New NSG 4800 ALL COMPS 2026
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, 37. The nurse is caring for a client who is receiving warfarin (Coumadin) therapy. The client's
INR is 4.5. Which of the following actions should the nurse take first?
a. Administer vitamin K (phytonadione) as prescribed.
b. Hold the warfarin dose and notify the health care provider (HCP).
c. Continue the current warfarin dose and recheck the INR in 24 hours.
d. Administer fresh frozen plasma (FFP) immediately.
38. The nurse is assessing a client who has been diagnosed with diabetic ketoacidosis (DKA).
Which of the following laboratory values should the nurse expect?
a. Blood glucose of 70 mg/dL and arterial pH of 7.45
b. Blood glucose of 500 mg/dL and serum bicarbonate of 28 mEq/L
c. Blood glucose of 450 mg/dL, serum bicarbonate of 12 mEq/L, and arterial pH of 7.20
d. Blood glucose of 150 mg/dL and arterial pH of 7.35
39. The nurse is providing discharge teaching for a client who has undergone a total hip
replacement. Which of the following statements by the client indicates a need for further
teaching?
a. "I will use a raised toilet seat for several weeks after surgery."
b. "I will not bend my hip past a 90-degree angle."
c. "I will cross my legs when sitting to prevent dislocation."
d. "I will use long-handled reaching devices to pick up items from the floor."
40. The nurse is caring for a client who is experiencing Cushing's triad (hypertension,
bradycardia, and irregular respirations). Which of the following actions should the nurse take
first?
a. Administer prescribed mannitol (Osmitrol) intravenously.
b. Notify the health care provider (HCP) immediately.
c. Elevate the head of the bed to 30 degrees and maintain the head in a midline position.
d. Obtain a computed tomography (CT) scan of the head.
41. The nurse is assessing a client who has been diagnosed with hypothyroidism. Which of the
following clinical manifestations should the nurse expect?
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, 37. The nurse is caring for a client who is receiving warfarin (Coumadin) therapy. The client's
INR is 4.5. Which of the following actions should the nurse take first?
a. Administer vitamin K (phytonadione) as prescribed.
b. Hold the warfarin dose and notify the health care provider (HCP).
c. Continue the current warfarin dose and recheck the INR in 24 hours.
d. Administer fresh frozen plasma (FFP) immediately.
38. The nurse is assessing a client who has been diagnosed with diabetic ketoacidosis (DKA).
Which of the following laboratory values should the nurse expect?
a. Blood glucose of 70 mg/dL and arterial pH of 7.45
b. Blood glucose of 500 mg/dL and serum bicarbonate of 28 mEq/L
c. Blood glucose of 450 mg/dL, serum bicarbonate of 12 mEq/L, and arterial pH of 7.20
d. Blood glucose of 150 mg/dL and arterial pH of 7.35
39. The nurse is providing discharge teaching for a client who has undergone a total hip
replacement. Which of the following statements by the client indicates a need for further
teaching?
a. "I will use a raised toilet seat for several weeks after surgery."
b. "I will not bend my hip past a 90-degree angle."
c. "I will cross my legs when sitting to prevent dislocation."
d. "I will use long-handled reaching devices to pick up items from the floor."
40. The nurse is caring for a client who is experiencing Cushing's triad (hypertension,
bradycardia, and irregular respirations). Which of the following actions should the nurse take
first?
a. Administer prescribed mannitol (Osmitrol) intravenously.
b. Notify the health care provider (HCP) immediately.
c. Elevate the head of the bed to 30 degrees and maintain the head in a midline position.
d. Obtain a computed tomography (CT) scan of the head.
41. The nurse is assessing a client who has been diagnosed with hypothyroidism. Which of the
following clinical manifestations should the nurse expect?
