Solutions 2024 Update.
A nurse is contributing to the plan of care to promote a restful night's sleep for a
client who has Alzheimer's disease. Which of the following interventions should
the nurse include in the plan? - Answer- Offer a small snack at bedtime.
A nurse is reinforcing teaching with a client who has chronic kidney disease about
disease management. Which of the following statements by the client indicates
an understanding of the teaching? - Answer- "I will limit my daily intake of
protein."
A nurse is caring for a client who has just returned to the unit following a
bronchoscopy. Which of the following findings should the nurse report to the
provider? - Answer- Diminished breath sounds
A nurse is caring for a client who begins to have a seizure while ambulating in the
hall. Identify the sequence of actions the nurse should follow. - Answer-
-Lower the client to floor.
-Place a pad beneath the client's head.
-Loosen the clothing around the client's neck.
-Time the length of the client's seizure.
-Reorient and reassure the client.
A nurse is reinforcing teaching with a client who has a new diagnosis of genital
herpes. Which of the following information should the nurse include in the
teaching? - Answer- "The virus can be transmitted without lesions present."
, MS A & B Exam Study Guide Questions with Verified
Solutions 2024 Update.
A nurse is planning care for a group of clients after receiving change-of-shift
report. Which of the following clients should the nurse plan to see first? - Answer-
A client who is dehydrated, has mental confusion, and was found getting out of
bed several times during the night.
A nurse is caring for a client who is receiving a continuous tube feeding of 60
mL/hr at 1.2 cal/mL. How many calories will the client receive in 12 hr?
- Answer- 864 cal
A nurse is caring for a client who is in Buck's traction for a fractured hip. The client
reports increased pain at the site of the fracture. Which of the following actions
should the nurse take? - Answer- Reposition the client
A nurse is reinforcing teaching with a client who is taking levothyroxine. Which of
the following statements by the client indicates an understanding of the
teaching? - Answer- "The medication should be taken before I eat breakfast every
morning."
A nurse is delegating the task of repositioning a client who is in skeletal traction to
an assistive personnel (AP). Which of the following instructions should the nurse
give the AP? - Answer- Allow the weights to hang freely.
, MS A & B Exam Study Guide Questions with Verified
Solutions 2024 Update.
A nurse is reinforcing teaching about pursed-lip breathing with a client who has a
new diagnosis of COPD. The nurse should identify which of the following client
statements indicates an understanding of the teaching? - Answer- "Pursed-lip
breathing works best for activities like walking up stairs."
A nurse is admitting a client who is suspected of having active tuberculosis (TB).
Which of the following actions should the nurse take first? - Answer- Institute
airborne precautions.
A nurse is preparing for a client for a cardiac catheterization. Which of the
following actions should the nurse take first? - Answer- Verify the client has given
informed consent.
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? - Answer- Use simple verbal cues when directing tasks.
A nurse is assisting with an educational program for clients who have been newly
diagnosed with diabetes mellitus. Which of the following instructions should the
nurse include in the program regarding insulin? - Answer- Opened insulin can be
stored on a cool countertop away from light.
A nurse is caring for a client who reports shortness of breath and has an oxygen
saturation of 90%. Which of the following actions should the nurse take? -
Answer- Administer oxygen via nasal cannula.
, MS A & B Exam Study Guide Questions with Verified
Solutions 2024 Update.
A nurse is preparing to insert a double-lumen gastric (Salem) sump tube for a
client who has peptic ulcer disease and has developed gastrointestinal bleeding.
Which of the following images indicates the tube that the nurse should select?
- Answer- (In a double-lumen gastric (Salem) sump tube, the clear portion of the
tube allows for aspiration of stomach contents. The blue portion of the tube, or
the "pig tail", vents the tube to the atmosphere, which prevents the tube from
becoming lodged against the wall of the stomach and protects the stomach from
damage.)
A nurse is contributing to the plan of care for a client who has pericarditis. In
which of the following positions should the nurse plan to place the client to
decrease pain? - Answer- Upright, leaning forward
A nurse is reviewing the medication record of a client who is taking digoxin.
Which of the following medications should the nurse identify as increasing the
risk for the client to develop digoxin toxicity? - Answer- Furosemide
A nurse is reinforcing teaching to a client about preventing osteoporosis. Which of
the following client statements indicates an understanding of the teaching?
- Answer- "I will limit my coffee intake"
A nurse is reinforcing discharge teaching with a client who has Crohn's disease.
Which of the following statements should the nurse include in the teaching?
- Answer- "Maintain a low-residue diet."