GREEN LIGHT)|2024-2025 LATEST
VERSION|COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS/ACCURATE
SOLUTIONS|ALREADY GRADED A+ | TOP SCORES
MADE SIMPLE | TRUSTED TEST SOLUTIONS!
QUALITY CONTENT YOU CAN RELY ON!
A nurse is caring for a client who is at 33 weeks of gestation following an amniocentesis.
The nurse should monitor the client for which of the following complications?
A. Vomiting
B. Hypertension
C. Epigastric pain
D. Contractions Answer: D. Contractions
A nurse is providing teaching to an older adult client about methods to promote nighttime
sleep. Which of the following instructions should the nurse include?
A. Stay in bed at least 1 hr if unable to fall asleep
B. Take a 1 hr nap during the day
C. Perform exercises prior to bedtime
D. Eat a light snack before bedtime Answer: D. Eat a light snack before bedtime
A nurse on a telemetry unit is caring for a client who becomes unconscious and whose
monitor displays ventricular tachycardia. Which of the following actions should the nurse
take first after determining the client does not have a palpable pulse?
A. Assess heart sounds
B. Defibrillate
C. Establish IV access
D. Administer epinephrine Answer: B. Defibrillate
A nurse is admitting a client who 1 week postpartum and reports excessive vaginal
bleeding. The nurse does not speak the same language as the client. The client's partner
and 10-year-old child are accompanying her. Which of the following actions should the
nurse take to gather the client's admission data?
1
APPHIA - Crafted with Care and Precision for Academic Excellence.
,A. Have the client's child translate
B. Allow the client's partner to translate
C. Request a female interpreter through the facility
D. Ask a nursing student who speaks the same language as the client to translate Answer:
C. Request a female interpreter through the facility
A nurse is caring for a client who is febrile. To reduce the client's fever, the nurse applies a
cooling blanket. Which of the following findings indicates the client is having an adverse
reaction to the cooling?
a. Flushing
b. Tachycardia
c. Restlessness
d. Shivering Answer: d. Shivering
A nurse is caring for a client who has deep-vein-thrombosis of the left lower extremity.
Which of the following actions should the nurse take? (Exhibit)
A. Position the client with the affected extremity lower than the heart
B. Withhold heparin IV infusion PTT- 30-40 seconds; x2 if on heparin
C. Administer acetaminophen
D. Massage the affected extremity every 4 hr Answer: B. Withhold heparin IV infusion PTT-
30-40 seconds; x2 if on heparin
A nurse is reviewing assessment data from several clients. For which of the following
clients should the nurse recommend referral to a dietitian?
A. An older adult client who has a BMI of 24
B. A client who has a nonhealing leg ulcer
C. An older adult client who has presbyopia
D. A client who has an albumin level of 3.7 g/dL (normal 3.4-5.4) Answer: B. A client who
has a nonhealing leg ulcer
8. A nurse is providing discharge teaching to a client who has a chronic kidney disease and
is receiving hemodialysis. Which of the following instructions should the nurse include in
the teaching?
2
APPHIA - Crafted with Care and Precision for Academic Excellence.
,a. Eat 1 g/kg of protein per day
b. Take magnesium hydroxide for indigestion
c. Drink at least 3 L of fluid daily-
Consume foods high in potassium- restrict Answer: a. Eat 1 g/kg of protein per day
A nurse is caring for a client who is receiving intermittent enteral tube feedings. Which of
the following places the client at risk for aspiration?
A. Sitting in a high-Fowler's position during the feeding
B. A history of gastroesophageal reflux disease
C. Receiving a high osmolarity formula
D. A residual of 65 mL 1 hr postprandial? Answer: B. A history of gastroesophageal reflux
disease
?A nurse is providing prenatal teaching to a client who is at 12 weeks of gestation. The
nurse should tell the client that she will undergo which of the following screening tests at
16 weeks of gestation?
A. Chorionic villus sampling- as early as 8 weeks
B. Cervical cultures for chlamydia- 1st appointment.
C. Nonstress test -28 weeks
D. Maternal serum alpha-fetoprotein- 16 to 18 weeks Answer: D. Maternal serum alpha-
fetoprotein- 16 to 18 weeks
A nurse is caring for a client who is on bed rest. The nurse should recognize that which of
the following findings is a complication of immobility?
