WITH CORRECT ANSWERS 2025
Seizure precautions - CORRECT ANSWER -
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Ensure client has IV access for seizure medication administration.
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Postoperative lab values - CORRECT ANSWER -
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Report Hgb level of 8 g/dL to provider as an indicator of postoperative
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or anemia.
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ESWL procedure - CORRECT ANSWER -
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Expect stone fragments in the urine after extracorporeal shock wave lithotripsy.
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Airborne precautions - CORRECT ANSWER -
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Initiate airborne precautions for a client with anorexia, low-
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grade fever, night sweats, and productive cough, as these are manifestations of
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U2tuberculosis.
TPN administration - CORRECT ANSWER -
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Administer dextrose 10% in water until new TPN bag arrives to avoid drop in blood
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glucose level.
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Levothyroxine interaction - CORRECT ANSWER -
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Instruct client to avoid taking calcium within 4 hr of levothyroxine administration,
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as calcium can in terfere with the effectiveness of the medication.
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Mechanical ventilation anxiety - CORRECT ANSWER -
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Instruct client to allow the machine to breathe for them
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restlessness associa ted with fighting the ventilator.
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Adverse effect of enalapril - CORRECT ANSWER -
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Identify orthostatic hypotension as an adverse effect of enalapril.
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Delayed wound healing - CORRECT ANSWER -
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Identify urine output of 25 mL/hr as a finding that contributes to delayed wound
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healing.
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, Hypothyroidism and opioid analgesic - CORRECT ANSWER - U2 U 2 U 2 U 2 U 2 U 2 U 2
Instruct client to void every 4 hours to decrease the risk of urinary
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which is an adverse effect of opioid analgesics.
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Portal U2 hypertension - CORRECT ANSWER - U 2 U 2 U 2 U 2
Obtain vital signs first when caring for a client who is vomiting blood mixed with
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food
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, as U 2 U 2 this indicates a potential rupture of esophageal varices.
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Gastrectomy postoperative instructions - CORRECT ANSWER -
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Instruct client to avoid drinking fluids with meals, eat several small meals per
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day, consume high- protein snacks, and avoid highly seasoned foods.
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Cushing's triad - CORRECT ANSWER - U 2 U 2 U 2 U 2 U 2
Identify bradycardia as a component of Cushing's triad in a client with increased
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intracranial pressu re from a traumatic brain injury.
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Client coping with diabetes diagnosis - CORRECT ANSWER -
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Recognize the client's change in behavior of inspecting feet
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of successful copi ng with the diagnosis.
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Inguinal hernia assessment - CORRECT ANSWER -
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Palpate location C to verify the presence of an inguinal
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Rattlesnake bite treatment - CORRECT ANSWER - U2 U2 U2 U 2 U 2 U2
Expect a prescription for an opioid analgesic to promote comfort following a
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rattlesnake bite.
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Hemodialysis treatment U2 U 2 - CORRECT ANSWER -Perform a 12-
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lead ECG, place the
U 2 U 2 U 2 U 2 client in Trendelenburg position, administer a 0.9% sodium
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chloride 200 mL IV
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notify the provider
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Client rights - CORRECT ANSWER -
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Ensure a client signs informed consent before receiving a placebo during a research
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trial.
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