INCORRECT
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A nurse is preparing a client who is in the third trimester of pregnancy for a nonstress test (NST) to
assess fetal well-being. Which of the following actions should the nurse take to prevent
complications during the test?
Ask the client to fast for 4 hr before the test.
INCORRECT
Fasting is not necessary before an NST. The test is noninvasive and does not require any dietary
restrictions.
Instruct the client to not empty their bladder until after the test.
INCORRECTMy Answer
There is no need for the client to retain urine before the NST. A full bladder may cause discomfort and
can interfere with the test results.
Position the client in a semi-Fowler's position with a wedge under one hip.
CORRECT
Positioning the client in a semi-Fowler's position with a wedge under one hip helps to prevent supine
hypotensive syndrome, a condition that can occur in people who are pregnant when the enlarged uterus
compresses the inferior vena cava, reducing blood flow to the heart and potentially causing a drop in
blood pressure.
Administer intravenous oxytocin before starting the test.
INCORRECT
Administering intravenous oxytocin is not a standard procedure before an NST. Oxytocin is a
hormone that stimulates contractions. It is commonly used in contraction stress tests or inducing labor.
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,Question: 2 of 150
INCORRECT
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A nurse is providing teaching to a client who has a new prescription for phenelzine. Which of the
following foods should the client avoid while taking this medication?
Yogurt
INCORRECT
Yogurt contains minimal to no tyramine, making it a safe dietary option for clients prescribed
phenelzine, a MAOI, which can cause a hypertensive crisis if consumed with foods containing high levels
of tyramine.
Grapefruit juice
INCORRECTMy Answer
Grapefruit juice is not contraindicated for clients taking phenelzine. Phenelzine is a MAOI and does
not interact negatively with grapefruit juice.
Fresh tomatoes
INCORRECT
Fresh tomatoes do not contain tyramine and are not contraindicated for clients taking phenelzine, a
MAOI, which can cause a hypertensive crisis if consumed with foods containing high levels of tyramine.
Liver
CORRECT
Liver should be avoided for clients taking MAOIs because this food contains high amounts of
tyramine. The interaction between tyramine and MAOIs can cause a hypertensive crisis.
Question: 3 of 150
2
,INCORRECT
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A nurse preceptor is evaluating the performance of a newly licensed nurse. Which of the following
actions by the newly licensed nurse requires intervention by the preceptor?
Returns to the nurses' station after completing several tasks in the same location
INCORRECTMy Answer
Completing a group of tasks that are in the same location before going back to the nurses' station
demonstrates effective time management.
Completes a client assessment while infusing an IV antibiotic over 30 min
INCORRECT
Performing other activities while waiting for an IV medication to infuse demonstrates effective time
management.
Starts a task then determines what supplies are needed
CORRECT
The preceptor should intervene and instruct the newly licensed nurse to gather supplies before
performing client tasks to practice effective time management.
Documents client tasks upon completion
INCORRECT
The newly licensed nurse should document completing each client task as soon as possible because
waiting to document increases the risk of writing incomplete and inaccurate information.
Question: 4 of 150
CORRECT
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3
, A nurse is assessing a client who has a history of a previous suicide attempt and states, "I want to
shoot myself." Which of the following questions should the nurse ask first?
"Has anyone in your family ever attempted suicide?"
INCORRECT
The nurse should assess family history as a risk factor. However, this is not the priority at this time.
"How do you intend to carry out your plan?"
CORRECTMy Answer
Evidence‑based practice indicates that the nurse should first assess the specificity, lethality, and access
to means by asking about the plan. This immediately determines imminent risk and guides urgent safety
actions (removal of means, continuous observation, emergency interventions). Therefore, the priority
intervention is for the nurse to obtain information about the plan.
"Have you been giving away your personal items?"
INCORRECT
The nurse should assess for preparatory behaviors, such as giving away personal items. However,
this is not the priority at this time.
"How many times have you attempted suicide?"
INCORRECT
The nurse should assess past attempts because they are strong long‑term risk factors. However, this is
not the priority at this time.
Question: 5 of 150
INCORRECT
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A nurse is caring for a client who has chronic alcohol use disorder.
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