Nurse Logic Testing and Remediation Advanced Test Questions with Verified
Answers Rated A
A nurse is caring for a client who has been ott the unit for
Shakiness and diaphoresis
physical therapy for the past hour notes that the infusion
These are manifestations of hypoglycemia, which can oc-
pump for the clients TPN is turned ott. The client tells the
cur if there is a sudden interruption in the delivery of
nurse that the battery went dead while she was in physical
TPN, resulting in the client receiving below the prescribed
therapy. The nurse should monitor the client for which of
amount.
the following manifestations?
"This illness will not recur because my child has now had
it"
A nurse is reinforcing teaching to parents of a child who
is admitted with rheumatic fever. Which of the following
It is possible for rheumatic fever to recur, so prophylactic
statements by the parent indicates a need for further
treatment with monthly IM injections of benzathine peni-
teaching?
cillin G, or daily oral doses of penicillin or sulfadiazine, will
be needed.
Place the client in a knee-chest position
A nurse is assisting with the care of a client who is in
Placing the client in a knee-chest position will aid in keep-
labor. Following spontaneous rupture of membranes, the
ing the pressure of the presenting part of the fetus ott
nurse visualizes the umbilical cord protruding from the
the cord. Using the ABC priority setting framework, the
vagina and the fetal heart rate is 50/min. After calling
greatest risk is the cessation of circulation to the fetus;
for assistance and notifying the provider, which of the
therefore, this is the priority action the nurse should take.
following is the priority action by the nurse?
BUT wrapping the umbilical cord in the 0.9% sodium chlo-
ride solution is also CORRECT but not priority i guess..
Aspirin (Bayer)
A nurse is reinforcing teaching to a client who is newly di-
agnosed with hypertension and has been prescribed cap- Aspirin and other NSAIDS can reduce the antihypertensive
topril (Capoten). The nurse should reinforce that which of ettects of captopril, which is an ACE inhibitor. The nurse
the following medications has the potential to reduce the should reinforce to the client that aspirin has the poten-
antihypertensive ettect of captopril? tial to reduce the antihypertensive ettect of captopril and
should be avoided.
A nurse is caring for a client who is prescribed lithium
(Eskalith). Which of the following clinical findings should
be immediately reported to the provider? 1/7
, Slurred speech
lurred speech is an early clinical finding associated with
lithium toxicity and can precipitate the onset of seizures or
coma. Using the safety and risk reduction priority setting
framework, this finding jeopardizes the immediate physi-
ological safety of the client and should be reported to the
provider immediately.
*Variable decelerations are caused from cord compres-
sion.
Late decelerations are caused from uteroplacental insufl-
ciency.
A nurse is reviewing the electronic fetal heart rate tracing
Prolonged decelerations are a decrease in the fetal heart
of a client who is in labor. Which of the following images
rate of 15/min below baseline. Prolonged decelerations
exhibits variable decelerations?
last more than 2 min but less than 10 min. This can re-
sult from maternal hypotension, umbilical cord prolapsed,
placental rupture, placental hemorrhage, and tetanic con-
traction.
Early decelerations are caused from head compression.
"I should eat low carbohydrate foods" is correct. Clients
A nurse is reinforcing teaching about methods to de-
who are experiencing nausea should eat foods high in
crease nausea to a client who is receiving chemotherapy.
carbohydrates, such as crackers, yogurt, toast, bananas,
Which of the following statements by the client indicates
and sherbet. This is not an appropriate statement by the
a need for further teaching?
client and indicates a need for further teaching
Soybeans
A nurse is reinforcing teaching regarding foods contain-
ing complete protein to a client. Which of the following
Food sources of complete proteins contain suflcient
should be included in the teaching?
quantities of all nine essential amino acids to support
2/7
Answers Rated A
A nurse is caring for a client who has been ott the unit for
Shakiness and diaphoresis
physical therapy for the past hour notes that the infusion
These are manifestations of hypoglycemia, which can oc-
pump for the clients TPN is turned ott. The client tells the
cur if there is a sudden interruption in the delivery of
nurse that the battery went dead while she was in physical
TPN, resulting in the client receiving below the prescribed
therapy. The nurse should monitor the client for which of
amount.
the following manifestations?
"This illness will not recur because my child has now had
it"
A nurse is reinforcing teaching to parents of a child who
is admitted with rheumatic fever. Which of the following
It is possible for rheumatic fever to recur, so prophylactic
statements by the parent indicates a need for further
treatment with monthly IM injections of benzathine peni-
teaching?
cillin G, or daily oral doses of penicillin or sulfadiazine, will
be needed.
Place the client in a knee-chest position
A nurse is assisting with the care of a client who is in
Placing the client in a knee-chest position will aid in keep-
labor. Following spontaneous rupture of membranes, the
ing the pressure of the presenting part of the fetus ott
nurse visualizes the umbilical cord protruding from the
the cord. Using the ABC priority setting framework, the
vagina and the fetal heart rate is 50/min. After calling
greatest risk is the cessation of circulation to the fetus;
for assistance and notifying the provider, which of the
therefore, this is the priority action the nurse should take.
following is the priority action by the nurse?
BUT wrapping the umbilical cord in the 0.9% sodium chlo-
ride solution is also CORRECT but not priority i guess..
Aspirin (Bayer)
A nurse is reinforcing teaching to a client who is newly di-
agnosed with hypertension and has been prescribed cap- Aspirin and other NSAIDS can reduce the antihypertensive
topril (Capoten). The nurse should reinforce that which of ettects of captopril, which is an ACE inhibitor. The nurse
the following medications has the potential to reduce the should reinforce to the client that aspirin has the poten-
antihypertensive ettect of captopril? tial to reduce the antihypertensive ettect of captopril and
should be avoided.
A nurse is caring for a client who is prescribed lithium
(Eskalith). Which of the following clinical findings should
be immediately reported to the provider? 1/7
, Slurred speech
lurred speech is an early clinical finding associated with
lithium toxicity and can precipitate the onset of seizures or
coma. Using the safety and risk reduction priority setting
framework, this finding jeopardizes the immediate physi-
ological safety of the client and should be reported to the
provider immediately.
*Variable decelerations are caused from cord compres-
sion.
Late decelerations are caused from uteroplacental insufl-
ciency.
A nurse is reviewing the electronic fetal heart rate tracing
Prolonged decelerations are a decrease in the fetal heart
of a client who is in labor. Which of the following images
rate of 15/min below baseline. Prolonged decelerations
exhibits variable decelerations?
last more than 2 min but less than 10 min. This can re-
sult from maternal hypotension, umbilical cord prolapsed,
placental rupture, placental hemorrhage, and tetanic con-
traction.
Early decelerations are caused from head compression.
"I should eat low carbohydrate foods" is correct. Clients
A nurse is reinforcing teaching about methods to de-
who are experiencing nausea should eat foods high in
crease nausea to a client who is receiving chemotherapy.
carbohydrates, such as crackers, yogurt, toast, bananas,
Which of the following statements by the client indicates
and sherbet. This is not an appropriate statement by the
a need for further teaching?
client and indicates a need for further teaching
Soybeans
A nurse is reinforcing teaching regarding foods contain-
ing complete protein to a client. Which of the following
Food sources of complete proteins contain suflcient
should be included in the teaching?
quantities of all nine essential amino acids to support
2/7
