Practice Mode Assessment

No.

1 :
A nurse is assessing a client who has had diarrhea for several days. Which of the following findings should the nurse expect?

Dehydration

Rigid abdomen

Hypothermia

Decreased bowel sounds

Hint : 💦Think about what excessive fluid loss from the GI tract can cause in the body.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

2 :
A nurse is caring for a client who is on bedrest and is experiencing constipation. Which of the following interventions should the nurse implement?

Place the client on a low-fiber diet

Request a prescription for a mineral oil for the client

Encourage the client to drink cold fluids

Increase the client's fluid intake

Hint : 🥤Think of how water supports digestion and stool movement in the colon.

Correct Answers:

No Correct Answers Available !

Rationale :

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3 :
A nurse is preparing to administer clonazepam 5 mg PO in 3 equally divided doses every 8 hr for a client who has seizures. The amount available is clonazepam 0.5 mg tablets. How many tablets should the nurse administer per dose? (Round off to the nearest tenth Use a leading zeroif it applies. Do not use a trailing zero.)

Hint : 📏Divide the total daily dose into three and match it to the tablet strength.

Correct Answers:

No Correct Answers Available !

Rationale :

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4 :
A nurse is admitting a new client. Which of the followings steps of the nursing process is the nurse performing when formulating goals to address an identified problem?

Planning

Implementation

Assessment

Evaluation

Hint : 🗂️Think about when the nurse outlines measurable objectives for a patient.

Correct Answers:

No Correct Answers Available !

Rationale :

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5 :
A nurse is teaching a client how to use crutches. Which of the following interventions uses the psychomotor domain of learning?

Describe the steps of walking with crutches for the client

Encourage the client to ask questions about walking with crutches

Show the client a video on walking with crutches

Ask the client to demonstrate walking with crutches

Hint : 🦶Consider which action requires the client to physically apply the skill.

Correct Answers:

No Correct Answers Available !

Rationale :

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6 :
A nurse is preparing to administer a client's antihypertensive medication. When using, clinical judgment, which of the following findings indicates the nurse should further assess the client before administering medication?

The client reports dizziness when ambulating to the bathroom

The client reports having trouble sleeping the previous night

The client ate 60% of their breakfast.

The client has a urine output of 400 mL for the past 8 hr

Hint : 🪜Consider which symptom signals a risk for injury due to blood pressure effects.

Correct Answers:

No Correct Answers Available !

Rationale :

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7 :
A nurse is observing a newly licensed nurse set up a sterile field. Which of the following actions by the newly licensed nurse indicates an understanding of the procedure?

Prepares the sterile field 2 hr before it is needed

Uses a surface that is at waist height

Places the sterile field against a wall in the clients room

Opens the first flap of the sterile package towards the nurse's body

Hint : 🧍Think about where hands should stay to keep sterile items uncontaminated.

Correct Answers:

No Correct Answers Available !

Rationale :

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8 :
A nurse is teaching a client how to walk using a walker. After showing the client the procedure, the nurse asks the client to perform the skill. Which of the following types of teaching strategies is the nurse utilizing

Role-play

Question-and-answer

Discussion

Return demonstration

Hint : 👟Think of the best way to ensure the client can do what was just taught.

Correct Answers:

No Correct Answers Available !

Rationale :

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9 :
A nurse is caring for a client who has a Penrose drain. Which of the following actions should the nurse take?

Clean the skin near the drain in a circular motion from the outside to the inside.

Empty the drainage device when it is half full.

Place a perforated gauze pad around the drain to absorb drainage.

Connect the drain to continuous low-pressure suction

Hint : 🤔Think of how to manage drainage that flows by gravity without suction.

Correct Answers:

No Correct Answers Available !

Rationale :

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10 :
A nurse is caring for client who is taking lisinopril (ACE inhibitor). Which of the following outcomes indicates a therapeutic effect of the medication?

