Update 2026 | 100% Pass Guarantee | PDF
1. If the nurse observes that the client is exhibiting increased tics after taking
haloperidol, what should be the nurse's next step in assessment?
Evaluate the dosage and effectiveness of the current medication.
Increase the dosage of haloperidol without consulting a physician.
Immediately change the medication to a different class.
Ignore the symptoms as they are common in Tourette syndrome.
2. If a nurse observes a client with Parkinson's disease struggling to walk, what
intervention could the nurse implement to assist the client effectively?
Tell the client to ignore their frustration.
Suggest increasing their medication dosage immediately.
Advise the client to avoid walking altogether.
Encourage the use of assistive devices for ambulation.
3. Describe the importance of monitoring neurological status in a patient with
spinal cord injuries at the T1 and T2 levels.
Monitoring neurological status is only necessary during the first 24
hours post-injury.
Monitoring neurological status helps in determining medication
dosages.
Monitoring neurological status is less important than assessing vital
signs.
Monitoring neurological status is crucial to assess the extent of
injury and potential complications.
,4. If a client is unable to assume the fetal position due to discomfort, what
alternative position could the nurse recommend for a lumbar puncture?
Standing upright
Lying flat on the back
Lying on the stomach
Sitting with back arched
5. Why is it important for a nurse to pay attention to specific client statements
during the assessment of a client with multiple fractures?
Client statements do not impact the assessment process.
All client statements are equally important regardless of context.
Specific client statements can indicate complications that require
immediate intervention.
Client statements are only relevant for medication administration.
6. The nurse is doing discharge teaching with a patient who has coronary artery
disease. The patient asks why he has to take an aspirin every day if he doesn't
have any pain. What would be the nurse's best response?
Taking an aspirin every day is a simple way to make your blood
penetrate your heart more freely.
An aspirin a day can help prevent some of the blockages that can
cause chest pain or heart attacks.
An aspirin a day eventually helps your blood carry more oxygen that it
would otherwise.
Taking an aspirin every day is an easy way to help restore the normal
function of your heart.
,7. Which immediate intervention would the nurse perform while caring for a
postpartum patient with a fourth-degree laceration?
Teach the patient to avoid taking sitz baths.
Instruct the patient to use two or more perineal pads.
Remind the patient to avoid doing perineal (Kegel) exercises.
Apply an ice pack to limit edema during the first 12 to 24 hours.
8. If the nurse identifies that the postpartum client has pain during urination,
what should be the next step in the nursing process?
Provide the client with pain relief medication immediately.
Notify the healthcare provider for further evaluation and
intervention.
Document the finding and continue with routine assessments.
Encourage the client to drink more fluids and monitor the symptoms.
9. If the nurse determines that the trayed electrical cord poses a safety risk,
what should be the next step in managing the situation?
Leave the cord as is and document the observation.
Ask the patient if they feel safe with the cord present.
Continue administering medication without addressing the cord.
Remove the cord from the area and notify the appropriate
personnel.
10. A client with adrenal insufficiency has a prescription for 2 weeks of high-
dose prednisone therapy. When teaching the client about prednisone, which
information is most important for the nurse to include?
, "Weigh yourself daily to monitor for weight gain caused by water or
increased fat."
"Contact your provider if you experience any mood alterations with
the prednisone."
"A weight-bearing exercise program will help minimize the risk for
osteoporosis."
"Do not stop taking the prednisone suddenly; it should be
decreased gradually."
11. What is an example of an external factor that can impede learning in a
healthcare education setting?
Personal motivation
Learning style
Prior knowledge
Environmental distractions
12. The nurse is reviewing laboratory results for several prenatal clients. Which
finding is most important to report to the health care provider?
Client at 24 weeks gestation with hemoglobin of 9 g/dL (90 g/L)
and hematocrit of 29%
Client at 37 weeks gestation with a WBC count of 13,000/mm3 (13.0 x
109/L)
Client at 26 weeks gestation whose 1-hour (50 g) oral glucose
challenge test result is 120 mg/dL (6.7 mmol/L)
Client at 36 weeks gestation with blood pressure of 125/85 mm Hg
and trace protein detected on urine dipstick