2025-2026 Exam 90 Questions with 100% Verified
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A 45 year old client who was recently DX with terminal cancer says to the nurse "If God
could only let me live long enough to put my daughter through college, I wouldn't mind
dealing with the illness." The nurse caring for this client recognizes this statement as
reflecting of what stage of grieving - CORRECT ANSWER: Bargaining
A client with ESRD is schedule for hemodialysis in one hour, the nurse should notify
physician is the client has - CORRECT ANSWER: K of 6.8
A nurse is caring for a 2 month old infant being evaluated for congenital hypothyroidism,
The nurse should recognize which of the following findings and being consistent finding
of congenital hypothyroidism - CORRECT ANSWER: The infant sleeps for 6 hours at a
time
A nurse is observing a new hire nurse provide care for assigned clients. The nurse
should intervene if the new hire nurse is observed - CORRECT ANSWER: Cleansing
the wound from the outer surface to the inner surface for the client how wound is
infected with MRSA
A student nurse is admin Maalox. The nurse should intervene if the student plans to
admin the antacid - CORRECT ANSWER: at the same time as Iron
Four clients recently returned to the unit following invasive diagnostic testing. The nurse
should immediately intervene if one of the clients: - CORRECT ANSWER: Is observed
flexing and extending the legs two hours post cardiac cath
, he nurse in the ED is assessing a toddler who has swallowed bleach, The toddler is
crying. It would be a priority if the patient parents says - CORRECT ANSWER: "I gave
my toddler a tablespoon of Ipecac syrup."
It would be appropriate to assign which of these task to the CNA - CORRECT
ANSWER: one - on - one client observation for safety
Nursing considerations when admin heparin - CORRECT ANSWER: ADMIN in ABD, do
not massage, protamine sulfate is antidote
Reason for high pressure alarm on a ventilator - CORRECT ANSWER: Increase
bronchial secretions
kink in tubing
acute bronchospasms
tubing is disconnected
Teaching instructions for a client with ulcerative colitis - CORRECT ANSWER: occurs in
Jewish men 30-50 years
Prednisone may be prescribed for exacerbations
Flagyl, Cipro, and commonly prescribed during acute exacerbations
The charge nurse is observing a LPN preforming patient care. Follow up would be
required if - CORRECT ANSWER: The LPN dons clean gloves on the dominant hand
before trach suctioning
The charge nurse of a med-surg floor notice a nurse walking with an unsteady gait,
slurred speech and a faint smell of alcohol on the breath immediately following a lunch
break, The charge nurse priority action would be to - CORRECT ANSWER: relieve the
nurse of assigned clients