AND CORRECT ANSWERS LATEST
UPDATE TESTED AND GRADED A+
Question 1
When a client returns from the recovery room postmastectomy, an initial postoperative
assessment is performed by the nurse. What is the nurse’s priority assessment?
You Selected:
•
checking the dressing, drain, and amount of drainage Correct
response:
•
assessing the vital signs and oxygen saturation levels
Question 2
A client with an uncomplicated term pregnancy arrives at the labor- and-delivery unit in
early labor saying that she thinks her water has broken. What is the nurse’s best action?
You Selected:
• Ask what time this happened and note the color, amount, and odor of the
fluid. Correct response:
1
, • Ask what time this happened and note the color, amount, and odor of the
fluid.
Question 3
When documenting the care of a client, the nurse is aware of the need to use
abbreviations conscientiously and safely. This includes
You Selected:
• ensuring the abbreviations are understandable to clients who may seek
access to their health records Correct response:
• limiting abbreviations to those approved for use by the institution
Question 4
During routine prenatal screening, a nurse tells a client that her blood sample will be
used for alpha fetoprotein (AFP) testing. Which statement best describes what AFP
testing indicates?
You Selected:
• "This screening indicates if your baby's lungs are mature." Correct
response:
• "This test will screen for spina bifida, Down syndrome, or other genetic
defects."
Question 5
A client is recovering from an infected abdominal wound. Which foods should the nurse
encourage the client to eat to support wound healing and recovery from the infection?
You Selected:
•
chicken and orange slices Correct response:
•
chicken and orange slices
,Question 6
A nurse suspects that the laboring client may have been physically abused by her partner.
What is the most appropriate intervention by the nurse?
You Selected:
• Collaborate with the interprofessional team to make a referral to social
services. Correct response:
• Collaborate with the interprofessional team to make a referral to social
services.
Question 7
A client is newly diagnosed with asthma. While learning to use a metered dose inhaler
(MDI) for delivery of a short-term beta agonist, the client asks if a spacer is appropriate
to use with this device. What is the nurse’s best response?
You Selected:
• “No, a spacer is not recommended because it can increase the risk of
developing oropharyngeal candidiasis.” Correct response:
• “Yes, a spacer is recommended because it increases the
amount of medication that is delivered to the lungs.”
Question 8
The nurse is planning care for a client who had surgery for abdominal aortic aneurysm
repair 2 days ago. The pain medication and the use of relaxation and imagery techniques
are not relieving the client’s pain, and the client refuses to get out of bed to ambulate as
prescribed. The nurse contacts the health care provider (HCP), explains the situation, and
provides information about drug dose, frequency of administration, the client’s vital
signs, and the client’s score on the pain scale. The nurse requests a prescription for a
different, or stronger, pain medication. The HCP tells the nurse that the current
prescription for pain medication is sufficient for this client and that the client will feel
better in several days. What should the nurse do next?
You Selected:
3
, •Explain to the HCP that the current pain medication and other strategies are
not helping the client and it is making it difficult for the client to ambulate as
prescribed. Correct response:
•Explain to the HCP that the current pain medication and other strategies are
not helping the client and it is making it difficult for the client to ambulate as
prescribed.
Question 9
The nurse is making a room assignment for a client whose laboratory test result
indicate pancytopenia. Which client should the nurse put into the same room
with the client with pancytopenia? You Selected:
• a client with digoxin toxicity Correct response:
•
a client with digoxin toxicity
Question 10
A community health nurse provides a client with information about a local support
group for those with multiple sclerosis. Providing this information is an example of
which of the following?
You Selected:
• A referral.
Correct response:
• A referral.
Question 11
A school-age client with diabetes is placed on an intermediate- acting insulin and regular
insulin before breakfast and before dinner. She will receive a snack of milk and cereal at
bedtime. What does the nurse tell the client the snack is intended to do?
You Selected:
• Prevent late night hypoglycemia. Correct response:
• Prevent late night hypoglycemia.