Improved sexual function

Decreased blood pressure

Increase of HDL cholesterol

Prevention of bipolar manic episodes

Hint : 🩸Focus on what this cardiovascular drug is meant to regulate.

Correct Answers:

No Correct Answers Available !

Rationale :

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11 :
A nurse is obtaining an oxygen saturation on a client. Which of the following actions should the nurse take?

wait 10 sec after placing the probe before obtaining the oxygen saturation reading

Place the sensor probe on the same extremity as an electronic blood pressure cuff

Relocate the sensor every 8 hrs.

Choose a finger with a capillary refill less than 2 sec.

Hint : 👈Look for signs of good blood flow to select the correct pulse oximeter site.

Correct Answers:

No Correct Answers Available !

Rationale :

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12 :
A nurse is gathering evidence based practice on catheter associated urinary tract infections (CAUTI). Which of the following roles is the nurse performing?

Researcher

Nurse manager

Case manager

Educator

Hint : 🔍Which role involves looking up clinical studies and comparing findings for practice?

Correct Answers:

No Correct Answers Available !

Rationale :

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13 :
A nurse is assessing a client who has circulatory overload. Which of the following findings should the nurse expect?

Diaphoresis

Weight loss

Hypotension

Tachycardia

Hint : ❤️Which vital sign increases when the heart compensates for too much fluid?

Correct Answers:

No Correct Answers Available !

Rationale :

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14 :
A nurse is observing a newly licensed nurse perform hand hygiene. Which of the following actions by the newly licensed nurse indicates an understanding of the procedure?

Holds their hands below their bows while rinsing off soap

Uses hot water to wash their hands

Turns off the faucet with their hands

Washes their hands for 10 seconds

Hint : 🚿Consider how hand positioning helps soap and microbes wash away properly.

Correct Answers:

No Correct Answers Available !

Rationale :

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15 :
A nurse is working with a social worker and a physical therapist in preparing a discharge projection for client who is postoperative. Which of the following steps of the nursing process is the nurse engaging in?

Assessment

Planning

Evaluation

Analysis

Hint : 📋What phase involves coordinating future care with others?

Correct Answers:

No Correct Answers Available !

Rationale :

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16 :
A nurse is performing passive range of motion on a client who had a stroke. The nurse should identify that passive range of motion is performed to increase which of the following?

Muscle mass

Bone density

Joint flexibility

Muscle strength

Hint : 🔄Think of what type of movement helps keep joints mobile without active effort.

Correct Answers:

No Correct Answers Available !

Rationale :

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17 :
The nurse is caring for client who has had partial removal the parathyroid gland. The client reports numbness and tingling of the hands and fingers. Which lab value would the nurse expect to see

Chloride 11.2

Calcium 7.5

Potassium 40

Calcium 12.1

Hint : 👁️Watch for neuromuscular symptoms when a key electrolyte drops.

Correct Answers:

No Correct Answers Available !

Rationale :

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18 :
A nurse is assessing a client who has an oral temperature of 39° C (102.27° F). Which of the following findings should the nurse expect?

Decreased peripheral pulses

Heart rate 108/min

Respiratory rate 10 breathes/min

Dilated pupils

Hint : 💓Which vital sign usually rises when body temperature goes up?

Correct Answers:

No Correct Answers Available !

Rationale :

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19 :
A nurse is teaching a client who has a new prescription for zolpidem. The nurse should instruct the client that which of the following is an adverse effect of zolpidem?

Memory loss

Dry mouth

Hypertension

Urinary retention

Hint : 🛏️Which unusual side effect could make a person forget their nighttime actions?

Correct Answers:

No Correct Answers Available !

Rationale :

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20 :
A nurse is caring for a client with a scheduled procedure. While preparing the client for the transport they appear anxious and ask the nurse where they should hide their cellphone during the procedure. The nurse offers to lock the item in a secure area. Which category of Maslow's hierarchy of needs is the nurse addressing?

