WITH CORRECT ANSWERS GRADED
A+ FOR 2026 ASSURED EXCEL!!
59 yo male client is brought to the emergency room where he is assessed to have a Glasgow
coma scale of 3. based on this assessment, how should the nurse characterize the clients
condition?
a. client has increase icp
b. he has a good prognosis for recovery
c. this client is conscious, but is not oriented to time and place
d. he is in a coma and has a very poor prognosis - CORRECT ANSWERS-d. he is in a coma and
has a very poor prognosis
at a community health fair, 50 yo female tells the nurse that she has an annual physical exam
that includes a breast exam and an annual mammogram. how should the nurse respond?
a. encourage the woman to explore her fears about breast cancer
b. ask the woman if she performs monthly breast self exams
c. recommend the women for adhering to the recommend cancer detection guidelines
d. advise the woman that mammogram are only needed every two yrs of age - CORRECT
ANSWERS-b. ask the woman if she performs monthly breast self exams
which assessment finding should indicate to the nurse that client with arterial hypertension is
expericing a cardiac complication?
a. complaints of occipaital headache
b. palpable dorsal is pedis pulse bilaterally
c. complaints of SOB on exertion
d. bp of 160/90 - CORRECT ANSWERS-c. complaints of SOB on exertion
,a college student who is diagnosed with vaginal infection and vulva irritation describes the
vaginal discharge as having cottage cheese appearance. which prescription should the nurse
implement first?
a. cleanse perineum with warm soapy water 3 times per day
b. instill the first dose of nystatin vaginally per applicator
c. perform glucose measurement using capillary blood sample
d. obtain a blood speciment for sexually transmitted disease - CORRECT ANSWERS-b. instill the
first dose of nystatin vaginally per applicator
a client in acute renal failure has serum potassium of 7.5. based on this finding, the nurse
should anticapate implementing which action?
a. administer IV NS rapidly and NPH subq
b. administer a retention enema of kayexalate
c. add 40 KCL to present IV solution
d. administer lidocaine bolus IV push - CORRECT ANSWERS-b. administer a retention enema of
kayexalate
A client who had an intraosseous (IO) cannula placed by the healthcare provider for an
emergent fluid resuscitation is complaining of severe pain and numbness below the IO
site. The skin around the site is pale and edematous. What action
should the nurse takes first?
a. Discontinue the IO infusion
b. Administer an analgesic via the IO site
c. Elevate the extremity with the IO site
d. Notify the healthcare provide - CORRECT ANSWERS-a. Discontinue the IO infusion
,The nurse-manager of a perinatal unit is notified that one client from the
medical-surgical unit needs to be transferred to male room for new
admissions. Which client should the nurse recommend for transfer to the
antepartal unit?
a. A 45-year-old who has a chronic hepatitis B.
b. A 35-year-old with lupus erythematous
c. A 19-year-old who is diagnosed with rubella
d. A 25-year-old with herpes lesions of the vulva - CORRECT ANSWERS-b. A 35-year-old with
lupus erythematous
Atnursetistteachingtatclienttpostoperativetbreathingttechniquestusingtantincentive
spirometert(IS).tWhattshouldtthetnursetencouragetthistclientttotdottotmaintain
sustainedtmaximaltinspiration?
a.tBreathetintotthetspirometertusingtnormaltbreathtvolumes
b.tExhaletforcefullytintotthettubingtfort3ttot5tseconds
c.tInspiretdeeplytandtslowlytovert3ttot5tseconds
d.tPerformtIStbreathingtexercisesteveryt6thourst-ttCORRECTtANSWERS-
c.tInspiretdeeplytandtslowlytovert3ttot5tseconds
Thetnursetplansttoteducatetatclienttabouttthetpurposetforttakingtthetprescribed
antipsychotictmedicationtclozapinet(Clozaril).tWhichtstatementtshouldtthetnurse
provide?
a.tYoutwilltbetablettotcopetwithtyourtsymptoms
b.tIttwillthelptyoutfunctiontbettertintthetcommunity
c.tThetmedicationtwillthelptyoutthinktmoretclearlyt-ttCORRECTtANSWERS-
c.tThetmedicationtwillthelptyoutthinktmoretclearly
, AtmaletclienttwithtdiabetestmellitusttakestNovolint70/30tinsulintbeforetmeals
andtazithromycint(Zithromax)tPOtdaily,tusingtmedicationthetbroughttfromthome.
Whentthetnursetdeliversthistbreakfastttray,tthetclientttellstthetnursetthatthettookthis
insulintbuttforgotttottakethistdailytdosetoftthetZithromaxtanthourtbeforetbreakfasttas
instructed.tWhattactiontshouldtthetnursetimplement?
a.tOfferttotobtaintatnewtbreakfastttraytintanthourtsotthetclienttcanttaketthe
Zithromax
b.tInstructtthetclientttoteatthistbreakfasttandttaketthetZithromaxttwothourstafter
eating
c.tTelltthetclientttotskiptthattday'stdosetandtresumettakingtthetZithromaxtthetnext
day
d.tProvidetatPRNtdosetoftantantacidttottaketwithtthetZithromaxtrighttafter
breakfastt-ttCORRECTtANSWERS-
b.tInstructtthetclientttoteatthistbreakfasttandttaketthetZithromaxttwothourstafter
eating
Whattinstructiontistmosttimportanttfortthetnursettotprovidetatfemaletclienttwhothas
justtbeentdiagnosedtwithttrichomoniasis?
a.tAvoidtdouching
b.tTreattsexualtpartnert(s)tconcurrently
c.tAvoidtusingtmoisttwashclothstwhentbathing
d.tPostponetbecomingtpregnanttuntiltthetinfectiontisttreatedt-ttCORRECTtANSWERS-
b.tTreattsexualtpartnert(s)tconcurrently
Atprimigravidatatttermtcomesttotthetprenataltclinictandttellstthetnursetthattshetisthaving
contractionsteveryt5tmin.tThetnursetmonitorstthetclienttfortonethour,tusingtantexternaltfetal