EXAM 2026 NEWEST TESTBANK
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DETAILED VERIFIED ANSWERS (100%
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m Amnurseminmanmemergencymdepartmentmismpreparingmtomperformmanmocularmirrigationmforma
client.mWhichmofmthemfollowingmactionsmshouldmthemnursemplanmtomtake?
a.mAssessmthemclient'smvisualmacuitympriormtomirrigation
b.mHavemthemclientmturnmtheirmheadmtowardmthemunaffectedmeye
c.mHoldmthemirrigatormsyringem3.81mcmm(1.5min)mabovemthemeye
d.mPerformmthemirrigationmwithmsterilemwatermformirrigationm-
mCORRECTmANSWERmD.mPerformmthemirrigationmwithmsterilemwatermformirrigation
Amnursemismpreparingmtomadministermlactatedmringer'smviamcontinuousmIVminfusionmatm200
ml/hr.mThemIVmtubingmhasmamdropmfactormofm10mdrops/ml.mHowmmanymgtt/minmshouldmthe
nursemsetmthemIVmpumpmtomadminister?m
Roundmtomnearmwholemnumber.
A.m10m
B.m22
C.m33m
D.m4m-mCORRECTmANSWERmC.m33mgtt/min
Amnursemismprovidingmdischargemteachingmtomamclientmwhomhasmamnewmprescriptionmfor
sublingualmnitroglycerin.mWhichmofmthemfollowingmclientmstatementsmindicatesman
understandingmofmthemteaching?
a.mImcanmkeepmmymmedicationsmform1myearmbeforemreplacingmit
,b.mImshouldmliemdownmwhenmImtakemthismmedication
c.mImshouldmdiscontinuemthismmedicationmifmImdevelopmamheadache
d.mImcanmtakemupmtomfivemtabletsminm15mminutesmbeforemseekingmmedicalmattentionm-
mCORRECTmANSWERmb.mImshouldmliemdownmwhenmImtakemthismmedication
Amnursemismprovidingmdischargemteachingmtomanmoldermadultmclientmfollowingmamleftmtotalmhip
arthroplasty.mWhichmofmthemfollowingminstructionsmshouldmthemnursemincludeminmthe
teaching?
a.mCleanmthemincisionmdailymwithmhydrogenmperoxide
b.mYoumcanmcrossmyourmlegsmthemanklesmwhenmsittingmdown
c.mYoumshouldmusemanmincentivemspirometermeverym8mhours
d.mInstallmamraisedmtoiletmseatminmyourmbathroomm-
mCORRECTmANSWERmd.mInstallmamraisedmtoiletmseatminmyourmbathroom
Amnursemismplanningmcaremformamclientmfollowingmamcardiacmcatheterization.mWhichmofmthe
followingmactionsmshouldmthemnursemtake?
a.mKeepmthemclientmonmbedmrestmform24mhours
b.mLimitmthemclient'smfluidmintakemtom1mlmpermday
c.mMaintainmthemclient'smaffectedmextremityminmextension
d.mChangemthemclient'smdressingmeverym8mhourm-
mCORRECTmANSWERmc.mmaintainmthemclientsmaffectedmextremityminmextension
Amnursemismcaringmformamclientmwhomhasmamlowermextremitymfracturemandmamprescriptionmfor
crutches.mWhichmofmthemfollowingmclientmstatementsmindicatesmthatmthemclientmismadaptingmto
theirmrolemchange?
a.mImwillmneedmtomhavemmympartnermtakemovermshoppingmformgroceriesmandmcookingmthe
mealsmformus
,b.mThesemcrutchesmwillmmakemitmimpossiblemtomcaremformmymchild
c.mImfeelmbadmthatmImhavemtomaskmmympartnermtomkeepmthemhousemclean
d.mItsmgoingmtombemdifficultmtomtellmmymparentsmImcantmtakemthemmtomtheirmappointments
anymorem-
mCORRECTmANSWERma.mImwillmneedmtomhavemmympartnermtakemovermshoppingmformgroceriesmandmc
ookingmthemmealsmformus
Amnursemismcaringmformamclientmwhomhasmgastroenteritis.mWhichmofmthemfollowingmassessment
findingsmshouldmthemnursemrecognizemasmanmindicationmthatmthemclientmismexperiencing
dehydration?
a.mPitting,mdependentmedema
b.mDistendedmjugularmveins
c.mIncreasedmBP
d.mDecreasedmBPm-mCORRECTmANSWERmd.mDecreasedmBP
Amnursemismcaringmformamclientmwhomhasmamcontusionmofmthembrainstemmandmreportsmthirst.
Themclient'smurinarymoutputmwasm4,000mmlmovermthempastm24mhour.mThemnursemshould
anticipatemamprescriptionmformwhichmofmthemfollowingmIVmmedication?
a.mDesmopressin
b.mEpinephrine
c.mFurosemide
d.mNitroprussidem-mCORRECTmANSWERma.mDesmopressin
Amnurseminmamclinicmreceivesmamphonemcallmfrommamclientmwhomrecentlymstartedmtherapymwith
anmACEminhibitormandmreportsmamnaggingmdrymcough.mWhichmofmthemfollowingmresponsesmby
themnursemismappropriate?
a.m"yourmcoughmmaymrequiremthatmyoumstopmormchangemyourmmedication"
, b.m"Increasingmyourmdailymfluidmintakemmaymeliminatemyourmcough"
c.m"suckingmonmlozengemmaymreducemthemfrequencymofmyourmcough"
d.mYoumcoughmshouldmgomawayminmtime"m-
mCORRECTmANSWERma.myourmcoughmmaymrequiremthatmyoumstopmormchangemyourmmedication
AmnursemismtakingmanmadmissionmhistorymfrommamclientmwhomreportsmRaynaud'smdisease.
Whichmofmthemfollowingmassessmentmfindingsmshouldmthemnursemidentifymasmampotential
triggermformexacerbations
ofmRaynaud's?
a.mEatingmamstrictmvegetarianmdiet
b.mAmhistorymofmherpesmzoster
c.mTakingmamiodipinemformhypertension
d.mUsingmamnicotinemtransdermalmpatchm-
mCORRECTmANSWERmd.mUsingmamnicotinemtransdermalmpatch
Amnursemismcaringmformamclientmwhomhasmamcentralmvenousmaccessmdevicemandmnotesmthe
tubingmhasmbecomemdisconnected.mThemclientmdevelopsmdyspneamandmtachycardia.mWhich
ofmthemfollowing
actionsmshouldmthemnursemtakemfirst?
a.mPerformmanmECG
b.mObtainmABGmvalues
c.mTurnmthemclientmtomhismleftmside
d.mClampmthemcatheterm-mCORRECTmANSWERmd.mClampmthemcatheter
Amnursemismcompletingmanmassessmentmofmanmoldermadultmclientmandmnotesmreddenedmareas
overmthembonymprominences,mbutmthemclient'smskinmismintact.mWhichmofmthemfollowing
interventionsmshouldmthemnursemincludeminmthemplanmofmcare?