A. Decreased serum calcium levels- increased serum calcium
B. Increased blood pressure- hypotension
C. Swollen area on calf
D. Urinary frequency- Answer: C. Swollen area on calf
12. A nurse in acute care mental health facility is participating in a medication-education
group. The leader of the group uses a laissez-faire leadership style. Which of the following
actions should the nurse expect from the leader during the session?
A .The leader encourages group members to remain silent until questions are called for
3
APPHIA - Crafted with Care and Precision for Academic Excellence.
, B. The leader lecture about medication adverse effects to the group members
c. The leader allows the group to discuss whatever they would like to regarding their
medications
d. The leader has group members vote on what they would like to learn about during the
session Answer: d. The leader has group members vote on what they would like to learn
about during the session
A nurse is providing teaching about digoxin administration to the parents of a toddler who
has heart failure. Which of the following statements should the nurse include in the
teaching?
A "You can add the medication to a half-cup of your child's favorite juice."
B "Repeat the dose if your child vomits within 1 hour after taking medication." X
C "Limit your child's potassium intake while she is taking this medication."
D "Have your child drink a small glass of water after swallowing the medication." Answer: D
"Have your child drink a small glass of water after swallowing the medication."
A nurse is providing teaching to a client who has a depressive disorder and a new
prescription for phenelzine. Which of the following foods should the nurse instruct the
client to avoid?
A. Grapefruit
B. Spinach
C. Cottage cheese- cream cheese ok.
D. Smoked salmon Answer: D. Smoked salmon
A nurse is planning care for a client who has COPD and weighs 99 lb. The provider has
prescribed a diet of a 1.5 g protein/kg/day. How many grams of protein per day should the
nurse include in the client's dietary plan? (Round to the nearest whole number Answer: a.
68
A nurse is planning care for a client who has bipolar disorder and is experiencing mania.
Which of the following interventions should the nurse include in the plan?
A. Encourage the client to spend time in the day room
B. Withdraw the client's TV privileges if he does not attend group therapy X
4
APPHIA - Crafted with Care and Precision for Academic Excellence.
VERSION|COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS/ACCURATE
SOLUTIONS|ALREADY GRADED A+ | TOP SCORES
MADE SIMPLE | TRUSTED TEST SOLUTIONS!
QUALITY CONTENT YOU CAN RELY ON!
A nurse is caring for a client who is at 33 weeks of gestation following an amniocentesis.
The nurse should monitor the client for which of the following complications?
A. Vomiting
B. Hypertension
C. Epigastric pain
D. Contractions Answer: D. Contractions
A nurse is providing teaching to an older adult client about methods to promote nighttime
sleep. Which of the following instructions should the nurse include?
A. Stay in bed at least 1 hr if unable to fall asleep
B. Take a 1 hr nap during the day
C. Perform exercises prior to bedtime
D. Eat a light snack before bedtime Answer: D. Eat a light snack before bedtime
A nurse on a telemetry unit is caring for a client who becomes unconscious and whose
monitor displays ventricular tachycardia. Which of the following actions should the nurse
take first after determining the client does not have a palpable pulse?
A. Assess heart sounds
B. Defibrillate
C. Establish IV access
D. Administer epinephrine Answer: B. Defibrillate
A nurse is admitting a client who 1 week postpartum and reports excessive vaginal
bleeding. The nurse does not speak the same language as the client. The client's partner
and 10-year-old child are accompanying her. Which of the following actions should the
nurse take to gather the client's admission data?
1
APPHIA - Crafted with Care and Precision for Academic Excellence.
,A. Have the client's child translate
B. Allow the client's partner to translate
C. Request a female interpreter through the facility
D. Ask a nursing student who speaks the same language as the client to translate Answer:
C. Request a female interpreter through the facility
A nurse is caring for a client who is febrile. To reduce the client's fever, the nurse applies a
cooling blanket. Which of the following findings indicates the client is having an adverse
reaction to the cooling?
a. Flushing
b. Tachycardia
c. Restlessness
d. Shivering Answer: d. Shivering
A nurse is caring for a client who has deep-vein-thrombosis of the left lower extremity.