Safety needs

Esteem needs

Love and belonging needs

Physiological needs

Hint : 🧳Which level of needs involves protection of personal belongings and security?

Correct Answers:

No Correct Answers Available !

Rationale :

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21 :
A nurse is documenting client care including only unexpected findings related to the client's condition. Which of the following documentation methods the nurse utilizing?

SOAP documentation

Focus charting (DAR)

Charting by exception (CBE)

Problem-oriented medical record (POMR)

Hint : 🖊️Which charting style relies on everything being normal unless stated otherwise?

Correct Answers:

No Correct Answers Available !

Rationale :

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22 :
A nurse is receiving report on a group of clients. Using the ABCDE priority framework which f the following clients should the nurse see first?

A client who has early dementia and awoke confused to their location this morning

A client who is scheduled for discharge and has a 38.4° C (101.1° F) temperature this morning

A client who has pneumonia and has developed wheezing

A client who is postoperative and has a urine output of 50 mL for the past 3 h

Hint : 🌬️Which client’s new symptom could impair oxygen intake the fastest?

Correct Answers:

No Correct Answers Available !

Rationale :

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23 :
A nurse is caring for a client who has a terminal diagnosis and states, "l am ready to update my will. " The nurse should identify that the client is experiencing which of the following Kubler-Ross stages of grief?

Denial

Acceptance

Anger

Bargaining

Hint : 📄Which stage involves practical planning and emotional readiness?

Correct Answers:

No Correct Answers Available !

Rationale :

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24 :
A nurse is teaching a client about the Rinne test. Which of the following client statements indicates an understanding of the teaching?

"A tuning fork is placed behind my ear and then near my ear canal."

"A tuning fork is placed on the top of my head."

"Small electrodes are placed on my scalp."

"I will wear earphones during this test."

Hint : 🎶Which test checks hearing through both the bone and the air around the ear?

Correct Answers:

No Correct Answers Available !

Rationale :

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25 :
A nurse is teaching a newly licensed nurse about preventing puncture injuries, Which of the following instructions should the nurse include?

Break needles on syringes before disposal

Use two hands to recap a needle after administering a medication

Dispose of used razors in wastebaskets.

Replace sharps containers when they are 3/4 full.

Hint : 🧺Which safety practice reduces the risk of injury when disposing of used needles?

Correct Answers:

No Correct Answers Available !

Rationale :

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26 :
A nurse is preparing to administer an ophthalmic medication to a client. Which of the following actions should the nurse plan take?

Apply pressure to the client's nasolacrimal duct after instillation

Clean the client's eye from the outer canthus to the inner canthus before instillation

Ask the client to tightly squeeze their eyes shut after the instillation

Instill the ophthalmic medication directly on the client's cornea.

Hint : 👁️Which step limits how much eye medication enters the bloodstream?

Correct Answers:

No Correct Answers Available !

Rationale :

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27 :
A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (Select all that apply.)

Increased blood pressure

Increase hematocrit

Increased respiratory rate

Increased heart rate

Increased temperature

Hint : 💧Which changes would happen when the body holds onto too much fluid?

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

28 :
A nurse is preparing to administer digoxin 5 mg PO to a client. The amount available is digoxin 0.5 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest whole number, Use leading zero if it applies. Do not use a trailing zero.)

Hint : 🔢Divide the prescribed dose by the strength per tablet.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

29 :
A nurse is preparing to perform hand hygiene with an alcohol based hand sanitizer. Which of the following actions should the nurse plan to take?

use hot water so rinse hand sanitizer off

Dry hands with a reusable towel.

Rub hands together 20 seconds,

Rub hand sanitizer around rings on fingers.

Hint : 🕒How long should sanitizer stay on your hands before it’s effective?

Correct Answers:

No Correct Answers Available !

