NEWEST ACTUAL EXAM
COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS GRADED A+ | 100%
CORRECT | 2024 UPDATE!!
A nurse is reinforcing teaching with a client who has a prescription for
nitroglycerin sublingual tablets Which of the following instructions
should the nurse include in the teaching? - ✔✔✔ Correct Answer >
take up to three tablets during a single angina episode
A nurse is preparing to administer a rectal suppository to a school-age
child. Which of the following action should the nurse plan to take? -
✔✔✔ Correct Answer > Use one finger to insert the suppository past
the anal sphincters.
A nurse I caring for a client who has expressive aphasia following a
stroke. Which of the following communication methods should the
nurse use? - ✔✔✔ Correct Answer > Provide a picture board.
A nurse is preparing to insert an indwelling urinary catheter for a
female clientwho has a urinary retention. Which of the following
,actions should the nurse take? - ✔✔✔ Correct Answer > Open the
outer package flap of the catheterization kit away from her body.
A nurse is observing a stable preterm newborn who develops apnea for
longer t han 20 sec, with a decrease heart rate of 20/min. Which of the
following actions shoul d the nurse take first? - ✔✔✔ Correct Answer
> Flick the sole of the newborn's foot
A Nurse is caring for a client who is post op following an open reduction
with internal fixation of the ankle. The client report pain and the nurse
notes that the afollow ingected extremity is cool, pale, and has a weak
pulse. The nurse calls the surgical assistant who responds "it has always
been like that" Which of the following actions shoul d the nurse take
first? - ✔✔✔ Correct Answer > notify the nursing supervisor
A nurse is collecting data from a client who has Tourette syndrome. The
client reports taking haloperidol 0.5 mL orally 3 times a day at home.
Which of the following components of the prescription should the
nurse question? - ✔✔✔ Correct Answer > dosage
A nurse who is facilitating a support group notices that one client in the
group is extremely talkative, to the point where others in the group
have difficulty sharing their own ideas. Which of the following
strategies should the nurse use to facilitate the group process with this
client? - ✔✔✔ Correct Answer > Speak privately to the client about
this behavior.
,A nurse at a clinic is performing vision testing for a client following a
head injury. Which of the following findings should the nurse identify as
a problem with pupil accommodation? - ✔✔✔ Correct Answer > Lack
of change in pupil size when the client looks from a far to a near object.
A nurse is reinforcing teaching with a client who has cancer and a new
prescrip tion for fentanyl transdermal patches. Which of the following
statements by the client indicates an understanding of the teaching? -
✔✔✔ Correct Answer > "I will fold the patch with the adhesive sides
inward before discarding it."
A nurse is contributing to the plan of care for a client who had a vaginal
delivery 4 hours ago and has a 4th degree perineal laceration. Which of
the following actions should the nurse recommend? - ✔✔✔ Correct
Answer > Instruct the client to use a sitz bath at least twice a day.
A nurse is collecting data from a client who sustained spinal cord
injuries from fractures to the tl and t2 vertebrae. Which of the
following client outcomes should the nurse expect? - ✔✔✔ Correct
Answer > Flexes and extends the shoulders
A nurse is preparing to administer an influenza virus immunization to a
client by the intradermal route. Which of the following actions should
the nurse take? - ✔✔✔ Correct Answer > Avoid massaging the site
after injecting the vaccine
, A nurse is preparing to administer a medication to a client when the
client states " I'm sick of all there medication. I'm not taking any more
today!" Which of the following a ctions should thenurse take? - ✔✔✔
Correct Answer > Inform the client of the possible consequences of
the medication refusal.
a nurse is contributing to the plan of care for a client who is on suicide
precautions. Which of the following interventions should the
recommend? - ✔✔✔ Correct Answer > Encourage the client to sign a
no-harm contract
A nurse is reinforcing reaching for a preoperative client on how to use
an incentive spi rometer. Which of the following actions by the client
indicates an understanding of the teaching? - ✔✔✔ Correct Answer
> The client attempts to elevate the cylinder by inhaling deeply.
A nurse at a long term care facility is part of a team preparing a report
on the quality of care at the facility. Which of the following information
should the nurse recommendincluding in the report to demonstrate
improvement in care quality? - ✔✔✔ Correct Answer > The facility
had 12% fewer urinary tract infections over the past 6 months.
A nurse is reviewing laboratory reports for a client who has an
Escherichia Coli infection and is receiving gentamicin. Which of the
following results should the nurse report to the provider before