Advance Rigger TEST BANK (3 VERSIONS) EXAM NEWEST 2026
(GRADED A+ 100% DETAILED VERIFIED ANSWERS)
A nurse is caring for a client who has been off the unit for physical therapy for the past hour
notes that the infusion pump for the clients TPN is turned off. The client tells the nurse that
the battery went dead while she was in physical therapy. The nurse should monitor the client
for which of the following manifestations? - ANSWER✅ Shakiness and diaphoresis
These are manifestations of hypoglycemia, which can occur if there is a sudden interruption
in the delivery of TPN, resulting in the client receiving below the prescribed amount.
A nurse is reinforcing teaching to parents of a child who is admitted with rheumatic fever.
Which of the following statements by the parent indicates a need for further teaching? -
ANSWER✅ "This illness will not recur because my child has now had it"
It is possible for rheumatic fever to recur, so prophylactic treatment with monthly IM
injections of benzathine penicillin G, or daily oral doses of penicillin or sulfadiazine, will be
needed.
A nurse is assisting with the care of a client who is in labor. Following spontaneous rupture
of membranes, the nurse visualizes the umbilical cord protruding from the vagina and the
fetal heart rate is 50/min. After calling for assistance and notifying the provider, which of
the following is the priority action by the nurse? - ANSWER✅ Place the client in a knee-
chest position
Placing the client in a knee-chest position will aid in keeping the pressure of the presenting
part of the fetus off the cord. Using the ABC priority setting framework, the greatest risk is
,the cessation of circulation to the fetus; therefore, this is the priority action the nurse
should take. BUT wrapping the umbilical cord in the 0.9% sodium chloride solution is also
CORRECT but not priority i guess..
A nurse is reinforcing teaching to a client who is newly diagnosed with hypertension and has
been prescribed captopril (Capoten). The nurse should reinforce that which of the following
medications has the potential to reduce the antihypertensive effect of captopril? -
ANSWER✅ Aspirin (Bayer)
Aspirin and other NSAIDS can reduce the antihypertensive effects of captopril, which is an
ACE inhibitor. The nurse should reinforce to the client that aspirin has the potential to
reduce the antihypertensive effect of captopril and should be avoided.
A nurse is caring for a client who is prescribed lithium (Eskalith). Which of the following
clinical findings should be immediately reported to the provider? - ANSWER✅ Slurred
speech
lurred speech is an early clinical finding associated with lithium toxicity and can precipitate
the onset of seizures or coma. Using the safety and risk reduction priority setting
framework, this finding jeopardizes the immediate physiological safety of the client and
should be reported to the provider immediately.
A nurse is reviewing the electronic fetal heart rate tracing of a client who is in labor. Which
of the following images exhibits variable decelerations? - ANSWER✅ *Variable
decelerations are caused from cord compression.
,Late decelerations are caused from uteroplacental insufficiency.
Prolonged decelerations are a decrease in the fetal heart rate of 15/min below baseline.
Prolonged decelerations last more than 2 min but less than 10 min. This can result from
maternal hypotension, umbilical cord prolapsed, placental rupture, placental hemorrhage,
and tetanic contraction.
Early decelerations are caused from head compression.
A nurse is reinforcing teaching about methods to decrease nausea to a client who is
receiving chemotherapy. Which of the following statements by the client indicates a need for
further teaching? - ANSWER✅ "I should eat low carbohydrate foods" is correct. Clients
who are experiencing nausea should eat foods high in carbohydrates, such as crackers,
yogurt, toast, bananas, and sherbet. This is not an appropriate statement by the client and
indicates a need for further teaching
A nurse is reinforcing teaching regarding foods containing complete protein to a client.
Which of the following should be included in the teaching? - ANSWER✅ Soybeans
Food sources of complete proteins contain sufficient quantities of all nine essential amino
acids to support body growth and maintenance. Soybeans are a source of complete protein
and should be included in the teaching.
A nurse in a long-term care facility is assisting with an educational program regarding
common sites of health care associated infections for a group of newly hired assistive
personnel. Which of the following sites should be included in the teaching? (Select all that
, apply.) - ANSWER✅ Urinary Tract, Surgical Wounds, Respiratory Tract, an Blood Stream
are all correct
Urinary tract is correct. Health care associated infections are caused from health care
delivery in a health care facility. These result from prescribed antibiotic administration,
presence of multi-medication resistant organisms, breeches in infection control practices,
and invasive procedures. The urinary tract is a common site for health care associated
infections. ***(UTIs and CAUTIs from caths)
Surgical wound is correct. ***(any open wound can contract bacteria if not properly
cleaned/maintained)
Musculoskeletal system is INCORRECT. While injuries can occur in the health care setting
that affect the musculoskeletal system, this is not a common site for health care associated
infections.
Respiratory tract is correct. ***( droplet and airborne precautions are a must, TB,
pertussis, rubella etc..)
