APPROVED EXAM LATEST UPDATE COMPLETE SOLUTION
WITH QUESTIONS AND ANSWERS CORRECTLY VERIFIED (
ACCURATE SPRING-SUMMER SESSION ) GRADED A+
A nurse is assessing an infant who has water intoxication. Which of the following findings should the
nurse expect?
bounding pulse
A nurse is discussing the z-track administration of hydroxyzine with a newly licensed nurse. Which of the
following statements indicates the newly licensed nurse understands the purpose of the technique
a. This technique decreases the risk of subcutaneous infiltration
1. A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the following
interventions should the nurse include in the plan?
a. Monitor the client for 1 hr after meals
A nurse notices smoke coming from a client's room and discovers a fire in the wastebasket. After moving
the client to safety, which of the followings is the priority action?
a. Close the fire door on the unit
A nurse is assessing a client who has delirium due to a febrile illness. Which of the following findings
should the nurse expect?
a. Hallucinations
,1. A nurse is caring for a client following an open colectomy. Which of the following findings places the
client at risk for delayed wound healing?
hyperemesis
1. A home health nurse is reviewing treatment goals with a client who has diabetes mellitus. The nurse
should evaluate which of the following laboratory tests to determine effective long-term management
of blood glucose levels?
A1C
1. A nurse is caring for a client who has neutropenia due to HIV. Which of the following precautions
should the nurse take while caring for this client?
a. Use a dedicated stethoscope
1. A nurse is caring for a client who reports difficulty falling asleep at night. Which of the following
actions should the nurse take?
Tell the client to avoid drinking fluids 1 hr before bedtime
1. A nurse is planning care for a newborn who has hyperbilirubinemia and is to receive phototherapy.
Which of the following interventions should the nurse include?
a. Place the newborn 45 cm from the light source
1. A nurse is planning care for a client who has schizophrenia and is having difficulty expressing their
feelings. Which of the following referrals should the nurse make?
social worker
,1. A nurse is caring for a client who has heart failure and has started taking a loop diuretic. Which of the
following findings indicates the client is experiencing an adverse effect of the medication
decreased reflexes
1. At the start of an evening shift on a cardiac unit, a licensed practical nurse brings the nurse a list of
client reports. Which of the following client reports should the nurse assess first?
indigestion
1. A nurse is caring for a client who has just returned to the unit following a bronchoscopy. Which of the
following actions by the assistive personnel requires the nurse to intervene?
offer oral fluids to the client
1. A nurse on a medical unit has just received change-of-shift report. Which of the following clients
should the nurse assess first?
a. A 68 year old client who had a myocardial infarction 2 days ago and reports chest pain as a 4 on a
scale of 0 to 10
1. A nurse is assessing a client prior to performing a blood draw. The nurse should identify that an
allergy to which of the following food can indicate that the client has an allergy to latex?
avocados
1. A nurse is preparing to witness a client's signature on an informed consent for a total knee
arthroplasty. Which of the following client statements indicates the nurse should contact the surgeon?
a. I am thankful there are no serious complications from this type of surgery
, 1. A nurse is admitting a client who has antisocial personality disorder. Which of the following client
behaviors should the nurse identify as consistent with this disorder?
a. Uses others for personal gain
1. A nurse is teaching the parent of a school-age child who has scabies about the application of
permethrin 5% cream. The nurse should include which of the following as a potential adverse effect of
the medication?
burning
1. A nurse is teaching a client who has a new prescription for digoxin. Which of the following statements
should the nurse include in the teaching?
muscle weakness
1. A nurse is planning teaching for a client who is at 10 weeks of gestation and has a history of urinary
tract infections. Which of the following information should the nurse plan to include in the teaching
about UTI prevention?
a. Empty the bladder before and after intercourse
1. A nurse is providing discharge teaching to a client who is postpartum and plans to breastfeed. Which
of the following should the nurse recommend the client increase in their diet during lactation?
a. Calcium
1. A nurse is providing teaching about preventing mastitis to a client who is postpartum and
breastfeeding her newborn. Which of the following instructions should the nurse include?
a. Try to have your baby empty your breasts with each feeding."