QUESTIONS AND VERIFIED
ANSWERS|frequently MOST TESTED
questions| GET IT RIGHT!!
a nurse is completing a nutritional assessment on a client and measures BMI, which
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of the following readings correlates with a BMI of an overweight client? -
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(correct answers)25
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below 18.5 - underweight range.
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between 18.5 and 24.9 - healthy weight range.
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between 25 and 29.9 - overweight range. yu yu yu yu yu yu
between 30 and 39.9 - obese range. yu yu yu yu yu yu
a nurse is verifying ng tube placement by the pH of aspirated gastric fluid. which of
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the following pH values provides a good indication of correct tube placement? -
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(correct answers)2
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(pH between 0-4)yu yu
a nurse is caring for a client with a closed head injury. when pressure is applied to t
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he client's nail beds, the clients eyes open and adduction of the arms with flexion o
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f the elbows and wrists is noted. the client also moans with stimulation, what is the
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GCS? - (correct answers)7
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eye opening 1-4 yu yu
verbal 1-5 yu
motor 1-6 yu
a nurse should teach which of the following clients requiring crutches about how to
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use a three point gait? -
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(correct answers)a client who has a R femur fracture with no weight bearing on the
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affected leg
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, (bears all weight on one foot, then both shoulders on crutches, and uninvolved leg,
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the affected leg does not touch the ground)
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a nurse is providing teaching about the Mediterranean diet to a client newly who ha
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s a new diagnosis of hypertension. what statement indicates need for further teachi
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ng? - (correct answers)i will limit my intake of red meat to 2x weekly
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(should be limited to 2x monthly) yu yu yu yu yu
a nurse is providing dietary education to a client with cholecystitis who has been pr
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escribed a low- yu yu
fat diet. which of the following meal selections by the client indicates understandin
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g of education? - (correct answers)roast turkey, rice pilaf, green beans
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a client with cystocele is encouraged to exercise to strengthen pelvic floor muscles
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and prevent pelvic organ prolapse. What exercise will the client need to perform -
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(correct answers)Kegals
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(reduce pelvic prolapse and stress urinary incontinence)
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a nurse is caring for an older adult client with delirium. which intervention will most
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likely reduce the client's risk for falls? -
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(correct answers)hourly rounding by the nurse
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a nurse is caring for a client who has been prescribed furosemide. which of the follo
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wing foods should the nurse encourage this to include in his diet? -
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(correct answers)oranges
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(along with dried fruits, tomatoes, avocados, dried peas, meats, broccoli, bananas a
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re good for a potassium wasting diuretic)
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a menopausal client is having difficulty getting to sleep and asks what actions she s
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hould incorporate in her daily routine to promote sleep. the nurse would encourage,
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which of the below measures to promote sleep? -
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(correct answers)limit alcohol and nicotine prior to bedtime
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(at least 4 hours)
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a nurse is caring for several clients prescribed heat/
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cold therapies. which of the following clients are at risk of injury from these therapi
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es? SATA - yu yu
(correct answers)use caution with clients who are very young, older adult, fair skin
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ned, impaired cognition, and comorbidities --> higher risk for fragile skin
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