Blood stream is correct. ***(any open wound again, any time an IV is placed or injected etc.
hard line to the blood stream and cause for sepsis)
A nurse is caring for an infant who has been prescribed a one-time dose of ceftriaxone
(Rocephin) 50 mg/kg IM. The infant weighs 17.6 lb. Available is 500 mg/mL. How many mL
should the nurse administer? - ANSWER✅ 0.8mL
(GRADED A+ 100% DETAILED VERIFIED ANSWERS)
A nurse is caring for a client who has been off the unit for physical therapy for the past hour
notes that the infusion pump for the clients TPN is turned off. The client tells the nurse that
the battery went dead while she was in physical therapy. The nurse should monitor the client
for which of the following manifestations? - ANSWER✅ Shakiness and diaphoresis
These are manifestations of hypoglycemia, which can occur if there is a sudden interruption
in the delivery of TPN, resulting in the client receiving below the prescribed amount.
A nurse is reinforcing teaching to parents of a child who is admitted with rheumatic fever.
Which of the following statements by the parent indicates a need for further teaching? -
ANSWER✅ "This illness will not recur because my child has now had it"
It is possible for rheumatic fever to recur, so prophylactic treatment with monthly IM
injections of benzathine penicillin G, or daily oral doses of penicillin or sulfadiazine, will be
needed.
A nurse is assisting with the care of a client who is in labor. Following spontaneous rupture
of membranes, the nurse visualizes the umbilical cord protruding from the vagina and the
fetal heart rate is 50/min. After calling for assistance and notifying the provider, which of
the following is the priority action by the nurse? - ANSWER✅ Place the client in a knee-
chest position
Placing the client in a knee-chest position will aid in keeping the pressure of the presenting
part of the fetus off the cord. Using the ABC priority setting framework, the greatest risk is
,the cessation of circulation to the fetus; therefore, this is the priority action the nurse
should take. BUT wrapping the umbilical cord in the 0.9% sodium chloride solution is also
CORRECT but not priority i guess..
A nurse is reinforcing teaching to a client who is newly diagnosed with hypertension and has
been prescribed captopril (Capoten). The nurse should reinforce that which of the following
medications has the potential to reduce the antihypertensive effect of captopril? -
ANSWER✅ Aspirin (Bayer)
Aspirin and other NSAIDS can reduce the antihypertensive effects of captopril, which is an
ACE inhibitor. The nurse should reinforce to the client that aspirin has the potential to
reduce the antihypertensive effect of captopril and should be avoided.
A nurse is caring for a client who is prescribed lithium (Eskalith). Which of the following
clinical findings should be immediately reported to the provider? - ANSWER✅ Slurred
speech
lurred speech is an early clinical finding associated with lithium toxicity and can precipitate
the onset of seizures or coma. Using the safety and risk reduction priority setting
framework, this finding jeopardizes the immediate physiological safety of the client and
should be reported to the provider immediately.
A nurse is reviewing the electronic fetal heart rate tracing of a client who is in labor. Which
of the following images exhibits variable decelerations? - ANSWER✅ *Variable
decelerations are caused from cord compression.
,Late decelerations are caused from uteroplacental insufficiency.
Prolonged decelerations are a decrease in the fetal heart rate of 15/min below baseline.
Prolonged decelerations last more than 2 min but less than 10 min. This can result from
maternal hypotension, umbilical cord prolapsed, placental rupture, placental hemorrhage,
and tetanic contraction.
Early decelerations are caused from head compression.
A nurse is reinforcing teaching about methods to decrease nausea to a client who is
receiving chemotherapy. Which of the following statements by the client indicates a need for
further teaching? - ANSWER✅ "I should eat low carbohydrate foods" is correct. Clients
who are experiencing nausea should eat foods high in carbohydrates, such as crackers,
yogurt, toast, bananas, and sherbet. This is not an appropriate statement by the client and
indicates a need for further teaching
A nurse is reinforcing teaching regarding foods containing complete protein to a client.
Which of the following should be included in the teaching? - ANSWER✅ Soybeans
Food sources of complete proteins contain sufficient quantities of all nine essential amino
acids to support body growth and maintenance. Soybeans are a source of complete protein
and should be included in the teaching.
A nurse in a long-term care facility is assisting with an educational program regarding
common sites of health care associated infections for a group of newly hired assistive
personnel. Which of the following sites should be included in the teaching? (Select all that
, apply.) - ANSWER✅ Urinary Tract, Surgical Wounds, Respiratory Tract, an Blood Stream
are all correct
Urinary tract is correct. Health care associated infections are caused from health care
delivery in a health care facility. These result from prescribed antibiotic administration,
presence of multi-medication resistant organisms, breeches in infection control practices,
and invasive procedures. The urinary tract is a common site for health care associated
infections. ***(UTIs and CAUTIs from caths)
Surgical wound is correct. ***(any open wound can contract bacteria if not properly
cleaned/maintained)
Musculoskeletal system is INCORRECT. While injuries can occur in the health care setting
that affect the musculoskeletal system, this is not a common site for health care associated
infections.
Respiratory tract is correct. ***( droplet and airborne precautions are a must, TB,
pertussis, rubella etc..)
Blood stream is correct. ***(any open wound again, any time an IV is placed or injected etc.
hard line to the blood stream and cause for sepsis)
A nurse is caring for an infant who has been prescribed a one-time dose of ceftriaxone
(Rocephin) 50 mg/kg IM. The infant weighs 17.6 lb. Available is 500 mg/mL. How many mL
should the nurse administer? - ANSWER✅ 0.8mL
