AND ANSWERS|| GUARANTEED PASS||
ALREADY GRADED A+
Which of these assessments is the priority for a client who is admitted with
recurrent depression?
a. Previous episodes of depression.
b. Compliance with prescribed medications.
c. Presence of a suicide plan.
d. Problems with communication. - ANSWER-c. Presence of a suicide plan.
Which of these changes in the assessment data of a child who has congestive
heart failure should a nurse recognize as indicative of a therapeutic response to
prescribed medication therapy?
a. Increased weight.
b. Increased urine output.
c. Increased respiratory rate.
d. Increased heart size. - ANSWER-b. Increased urine output.
Which of these assignments, if delegated to unlicensed assistive personnel
(UAP) by a nurse, is appropriate?
a. The UAP is assigned to measure a client's intake and output.
b. The UAP is assigned to assess a client's lung sounds.
c. The UAP is assigned to teach a client about diet restrictions.
,d. The UAP is assigned to change a client's postoperative wound dressing. -
ANSWER-a. The UAP is assigned to measure a client's intake and output.
A client who has a history of asthma develops an acute asthma attack. Which of
these questions should a nurse ask when assessing the etiology of this attack?
a. "Have you eaten any new foods recently?"
b. "How many hours did you sleep last night?"
c. "Are you exercising every day?"
d. "Have you reduced your fluid intake recently?" - ANSWER-a. "Have you
eaten any new foods recently?"
Which of these foods should a nurse suggest that a client who is diagnosed with
iron-deficiency anemia choose for dinner?
a. Cooked dry beans, green leafy vegetables, and dried fruits.
b. Raw cabbage, tomato juice, and cantaloupe.
c. Fresh fish, peanut butter, and oatmeal.
d. Cheddar cheese, enriched bread, and yellow vegetables. - ANSWER-a.
Cooked dry beans, green leafy vegetables, and dried fruits.
A nurse has received a report on these assigned clients. Which client should the
nurse follow-up first?
a. A client, admitted with acute diverticulitis, who has a white blood cell count
(WBC) of 10,000 mm3.
b. A client, admitted with acute pancreatitis, who has a fasting serum glucose of
130 mg/dL today, and had a reading of 160 mg/dL yesterday.
c. A client, admitted with hepatitis, who has jaundice and tea-colored urine.
d. A client who is currently receiving cancer chemotherapy and who has a white
blood cell count of 500 mm3 today. - ANSWER-d. A client who is currently
receiving cancer chemotherapy and who has a white blood cell count of 500
mm3 today.
,Which of these statements, if made by a client who is taking a diuretic, should a
nurse recognize as indicative of the need for additional instructions?
a. "I take all of my medications at bedtime so I don't forget them."
b. "I eat one or two bananas every day."
c. "I weigh myself every day in the morning."
d. "I will call my doctor if I have muscle weakness." - ANSWER-a. "I take all
of my medications at bedtime so I don't forget them."
A nurse is monitoring a client who had a cystoscopy six hours ago. The nurse
should inform the physician of which these manifestations?
a. The client has pink-tinged urine.
b. The client reports burning on urination.
c. The client's white blood cell count is 15,000 mm3.
d. The client appears drowsy. - ANSWER-c. The client's white blood cell count
is 15,000 mm3.
Which of these actions should a nurse perform prior to a client's scheduled
hemodialysis?
a. Administer prophylactic antibiotics.
b. Weigh the client.
c. Give the client normal saline solution to drink.
d. Measure the urine specific gravity. - ANSWER-b. Weigh the client.
Which of these behaviors, if taken by a staff nurse on a psychiatric unit,
indicates a correct understanding of therapeutic techniques?
a. A nurse smiles when speaking with clients who are manic.
b. A nurse uses touch to communicate concern with a depressed client.
c. A nurse sets consistent limits with manipulative clients.
d. A nurse shares own anxiety reduction techniques with a client who has panic
attacks. - ANSWER-c. A nurse sets consistent limits with manipulative clients.
, A client has been in bed for the past three days. Which of these measures should
a nurse include before assisting the client out of bed?
a. Having the client drink a glass of water.
b. Raising the head of the bed.
c. Flexing the client's knees.
d. Assessing the lung sounds. - ANSWER-b. Raising the head of the bed.
A client who has insulin-dependent diabetes mellitus asks a nurse, "What should
I do when I feel nervous, sweaty, and hungry?" The nurse should give the client
which of these instructions?
a. "Lie down and rest."
b. "Eat a carbohydrate snack."
c. "Take your prn dose of insulin."
d. "Add a slice of bread to your next meal." - ANSWER-b. "Eat a carbohydrate
snack."
Which of these tasks should a licensed practical nurse (LPN) delegate to a
nursing assistant?
a. Checking the 11 A.M. blood sugar for a client who has ketoacidosis.
b. Measuring the pulse oximetry level for a client who has status asthmaticus.
c. AMbulating a client who had a hip replacement three days ago.
d. Changing the dressing for a client who had wound debridement last week. -
ANSWER-c. AMbulating a client who had a hip replacement three days ago.
A 36-week-pregnant woman awakens to find she is having profuse, red vaginal
bleeding. A nurse should prepare the woman to have an immediate sonogram to
determine the:
a. location of the placenta.
b. uterine response to labor.