COMPLETE SOLUTION/ 200+ QUESTIONS & 100% CORRECT
ANSWERS
• A nurse is providing teaching to an adolescent who has peptic ulcer disease.
Which of the following statements by the client indicates an understanding of
the teaching?
• I would avoid food and beverages that contain caffeine
• I will use ibuprofen as needed to control abdominal pain
• I will take sucralfate with meals three times per day
• I will decrease my daily protein to 15 g per day
• A nurse is performing a gastric lavage for a client who has upper
gastrointestinal bleed. Which of the following actions should the nurse take?
• Instruct the client to lay on the right side
• Instill 500 ML’s of solution through the NG tube
• Insert a large bore NG tube
• Use a cold irrigation solution
• The nurse is caring for a postpartum client who has urinary retention which of the
following actions should the nurse take?
• Place the client hands in warm water
• Perform bladder scan
• Administer a prescribed diuretic
• Apply an ice pack on the clients
• A nurse manager is reviewing medical records to recommend clients for discharge
following a local mass casualty event. Which of the following clients should the
nurse recommend for discharge?
• Who was admitted 24 hours ago with chest pain
• A client who has heart failure and received euros in my IV eight hours ago
• A client is scheduled to have a colonoscopy in 12 hours
• A client who had a seizure 48 hours ago and he’s on seizure precaution
• A nurse is reviewing the medical record of a client who has a prescription for
intermittent heat therapy for a foot injury. Which of the following findings should
the nurse identify as a contraindication for heat therapy?
• Peripheral neuropathy
• Osteoarthritis
• Abdominal aortic aneurysm
• Phlebitis
• A nurse in an antepartum clinic is caring for four clients. Which of the
following client should the nurse assess first.
• A client who is at 8 weeks gestation and reports excessive salivation
• A client who is at 34 weeks gestation and reports double vision
, • A client who is at 38 weeks gestation and reports leg cramp
• A client who is at 24 weeks gestation and reports periodic finger numbness
• A nurse is assessing a client who has left-sided heart failure which of the
following findings should the nurse identify as a manifestation of pulmonary
congestion.
• Jugular vein distention
• Bradypnea
• Weight gain
• Frothy, pink sputum
• A nurse is caring for a client who has hypertension and a new
prescription for chlorthalidone. The nurse should monitor for which of the
following adverse effects?
• Hypokalemia
• Hypoglycemia
• Increased intraocular pressure
• Euphoria
• A nurse in an emergency department is caring for a client following a motor
vehicle crash. The client Glasgow coma scale is 15 which of the following findings
should the nurse expect?
• The client is oriented times three
• The client open the eyes to sound
• The client is unable to be command
• The client with drawls from pain
• A newly licensed nurse is unsure if an assigned task is within their scope of
practice. Which of the following resources should the nurse consult?
• Institutional policies and procedures
• Verbal direction from the nurse manager
• State nurse practice act
• Written prescription for the provider
• A nurse is preparing to assess a 2-week-old newborn. Which of the following
actions should the nurse plan to take?
• Assess the newborns pain level using the FACES pain scale
• Obtained a newborns body temperature using a tympanic thermometer
• Measure the newborn head circumference over the eyebrows and below
the occipital permanence
• Auscultate the newborns apical pulse for 60 seconds
• A nurse is reviewing the medical records of a client who has delayed healing of
a leg ulcer. Which of the following findings should the nurse identify as a
contributing factor?
• The client takes prednisone for arthritis
, • The client is receiving IV dextrose 5% in water at 100ml/hr
• The client has an albumin level of 3.8 g/dl
• The client has a total cholesterol level of 190 mg/dl
• A nurse is reviewing the laboratory report of a client who is receiving lithium
carbonate for the past 12 weeks. The nurse notes the lithium level is 0.8. which of
the following should the nurse follow?
• Increase the dosage
• Administer the medication
• Discontinue the medication
• With all the next dose
• A nurse is reviewing the laboratory results of a client who has rheumatoid
arthritis which of the following findings should the nurse report to the provider?
• Erythrocyte sedentation rate 75mm/hr (no more than 30)
• WBC count 8,000/mm
• Platelets 150,000/mm
• Aspartate aminotransferase 10 units/L
• A nurse is teaching a client who has GERD about appropriate dietary choices.
Which of the following choices by the client indicates an understanding of the
teaching?
• Whitefish
• Decaffeinated coffee
• Tomato soup
• Hot cocoa
• A community health nurse is reviewing laboratory reports for a group of clients.
The nurse should identify that which of the following disorders is on the CDC
nationally notifiable conditions list?
• Bacterial vaginosis
• Pediculosis capitis
• Lyme disease
• Respiratory syncytial virus
• A client’s partner tells a staff nurse that he overhears laboratory staff discussing
the result of the client’s biopsy report while on the elevator. Which of the following
actions should the nurse take?
• Report the information to the charger nurse
• Notify the facility legal department
• Review confidentiality policies with laboratory employees
• Contact the laboratory manager regarding the situation
• A nurse is caring for a client who is in a seclusion room following violent
behavior. The client continues to display aggressive behavior. Which of the following
actions should the nurse take?
, • Express sympathy for the client’s seclusion
• Confront the client about his behavior
• Stand within 30 cm (1 foot) of the client when speaking with them
• Speak assertively to the client
• A nurse is caring for a client who is recovering from an amputation of her right
arm below the elbow. Which of the fallowing interprofessional team member should
the nurse consult with the Occupational therapies?
• The client lives in a two-story home
• The client is allergic to penicillin
• The client has two small children at home
• The client’s parent is in a skilled nursing facility
• A nurse manager is planning to promote client advocacy among staff in a
medical unit. Which of the following actions should the nurse take?
• Develop a system for staff members to report safety in the client care environment
• Tell staff to explain procedures to clients before obtaining informed consent
• Inquirer stuff to implement the principle of paternalism want to clan is
having difficulty making decisions
• Instruct unit stuff to share personal experiences to help clients make decisions
• Nurse is teaching a client who has heart failure about engaging in an
exercise program. Which of the following statements by the client indicates an
understanding of the teaching?
• I will make sure I can still talk while exercising
• I will slow my walking pace if I experience chest pain
• I will work to achieve 60 minutes of exercise each day
• I will wait 30 minutes after eating before exercising
• A nurse is caring for a client who is comatose and has advance directives that
indicate the client does not want life-sustaining measures. The client’s family want
the client to have life- sustaining measures. Which of the following action should
the nurse take?
• Complete an incident report
• Arrange for an ethnic committee meeting to address the family concerns
• Support the family’s decision and initiate life-sustaining measures
• Encourage the family to contact the attorney
• A nurse is teaching a new licensed nurse about incident report. Which of the
following statements by the newly licensed nurse indicates an understanding of
the teaching?
• They are mandatory government documentation
• They are used as a disciplinary tool for nurse evaluations
• They assist with unit equality improvement
• They assist the facility to achieve benchmark goals