Actual Exam Complete 350 Questions and 100% Correct Verified Answers
1. A nurse is reviewing the medical record of a client who Urinary retention
has a prescription for morphine. Which of the follow- ing
findings should the nurse report to the provider?
2. A nurse is caring for a client who is at risk for devel- Position pillows between the
oping pressure ulcers. Which of the following actions bony prominences
should the nurse take?
3. A nurse is caring for a client who is postoperative and is Stop the medication infusion
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receiving an IV infusion of cefazolin. Ten min- utes after
beginning the infusion, the client reports intense itching.
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Which of the following actions should the nurse take first?
4. A nurse is reinforcing teaching with a client who has You are at risk for infertility
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gonorrhea. Which of the following information should with this infection, regard-
the nurse include? less of treatment
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5. A nurse is examining a clients IV site and notes a red line up Thrombophlebitis
his arm. The client reliant a throbbing, burning pain at the
IV site. The nurse should identify that the clients
manifestations indicate which of the following
complications?
6. A nurse is reinforcing teaching with an adolescent client I understand that testicu- lar
regarding testicular self examination. Which of the cancer is painless
following statements by the client demonstrates an
undertsmdibg of the teaching?
7. A nurse in a long term care facility is collecting data Small liquid stools
from a client who reports fullness in the rectum and
, abdominal cramping. Which of the following findings
should indicate to the nurse that the client might have a
fecal impaction?
8. A nurse in an oncology is reinforcing teaching about Mohs surgery is a hori-
Mohs surgery with a client who has skin cancer. Which zontal shaving of thin lay- of the
following information should the nurse include ers of the tumor
in the teaching?
9. A nurse is reinforcing teaching about GERd with a I should wait at least 2
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client. Which of the following statements by the client hours after eating before
indicates an understanding of the teaching?LE going to bed
10. A nurse is assisting with the care of a care who is Check the IV site, stop
reconciled 0.9 % sodium chloride by continuous IV the infusion, withdraw the IV
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infusion. The client report pain and swelling at the catheter, elevate the
IV site. In which order should the nurse perform that attected arm, notify the
following steps? charge nurse
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11. A nurse is contributing to the plan of care for an older Encourage weight bear-
adult client who is at risk for osteoporosis. Which of the ing exercises
following interventions should the nurse include to
prevent bone loss?
12. A nurse is assisting with the care of a client who has a Monitor the insertion site for
cardiac catheterization via the right femoral artery. Which bleeding is correct,
of the following actions should the nurse take to prevent maintain the pressure
lost procedure complications? dressing, check the clients
peripheral pulses
13. Pulmonary embolism
, A nurse is caring for a client who is 1 day postoperative
following a hip arthroplasty. The client is exhibiting
hypotension,tachycardia, and tachypnea. The nurse should
recognize these findings indicate which of the following
complications?
14. A nurse is reinforcing discharge teaching with a client Rephrase client instruc-
who has hearing loss. Which of the following actions tions when not under- stood
should the nurse take when communication with the
client?
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Dyspnea
15. A nurse is caring for a client who is postoperative and
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has an epidural infusion. Which of the following findings
should the nurse recognize as the priority?
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16. A nurse is preparing to administer phytonadione 7 mg
subcutaneously to a client who has an INR of 4.
Available is phytonadione 10 mg/ml. How many ml
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should the nurse administer?
Avoid stopping this med-
17. A nurse is reinforcing teaching with a client who has
multiple sclerosis and a new prescription for baclofen. ication suddenly
Which of the following instructions should the nurse
include in the teaching?
18. A nurse is planning to implement droplet precautions Apply a mask on the client for a
client who has manifestation of pertussis. Which of transport is needed of the
following interventions should the nurse in-
clude when contributing?
19.