Latest Version | 2025/2026 | Correct &
Verified
A nurse is caring for a client with pneumonia. Which assessment finding is most concerning?
A. Moist productive cough
B. Fever of 101.2°F
✔✔C. Oxygen saturation of 84%
D. Fatigue and loss of appetite
A client is prescribed digoxin. Which symptom should the nurse report immediately?
A. Constipation
✔✔B. Vision changes such as halos
C. Headache
D. Increased appetite
A client with heart failure is receiving furosemide. Which electrolyte imbalance is most
important to monitor?
A. Sodium
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,✔✔B. Potassium
C. Calcium
D. Magnesium
A nurse is teaching a diabetic client about foot care. Which statement indicates understanding?
✔✔A. "I will check my feet every day for cuts or blisters."
B. "I can soak my feet in hot water to relax."
C. "I can walk barefoot indoors as long as the floor is clean."
D. "I should trim my toenails by cutting the corners."
A client with COPD is prescribed 2 L oxygen via nasal cannula. Why should oxygen not be
increased without a provider’s order?
A. It will dry the nasal passages
✔✔B. It may suppress the client’s respiratory drive
C. It will increase the risk of infection
D. It will cause immediate respiratory alkalosis
A patient on warfarin therapy asks which foods to avoid. The nurse responds:
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,A. Citrus fruits
✔✔B. Foods high in vitamin K like spinach
C. High-protein meats
D. Milk and dairy products
Which nursing action has the highest priority for a client receiving morphine for pain?
A. Monitor temperature
B. Check blood pressure
✔✔C. Assess respiratory rate
D. Assess bowel sounds
A nurse notes a client’s IV site is red and swollen. What should the nurse do first?
✔✔A. Stop the infusion and remove the IV
B. Apply heat to the site
C. Elevate the arm
D. Flush the IV line
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, A postpartum client reports severe cramping while breastfeeding. What is the best nursing
intervention?
A. Stop breastfeeding
✔✔B. Encourage continued breastfeeding and provide analgesia
C. Apply cold compresses to the abdomen
D. Document only
A client receiving chemotherapy reports mouth sores. Which meal is most appropriate?
A. Fresh fruit salad
✔✔B. Mashed potatoes with gravy
C. Toast with peanut butter
D. Raw vegetables with dip
A nurse is teaching a client prescribed levothyroxine. Which statement shows correct
understanding?
✔✔A. "I will take this medicine in the morning on an empty stomach."
B. "I can stop this medicine once I feel better."
C. "I will take it at night with a snack."
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