CORRECT ANSWERS | Latest Update 2026/2027 | GRADED
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Which of these actions best demonstrates cultural sensitivity by a nurse?
a. The nurse talks in a slow-paced speech.
b. The nurse asks clients about their beliefs and practices toward pregnancy.
c. The nurse uses charts and diagrams when teaching pregnant clients.
d. The nurse can speak several different languages. - B
Which of these manifestations should a nurse expect to observe in a 3-month-old infant
who is diagnosed with dehydration?
a. Hyperreflexia.
b. Tachycardia.
c. Bradypnea.
d. Agitation. - B
When assessing a client's risk of developing nosocomial infection, a nurse plans to
determine potential entry portals, which include:
a. the urinary meatus.
b. vomitus.
c. contaminated water.
d. sexual intercourse. - A
A client who is on the inpatient psychiatric unit has a history of violence. Which of these
actions should a nurse take if the client is agitated?
a. Encourage the client to verbalize feelings.
b. Lock the client in a secluded room.
c. Ask the other clients to give feedback regarding the client's behavior.
d. Ignore the client's inappropriate behavior. - A
Which of these measures should a nurse include when planning care for a school-aged
child during a sickle cell crisis episode?
,a. Monitoring for signs of bleeding.
b. Providing pain relief.
c. Administering cool sponge baths to reduce fevers.
d. Offering a high calorie diet. - B
Which of these instructions should a nurse include in the plan of care for a 32-week
gestation client who had an amniocentesis today?
a. "Drink at least six glasses of fluids during the next six hours after the test."
b. "Call the clinic if you experience any abdominal cramps."
c. "Don't be concerned if you have some vaginal spotting in the next 12 hours."
d. "When you get home, stay on bed-rest for the next 48 hours." - B
An adolescent has a nursing diagnosis of fatigue related to inadequate intake of ironrich
foods. Selection of which of these lunches by the client indicates a correct
understanding of foods high in iron content?
a. Peanut butter and jam sandwich.
b. Chicken nuggets with rice.
c. Tuna salad sandwich.
d. Beefburger with cheese. - D
A client has been admitted with acute pancreatitis. Which of these laboratory test
results supports this diagnosis?
a. Elevated serum potassium level.
b. Elevated serum amylase level.
c. Elevated serum sodium level.
d. Elevated serum creatinine level. - B
A client has the following order for regular insulin (Humulin R) on a sliding scale:
Blood sugar 150-180 mg: Give 2 units regular insulin
Blood sugar 181-200 mg: Give 4 units regular insulin
Blood sugar 201-220 mg: Give 6 units of regular insulin
,Blood sugar above 220 mg: Call MD
At 11 A.M., a nurse obtains a finger stick glucose of 198 mg. The only syringe is a three
milliliter one. Regular insulin is available as 100 units per milliliter. How many milliliters
should the nurse administer?
a. 0.04
b. 0.4
c. 4
d. 40 - A
Which of these nursing diagnosis is the priority for a client who is one-hour
postoperative after extensive abdominal surgery?
a. Risk for impaired physical mobility.
b. Risk for deficient fluid volume.
c. Risk for ineffective airway clearance.
d. Risk for infection. - C
A nurse should recognize that which of these occupations increases a person's risk of
developing hepatitis B?
a. Sanitation worker.
b. Nursery school teacher.
c. Hemodialysis nurse.
d. Fish market sales person. - C
Which of these manifestations, if assessed in a client who is two-hours postoperative
after abdominal surgery, should a nurse report immediately?
a. Vomiting and a pulse rate of 106/minute.
b. Respiratory rate of 12/minute and urine dribbling.
c. Blood pressure of 100/60 mm Hg and wound discomfort.
d. Urine output of 100 mL/hr and flushed skin. - A
Which of these observations of a student nurse's behavior while interacting with a client
who is crying indicates a correct understanding of therapeutic communication?
a. The student maintains continuous eye contact with the client.
a.
b.
c.
, b. The student places one arm around the client's shoulder?
c. The student sits quietly next to the client.
d. The student leaves the room to provide privacy for the client. - C
Which of these actions should a nurse take initially if a client who is diagnosed with
diabetes mellitus develops tremors and ataxia?
Measure the client's blood sugar level.
Administer a concentrated form glucose to the client.
Administer a prn dose of insulin.