CORRECT 250+ ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST 2024 – 2025 ALREADY GRADED A+
A nurse is providing postoperative teaching to a client who has a newly-inserted
pacemaker. Which of the following statements by the client indicates that the
teaching has been effective?
A. I will use my cell phone on the ear opposite of my pacemaker
B. I can play softball with my family in 3 weeks
C. I should perform arm exercises daily
D. I will go to my cardiologist's office when the battery needs to be changed -
ANSWERS-I will go to my cardiologist's office when the battery needs to be
changed
A nurse is observing bonding between a client and her newborn. Which of the
following actions by the client requires the nurse to intervene?
A. Holding the newborn in an en face position
B. Asking the father to change the newborn's diaper
,C. Viewing the newborn's actions to be uncooperative
D. Requesting the nurse take the newborn to the nursery so she can rest -
ANSWERS-Viewing the newborn's actions to be uncooperative
179. A nurse is preparing to administer vancomycin to a client who has an
infected wound. The nurse should plan to monitor for which of the following
adverse reactions?
A. Hepatotoxicity
B. Ototoxicity
C. Hypercalcemia
D. Hypertension - ANSWERS-Ototoxicity
180. A nurse is assessing an infant who has water intoxication. Which of the
following findings should the nurse expect?
A. Generalized edema
B. Elevated urine specific gravity
C. Thready pulse
D. Increased hematocrit - ANSWERS-Thready pulse
1. A home health nurse is conducting an initial home visit for a client who has
terminal breast cancer. The client has two school-age children and a limited
support system. Which of the following is the priority nursing action?
A. Inform the client of available community resources
B. Assist the client in finding child care options
,C. Agree upon short-term goals for the client
D. Ask the client about their understanding of the diagnosis - ANSWERS-Inform
the client of available community resources
2. A nurse in an emergency department is assessing a client who has a nasal
fracture. Which of the following findings should cause the nurse to suspect a skull
fracture?
A. Clear fluid drainage from the nares
B. Report of pain around the eyes
C. Dried blood in the mouth
D. Mandibular asymmetry - ANSWERS-Clear fluid drainage from the nares
3. A nurse in an urgent care clinic is collecting admission history from a client who
is at 16 weeks of gestation and has bacterial vaginosis. The nurse should recognize
that which of the following clinical findings are associated with this infection?
A. Profuse milky white discharge
B. Frequency and dysuria
C. Low-grade fever
D. Hematuria - ANSWERS-Profuse milky white discharge
9. A client who has a diagnosis of complete placenta previa is admitted to the
labor and delivery suite at 36 weeks gestation with contractions 5 min in
frequency and 1 min in duration. Which of the following actions should the nurse
take?
, A. Rupture the amniotic sac
B. Medicate the client for pain
C. Prepare the client for a cesarean section
D. Perform a vaginal exam - ANSWERS-Prepare the client for a cesarean section
177. A nurse enters a client's room and finds the client lying on the floor in a
puddle of water. Which of the following statements should the nurse document in
an incident report?
A. Client fell out of bed because an assistive personnel left the rails of the bed
down
B. Client's roommate thinks the client is confused and fell when getting out of bed
C. Client appears to have slipped in water but reports no injuries
D. Client found lying on the floor near the bedside table - ANSWERS-Client found
lying on the floor near the bedside table
178. A charge nurse on a pediatric unit is making assignments for a float nurse
from the medical unit. Which of the following clients is appropriate to assign to
the float nurse?
A. A 10-year-old client who has pneumonia and is receiving respiratory
treatments
B. A 4-year-old client who has a Wilms tumor and is receiving chemotherapy
C. An 8-month-old client who is scheduled for a surgical repair of a ventricular
septal defect tomorrow