Exit 2025 version with correct
answers
A nurse is caring for a client with diabetes mellitus who has an order for daily morning insulin before
breakfast the client refuses his blood glucose checked at 7:00 AM which of the following actions
should the nurse take? - ANSWER-Reinforced client Teaching.
A nurse in a long-term care facility is reviewing a clients laboratory results the clients potassium level
is 5.8. Which of the following findings should the nurse expect? - ANSWER-Abdominal cramps
A nurse is collecting data during a well child visit of a 12 month old infant which of the following
statements made by the parents indicates the need for further evaluation? - ANSWER-My child can't
go from a lying to a sitting position
A nurse is caring for a child who is receiving IV therapy the nurse suspect fluid infiltration which of the
following findings so the nurse perspective of the insertion site - ANSWER-Edema
States that he will treat hypoglycemic reaction with 15 g of carbohydrates - ANSWER-And nurse is
caring for a client who is newly diagnosed with type one diabetes mellitus the nurse still recognize
that the client needs a referral for diabetic education when the client.
I will wait until the cord falls off to give my baby a tub bath - ANSWER-A nurse is reinforcing discharge
instructions regarding umbilical cord care to a mother of a newborn which of the following
statements by the mother indicates a Teaching was effective?
Do you usually take your bath in the morning or in the evening? - ANSWER-A nurse in a long-term
care facility is planning to perform hygiene care for a newly admitted male client with Parkinson's
disease who is ambulatory which of the following is an appropriate statement by the nurse prior to
starting routine care?
Rationalization - ANSWER-A client who is participating in an anger management session explains that
his recent behaviors are related to his job loss which of the following defenseman kind of sense is the
client using?
I should have my baby latch onto my nipple and areola during feeding. - ANSWER-And nurse is
reinforcing teaching with the new mother of a full-term newborn about breast-feeding the new one is
five days old which of the following statements by the mother indicates an understanding of the
teaching
I will give the iron through a straw - ANSWER-Nurse is reinforcing teaching to a parent of a child who
has been prescribed ferrous sulfate in liquid form which of the following statement by the parent
indicates the teaching was effective
150 mL/hr - ANSWER-A nurse is preparing to administer 0.9% sodium chloride 1000 mail IV to infuse
over eight hours the nurse she will set the IV pump to deliver how many mL/hr
I should perform as self exam of my testes once a year - ANSWER-A nurse is reinforcing teaching to a
group of adolescent males which of the following statements made by the student indicate a need for
further teaching?
, Decreased motor response - ANSWER-An infant is admitted to a pediatric unit following a motor
vehicle crash with a subsequent head injury for which of the following should the nurse monitor to
identify increased intracranial pressure
Allowing the family overnight visitation - ANSWER-A nurse is caring for a client who is terminally ill
and requires ongoing palliative care which of the following interventions is consistent with the goals
of this type of care
Holding a contact for brief instances - ANSWER-A nurse in an inpatient psychiatric unit is caring for a
client who was raised in an Asian culture which of the following communication techniques
demonstrates cultural sensitivity
Instruct the client to take slow deep breath's - ANSWER-A nurse is caring for a client who has an order
for a 12 lead ECG which of the following actions should the nurse take
Provide the client with written information about advance directives - ANSWER-A newly admitted
client tells the nurse that he does not have an advance directive which of the following is appropriate
action for the nurse to take
Flight of ideas - ANSWER-A nurse is observing a client who is in the manic phase of bipolar disorder
the client states "don't need to eat today. Where is the money? Time to write the speech" the nurse
to document this as which of the following
Decrease calcium intake
Decrease sodium intake - ANSWER-A nurse is reinforcing dietary teaching for a client who has end
stage renal failure which of the following instructions should the nurse include in the teaching?
Perfume
Emery boards - ANSWER-A nurse is assisting with the admission of a client who attempted suicide
when the nurse processes the clients belongings which of the following items for the nurse removed
from the clients suitcase
Discussed coping skills that have worked for the client previously - ANSWER-A nurse is collecting data
from a client at an urgent care clinic the client was nice that she hasn't been able to sleep since the
death of her father two days ago which of the following is a nurse'spriority action
Place a pillow under the clients Surgical knee - ANSWER-Nas is planning to have a client who is six
hours post operative following a right knee arthroplasty which of the following interventions show
the nurse include in the clients care plan
Rotavirus
Meningococcal conjugate - ANSWER-A nurse in the pediatric clinic is with you in the history of it at 11
year old child which of the following immunizations for the nice anticipate administering?
Our sons symptoms will stop as soon as he begins his medications - ANSWER-A nurse is caring for a
client who was recently diagnosed with paranoid schizophrenia and is taking risperidone which of the
following statements by the family indicates a need for further teaching
Atelectasis - ANSWER-A nurse is caring for a newly postoperative client who has unilateral breath
sounds and a asymmetrical chest expansion the nurse should recognize these findings are indicating
of which of the following and she'll be reported to the provider
Provide the client with activities that Vary daily. - ANSWER-A nurse is planning care for client with
delirium which of the following should the nurse recognize as interfering with the clients recovery
answers
A nurse is caring for a client with diabetes mellitus who has an order for daily morning insulin before
breakfast the client refuses his blood glucose checked at 7:00 AM which of the following actions
should the nurse take? - ANSWER-Reinforced client Teaching.
