100% PASS 2026 EDITION
A client is receiving a tube feeding through a percutaneous endoscopic gastrostomy (PEG).
Which action is appropriate by the nurse ? - ANS Check the gastric residual volume every 4 to
6 hours.
Which assessment finding for a client who has just been admitted with chronic pyelonephritis
would the nurse expect to find ? - ANS Complaints of flank pain.
A client with autosomal dominant polycystic kidney disease (ADPKD) asks whether his children
could develop this disease. Which is the nurse's best response ? - ANS "Each of your children
has a 50% risk of having ADPKD."
When maintaining a client's feeding tube. Which is using a soft, silicone nasogastric tube for
enteral feedings the nurse will need to : - ANS Flush the tubing after checking for residual
volumes.
Prior to discharge, which teaching is most important to give to the client who has undergone
treatment for infective endocarditis ? - ANS Avoid crowds.
A client who uses extended release morphine sulfate for chronic abdominal pain caused by
ovarian cancer reports 9 out of 10 pain level and ask the nurse for the prescribed PRN
hydrocodone. When the nurse returns with the medication, the client is asleep. Which action is
best for the nurse to take ? - ANS Wake the client and administer the hydrocodone.
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, A client who has a wound infection after a major surgery has only been taking in 50% to 75% of
the ordered meals and states, "Nothing on the menu really appeals to me" which action by the
nurse will be most effective in improving the clients oral intake ? - ANS Have family members
bring in favorite food from home.
The nurse is caring for a client with the following rhythm below. What manifestation mot alerts
the nurse to the possibility of a most serious complication from this condition ? - ANS Slurred
speech.
A client with bone cancer has recently undergone chemotherapy and radiation therapy to
reduce the size of the tumor. The client is taking a large dose of hydrocodone along with
Acetaminophen and an amitriptyline. The nursing student caring for this client is concerned that
the client is showing drug seeking behaviors, because the individual requested an increased
dose of the opioid .The student discusses this concern with the nurse. Which statement by the
student indicates the need for further teaching ? - ANS Clients often need more drug to
achieve the same effect.
A 57 year old woman being treated for in stage breast cancer has been using a fentanyl patch
for the management of pain lately she has been experiencing breakthrough pain. The nurse
suspects the patient's type of pain is to be managed by : - ANS Administering an immediate
release or opioid like hydrocodone.
A nurse is providing teaching to a client who is admitted to the hospital for initiation of
treatment with Amiodarone for atrial fibrillation that has been refractory to other medication.
Which statement by the client indicates a need for further teaching ? - ANS Itching, shortness
of breath and jaundice symptoms will subside over time.
Which action will the nurse take for a client receiving morphine sulfate via a PCA and has a
shallow a regular respiratory rate of eight breaths per minute ? - ANS Notify the healthcare
provider and prepare to administer Nalaxone.
The nurse evaluates the need for further instructions about the reduction of caffeine when the
client who has premature atrial contractions says : - ANS I've switched from 10 cups of coffee
to now 3 cups a day.
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