Client is recovering from a transurethral prostatectomy. Which activity
should be limited until after the first postoperative visit with the healthcare
provider? ( correct answers ) Drink 3L
A client with stage IV bone cancer is admitted to the hospital for a 1-10
scale. Which intervention should the nurse implement? ( correct answers )
Administer opioid and non-opioid
medications simultaneously
A client experiences an AOB incompatibility reaction after multiple blood
transfusions. Which finding should the nurse report immediately to the
health care provider?
a. low back pain and hypotension
b. rhinitis and nasal stuffiness
c. delayed
d. arthritic painful rash with
joint changes andurticarial ( correct answers ) a. low back
chronic pain hypotension pain and
ANSWER: (A) LOW BACK PAIN AND HYPOTENSTION
When conducting discharge teaching for a client
diagnosed with diverticulosis, which diet instruction should the
nurse include?
a. Have small frequent meals and sit up for at least two hours after
meals.
b. Eat a bland diet and avoid spicy foods.
d. Eat aa high
c. Eat soft diet
fiberwith
diet increased intake
and increase ofintake.
fluid milk and milk ( correct
products answers )
c. Eat a high fiber diet and increase fluid intake.
ANSWER (C) EAT A HIGH-FIBER DIET AND INCREASE FLUID
INTAKE
GRADED
A+
,The nurse observes an increased number of blood clots in the drainage
tubing of a client with continuous bladder irrigation following a
transurethral resection of the prostate (TURP). What is the best initial
nursing action?
a. Provide additional oral fluid intake
b. Measure the client's intake and output.
c.Increase the flow of the
bladder irrigation
d. Administer a PRN dose of an antispasmodic ( correct answers ) c.
agent the flow of the bladder Increase
irrigation
ANSWER (C) Increase the flow of the bladder irrigation
A client wit lung cancer who wears a subcutaneous morphine sulfate patch
for pain is short of breath and difficult to arouse. When performing a head
-to-toe assessment, the nurse discovers four analgesic patches on
( correct answers ) Remove all morphine patches
Coming down the basement steps, a client is brought to the emergency
room X-ray ... cast, which assessment finding warrants immediate
Intervention by the nurse? ( correct answers ) Right foot
pale with sluggish capillary
refill
An overweight, young adult who was
recently Check finger stick glucose diagnosed with type 2 diabetes mellitus
is admitted for a hernia repair. He tells the nurse that he is feeling very
weak and jittery.
Which actions should the nurse
implement? (Select all that apply.)
a.Check finger
stick glucose
b.Assess skin
temperature and
moisture
c. Measure pulse and
blood
pressure ( correct answers ) a. Check finger
stick glucose
GRADED
b. Assess
A+ skin temperature
, and moisture
c. Measure pulse and
blood pressure
ANSWER: (CAM)
A client who underwent cardiac stent placement four days ago
arrives to the emergency department reporting a sudden onset of
chest pressure and shortness of breath. Which action should the
nurse take next?
a.Listen for extra heart sounds,
murmurs, and r hythm with the bell of
the stethoscope.
b.Evaluate upper and lower extremities for perfusion,
pulse volume, and pitting edema.
c. Verify troponin level assessments are scheduled every 3-
6 hours for a series of three.
d. Obtain a 12-lead electrocardiogram and begin continuous
cardiac monitoring
. ( correct answers ) d. Obtain a 12-lead electrocardiogram and begin
continuous cardiac monitoring
While completing a health assessment for a client with migraine headaches,
the nurse assesses bilateral weakness in the clients hand grips. The client
reports joint pain and trouble twisting a door knob due to weaknesses. Which
action should the nurses take in response to these figures?
e. Implement fall precautions to reduce the clients risk of injury.
f. Explain that relief of the migraine pain will reduce related symptoms.
g. Gather additional assessment data about the pain and weakness.
h.Consult with the occupational therapist for a functional
assessment
( correct answers ) c. Gather additional assessment data about the
pain and weakness.
The nurse is caring for a client diagnosed with psoriasis vulgaris who is
receiving psoralen and ultraviolet A light (PUVA) treatment.
