QUESTIONS WITH ANSWERS GRADED A+
▶ A nurse is assisting in monitoring a client who is receiving dialysis
treatment. For each potential nursing intervention, click to specify if the
intervention is indicated or not indicated. Answer: Indicated- Place the
client in reverse Trendelenburg position. Assist with administering a 0.9%
sodium chloride 200 mL IV bolus. Apply oxygen at 2 L/min via nasal
cannula. Notify the charge nurse immediately.\
Not Indicated- Request a chest x-ray. Obtain the client's blood glucose
level.
▶ A nurse is assisting with the care of a client. Complete the diagram by
dragging from the choices below to specify what condition the client is most
likely experiencing, 2 actions the nurse should take to address that
condition, and 2 parameters the nurse should monitor to assess the client's
progress. Answer: Administer morphine IV, Ensure the client is NPO.
Cholecystitis
Rectal Bleeding, Mucus in stools
▶ A nurse is assisting with the care of a client who was admitted from the
emergency department with a burn injury. Drag words from the choices
below to fill in each blank in the following sentence. Answer: During the
emergent phase of burn care, the client is at risk for developing
hypovolemia and respiratory failure.
▶A nurse is assisting with the care of a client who is postoperative
following abdominal surgery. Answer: Apply oxygen to the client via a face
mask
Instruct the client to splint their abdomen with a pillow when coughing.
Plan to ambulate the client as soon as possible.
Monitor the client's pain level.
▶ A nurse is reviewing the laboratory reports of a client who reports chest
pain. Which of the following laboratory results indicates the client is
experiencing a myocardial infarction? Answer: Elevated Troponin
, ▶ For each finding, click to specify if the finding is consistent with
emphysema, asthma, or pneumonia. Each finding may support more than 1
disease process. Answer: Temperature- Pneumonia
Breath Sounds- Emphysema, Asthma, Pneumonia
Respiratory Rate- Emphysema, Asthma, Pneumonia
Cough- Emphysema, Asthma, Pneumonia
▶ A nurse is assisting with the care for a client who is suspected of having
a myocardial infarction. Which of the following actions should the nurse
take to prepare the client for an ECG? Answer: Cleanse the client's skin
prior to electrode placement.
▶ Drag 1 condition and 1 client finding to fill in each blank in the following
sentence. Answer: The client is experiencing manifestations of peritonitis
due to the client's abdominal x-ray results.
▶ A nurse is assisting in the care of a client who is experiencing withdrawal
from heroin. Which of the following medications should the nurse expect
the provider to prescribe? Answer: Methadone
▶ A nurse is preparing to remove a client's NG tube. Which of the following
interventions should the nurse take to decrease the risk for aspiration?
Answer: Pinch the NG tube.
▶ A nurse is reinforcing teaching with a client who is on a low-sodium diet
and asks about how to improve the taste of bland food. Which of the
following foods should the nurse recommend? Answer: Lemon Juice
▶ A nurse is assisting in the care of a client who has AIDS-related
pneumonia. The client is receiving antibiotic therapy and albuterol nebulizer
treatments daily. Which of the following findings should indicate to the
nurse that the client's therapeutic regimen is effective? Answer: Decrease
in exertion dyspnea.
▶ A nurse is assisting with the care for a client who is postoperative and
has an epidural infusion. Which of the following findings should the nurse
recognize as the priority? Answer: Dyspnea
▶ A nurse is providing information regarding transmission-based
precautions for a client who has Clostridium Difficile to an assistive