QUESTIONS WITH VERIFIED ANSWER 2026
100% Correct 55
Incorrect 0
1 of 55
Term
A client who returns to the unit after having a percutaneous
transluminal coronary angioplasty (PTCA) complain of acute chest
pain. Which action should the nurse implement next?
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Inform the healthcare provider Administer prescribed analgesic
Give a sublingual
nitroglycerin tablet Obtain a 12-lead electrocardiogram
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2 of 55
,Term
The nurse obtains a client's history that includes right mastectomy and
radiation therapy for cancer of the breast 10 years ago. Which
current health problem should the nurse consider is a
consequence of the
radiation therapy?
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Pathologic fracture of two
Myocardial infarction. ribs on the right chest.
Chronic esophagitis with
Asthma. gastroesophageal reflux.
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3 of 55
Term
The nurse is caring for a client with a continuous feeding through a
percutaneous endoscopic gastrostomy (PEG) tube. Which intervention
should the nurse include in the plan of care?
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, Check for tube placement and Position on the left side with head of
residual volume q4 hours. bed elevated 45 degrees
Obtain a daily x-ray to verify Flush the tube with 50 ml of water q8
tube placement. hours
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4 of 55
Term
The nurse is preparing a teaching plan for a client who is newly
diagnosed with Type 1 diabetes mellitus. Which clinical cues should the
nurse describe when teaching the client about hypoglycemia?
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Fruity breath, tachypnea, chest pain Nausea, vomiting, anorexia
Sweating, trembling,
tachycardia Polyuria, polydipsia, polyphagia
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5 of 55
Term
, A client is admitted for reports of chest pain and aching for the past 4
days. The results for serum creatine kinase-MB (CK-MB) and troponin
levels are obtained. Which rationale should the nurse use to evaluate
the laboratory findings?
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Myocardial damage that
occurred several days earlier Serum myoglobin levels are needed
is best validated by serum to confirm myocardial damage.
troponin levels.
Serum cardiac markers are
The most reliable indicator of
inconclusive in determining
myocardial necrosis is serum CK-MB.
myocardial injury after waiting several
days.
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6 of 55
Term
During CPR, when attempting to ventilate a client's lungs, the nurse
notes that the chest is not moving. What action should the nurse take
first?
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