeedback requires concentration to control physiological responses"
A nurse is teaching the parents of a child who has a new onset of seizures and is
to undergo an electroencephalogram (EEG) about the procedure. Which of the
following instructions should the nurse include in teaching?
A. "Give the child acetaminophen for pain following the procedure"
B. "Ensure the child's hair is clean and without conditioner before the
procedure"
C. "Keep the child out of the sun for 4 hr following the procedure"
D. "Make the child NPO before the procedure" - ANSWER-B. "Ensure the
child's hair is clean and without conditioner before the procedure"
While performing a routine assessment, a nurse notices fraying on the electrical
cord of a client CPM device. Which of the following actions should the nurse
take first.
a. ensure the device inspection sticker is current
b. report the defect to the equipment maintenance staff
c.remove the device from the room
, d. initiate a requisition for a replacement CPM device - ANSWER-c. remove
the device from the room
A nurse is caring for a newly admitted client who has bacterial meningitis.
Which following actions should the nurse take?
a. Implement seizure precautions
b. Monitor the client for hypoglycemia
c.Perform range-of-motion exercises once per shift
d. Place the client in high-Fowler's position - ANSWER-a. Implement seizure
precautions
A nurse is providing teaching to a client about the adverse effects sertraline.
Which of the following adverse effects should the nurse include?
A. Excessive sweating
B. Increased urinary frequency
C. Dry cough
D. Metallic taste in mouth - ANSWER-A. Excessive sweating
A nurse is assessing a client who is in active labor. Which of the following
findings should the nurse report to the provider?
a. Contractions lasting 80 seconds- too long? b. Depending on frequency*
c. FHR baseline 170/min normal 110-160 maybe this! * Early decelerations in
the FHR
d. Temperature 37.4 C (99.3 F) - ANSWER-c. FHR baseline 170/min normal
110-160 maybe this! * Early decelerations in the FHR
A nurse is preparing a client to undergo cardiac cauterization. Which of the
following tasks should the nurse perform prior to the procedure?
a. Draw blood specimens for culture and sensitivity