NEWEST 2024 LATEST QUESTIONS 180 REAL
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
A nurse manager is planning to use a democratic leadership style with the nurses on
the unit. Which of the following actions by the nurse manager demonstrates a
democratic leadership style? - ANSWER- seeks input from the other nurses
A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Which of
the following findings should indicate to the nurse that the therapy has been effective?
- ANSWER- hemoglobin 14.9 g/dB
A nurse working in an emergency department is triaging four clients. Which of the
following clients should the nurse recommend for treatment first?
- ANSWER- a middle adult client who has unstable vital signs
A nurse is caring for a client who has fluid volume overload. Which of the following tasks
should the nurse delegate to an assistive personnel? - ANSWER- measure the
client's daily weight
,A nurse is preparing to administer manifold 0.2 g/kg IV bolus over 5 min as a test dose
to a client who has severe oliguria. The client weighs 198 lb. what is the amount in
grams the nurse should administer? - ANSWER- 18 g
A nurse is conducting a physical examination for an adolescent and is assessing the
range of motion of the legs, which of the following images indicates the adolescent is
abducting the hip joint?
- ANSWER- Moving the leg away from the midline of the body (off to the side, not to
the front)
A nurse is caring for a client who has hyperthyroidism. Which of the following findings
should the nurse expect? - ANSWER- tremors
tachycardia, diaphoresis, weight loss, insomnia, exophthalmia
hypothyroidism has dry coarse hair, bradycardia, and per orbital edema
A nurse is assessing a school age child who has bacterial meningitis. Which of the
following findings should the nurse expect?
- ANSWER- nuchal rigidity also weight loss
A nurse is assessing a newborn's heart rate. Which of the following actions should the
nurse take? - ANSWER- auscultate the apical pulse at least 1 min
A nurse is preparing to assist with a thoracentesis for a client who has pleurisy. The
nurse should plan to perform which of the following actions?
- ANSWER- instruct the client to avoid coughing during the procedure
,A nurse is the emergency department is assessing a preschooler who has a facial
laceration. The nurse should identify which of the following findings as a potential
indication of child sexual abuse?
- ANSWER- the child exhibits discomfort while walking
A nurse is preparing to teach about dietary management to a client who has crohn's
disease and an enter enteric fistula. Which of the following nutrients should the nurse
instruct the client to decrease in their diet?
- ANSWER- fiber - reduce diarrhea and inflammation
A nurse is caring for a client who has a prescription for a continuous passive motion
CPM machine following a total knee arthroplasty. Which of the following actions should
the nurse take?
- ANSWER- Turn off the CPM machine during mealtime promote client comfort and
dietary intake
A nurse is preparing to initiate IV access for an older adult client. Which of the following
sites should the nurse select when initiating the IV for this client?
- ANSWER- radial vein of the inner arm
A nurse is developing a client education program about osteoporosis for older adult
clients. The nurse should include which of the following variables as a risk factor for
osteoporosis? - ANSWER- sedentary lifestyle also, small framed body with a thin
build, estrogen deficiency
, A nurse in an emergency department is caring for a child who has a fever and fluid filled
vesicles on the trunk and extremities. Which of the following interventions should the
nurse identify as the priority? - ANSWER- initiate transmission based precautions
A nurse is caring for a client who has a clogged percutaneous gastrostomy feeding
tube. Which of the following actions should the nurse take first?
- ANSWER- change the position of the client
A home health care nurse is developing a teaching plan for a client who has a new
ileostomy. Which of the following instructions should the nurse include?
- ANSWER- empty the appliance when it is one third to one half full
A nurse is reviewing the laboratory report of a client who has end stage kidney disease
and received hemodialysis 24 hr. ago. Which of the following laboratory values should
the nurse report to the provider? - ANSWER- sodium 148 me/L
a nurse is caring for four clients. which of the following tasks should the nurse delegate
to an assistive personnel? - ANSWER- Arrange the lunch tray for a client who has a
hip fracture
a nurse is preparing a client for a paracentesis. which of the following actions should the
nurse take? - ANSWER- instruct the client to void