Rationale :

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30 :
A nurse is teaching a class about pharmacodynamics. The nurse should include that which of the following medication levels occurs when a medication is at the lowest serum concentration?

Trough

Peak

Half-life

Toxic

Hint : 🧪Which level is assessed to ensure the medication hasn’t fallen too low before the next dose?

Correct Answers:

No Correct Answers Available !

Rationale :

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31 :
A nurse is caring for a client whose partner has recently died. The client "l am learning how to pay my own bills." The nurse should identify that the client is experiencing which of the following tasks in Worden's Four Tasks of Grieving?

Experiencing the pain of grief

Finding an enduring connection while embarking on a new life

Accepting the reality of the loss

Adjusting to an environment without the deceased

Hint : 🧾Which task involves taking over duties that used to be done by the loved one?

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

32 :
A nurse is caring for four clients who have drainage tubes. Which of the following clients should the nurse recognize as being at risk for hypokalemia?

The client who has a nasogastric (NG) tube to suction

The client who has a chest tube to water seal

The client who has an indwelling urinary catheter to gravity drainage

The client who has a tracheostomy tube attached to humidified oxygen

Hint : 🥄Which drainage method involves loss of stomach contents rich in electrolytes?

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

33 :
A nurse is caring for a client who is it at risk for a pressure injury. Which of the following actions should the nurse take?

Keep the head of the client's bed elevated to 45

Provide the client with a high calorie diet.

Massage the client's bony prominences.

Reposition the client every 4 hr.

Hint : 🥗What kind of intake helps strengthen the skin and promote healing?

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

34 :
A nurse is caring for client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?

Crushing the medication would release all the medication at once, rather than over time."

Crushing the medication might cause you to have a stomachache or indigestion

"Crushing the medication is a good idea, and I can mix in some ice cream for you."

"Crushing is unsafe, as it destroys the ingredients in the medication:'

Hint : ⚠️Which type of coating prevents early release and protects the stomach?

Correct Answers:

No Correct Answers Available !

Rationale :

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35 :
A nurse is receiving a telephone prescription for a client from a provider. Which of the following actions should the nurse take when transcribing the prescription?

Use the provider's initials after the prescription

Repeat the prescription to the provider

Write the prescription in shorthand

Read back the prescription to the provider

Hint : 📣What step ensures both the nurse and provider agree on what's being ordered?

Correct Answers:

No Correct Answers Available !

Rationale :

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36 :
A nurse in public clinic is planning a health fair for older adult clients in the community. In teaching medication safety, which of the following foods should the nurse advise the clients to avoid when taking their prescriptions?

Orange juice

Grapefruit juice

Milk

Carbonated beverage

Hint : 🥤Which citrus drink can dangerously raise drug levels in the blood?

Correct Answers:

No Correct Answers Available !

Rationale :

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37 :
A nurse is teaching a class about sleep disorders. The nurse should include that which of the following conditions can cause obstructive sleep apnea (OSA)

Heart failure

Brainstem injury

Recent weight loss

Enlarged tonsils

Hint : 👅Which structure in the throat can swell and block airflow during sleep?

Correct Answers:

No Correct Answers Available !

Rationale :

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38 :
A nurse is preparing to lift a heavy object. Which of the following actions by the nurse indicates understanding of body mechanics?

They bend at the hips when lifting.

They keep their feet together when »tins an object

They stand chose to the object being, moved

They twist their spine when lifting

Hint : 📦Where should your body be relative to the object you're lifting?

Correct Answers:

No Correct Answers Available !

Rationale :

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39 :
A nurse is taking care of a patient that has a new prescription for labetalol (beta blocker). What adverse effect should the nurse include in the medication education?

Hypokalemia

Bleeding

Bradycardia

Seizures

Hint : 💓Which vital sign might slow down due to beta-blocker action?

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

40 :
A nurse is assessing a client who has a wound that is healing by primary intention. Which of the following findings should the nurse expect?