Which assessment finding indicates that the client has been
overexposed to the treatment?
i. Thick skin plaques topped by silvery white scales
GRADED
A+
j. Tenderness upon palpation and generalized erythema
should be limited until after the first postoperative visit with the healthcare
provider? ( correct answers ) Drink 3L
A client with stage IV bone cancer is admitted to the hospital for a 1-10
scale. Which intervention should the nurse implement? ( correct answers )
Administer opioid and non-opioid
medications simultaneously
A client experiences an AOB incompatibility reaction after multiple blood
transfusions. Which finding should the nurse report immediately to the
health care provider?
a. low back pain and hypotension
b. rhinitis and nasal stuffiness
c. delayed
d. arthritic painful rash with
joint changes andurticarial ( correct answers ) a. low back
chronic pain hypotension pain and
ANSWER: (A) LOW BACK PAIN AND HYPOTENSTION
When conducting discharge teaching for a client
diagnosed with diverticulosis, which diet instruction should the
nurse include?
a. Have small frequent meals and sit up for at least two hours after
meals.
b. Eat a bland diet and avoid spicy foods.
d. Eat aa high
c. Eat soft diet
fiberwith
diet increased intake
and increase ofintake.
fluid milk and milk ( correct
products answers )
c. Eat a high fiber diet and increase fluid intake.
ANSWER (C) EAT A HIGH-FIBER DIET AND INCREASE FLUID
INTAKE
GRADED
A+
,The nurse observes an increased number of blood clots in the drainage
tubing of a client with continuous bladder irrigation following a
transurethral resection of the prostate (TURP). What is the best initial
nursing action?
a. Provide additional oral fluid intake
b. Measure the client's intake and output.
c.Increase the flow of the
bladder irrigation
d. Administer a PRN dose of an antispasmodic ( correct answers ) c.
agent the flow of the bladder Increase
irrigation
ANSWER (C) Increase the flow of the bladder irrigation
A client wit lung cancer who wears a subcutaneous morphine sulfate patch
for pain is short of breath and difficult to arouse. When performing a head
-to-toe assessment, the nurse discovers four analgesic patches on
( correct answers ) Remove all morphine patches
Coming down the basement steps, a client is brought to the emergency
room X-ray ... cast, which assessment finding warrants immediate
Intervention by the nurse? ( correct answers ) Right foot
pale with sluggish capillary
refill
An overweight, young adult who was
recently Check finger stick glucose diagnosed with type 2 diabetes mellitus
is admitted for a hernia repair. He tells the nurse that he is feeling very
weak and jittery.
Which actions should the nurse
implement? (Select all that apply.)
a.Check finger
stick glucose
b.Assess skin
temperature and
moisture
c. Measure pulse and
blood
pressure ( correct answers ) a. Check finger
stick glucose
GRADED
b. Assess
A+ skin temperature
, and moisture
c. Measure pulse and
blood pressure
ANSWER: (CAM)
A client who underwent cardiac stent placement four days ago
arrives to the emergency department reporting a sudden onset of
chest pressure and shortness of breath. Which action should the
nurse take next?
a.Listen for extra heart sounds,
murmurs, and r hythm with the bell of
the stethoscope.
b.Evaluate upper and lower extremities for perfusion,
pulse volume, and pitting edema.
c. Verify troponin level assessments are scheduled every 3-
6 hours for a series of three.
d. Obtain a 12-lead electrocardiogram and begin continuous
cardiac monitoring
. ( correct answers ) d. Obtain a 12-lead electrocardiogram and begin
continuous cardiac monitoring
While completing a health assessment for a client with migraine headaches,
the nurse assesses bilateral weakness in the clients hand grips. The client
reports joint pain and trouble twisting a door knob due to weaknesses. Which
action should the nurses take in response to these figures?
e. Implement fall precautions to reduce the clients risk of injury.
f. Explain that relief of the migraine pain will reduce related symptoms.
g. Gather additional assessment data about the pain and weakness.
h.Consult with the occupational therapist for a functional
assessment
( correct answers ) c. Gather additional assessment data about the
pain and weakness.
The nurse is caring for a client diagnosed with psoriasis vulgaris who is
receiving psoralen and ultraviolet A light (PUVA) treatment.
Which assessment finding indicates that the client has been
overexposed to the treatment?
i. Thick skin plaques topped by silvery white scales
GRADED
A+
j. Tenderness upon palpation and generalized erythema
