B AND C ACTUAL EXAM COMPLETE 450 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
A nurse is assisting with monitoring a client who is in labor and has spontaneous
rupture of membranes following a vaginal examination. The provider reports the
client's cervix is dilated to 1 cm with an unengaged presenting part. Which of the
following actions should the nurse take? - ANSWER: Apply the external fetal heart
rate monitor.
A Nurse is collecting data from a client who has bipolar disorder and is experiencing
acute mania. Which of the following findings is the nurse's priority? - ANSWER: lack
of sleep
A nurse is reinforcing teaching with a client who has a type 2 diabetes mellitus and
reports waking during the night with tremors and anxiety. which of the following
information should the nurse provide to help the client manage his symptoms? -
ANSWER: Eat a bedtime snack
a Nurse is reinforcing teaching for a client who has a coronary artery disease and is
taking low-dose aspirin daily. The nurse should include that this medication has
which of the following therapeutic effects for CAD? - ANSWER: Antiplatelet
A nurse is collecting data from a client who has an unprepared femur fracture and
rates his pain as 8 on a scale of 0 to 10. The client is talking and caught with a visitor.
Which of the following of the prescribed medication should the nurse administer? -
ANSWER: Hydromorphone 5 mg orally.
A nurse is reinforcing preoperative teaching with a client scheduled for a bowel
retention with ileostomy. which of the following descriptions should the nurse give
of the expected output from a mature ileostomy? - ANSWER: liquid with little odor
A nurse is caring for a client who is 16 hr postoperative following a total hip
arthroplasty. the client reports numbness, pain, and tingling in the affected leg.
Which of the following actions should the nurse take first? - ANSWER: compare
capillary refill in toes bilateraly
A nurse is reinforcing teaching with a client who has acute diverticulitis. Which of the
following statements by the client indicates an understanding of the teaching about
the acute phase of diverticulitis? - ANSWER: "I will receive the nutrient I need
through my IV Fluid"
, A nurse in reinforcing teaching with a client about cancer prevention. The nurse
should include that frequent consumption of which of the following foods increases
the risk of cancer? - ANSWER: Lamb
A nurse is assisting in teaching a group of staff nurses about hepatitis A. Which of the
following modes should the nurse include as a method of transmitting hepatitis A? -
ANSWER: Consumption of contaminated food.
A nurse is reinforcing teaching with a client who is bottle feeding he full-term
newborn with formula. Which of the following instructions should the nurse include
in the teaching? - ANSWER: Although is is unnecessary to be rigid about feeding
times, six to eight feedings every 24 hrs should support a full-term newborn's
nutrition adequately. Fewer feedings in the initial weeks could delay the estabilment
of an adequate weight-gain pattern.
A nurse is assisting with the plan of care for a client following a transurethral
resection of the prostate. Which of the following interventions should the nurse
include in the plan of care? - ANSWER: The nurse should irrigate the bladder using
strict sterile technique and maintain closed catheter drainage system to minimize
the rick of infection.
A nurse is reviewing a client's electronic medical record and finds that an assistive
personnel recorder the client's temperature as 35.3 degrees Celsius (95.5 degrees F)
2 hrs earlier. Which of the following actions should the nurse take firsT? - ANSWER:
Check the client's temperature.
A nurse is receiving change-of-shift report for four clients. Which of the following
clients should the nurse see first? - ANSWER: A client whose urinary output was
100mL for the past 12 hrs
A nurse in reinforcing teaching about weight loss with a female older adult client
who is overweight. Which of the following statements should the nurse include in
teaching? - ANSWER: keep fat intake to no more that 30% of daily caloric intake.
A nurse is collecting data from a client who has iron deficiency anemia. Which of the
following findings should the nurse expect? - ANSWER: Difficulty concentrating.
A Nurse is collecting data from an older adult client who is 48 hr postoperative
following abdominal surgery. The provider writes a prescription to advance the client
to a regular Diet. For which of the following findings should the nurse notify the
provider? - ANSWER: The client has absent bowel sounds.
A nurse is reinforcing discharge teaching with a client who is postoperative following
transurethral resection fo the prostate. Which of the following instructions should
the nurse include in the teaching? - ANSWER: perform Kegel exercises daily.