Granulation tissue forming at the bottom of the wound bed.

Healing of the wound is prolonged.

Skin edges of the wound are sutured closed.

Wound is contaminated at the time of injury

Hint : 🧵What kind of healing happens when a wound is closed right away?

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

41 :
A client is to receive enoxaparin 30 mg subcutaneously. Available is enoxaparin 40 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Hint : 📏Divide the prescribed dose by the concentration in mL to find the volume.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

42 :
A nurse is caring for a client whose partner died 3 years ago and reports that they are still unable to accept the loss. The nurse should identify that the client has manifestations of which of the following types of grief?

Uncomplicated grief

Prolonged grief

Anticipatory grief

Disenfranchised grief

Hint : 🤔Which type of grief lasts far beyond what is expected and impairs functioning?

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

43 :
A nurse is assessing a client for orthostatic hypotension. Which of the following actions should the nurse take first?

Assist the client into a standing position

Check the blood pressure with the client in a supine position

Determine the client's blood pressure 1 min after each position change.

Place the client in a sitting position

Hint : 📉Where do you always begin when testing BP changes by position?

Correct Answers:

No Correct Answers Available !

Rationale :

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44 :
A nurse is reviewing the medical history of a client who is luted for surgery. Which of the following findings places the client at risk for a complication of incisional hematoma forming?

The client is underweight.

The client takes anticoagulant medications.

The client has urinary incontinence

The client has peripheral vascular disease

Hint : 🧾Which type of medication interferes with clot formation after surgery?

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

45 :
A nurse is teaching a class about expected physiological changes in older adult clients. Which of the following changes should the nurse include?

Increase in patellar reflex

Increase in muscle mass

Decrease in body fat

Decrease in systolic blood pressure

Hint : ⚡Which reflex might become stronger rather than weaker with aging?

Correct Answers:

No Correct Answers Available !

Rationale :

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46 :
A nurse is using the NURSE mnemonic when speaking with a client who is experiencing grief. The client reports that they are feeling overwhelmed. Which of the following responses by the nurse demonstrates the "E" in the NURSE mnemonic?

It sounds like you are exhausted

"You have so much to deal with, How can i be of help to your"

"Tell me more about how you are feeling"

"it is impressive how you have managed to deal with this situation

Hint : 🧷Which response helps the client feel capable and strong during grief?

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

47 :
A nurse on a medical unit is reviewing the laboratory reports for a client. Which of the following laboratory values is the priority to report to the provider?

Potassium level 3 mEq/L

BUN 9.5 mg/dl

Creatinine 04 mg/dl

Sodium 135 mEq/L

Hint : ❤️Which electrolyte level, if too low, can quickly cause heart rhythm problems?

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

48 :
A nurse is teaching a class about reducing the risk of medication errors. Which of the following information should the nurse include?

Provide a dedicated area for the nurse to prepare medications.

Wait to document medications given to clients until the end of a shift.

Remove medications from automatic dispensing systems beforethey are reviewed by pharmacists.

Prepare medications for multiple clients at the same time.

Hint : 🔕Which safety strategy minimizes distractions during drug preparation?

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

49 :
A charge nurse is reviewing the documentation completed by a newly licensed nurse. Which of the following entries should the charge nurse recommend for revision?

The client demonstrated proper technique when drawing up 8 units of insulin.

The client stated "l struggle to see those little lines on the syringe"

The client FBS was 95 mg/dl

The client seems to be more comfortable performing self- administration of insulin.

Hint : 📝Which entry lacks objectivity and makes an assumption?

Correct Answers:

No Correct Answers Available !

Rationale :

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50 :
A nurse is caring for a client who has a cloudy, opaque area over the lens of one eye. The nurse should identify that this is a manifestation of which of the following visual impairments?

Cataracts

Diabetic retinopathy

Macular degeneration

Glaucoma

Hint : 🌫️What condition causes the lens to become cloudy and block light?

