ACTUAL SCRIPT COMPLETE QUESTIONS AND
ANSWERS 100% CORRECT
◉ A nurse is providing instructions to a client who has type 2
diabetes mellitus and a new prescription for metformin. Which of
the following statements by the client indicates an understanding of
the teaching? Answer: "I should take this medication with a meal."
Rationale: the client should take metformin with or immediately
following Mills to improve absorption and to minimize
gastrointestinal distress.
◉ A nurse is teaching a client who has venous insufficiency about
self-care. Which of the following statements should the nurse
identify as an indication that the client understands the teaching?
Answer: "I will wear clean graduated compression stockings every
day."
Rationale: the client should apply a clean pair of graduated
compression stockings each day and clean stalls stockings with a
mild detergent and warm water by hand.
,◉ A nurse is assessing a client who has acute cholecystitis. Which of
the following findings is the nurse's priority? Answer: Tachycardia
Rationale: when using the urgent versus non-urgent approach to
client care, the nurse should determine that the priority finding is
tachycardia. Tachycardia is a manifestation of biliary colic, which can
lead to shock. The nurse should position the head of the clients bed
flat airport this finding immediately to the provider.
◉ A nurse is reviewing the health record of a client who is scheduled
for allergy skin testing. The nurse should postpone the testing and
report to the provider which of the following findings? (Click on the
"Exhibit" button for additional information about the client. There
are three tabs that contain separate categories of data.) Answer:
Current medications
Rationale: the nurse should review the clients medication record to
identify medications, including ace inhibitors , beta
blockers,theophylline, nifedipine, And glucocorticoids, such as
prednisone, that can alter the allergy skin test results. These
medications can diminish the clients reaction to the allergens, and
the nurse should notify the provider and instruct the client to
discontinue prednisone for two weeks before the allergy skin test.
◉ A nurse is caring for a group of clients. The nurse should plan to
make a referral to physical therapy for which of the following
, clients? Answer: A client who is receiving preoperative teaching for a
right knee arthroplasty.
Rationale: the nurse should make a referral to physical therapy so
the client can begin understanding post operative exercises and
physical restrictions.
◉ A nurse is caring for a client who has diabetic ketoacidosis (DKA).
Which of the following laboratory findings should the nurse expect?
Answer: BUN 32 mg/dL
Rationale: DKA results in osmotic diuresis and subsequent
dehydration. The nurse should expect a client who has DKA to have
elevated BUN, creatinine, and urine specific gravity levels resulting
from the excess glucose present in the urine.
◉ A nurse is planning teaching for a client who has bladder cancer
and is to undergo a cutaneous diversion procedure to establish a
ureterostomy. Which of the following statements should the nurse
include in the teaching? Answer: "You should cut the opening of the
skin barrier one-eighth inch wider than the stoma."
Rationale: This is to minimize irritation of the skin from exposure to
year end