verified detailed answers latest update
2025
9) A nurse is caring for a client who is in labor and his seat is
receiving electronic fetal monitoring. The
nurse is reviewing the monitor tracing and notes early decelerations.
Which the following should the nurse
expect?
a) Feta hypoxia
b) Abrupto placentae
c) Post maturity
d) Head Compression --- correct precise answers ---d) Head
Compression
10) A nurse is caring for a client who has chronic kidney disease. The
nurse should identify which of the
following laboratory values as in an indication for hemodialysis?
a) glomerular filtration rate of 14 mL/ minute
b) BUN 16 mg/DL
,c) serum magnesium 1.8 mg mg/dl
d) Serum phosphorus 4.0 mg/dL --- correct precise answers ---a)
glomerular filtration rate of 14 mL/ minute
11) A nurse is caring for an infant who has a prescription for
continuous pulse oximetry. The following is an
appropriate action for the nurse to take?
a) Placed infant under radiant warmer
b) Move the probe site every 3 hours
c) Heat the skin one minute prior to placing the program
d) Placed a sensor on the index finger --- correct precise answers ---c)
Heat the skin one minute prior to placing the program
12) A nurse in a mental health facility receives a change of shift report
on for clients. Which of the following
clients should the nurse plan to assess first?
a) Client placed in restraints to the aggressive behavior
b) A new limited client pleasures history of 4.5 kg weight loss in the
past two months
c) Client is receiving a PRN dose of health heard all two hours ago for
increased anxiety
,d) Applied he'll be receiving his first ECT treatment today --- correct
precise answers ---a) Client placed in restraints to the aggressive
behavior
13) A nurse working at the clinic is teaching a group of clients who are
pregnant on the use of
nonpharmacological pain management. Which of the following
statements by the nurse is an appropriate
description of the use of hypnosis during labor?
a) Hypnosis focuses on the biofeedback as a relaxation technique
b) Hypnosis promotes increased control of her pain perception during
contractions
c) Hypnosis uses therapeutic touch to reduce anxiety during labor
d) Hypnosis provides instruction to minimize pain --- correct precise
answers ---b) Hypnosis promotes increased control of her pain
perception during contractions
14) A nurse in a County Jail health clinic is leading group therapy
session. A client who was incarcerated for
theft is addressing the group. Which of the following is an example of
reaction formation?
, a) I steal things because it's the only way I can keep my mind off my
bad marriage
b) I can't believe I was accused of something I didn't do
c) I don't want talk about my feelings right now. We will talk more
next time
d) I think that people just you're just lazy and should earn money
honestly --- correct precise answers ---d) I think that people just
you're just lazy and should earn money honestly
15) A nurse is obtaining the medical history of a client who has a new
prescription for isosorbide monotitrate.
Which of the following should the nurse identify as a contraindication
to medication?
a) Glaucoma
b) Hypertension
c) Polycythemia
d) Migraine headaches --- correct precise answers ---a) Glaucoma
17) The nurses is caring for a client recovering from an acute
myocardial infarction. Which following
intervention should the nurse include in the point of care?
a) Draw a troponin level every four hours