A Latest Test
A nurse is caring for a client who is 3 days postoperative following a total right hip arthroplasty. Which
of the following actions should the nurse take? Correct Answers: Maintain abduction of the client's
right leg while in bed.
A nurse is caring for a client who has terminal pancreatic cancer. The client states, "I don't think I can
go on any longer." Which of the following responses should the nurse make? Correct Answers: "You
feel like you want to discontinue treatment?"
A nurse is contributing to the plan of care for a client who is having difficulty eating following a stroke.
Which of the following actions should the nurse take first? Correct Answers: Implement
recommendations from the speech-language pathologist.
A nurse is contributing to the plan of care for a client who was admitted to the neurological unit
following a stroke 3 hr ago. Which of the following interventions should the nurse identify as the
priority? Correct Answers: Keep the client in a side-lying position.
A nurse is participating in a health fair for older adult clients. Which of the following vaccines should
the nurse recommend for this age group? Correct Answers: Herpes zoster
A nurse is contributing to the plan of care for a client who has a new prescription for nystatin
suspension for oral candidiasis. Which of the following interventions should the nurse include in the
plan? Correct Answers: Instruct the client to swish the medication in their mouth.
A nurse is preparing to perform intermittent urinary catheterization for a female client who has been
unable to void following surgery 6 hr ago. Which of the following catheters should the nurse use to
perform this procedure? Correct Answers: intermittent straight catheter (clear tube with blue top)
A nurse is preparing to auscultate the bowel sounds of a client who has a mechanical bowel
obstruction in the descending colon. When listening in the left upper quadrant, the nurse should
identify this sound as which of the following? Correct Answers: Hyperactive bowel sounds
A nurse is contributing to the plan of care for a client who has multiple sclerosis and is taking
dantrolene to manage muscle spasms. Which of the following interventions should the nurse include?
Correct Answers: Encourage the client to complete ADLs.
A nurse is assisting with the care of a client who had a cardiac catheterization via the right femoral
artery. Which of the following actions should the nurse take to prevent postprocedure complications?
Correct Answers: Monitor the insertion site for bleeding is
Maintain the pressure dressing
Check the client's peripheral pulses
A home health nurse is reinforcing teaching about preventing asthma attacks with a client who has
asthma. Which of the following instructions should the nurse include in the teaching? Correct
Answers: "Do not allow visitors to smoke cigarettes in your home."
, A nurse is caring for a client who has a prescription for phenazopyridine. Which of the following
findings should the nurse identify as a therapeutic effect of the medication? Correct Answers:
Decreases pain during urination
A nurse is monitoring a client who is taking acarbose. Which of the following findings should the
nurse identify as an adverse effect of the medication? Correct Answers: Abdominal cramps
A nurse is caring for a client who has a new cast on their left forearm and reports severe pain in the
affected arm with numbness in the ngers. The nurse nds the skin is pale and cold with sluggish
capillary refill. Which of the following fracture complications should the nurse suspect? Correct
Answers: Compartment Syndrome
A nurse is assisting with the discharge planning for a client who is postoperative following a total hip
arthroplasty. Which of the following instructions should the nurse include in the discharge plan?
Correct Answers: Obtain a raised toilet seat.
A nurse is assisting in the care of a client who has manifestations of sepsis. Which of the following
provider prescriptions should the nurse implement first? Correct Answers: Initiate oxygen at 4 L/min
via nasal cannula
A nurse is reviewing the laboratory results of a client who has type 2 diabetes mellitus. The nurse
should identify that which of the following laboratory values indicates the client is at risk for delayed
wound healing? Correct Answers: Prealbumin 12 mg/dL
A nurse is contributing to the plan of care for a client who has a methicillin-resistant Staphylococcus
aureus (MRSA) infection and is on contact isolation precautions. Which of the following actions
should the nurse take? Correct Answers: Have a designated stethoscope in the client's room.
A nurse is caring for a client who has a compound fracture of the femur and was placed in balanced
suspension skeletal traction 4 days ago. Which of the following actions should the nurse take?
Correct Answers: Perform pin site care daily.
A nurse is monitoring a client who has a history of an enlarged prostate and is experiencing
suprapubic discomfort. Which of the following actions should the nurse take first? Correct Answers:
Palpate the abdomen.
A nurse is collecting data from a client who has heart failure and is taking digoxin. Which of the
following outcomes from the medication should the nurse expect? Correct Answers: Decreased
shortness of breath
A nurse is assisting in the plan of care for a client who had a recent left hemispheric stroke. Which of
the following actions should the nurse include in the plan? Correct Answers: Use simple verbal cues
when directing tasks
A nurse is reinforcing teaching with the caregiver of a client who is terminally ill about manifestations
of impending death. Which of the following manifestations should the nurse include? Correct
Answers: Incontinence of the bowel and bladder