A nurse in a long-term care facility is reviewing a clients laboratory results the clients potassium level
is 5.8. Which of the following findings should the nurse expect? - ANSWER-Abdominal cramps
A nurse is collecting data during a well child visit of a 12 month old infant which of the following
statements made by the parents indicates the need for further evaluation? - ANSWER-My child can't
go from a lying to a sitting position
A nurse is caring for a child who is receiving IV therapy the nurse suspect fluid infiltration which of the
following findings so the nurse perspective of the insertion site - ANSWER-Edema
States that he will treat hypoglycemic reaction with 15 g of carbohydrates - ANSWER-And nurse is
caring for a client who is newly diagnosed with type one diabetes mellitus the nurse still recognize
that the client needs a referral for diabetic education when the client.
I will wait until the cord falls off to give my baby a tub bath - ANSWER-A nurse is reinforcing discharge
instructions regarding umbilical cord care to a mother of a newborn which of the following
statements by the mother indicates a Teaching was effective?
Do you usually take your bath in the morning or in the evening? - ANSWER-A nurse in a long-term
care facility is planning to perform hygiene care for a newly admitted male client with Parkinson's
disease who is ambulatory which of the following is an appropriate statement by the nurse prior to
starting routine care?
Rationalization - ANSWER-A client who is participating in an anger management session explains that
his recent behaviors are related to his job loss which of the following defenseman kind of sense is the
client using?
I should have my baby latch onto my nipple and areola during feeding. - ANSWER-And nurse is
reinforcing teaching with the new mother of a full-term newborn about breast-feeding the new one is
five days old which of the following statements by the mother indicates an understanding of the
teaching
I will give the iron through a straw - ANSWER-Nurse is reinforcing teaching to a parent of a child who
has been prescribed ferrous sulfate in liquid form which of the following statement by the parent
indicates the teaching was effective
150 mL/hr - ANSWER-A nurse is preparing to administer 0.9% sodium chloride 1000 mail IV to infuse
over eight hours the nurse she will set the IV pump to deliver how many mL/hr
I should perform as self exam of my testes once a year - ANSWER-A nurse is reinforcing teaching to a
group of adolescent males which of the following statements made by the student indicate a need for
further teaching?
, Decreased motor response - ANSWER-An infant is admitted to a pediatric unit following a motor
vehicle crash with a subsequent head injury for which of the following should the nurse monitor to
identify increased intracranial pressure
Allowing the family overnight visitation - ANSWER-A nurse is caring for a client who is terminally ill
and requires ongoing palliative care which of the following interventions is consistent with the goals
of this type of care
Holding a contact for brief instances - ANSWER-A nurse in an inpatient psychiatric unit is caring for a
client who was raised in an Asian culture which of the following communication techniques
demonstrates cultural sensitivity
Instruct the client to take slow deep breath's - ANSWER-A nurse is caring for a client who has an order
for a 12 lead ECG which of the following actions should the nurse take
Provide the client with written information about advance directives - ANSWER-A newly admitted
client tells the nurse that he does not have an advance directive which of the following is appropriate
action for the nurse to take
Flight of ideas - ANSWER-A nurse is observing a client who is in the manic phase of bipolar disorder
the client states "don't need to eat today. Where is the money? Time to write the speech" the nurse
to document this as which of the following
Decrease calcium intake
Decrease sodium intake - ANSWER-A nurse is reinforcing dietary teaching for a client who has end
stage renal failure which of the following instructions should the nurse include in the teaching?
Perfume
Emery boards - ANSWER-A nurse is assisting with the admission of a client who attempted suicide
when the nurse processes the clients belongings which of the following items for the nurse removed
from the clients suitcase
Discussed coping skills that have worked for the client previously - ANSWER-A nurse is collecting data
from a client at an urgent care clinic the client was nice that she hasn't been able to sleep since the
death of her father two days ago which of the following is a nurse'spriority action
Place a pillow under the clients Surgical knee - ANSWER-Nas is planning to have a client who is six
hours post operative following a right knee arthroplasty which of the following interventions show
the nurse include in the clients care plan
Rotavirus
Meningococcal conjugate - ANSWER-A nurse in the pediatric clinic is with you in the history of it at 11
year old child which of the following immunizations for the nice anticipate administering?
Our sons symptoms will stop as soon as he begins his medications - ANSWER-A nurse is caring for a
client who was recently diagnosed with paranoid schizophrenia and is taking risperidone which of the
following statements by the family indicates a need for further teaching
Atelectasis - ANSWER-A nurse is caring for a newly postoperative client who has unilateral breath
sounds and a asymmetrical chest expansion the nurse should recognize these findings are indicating
of which of the following and she'll be reported to the provider
Provide the client with activities that Vary daily. - ANSWER-A nurse is planning care for client with
delirium which of the following should the nurse recognize as interfering with the clients recovery
