With Accurate Answers 2025\2026 A+ Grade
Which age-related change should the nurse consider when formulating a plan
of care for an older adult?
- accurate answers-Increased sensitivity to glare & diminished sensation of
pain
A nurse is caring for a client on bed rest. How can the nurse help prevent a
pulmonary embolus?
- accurate answers-Teach the client how to exercise the legs.
What are the clinical indicators that a nurse expects when an intravenous (IV)
line has infiltrated?
- accurate answers-Pallor, edema, decreased flow rate
A client with hemiplegia is staring blankly at the wall and reports feeling like
half a person. What is the most appropriate initial nursing action?
- accurate answers-Offer to spend more time with the client.
A nurse is preparing to administer an ophthalmic medication to a client. What
techniques should the nurse use for this procedure?
- accurate answers-Clean the eyelid and eyelashes, apply clean gloves before
beginning of procedure, Press on the nasolacrimal duct after instilling the
solution
A nurse must establish and maintain an airway in a client who has
experienced a near-drowning in the ocean. For which potential danger should
the nurse assess the client?
- accurate answers-Pulmonary edema
What are the best ways for a nurse to be protected legally?
- accurate answers-Provide care within the parameters of the state's nurse
practice act, document consistently and objectively, Clearly document a
client's non-adherence to the medical regimen
A nurse is explaining the nursing process to a nursing assistant. Which step of
the nursing process should include interpretation of data collected about the
, client?
- accurate answers-Evaluation
What should the nurse do initially when obtaining consent for surgery?
- accurate answers-Determine whether the client's knowledge level is
sufficient to give consent
A client has received instructions to take 650 mg aspirin (ASA) every 6 hours
as needed for arthritic pain. What should the nurse include in the client's
medication teaching?
- accurate answers-Take the aspirin with meals or a snack, Do not chew
enteric-coated tablets, Report persistent abdominal pain
When reviewing a drug to be administered, the nurse identifies that the
package insert indicates that the Z-track injection technique should be used.
Under what circumstance does the nurse expect that this technique will be
necessary?
- accurate answers-Medication is irritating to subcutaneous tissue and skin.
Which drug requires the nurse to monitor the client for signs of
hyperkalemia?
- accurate answers-Spironolactone (Aldactone)
A nurse is caring for a client admitted with cardiovascular disease. During the
assessment of the client's lower extremities, the nurse notes that the client
has thin, shiny skin, decreased hair growth, and thickened toenails. The nurse
understands that this may indicate:
- accurate answers-Arterial Insufficiency
What should the nurse include in dietary teaching for a client with a
colostomy?
- accurate answers-The diet should be adjusted to include foods that result in
manageable stools
A nurse is reviewing a plan of care for a client who was admitted with
dehydration as a result of prolonged watery diarrhea. Which prescription
should the nurse question?
- accurate answers-Parenteral albumin (Albuminar)