Which of the following actions should the nurse take? (Exhibit)
A. Position the client with the affected extremity lower than the heart
B. Withhold heparin IV infusion PTT- 30-40 seconds; x2 if on heparin
C. Administer acetaminophen
D. Massage the affected extremity every 4 hr Answer: B. Withhold heparin IV infusion PTT-
30-40 seconds; x2 if on heparin
A nurse is reviewing assessment data from several clients. For which of the following
clients should the nurse recommend referral to a dietitian?
A. An older adult client who has a BMI of 24
B. A client who has a nonhealing leg ulcer
C. An older adult client who has presbyopia
D. A client who has an albumin level of 3.7 g/dL (normal 3.4-5.4) Answer: B. A client who
has a nonhealing leg ulcer
8. A nurse is providing discharge teaching to a client who has a chronic kidney disease and
is receiving hemodialysis. Which of the following instructions should the nurse include in
the teaching?
2
APPHIA - Crafted with Care and Precision for Academic Excellence.
,a. Eat 1 g/kg of protein per day
b. Take magnesium hydroxide for indigestion
c. Drink at least 3 L of fluid daily-
Consume foods high in potassium- restrict Answer: a. Eat 1 g/kg of protein per day
A nurse is caring for a client who is receiving intermittent enteral tube feedings. Which of
the following places the client at risk for aspiration?
A. Sitting in a high-Fowler's position during the feeding
B. A history of gastroesophageal reflux disease
C. Receiving a high osmolarity formula
D. A residual of 65 mL 1 hr postprandial? Answer: B. A history of gastroesophageal reflux
disease
?A nurse is providing prenatal teaching to a client who is at 12 weeks of gestation. The
nurse should tell the client that she will undergo which of the following screening tests at
16 weeks of gestation?
A. Chorionic villus sampling- as early as 8 weeks
B. Cervical cultures for chlamydia- 1st appointment.
C. Nonstress test -28 weeks
D. Maternal serum alpha-fetoprotein- 16 to 18 weeks Answer: D. Maternal serum alpha-
fetoprotein- 16 to 18 weeks
A nurse is caring for a client who is on bed rest. The nurse should recognize that which of
the following findings is a complication of immobility?
A. Decreased serum calcium levels- increased serum calcium
B. Increased blood pressure- hypotension
C. Swollen area on calf
D. Urinary frequency- Answer: C. Swollen area on calf
12. A nurse in acute care mental health facility is participating in a medication-education
group. The leader of the group uses a laissez-faire leadership style. Which of the following
actions should the nurse expect from the leader during the session?
A .The leader encourages group members to remain silent until questions are called for
3
APPHIA - Crafted with Care and Precision for Academic Excellence.
, B. The leader lecture about medication adverse effects to the group members
c. The leader allows the group to discuss whatever they would like to regarding their
medications
d. The leader has group members vote on what they would like to learn about during the
session Answer: d. The leader has group members vote on what they would like to learn
about during the session
A nurse is providing teaching about digoxin administration to the parents of a toddler who
has heart failure. Which of the following statements should the nurse include in the
teaching?
A "You can add the medication to a half-cup of your child's favorite juice."
B "Repeat the dose if your child vomits within 1 hour after taking medication." X
C "Limit your child's potassium intake while she is taking this medication."
D "Have your child drink a small glass of water after swallowing the medication." Answer: D
"Have your child drink a small glass of water after swallowing the medication."
A nurse is providing teaching to a client who has a depressive disorder and a new
prescription for phenelzine. Which of the following foods should the nurse instruct the
client to avoid?
A. Grapefruit
B. Spinach
C. Cottage cheese- cream cheese ok.
D. Smoked salmon Answer: D. Smoked salmon
A nurse is planning care for a client who has COPD and weighs 99 lb. The provider has
prescribed a diet of a 1.5 g protein/kg/day. How many grams of protein per day should the
nurse include in the client's dietary plan? (Round to the nearest whole number Answer: a.
68
A nurse is planning care for a client who has bipolar disorder and is experiencing mania.
Which of the following interventions should the nurse include in the plan?
A. Encourage the client to spend time in the day room
B. Withdraw the client's TV privileges if he does not attend group therapy X
4
APPHIA - Crafted with Care and Precision for Academic Excellence.
