Questions and Correct
Answers | New Update
AA nurse is assessing a client who has a diagnosis on colon cancer
which of the following should the nurse expect?
a) Statorrhea
b) Elevated hemoglobin
c) Hematochezia
d) Weight gain - ANSWER ✔✔Hematochezia
,A nurse is assessing a client admitted with peripheral vascular disease,.
Which of the following findings indicates a venous vascular disorder?
a) An ulcer at the tip of a toe
b) Hair loss distal to the clients calves
c) Leg pain at rest
d) Edema of the ankle - ANSWER ✔✔Edema of the ankle
A nurse is assessing a client who has pericarditis. In which of the
following areas of the client's chest should the nurse place the
stethoscope to best hear a pericardial friction rub?
A) right 4th intercostal
B) left 4th intercostal
C) right nipple line
D) left lower sternal boarder - ANSWER ✔✔D) apical pulse
A nurse is caring for a client who has a chest tube. The client asks why
the fluid in the water-seal chamber rises and falls. Which of the following
statements should the nurse make?
a) " this means your lung is fully expanded "
b) " this indicates a possible leak"
,c) " suction pressure that is too high causes this"
d) " Your breathing pattern causes this" - ANSWER ✔✔d) " Your
breathing pattern causes this"
A community health nurse is reviewing home care instructions with an
older adult client who has a new diagnosis of heart failure. Which of the
following is the priority topic for the nurse to review with the client?
a) Daily sodium restriction
b) Daily exercise routine
c) Changes in weight
d) Fluid intake record - ANSWER ✔✔C) changes in weight
A nurse is teaching a client about the use of transcutaneous electrical
nerve stimulation (TENS) unit. Which of the following statements should
the nurse include?
a) "Apply lotion to the site prior to attaching the electrodes"
b) " this device requires access to a 220 volt outlet"
c) ' this device delivers heat via electrodes that are attached to the
effected area"
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, d) "adjust the dial until you feel a 'pins and needles' sensation" -
ANSWER ✔✔d) "adjust the dial until you feel a 'pins and needles'
sensation"
A nurse is providing teaching to a client who is postoperative following a
total hip arthroplasty. Which of the following statements should the nurse
make?
a) " use raised toilet seat to maintain your hips above the knees"
b) " twist at the waist when standing from a seated position"
c) "move your stronger leg first when using a walker"
d) " apply a heating pad to the operative hip to decrease pain" -
ANSWER ✔✔a) " use raised toilet seat to maintain your hips above
the knees"
A nurse finds a client in bed, unresponsive and breathing. Which of the
following action should the nurse take first?
a) Establish IV access
b) Apply blood pressure cuff
c) Palpate for the client's carotid pulse
d) Initiate cardiac monitoring for the client - ANSWER ✔✔c) Palpate
for the client's carotid pulse