CORRECT ANSWERS LATEST
Question 1
A charge nurse is admitting four clients to an acute care unit. Which of the following
clients should the nurse place near the nurses' station?
A. A client who is on fluid restriction
B. A client who is in Buck's traction
C A client who has orthostatic hypotension
D A client who has an open wound
Correct Answer
C A client who has orthostatic hypotension
Question 2
A nurse is reviewing a client's laboratory values. Which of the following should the
nurse review to evaluate the client's nutritional status?
a. Erythrocyte sedimentation rate
b. Troponin level
c. Serum sodium
d. Serum albumin
Correct Answer
d. Serum albumin
Question 3
A nurse is providing an in-service about the client evacuation during a fire. Which of
the following clients should the nurse instruct the staff to evacuate first?
a. A client who has a fracture and is in balance suspension traction
b. A client who is bedridden and wears a hearing aid
c. A client who uses a wheelchair and is confused
d. A client who is ambulatory and receiving oxygen
Correct Answer
d. A client who is ambulatory and receiving oxygen
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,Question 4
A nurse is an acute care facility is caring for four clients. Which of the following clients
should the nurse refer for speech therapy?
a. A client who has dysphagia following a stroke
b. A client who has sensorineural hearing loss
c. An older adult client who has stage III Alzheimer's disease
d. A client who is postoperative following a tonsillectomy and adenoidectomy
Correct Answer
a. A client who has dysphagia following a stroke
Question 5
A nurse is conducting health promotion education regarding contraindications to
combination oral contraceptive use to a group of women. Which of the following
conditions should the nurse include in the teaching?
A. Renal calculi
B. Fibrocystic breast disease?
C. Fibromyalgia
D. Hypertension
Correct Answer
D. Hypertension
Question 6
A nurse is caring for a client who has an indwelling urinary catheter. Which of the
following actions should the nurse take to provide catheter care?
A. Empty the collected urine once every 24 hr
B. Hang the drainage bag on a bed rail
c. Provide perineal hygiene after defecation
d. Change the indwelling catheter every 8 hr
Correct Answer
c. Provide perineal hygiene after defecation
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,Question 7
A nurse is teaching self-administration of insulin glargine to a client who has type 1
diabetes mellitus. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I will take this insulin before meals"
B. "I will not mix this insulin with other types of insulin"
C. "I will rotate the injection sites between my arm and my thigh" (abdomen)
D. "I will shake the vial to mix the insulin" (you must roll)
Correct Answer
B. "I will not mix this insulin with other types of insulin"
Question 8
A nurse is preparing to administer the first dose of cefazolin via intermittent IV
infusion to a client. Which of the following actions should the nurse take first?
a. Check the compatibility of cefazolin with the client's existing IV fluids
b.Obtain the reconstituted antibiotic from pharmacy
c. Review the client's allergy history
d. Assess the IV for patency
Correct Answer
c. Review the client's allergy history
Question 9
A nurse has received change-of-shift report for a group of clients. Which of the
following actions should the nurse take to manage time effectively?
a. Document client care at the end of the shift
b. Make the client to-do list for the day
c. Skip breaks until the client tasks are completed
d. Focus on several client tasks at a time
Correct Answer
b. Make the client to-do list for the day
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, Question 10
A nurse in a long-term care facility is admitting a client who has dementia. Which of
the following actions should the nurse take to reduce the risk for client injury?
A. Place the bedside table at the foot of the bed
B. Keep the television on during the night
C. Assist the client to the toilet frequently
D. Raise the side rails up when the client is in bed
Correct Answer
C. Assist the client to the toilet frequently
Question 11
A nurse is providing teaching to the parents of a newborn about newborn genetic
screening. Which of the following statements should the nurse include in the
teaching?
A. "This test should be performed after your baby is 24 hours old"
B. "A nurse will draw blood from your baby's inner elbow"
C. "Your baby will be given 2 ounces of water to drink prior to the test"
D. "This test will be repeated when your baby is 2 months old"
Correct Answer
A. "This test should be performed after your baby is 24 hours old"
Question 12
A nurse is teaching the parents of a child who has a new onset of seizures and is to
undergo an electroencephalogram (EEG) about the procedure. Which of the following
instructions should the nurse include in teaching?
A. "Give the child acetaminophen for pain following the procedure"
B. "Ensure the child's hair is clean and without conditioner before the procedure"
C. "Keep the child out of the sun for 4 hr following the procedure"
D. "Make the child NPO before the procedure"
Correct Answer
B. "Ensure the child's hair is clean and without conditioner before the procedure"
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