and Answers 100% Correct Graded A+
• When the client's serum sodium level is 120 mEq/L, the priority nursing
assessment is to monitor the status of which body system? -✓✓Neurological
• While assisting the client with meal selection, the nurse realizes that clients who
practice Islam or Judaism share an avoidance of: -✓✓pork products.
• The client wants to increase intake of an antioxidant in her diet. The nurse
recommends including vitamin C, which is best found in: -✓✓Correct Answer:
tomatoes.
• For a child who has ingested the remaining contents of an aspirin bottle, the nurse
suspects signs and symptoms consistent with: -✓✓Correct Answer:
metabolic acidosis.
• Which of the following techniques used by the new staff nurse for administering
medications via an enteral tube requires correction by the charge nurse? -
✓✓Correct Answer:
Adding the medications to the tube feeding
• After a surgical procedure, the client is advanced to a full liquid diet. The nurse is
able to recommend which one of the following foods for this client? -✓✓Correct
Answer:
Yogurt
• While doing a nutritional assessment of a low-income family, the community
health nurse determines that the family's diet is inadequate in protein content. The
nurse suggests which of the following lower-cost foods to increase protein content?
-✓✓Correct Answer:
Beans
• The client has had throat surgery and is placed on a clear liquid diet. The nurse
should offer the patient: -✓✓Correct Answer:
apple juice.
, • The majority of body fluid is located in which area? -✓✓Correct Answer:
Intracellular
• The nurse recognizes that the client, on the basis of the imbalance that is present,
will require fluid replacement with isotonic solution. One of the isotonic solutions
that may be ordered by the physician is: -✓✓Correct Answer:
Lactated Ringer solution.
• One of the first indications of fluid volume deficit is: -✓✓Correct Answer:
tachycardia.
• For the client with a vitamin D deficiency and inadequate calcium intake, the
nurse observes for: -✓✓Correct Answer:
Chvostek sign
• Chvostek sign -✓✓an abnormal reaction to the stimulation of the facial nerve.
• A nasogastric tube is inserted in order for the client to receive intermittent tube
feedings. The action by the nurse that requires correction by the unit manager is: -
✓✓Correct Answer:
instilling air into the NG tube to check for placement.
• The mucous membranes of a normally hydrated individual are: -✓✓Correct
Answer:
moist.
• Of the following clients, the nurse recognizes that the individual who is most at
risk for a fluid volume deficit is: -✓✓Correct Answer:
42-year-old with severe vomiting.
• The single best indicator of fluid status is the nurse's assessment of the client's: -
✓✓Correct Answer:
daily body weight
• The nurse is inserting a nasogastric tube. During the insertion, the client starts to
gag and becomes dyspneic. Which action should the nurse take? -✓✓Correct
Answer:
Withdraw the tube and start again.