QUESTIONS AND ANSWERS LATEST UPDATE
TESTED AND APPROVED 2025/2026 NEWEST
A nurse is collecting data from a client who has a newly placed colostomy.
Which of the following findings should indicate to the nurse the client has
accepted their new altered body image?
a) Denies feelings of sadness about the ostomy
b) Prefers not to look at the stoma site
c) Accepts that seual activity will decrease
d) Participates in performing ostomy care -- ANSWER--D. Participates in
performing ostomy care
A nurse is reviewing the laboratory data of a client who is scheduled for a liver
biopsy.
Which of the following values should the nurse report to the provider?
a) Ammonia 55 mcg/dL
b) Bilirubin 1.0 mg/dL
c) Platelets 60,000/mm3
d) Aspartate aminotransferase 34 units/L -- ANSWER--C. Platelets
60,000/mm3
Page 1 of 97
,A nurse is assisting with the plan of care for a client who requires contact
precautions. Which of the following interventions should the nurse include in
the plan?
a) Keep a stethoscope at the client's bedside for the duration of her hospital
stay.
b) Wear an N95 mask when entering the room.
c) Use an alcohol swab to clean the temperature probe before removing it
from the room.
d) Remove personal protective equipment immediately after leaving the
client's room. -- ANSWER--A. Keep a stethoscope at the client's bedside for the
duration of her hospital stay.
A nurse is caring for a client who has a prescription for propranolol for the
treatment of atrial fibrillation. Which of the following actions should the nurse
take?
a) Request a dosage increase of the apical heart rate is less than 60/min.
b) Administer the medication with an antacid.
c) Instruct the client to expect increased hair growth.
d) Withhold the medication if the systolic blood
pressure is less than 90 mm Hg. -- ANSWER--D. Withhold the medication if
the systolic blood pressure is less than 90 mm Hg.
Page 2 of 97
,A nurse is reinforcing teaching about dietary modifications to help control
blood pressure with a client who has hypertension. Which of the following food
choices by the client indicates an understanding of the teaching?
a) A ham sandwich on rye bread
b) Broiled cod with broccoli
c) Beef bouillon with crackers
d) Pork sausage with sauteed peppers -- ANSWER--B. Broiled cod with
broccoli
A nurse is reinforcing teaching with a client about heart disease prevention,
which of the following client statements indicates an understanding of the
teaching?
a) "I will increase my dairy intake by drinking whole milk every meal."
b) "I will exercise by walking twice a week for 25 minutes."
c) "I will try to maintain my blood pressure around 116/72."
d) "I will improve my LDL cholesterol by raising it from 100 to 130." --
ANSWER--C. "I will try to maintain my blood pressure around 116/72."
A nurse is reinforcing teaching about a transcutaneous electrical nerve
stimulation (TENS) unit for a client who has a herniated intervertebral disk.
Which of the following statements by the client indicates an understanding of
the teaching?
a) "I will need to charge the TENS unit for 2 hours each day."
b) "The TENS unit administers a continuous dose of pain medication."
Page 3 of 97
, c) "I should adjust the TENS unit until I feel a tingling sensation."
d) "The TENS unit should be applied at least 6 inched from the actual site of
my pain." -- ANSWER--C. "I should adjust the TENS unit until I feel a tingling
sensation.
A nurse is reviewing a client's medical record. Which of the following findings
is the priority for the nurse to report?
a) Urine output 200 mL/8 hr
b) A client's rating of ear pain as 5 on a scale from 0 to 10
c) Potassium level 6.2 mEq/L
d) Abnormal hepatoiminodiacetic acid (HIDA) scan -- ANSWER--C.
Potassium level 6.2 mEq/L
A nurse is reinforcing teaching about decreasing the risk of osteoporosis to a
client who is postmenopausal. Which of the following instructions should the
nurse include?
a) Limit vitamin D intake.
b) Increase daily intake of vitamin E.
c) Add a weight-bearing exercise regimen.
d) Take calcium carbonate supplements once a day with breakfast. --
ANSWER--C. Add a weight-bearing exercise regimen.
A nurse is caring for a client who has COPD with copious secretions. Which of
the following actions should the nurse take?
Page 4 of 97