Questions All Solved Correct 2025-
2026 Updated.
A nurse cares for a dying client. Which manifestations of dying should the nurse treat first?
a. Pain
b. Hair loss
c. Anorexia
d. Nausea - Answer a. Pain
The following data relates to an older patient who is 2 hours postoperative after an
esophagogastrostomy:
Physical Assessment:
Skin dry
Urine output 20 mL/hr NG tube patent with 100 mL brown drainage/hr
Restless
Vital Signs:
Pulse: 128 beats/min
Blood pressure: 88/50 mm Hg Respiratory rate: 20 on ventilator
Cardiac output: 2.1 L/min
Oxygen saturation: 99%
Normal saline at 75 mL/hr
Morphine sulfate 2 mg IV push every 1 hr PRN pain Intake and output every hour
Vital signs every hour
Vancomycin (Vancocin) 1 g IV every 8 hr
What action by the nurse is best?
, d. Consult the surgeon about increased IV fluids - Answer d. Consult the surgeon about
increased IV fluids
A nurse plans care for a client with epilepsy who is admitted to the hospital. Which
interventions would the nurse include in this client's plan of care? (select all that apply)
a. Have a padded tongue blade at the bedside
b. Have suction equipment at the bedside
c. Permit only clear oral fluids
d. Keep bed rails up at all times
e. Maintain the client on strict bedrest
f. Ensure that the client has IV access - Answer b. Have suction equipment at the bedside
d. Keep bed rails up at all times
f. Ensure that the client has IV access
A 50-year-old client is scheduled for a leg bone biopsy in the surgicenter. What action by the
nurse takes priority?
a. Administering the preoperative medications
b. Ensuring that informed consent is on the chart
c. Answering any questions about the procedure
d. Showing the client's family where to wait - Answer b. Ensuring that informed consent is on
the chart
A client has a platelet count of 9800/mm3 . What action by the nurse is most appropriate?
a. Assess the client for calf pain, warmth, and redness
b. Obtain cultures as per the facility's standing policy
c. Place the client on protective isolation precautions
d. Instruct the client to call for help to get out of bed - Answer d. Instruct the client to call for
help to get out of bed
A patient has a continuous passive motion (CPM) device after a total knee replacement. What