2019 VERIFIED & RELIABLE EXAM FOR
OUTSTANDING RATED A+
• A nurse is assessing a client who has received an antibiotic. The nurse should
identify which of the following findings as an indication of a possible allergic
reaction to the medication?
• Bradycardia
• Headache
• Joint pain
• Hypotension
• A nurse on a mental health unit is caring for a client who has schizophrenia and
is experiencing auditory hallucinations telling them to hurt others. The client is
refusing to take anti-psychotic medication. Which of the following responses
should the nurse make?
• “You should plan to take this medication for a few weeks.”
• “You will regret it if you do not take this medication.”
• “This medication will help you respond to the voices.
• “This medication will help you stop the voices you are hearing.”
• A nurse is providing care for a patient who has depression and is to have
electroconvulsive therapy. Which of the following conditions should the nurse
identify as increasing the client’s risk for complications?
• Hyperthyroidism
• Renal calculi
• Diabetes mellitus
, • Cardiac dysrhythmias
• 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?
• WBC count 8,000/mm
• Platelets 150,000/mm
• Aspartate aminotransferase 10 units/L D. Erythrocyte sedimentation 75
mm/hr
• A nurse is suctioning the airway of a client who is receiving mechanical
ventilation via an endotracheal tube. Which of the following findings should the
nurse identifyas an indication that suctioning has been effective?
• Presence of a productive cough
• Decreased peak inspiratory pressure
• Thinning of mucous secretions
• Flattening of the artificial airway cuff
• 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 actionsshould the nurse take?
• Stand within 30cm (1 ft) of the client when speaking
withthem.
• Express sympathy for the client’s situation. C.
Confrontthe client about his behavior.
D. Speak assertively to the client.
,• A nurse is caring for a client who is immediately postoperative following an
adrenalectomy to treat Cushing’s disease. Which of the following actions is the
nurse’s priority?
• Reposition the client for comfort every 2 hours
• Observe for any indications of infection C. Document
amountand color of the incisional drainage
D. Monitor the client’s fluid and electrolyte status.
• A nurse is caring for a client who is scheduled for a surgical procedure and
states, “I don’t want to have this surgery anymore.” Which of the following
responses should the nurse make?
• “We can manage your care following the procedure without complications.”
• “You have the right to refuse the procedure.”
• “Your doctor thinks the surgery is necessary.”
• “Let me review the procedure so you can understand what is going to happen.”
• A nurse is evaluating a client who has borderline personality disorder. Which of
thefollowing behaviors indicates an improvement in the client’s condition?
• Impulsive behaviors
• Decreased clinging behavior
• Liability of mood
• Dependent behavior
• A nurse is teaching a group of school-age children about healthy snack options.
Which of the following snacks should the nurse include?
• Air-popped popcorn
• Milkshake made with whole milk.
, • Baked potato chips
• Cheesecake
• A nurse is providing teaching to a client who has a new prescription for
enoxaparin. Which of the following medications for pain relief should the nurse
include in the teaching that can be taken concurrently with enoxaparin?
• Naproxen sodium
• Ibuprofen
• Acetaminophen
• Aspirin
• A nurse is caring for a client who has fibromyalgia and requests pain
medication. Which of the following medications should the nurse plan to
administer?
• Colchicine
• Lorazepa
• C.Pregabali n
D. Codeine
• A nurse is caring for a client who has congestive heart failure and is receiving
furosemide and digoxin. Which of the following laboratory values indicates that
theclient is at risk for developing digoxin toxicity?
• Glucose 150 mg/dL
• Magnesium
1.3mEq/L