AND ANSWERS
A nurse is collecting data on four clients. Which of the following is the highest priority finding by the
nurse? - CORRECT ANSWER✅✅Diarrhea
A nurse in a rehabilitation facility has received report on four clients. Which of the following should the
nurse evaluate first? - CORRECT ANSWER✅✅A client who had abdominal surgery 10 days ago and
reports feeling his incision pop
A nurses caring for an older adult client who recently experienced the death of her partner. Which of
the following is the priority need of the client? - CORRECT ANSWER✅✅Creating meaningful social
relationships
A nurse is preparing to administer oral medication to a client who has unilateral weakness following a
cerebrovascular accident (CVA). Which of the following should be the priority action of the nurse? -
CORRECT ANSWER✅✅Have the client position the head with the chin down while swallowing
A nurse is conducting therapeutic medication monitoring on four clients. Which of the findings should
be immediately reported to the provider? - CORRECT ANSWER✅✅Digoxin 3.0ng/mL
A nurses caring for a client who has a urinary track infection. The client is disoriented and found
wandering on another unit. Which of the following actions should the nurse take first? - CORRECT
ANSWER✅✅Move the client to room near the nurses station
A nurse is reinforcing discharge teaching to a new mother regarding sudden infant death syndrome
(SIDS). Which of the following is the highest priority to include in the instructions? - CORRECT
ANSWER✅✅Place the infant in a supine position when sleeping
A nurse is caring for a client who has a serum potassium level of 3.1 mEq/L. Which of the following
actions should the nurse take first? - CORRECT ANSWER✅✅Obtain an ECG
A nurse is caring for a client who is having difficulty breathing. Which of the following actions should the
nurse take first? - CORRECT ANSWER✅✅Place the client in the orthopneic position