VERIFIED ANSWERS 2026
a. Serum sodium of 185 - CORRECT ANSWER A nurse is caring for a client with DI.
Which data warrants the most immediate intervention by the nurse?
a. Serum sodium of 185
b. Dry skin with inelastic turgor
c. Apical rate of 110 beats per minute
d. Polyuria and excessive thirst
c. upper mid-abdominal pain described as gnawing and burning. - CORRECT
ANSWER The nurse is obtaining the admission history for a client with suspected
peptic ulcer disease (PUD). Which subjective data reported by the client supports
this medical diagnosis?
a. Frequent use of chewable and liquid antacids for indigestion
b. severe abdominal cramps and diarrhea after eating spicy foods
c. upper mid-abdominal pain described as gnawing and burning.
d. Marked loss of weight and appetite over the last 3 or 4 months
d. Obtain a prescription for artificial tear drops - CORRECT ANSWER The nurse
assess a client who is newly diagnosed with hyperthyroidism and observes that
the client's eyeballs are protuberant, causing a wide-eyed appearance and eye
discomfort. Based on this finding, which action should the nurse include in this
client's plan of care?
a. Assess for signs of increased intracranial pressure
b. Prepare to administer intravenous levothyroxine
,c. Review the client's serum electrolyte values
d. Obtain a prescription for artificial tear drops
a. Perform chest physiotherapy
b. Teach the client breathing exercises
e. Encourage use of incentive spriometer - CORRECT ANSWER To reduce the risk
for pulmonary complication for a client with Amyotrophic Lateral Sclerosis (ALS),
which interventions should the nurse implement? (Select all)
a. Perform chest physiotherapy
b. Teach the client breathing exercises
c. Initiate passive range of motion exercises
d. Establish a regular bladder routine
e. Encourage use of incentive spriometer
b. Place the client in high fowler position - CORRECT ANSWER A client hospitalized
with heart failure (HF). Which intervention should the nurse implement to
improve ventilation and reduce venous return?
a. Perform passive range of motion exercises
b. Place the client in high fowler position
c. Administer oxygen per nasal canula
d. Increase the client's activity level
a. Verify pedal pulses using a doppler pulse device
b. Evaluate the application of the splint to the left leg
, d. Monitor left leg for pain, pallor, paresthesia, paralysis, pressure - CORRECT
ANSWER A client who was involved in a motor vehicle collision is admitted with a
fractured left femur which is immobilized using a fracture traction splint in
preparation for an open reduction internal fixation (ORIF). The nurse determines
that the client's distal pulses are diminished in the left foot. Which interventions
should the nurse implement? (select all)
a. Verify pedal pulses using a doppler pulse device
b. Evaluate the application of the splint to the left leg.
c. Offer ice chips and oral clear liquids.
d. Monitor left leg for pain, pallor, paresthesia, paralysis, pressure
3. Administer oral antispasmodics and narcotic analgesics
a. Sputum culture and sensitivity - CORRECT ANSWER The healthcare provider
prescribes diagnostic tests for a client whose chest X-ray indicates pneumonia.
Which diagnostic test should the nurse review for implementation in the most
therapeutic treatment of the pneumonia?
a. Sputum culture and sensitivity
b. Blood cultures
c. Arterial blood gases (ABG)
d. Computerized tomography (CT) of the chest
c. Increase the daily intake of oral fluids to liquefy secretions - CORRECT ANSWER
A client with a history of asthma and bronchitis arrives a the clinic with shortness
of breath, productive cough with thickened, tenacious mucous, and the inability
to walk up a flight of stairs without experiencing breathlessness. Which is most
important for the nurses to instruct the client about self-care?
a. Call the clinic if undesirable side effects of medications occur