ANSWERS
A nurse is caring for a client who has heart failure and a
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prescription for digoxin 125 mcg PO daily. Available is |\ |\ |\ |\ |\ |\ |\ |\ |\
digoxin PO 0.25 mg/tablet. How many tablets should the
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nurse administer per dose? (Round the answer to the
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nearest tenth. Use a leading zero if it applies. Do not use
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a trailing zero.) - CORRECT ANSWERS ✔✔0.5 tablet(s
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A nurse is assessing a client who has fluid overload.
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Which of the following findings should the nurse expect?
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(Select all that apply.) |\ |\ |\
A. Increased heart rate
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B. Increased blood pressure
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C. Increased respiratory rate
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D. Increase hematocrit
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E. Increased temperature - CORRECT ANSWERS ✔✔A, B, C
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A nurse is reviewing the EKG strip of a client who has
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prolonged vomiting. Which of the following abnormalities
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on the client's EKG should the nurse interpret as a sign of
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hypokalemia?
,A. Abnormally prominent U wave
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B. Elevated ST segment
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C. Wide QRS
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D. Inverted P wave - CORRECT ANSWERS ✔✔A
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A client who has a history of myocardial infarction (MI) is
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prescribed aspirin 325 mg. The nurse recognizes that the
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aspirin is given due to which of the following actions of
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the medication?
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A. analgesic
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B. anti-inflammatory
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C. antiplatelet aggregate
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D. antipyretic - CORRECT ANSWERS ✔✔C
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While performing an admission assessment for a client,
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the nurse notes that the client has varicose veins with
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ulcerations and lower extremity edema with a report of a
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feeling of heaviness. Which of the following nursing
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diagnoses should the nurse identify as being the priority
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in the client's care?
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A. Impaired tissue perfusion
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,B. Alteration in body image
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C. Alteration in activity tolerance
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D. Impaired skin integrity - CORRECT ANSWERS ✔✔A
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A nurse is teaching the partner of a client who had an
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acute myocardial infarction (MI) about the reason blood
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was drawn from the client. Which of the following
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statements should the nurse make regarding cardiac |\ |\ |\ |\ |\ |\ |\
enzymes studies? |\
A. "These tests help determine the degree of damage to
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the heart tissues."
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B. "Cardiac enzymes will identify the location of the MI."
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C. "These tests will enable the provider to determine the
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heart structure and mobility of the heart valves."
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D. "Cardiac enzymes assist in diagnosing the presence of
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pulmonary congestion." - CORRECT ANSWERS ✔✔A |\ |\ |\ |\ |\
A nurse is teaching about risk factors of developing a
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stroke with a group of older adult clients. Which of the
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following nonmodifiable risk factors should the nurse
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include in the teaching? |\ |\ |\
A. History of smoking
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B. Obesity
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, C. History of hypertension
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D. Race - CORRECT ANSWERS ✔✔D
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A nurse is caring for a client who is postoperative and is
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at risk for developing venous thromboembolism (VTE).
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The nurse should instruct the client to avoid which of the
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following unsafe actions? |\ |\
A. Elevating her feet
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B. Massaging her legs
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C. Flexing her ankles
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D. Ambulating soon after surgery - CORRECT ANSWERS
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✔✔B
A nurse is auscultating a client's heart sounds and hears
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an extra heart sound before what should be considered
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the first heart sound S1. The nurse should document this
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finding as which of the following heart sounds?
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A. The fourth heart sound (S4)
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B. A friction rub
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C. The third heart sound (S3)
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D. A split second heart sound S2 - CORRECT ANSWERS
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✔✔A