NR 449 PN (2 QUESTIONS & ANSWERS
100% CORRECT/VERIFIED ANSWERS
NEWEST UPDATE 2021/2022 RATED A+
A nurse is caring for a client who suddenly develops chest pain and dyspnea. Which of the
following actions should the nurse take first?
• Place the client on bed rest
• Obtain the clients ABG levels
• Prepare the client for a ventilation-perfusion scan
• Elevate the head of the client’s bed
A nurse is reinforcing teaching on a client who has diabetes mellitus. Which of the
following laboratory tests is the most accurate of blood glucose effective management?
• Urine ketones
• Glucose tolerance test
• Glycosylated hemoglobin
• Fasting blood glucose
A charge nurse on a mental health unit is supervising a newly licensed nurse. For which of
the following actions by the newly licensed nurse should the supervising nurse intervene?
• Requests a client to assist with distributing lunch trays
• Tells a client he will lose his phone privileges if he does not take his medication
• Encourages a client to participate in a recreational therapy group
,Places mechanical restraints on a client who is hitting another
A nurse is collecting data from a client who is 4 hr postoperative following a
hemicolectomy. Which of the following findings is the nurse’s priority, requiring
immediate intervention?
• Pain rating of 9 on a scale from 0 to 10
• Blood pressure 160/90 mm Hg
• Oxygen saturation 89%
• Abdominal dressing with a moderate amount of bright red drainage
A nurse in a provider’s office is collecting data from a client who has a history of
hypertension during his annual physical examination. Which of the following findings should
the nurse report to the provider immediately?
• A 2 kg (4.4 lb) weight
gain b. Blurred
vision c. Potassium 3.6
mEq/L
d. Resumption of cigarette smoking
• staff member
,A nurse is supervising an assistive personnel (AP) obtain supplies for a client who is on seizure
precautions. Which of the following materials should the AP place in the client’s room?
• Oral suction equipment
b. Wrist restraints
c. Tongue depressor
d. Tracheostomy tray
A nurse is reinforcing discharge teaching with the faculty of a client who has dependent
personality disorder. Which of the following instructions should the nurse indicate in the
teaching?
• Maintain a verbal no-harm contract with the
client b. Assume responsibility for making the client’s
decisions c. Encourage the client to be assertive
d. Limit the client’s social interactions
A nurse is reinforcing discharge teaching with a client who had a right total hip
arthroplasty. Which of the following instructions should the nurse indicate?
• “You should avoid crossing your legs for 3 months.”
• “You should avoid putting a pillow between your legs when in bed.”
• “You should avoid exercising for the next 6 weeks.”
• “You should avoid lying on your right side.”
A nurse is reinforcing dietary teaching with a client who has hyperemesis gravidarum.
Which of the following instructions should the nurse include in the teaching?
• Drink 240 mL ( 8 oz) of water with each meal
• Eat a small meal every 2 to 3 hr
, c. Avoid eating dairy products
d. Choose foods that are high in
fat
A nurse is reinforcing teaching with a client who has GERD and a prescription for
ranitidine. Which of the following statements by the client indicates an understanding of the
teaching?
• “I have to remain upright for 1 hour after taking the medication.”
• “I should take this medication in the morning and at night.”
• “I should expect my tongue to turn black after I take this medication.”
• “I have to take this medication on an empty stomach.”
A nurse is assisting with the admission of a client who has pulmonary tuberculosis. Which of
the following types of isolation precautions should the nurse include?
• Airborne
• Droplet
100% CORRECT/VERIFIED ANSWERS
NEWEST UPDATE 2021/2022 RATED A+
A nurse is caring for a client who suddenly develops chest pain and dyspnea. Which of the
following actions should the nurse take first?
• Place the client on bed rest
• Obtain the clients ABG levels
• Prepare the client for a ventilation-perfusion scan
• Elevate the head of the client’s bed
A nurse is reinforcing teaching on a client who has diabetes mellitus. Which of the
following laboratory tests is the most accurate of blood glucose effective management?
• Urine ketones
• Glucose tolerance test
• Glycosylated hemoglobin
• Fasting blood glucose
A charge nurse on a mental health unit is supervising a newly licensed nurse. For which of
the following actions by the newly licensed nurse should the supervising nurse intervene?
• Requests a client to assist with distributing lunch trays
• Tells a client he will lose his phone privileges if he does not take his medication
• Encourages a client to participate in a recreational therapy group
,Places mechanical restraints on a client who is hitting another
A nurse is collecting data from a client who is 4 hr postoperative following a
hemicolectomy. Which of the following findings is the nurse’s priority, requiring
immediate intervention?
• Pain rating of 9 on a scale from 0 to 10
• Blood pressure 160/90 mm Hg
• Oxygen saturation 89%
• Abdominal dressing with a moderate amount of bright red drainage
A nurse in a provider’s office is collecting data from a client who has a history of
hypertension during his annual physical examination. Which of the following findings should
the nurse report to the provider immediately?
• A 2 kg (4.4 lb) weight
gain b. Blurred
vision c. Potassium 3.6
mEq/L
d. Resumption of cigarette smoking
• staff member
,A nurse is supervising an assistive personnel (AP) obtain supplies for a client who is on seizure
precautions. Which of the following materials should the AP place in the client’s room?
• Oral suction equipment
b. Wrist restraints
c. Tongue depressor
d. Tracheostomy tray
A nurse is reinforcing discharge teaching with the faculty of a client who has dependent
personality disorder. Which of the following instructions should the nurse indicate in the
teaching?
• Maintain a verbal no-harm contract with the
client b. Assume responsibility for making the client’s
decisions c. Encourage the client to be assertive
d. Limit the client’s social interactions
A nurse is reinforcing discharge teaching with a client who had a right total hip
arthroplasty. Which of the following instructions should the nurse indicate?
• “You should avoid crossing your legs for 3 months.”
• “You should avoid putting a pillow between your legs when in bed.”
• “You should avoid exercising for the next 6 weeks.”
• “You should avoid lying on your right side.”
A nurse is reinforcing dietary teaching with a client who has hyperemesis gravidarum.
Which of the following instructions should the nurse include in the teaching?
• Drink 240 mL ( 8 oz) of water with each meal
• Eat a small meal every 2 to 3 hr
, c. Avoid eating dairy products
d. Choose foods that are high in
fat
A nurse is reinforcing teaching with a client who has GERD and a prescription for
ranitidine. Which of the following statements by the client indicates an understanding of the
teaching?
• “I have to remain upright for 1 hour after taking the medication.”
• “I should take this medication in the morning and at night.”
• “I should expect my tongue to turn black after I take this medication.”
• “I have to take this medication on an empty stomach.”
A nurse is assisting with the admission of a client who has pulmonary tuberculosis. Which of
the following types of isolation precautions should the nurse include?
• Airborne
• Droplet
