COMPLETE 70 QUESTIONS WITH DETAILED VERIFIED ANSWERS
(100% CORRECT ANSWERS)
A nurse is caring for a client who has a recent diagnosis of a terminal illness. The
nurse should identify which of the following as an indication of hopelessness? -
ANSWER: The client has a decreased energy level
A nurse is preparing to collect data on a preschooler. Which of the following
behaviors by the child indicates that he is ready to cooperate? (Select all that apply) -
ANSWER: Allows the nurse to touch him on the arm. Answers questions asked by the
nurse. Makes eye contact with the nurse
A nurse on a mental health unit is planning care for a group of clients. Which of the
following clients should the nurse see first? - ANSWER: A client who has
schizophrenia and is having command hallucinations
A nurse is using a glucometer to measure a client's capillary blood glucose level,
Which of the following actions should the nurse take? - ANSWER: Keep the finger in
a dependent position
A nurse is reviewing the home medications of a client who recently had transient
ischemic attacks and is to begin taking clopidogrel. The nurse should instruct the
client that which of the following over-the-counter medications interacts adversely
with clopidogrel? - ANSWER: Naproxen
A nurse is collecting data from a client who has a long leg cast that was applied 2
days ago. The client's foot is pale with a weak pedal pulse, and the client reports foot
numbness. Which of the following actions should the nurse plan to take first? -
ANSWER: Check for pain with passive movement of the affected extremity
A nurse in a providers office is reinforcing teaching about cigarette smoking. Which
of the following adverse effect should the nurse include in the teaching? - ANSWER:
Somnolence
A nurse is contributing to the development of an in-service program for mental
health nursing staff. The nurse should include that the staff can medicate a client
against his will, without a court hearing, in which of the following situations? -
ANSWER: A client who is attempting to hurt himself or others
A nurse is reinforcing teaching with a client who has a new prescription for digoxin.
Which of the following instructions should the nurse include in the teaching? -
ANSWER: "Monitor for muscle weakness while taking the medication."
,A charge nurse is discussing confidentiality requirements with a newly licensed nurse
when sharing a client's medical information. Which of the following individuals
should the charge nurse identify as appropriate with whom to share client
information? - ANSWER: a social worker who is assigned to an involuntary
committed school age client
A nurse is reviewing laboratory values for a client who is at 34 weeks of gestation.
Which of the following findings should the nurse report to the provider? - ANSWER:
Urine protein 3 plus
As nurse is collecting data from a client who is 4 hr postoperative following a
hemicolectomy.
Which of the following findings is the nurse's priority, requiring immediate
intervention? - ANSWER: Oxygen saturation 89%
A nurse in a provider's office is collecting data from a client who has a history of
hypertension during his annual physical examination. Which of the following findings
should the nurse report to the provider immediately? - ANSWER: blurred vision
A nurs is caring for a client wie suddenly develops chest pain and dyspea. Which of
the following should the nurse take first? - ANSWER: Elevate the head of the client's
bed
A nurse is reinforcing teaching on a client who has diabetes mellitus. Which of the
following laboratory tests is the most accurate of blood glucose effective
management? - ANSWER: glycosylated hemoglobin
A charge nurse on a mental health unit is supervising a newly licensed nurse. For
which of the following actions by the newly licensed nurse should the supervising
nurse intervene? - ANSWER: Tells a client he will lose his phone privileges if he does
not take his medication
A nurse is supervising an AP obtain supplies for a client who is on seizure
precautions. Which of the following should the AP place in the clients room? -
ANSWER: Oral suction equipment
A nurse is reinforcing discharge teaching with the faculty of a client who has
dependent personality disorder. Which of the following instructions should the nurse
indicate in the teaching? - ANSWER: Encourage the client to be assertive
A nurse is reinforcing discharge teaching with a client who had right total hip
arthroplasty. Which of the following instructions should the nurse indicate? -
ANSWER: "You should avoid crossing your legs for 3 months."
A nurse is reinforcing dietary teaching with a client who has hyperemesis
gravidarum. Which of the following instructions should the nurse include in the
teaching? - ANSWER: Eat a small meal every 2 to 3 hr
, A nurse is reinforcing teaching with a client who has GERD and a prescription for
ranitidine. Which of the following statements by the client indicates an
understanding of the teaching? - ANSWER: I should take this medication in the
morning and at bedtime
A nurse is assisting with the admission of a client who has pulmonary tuberculosis.
Which of the following types of isolation precautions should the nurse include? -
ANSWER: airborne
A nurse is reinforcing discharge teaching with a client who has COPD and reports
problems with maintaining adequate nutrition. Which of the following instructions
should the nurse include? - ANSWER: Perform pulmonary hygiene 1 hour before
meals
A nurse is administering pancreatic enzymes to a client who has cystic fibrosis. Which
of the following outcomes should the nurse expect as a therapeutic effect of the
treatment? - ANSWER: Reduced fat in the stools
A nurse is caring for a client who has paranoid schizophrenia and believes that she is
being followed by
FBI agents who are pretending to be psychiatric staff. Which of the following
responses should the nurse make? - ANSWER: The psychiatric staff is not FBI. They
are here to help you.
A nurse is assisting in the care of a client who has a fractured femur and is in Buck's
traction, which of the following actions should the nurse take? - ANSWER: Ensure
that the weights are hanging freely
A nurse is reviewing the medication record of a client who requires continuous
oxygen saturation monitoring. Which of the following should the nurse identify as a
factor that can affect the validity of the readings? - ANSWER: peripheral vascular
disease
A nurse is collecting data from a group of clients. Which of the following clients
should the nurse identify as having xanthelasma? - ANSWER: Lady with eyes closed
with nodules on eye lid
A nurse is assisting with the admission of a client who has Vancomycin- resistant
enterococcus of the urine. Which of the following types of precautions should the
nurse implement for this client? - ANSWER: contact precautions
A community health nurse is assisting in the development of a brochure about
hypertension. Which of the following actions should the nurse take? - ANSWER:
Explain the medical terminology using basic one syllable words