ELABORATED CORRECT SOLUTIONS
ALL PASSED
Then nurse is arriving at the beginning of her shift and has taken report on four clients
on med-surg unit. Which client should the nurse see first? - Correct Answer ✔✔ A client
with a history of asthma and complaining of increased dyspnea
When educating a female client on the signs and symptoms of a MI, the nurse
recognizes which of the following should be included in the teaching? - Correct Answer
✔✔ Older adults and women often present with atypical signs and symptoms
Which of the following is priority nursing intervention for a client in atrial fib with rate of
180 beats per min? - Correct Answer ✔✔ Administer medications to slow the rate
The nurse educates the client that besides an echo, which of the following tests is the
best tool for diagnosing heart failure? - Correct Answer ✔✔ MUGA
A nurse is caring for a client diagnosed with polycythemia vera. Which of the following
should the nurse include in the client and family education? - Correct Answer ✔✔ Wear
support hose while awake
The nurse is caring for a client who presented to the ED with pulmonary edema. The
client is hypotensive with a pulse ox reading of 85% on road air. Which of the following
is a nursing priority? - Correct Answer ✔✔ Administer oxygen
The nurse is caring for a client on a post-surg unit. The nurse understands that
monitoring the client for which post-operative complication priority? - Correct Answer
✔✔ Pneumonia
A nurse is performing discharge teaching for a client who has recently diagnosed with
heart failure. Which of the following should the nurse include in the client teaching?
SATA - Correct Answer ✔✔ Medication teaching
Low sodium diet
Symptoms to report to the provider
Fluid restriction
The nurse is caring for a client with mitral regurgitation. Which of the following would the
nurse anticipate the client to develop if left untreated? - Correct Answer ✔✔ Left sided
heart failure
, A nurse is caring for a 65 year old who recently underwent an aortic valve replacement.
Which is the following us post-op nursing care priority? - Correct Answer ✔✔ Assess for
bleeding
A nurse is caring for a client recently diagnosed with hypertension. Which is the
following should be included in the discharge teaching? - Correct Answer ✔✔
Adherence to the sodium restriction
a nurse is caring for a client with a history of abdominal aortic aneurysm. Which of the
following assessment findings requires immediate intervention? - Correct Answer ✔✔
Absent peripheral pulse
A nurse is caring for a 19 year old male with leukemia. Which is the following nursing
interventions is appropriate for the care of the client? - Correct Answer ✔✔ Strict hand
hygiene to prevent infection
The nurse is discharging home a client at risk for venous thromboembolism on
enoxaparin sodium. What instruction is a priority for the nurse to provide to this client? -
Correct Answer ✔✔ Notify your health care provider if your stools appear dark or tarry
Which of the following assessment findings are consistent with aortic stenosis? -
Correct Answer ✔✔ Systolic click
The nurse is assessing a client with severe anemia. Which clinical manifestation does
the nurse expect to see in this client? - Correct Answer ✔✔ Pale, cool skin
Which of the following would predispose a client to mitral stenosis? - Correct Answer
✔✔ Rheumatic fever
A hospitalized client has a platelet count of 58,000. What action by the nurse is best? -
Correct Answer ✔✔ Implement fall precautions
Which of the following assessment findings is a priority during blood transfusion? -
Correct Answer ✔✔ Chest pain
Which of the following medications are appropriate for the treatment of heart failure?
SATA - Correct Answer ✔✔ Diuretics
Digoxin
ACE inhibitors
Which of the following is a treatment option for a client with sickle cell disease? -
Correct Answer ✔✔ Blood product administration
The nurse questions which order for a client with thrombocytopenia? - Correct Answer
✔✔ Administer IM medication