QUESTIONS AND CORRECT ANSWERS
GRADED A+
⩥ The nurse is examining a male client who reports itching on his right
arm, The nurse observes a rash made up of multiple flat areas of redness
ranging from pinpoint to 0.5 cm in diameter. How should the nurse
record this finding? Answer: Localized red rash comprised of flat areas,
pinpoint to 0.5 cm in diameter.
⩥ The nurse is performing nasotracheal suctioning. After suctioning the
client's trachea for fifteen seconds, large amounts of thick yellow
secretions return. What action should the nurse implement next?
Answer: Re-oxygenate the client before attempting to suction again.
⩥ The nurse is instructing a client with high cholesterol about diet and
life style modification. What comment from the client indicates that the
teaching has been effective? Answer: "I will limit my intake of beef to 4
ounces per week."
⩥ A Sub-Saharan African widowed immigrant woman lives with her
deceased husband's brother and his family, which includes the brother-
in-law's children and the widow's adult children. Each family member
speaks fluent English. Surgery is recommended for this client. What is
the best plan to obtain consent for surgery for this client? Answer: Tell
,the surgeon that the brother-in-law will decide after explanation of the
proposed surgery is provided to him and the widow.
⩥ The nurse is assessing the nutritional status of several clients. Which
client has the greatest nutritional need for additional intake of protein?
Answer: A lactating woman nursing her 3-day-old infant.
⩥ client receives a prescription for azithromycin (Zithro max) 500 mg
PO x 3 days. Azithromycin is available as 250 mg scored tablets. How
many tablets should the nurse administer per dose? (Enter the numerical
value only.) Answer: 2
⩥ At the beginning of the shift, the nurse assesses a client who is
admitted from the post-anesthesia care unit (PACU). When should the
nurse document the client's findings? Answer: Immediately after the
assessments are completed.
⩥ The nurse is evaluating client learning about a low-sodium diet.
Selection of which meal would indicate to the nurse that this client
understands the dietary restrictions? Answer: Skim milk, turkey salad,
roll, and vanilla ice cream.
⩥ A nurse is preparing to give medications through a nasogastric feeding
tube. Which nursing action should prevent complications during
administration? Answer: Mix each medication individually.
, ⩥ A female client with a nasogastric tube attached to low suction states
that she is nauseated. The nurse assesses that there has been no drainage
through the nasogastric tube in the last two hours. What action should
the nurse take first? Answer: Reposition the client on her side.
⩥ The nurse is teaching a client with numerous allergies how to avoid
allergens. Which instruction should be included in this teaching plan?
Answer: Avoid any types of sprays, powders, and perfumes.
⩥ A postoperative client will need to perform daily dressing changes
after discharge. Which outcome statement best demonstrates the client's
readiness to manage his wound care after discharge? The client Answer:
demonstrates the wound care procedure correctly.
⩥ The healthcare provider prescribes the diuretic metolazone
(Zaroxolyn) 7.5 mg PO. Zaroxolyn is available in 5 mg tablets. How
many tablets should the nurse plan to administer? Answer: 1 1/2 tablets.
⩥ During the initial morning assessment, a male client denies dysuria
but reports that his urine appears dark amber. Which intervention should
the nurse implement? Answer: Encourage additional oral intake of juices
and water.
⩥ A client's daily PO prescription for aripiprazole (Abilify) is increased
from 15 mg to 30 mg. The medication is available in 15 mg tablets, and
the client already received one tablet today. How many additiona l