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

51 :
A nurse in an emergency department is performing triage on a group of clients. Which of the following clients should the nurse see first?

A client who has a heart failure and peripheral edema

A client who reports urinary burning and a temperature of 29.2° C (102.6° F)

A client who has cirrhosis of the liver and bruising on their arms.

A client who has a new onset of atrial fibrillation and a heart rate of 152/min

Hint : ⚡Which client has a sudden change that directly threatens circulation?

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

52 :
A nurse opens unit-dose of a prescribed medication prior to administering it to a client. After education, the client refuses to take the medication. Which of the following actions should the nurse take?

Notify the facility's ethics committee

Return the opened medication in the medication cart

Report the incident to the provider

Fill out an incident report

Hint : 🗂️Which step ensures accountability for a medication that was opened but unused?

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

53 :
A nurse is delegating care for a group of four clients. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?

Teach the use of an incentive spirometer to a postoperative client

Irrigate and perform a dressing change for a client who has a pressure injury wound

Administer oral PRN pain medication to a client who has arthritis

Obtain a daily weight on a client who has heart failure

Hint : 📊Which task involves measurement but no clinical judgment?

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

54 :
A nurse is preparing to administer furosemide 30 mg IV bolus stat. Available is furosemide injection 10 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use leading zero if it applies. Do not use a trailing zero.)

Hint : 🧾How many mL gives the full 30 mg when each mL contains 10 mg?

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

55 :
A nurse is reviewing a fall risk assessment for a client. Which of the following findings places the client at risk for a fall? Select all that apply,

Electrical cord on floor over a walkway

Demonstrates correct use of cane to ambulate

Grab bar in the bathroom

Diagnosis of Macular degeneration

Throw rugs in kitchen

Hint : 🚷Which findings either block vision or create unstable walking surfaces?

Correct Answers:

No Correct Answers Available !

Rationale :

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Total Questions: 55

Choose Different Exam !

ATI 110 Fundamentals Exam-1

No.

1 : A nurse is assessing a client who has had diarrhea for several days. Which of the following findings should the nurse expect?

2 : A nurse is caring for a client who is on bedrest and is experiencing constipation. Which of the following interventions should the nurse implement?

4 : A nurse is admitting a new client. Which of the followings steps of the nursing process is the nurse performing when formulating goals to address an identified problem?

5 : A nurse is teaching a client how to use crutches. Which of the following interventions uses the psychomotor domain of learning?

6 : A nurse is preparing to administer a client's antihypertensive medication. When using, clinical judgment, which of the following findings indicates the nurse should further assess the client before administering medication?

7 : A nurse is observing a newly licensed nurse set up a sterile field. Which of the following actions by the newly licensed nurse indicates an understanding of the procedure?

8 : A nurse is teaching a client how to walk using a walker. After showing the client the procedure, the nurse asks the client to perform the skill. Which of the following types of teaching strategies is the nurse utilizing

9 : A nurse is caring for a client who has a Penrose drain. Which of the following actions should the nurse take?

10 : A nurse is caring for client who is taking lisinopril (ACE inhibitor). Which of the following outcomes indicates a therapeutic effect of the medication?

11 : A nurse is obtaining an oxygen saturation on a client. Which of the following actions should the nurse take?

12 : A nurse is gathering evidence based practice on catheter associated urinary tract infections (CAUTI). Which of the following roles is the nurse performing?

13 : A nurse is assessing a client who has circulatory overload. Which of the following findings should the nurse expect?

14 : A nurse is observing a newly licensed nurse perform hand hygiene. Which of the following actions by the newly licensed nurse indicates an understanding of the procedure?

15 : A nurse is working with a social worker and a physical therapist in preparing a discharge projection for client who is postoperative. Which of the following steps of the nursing process is the nurse engaging in?

16 : A nurse is performing passive range of motion on a client who had a stroke. The nurse should identify that passive range of motion is performed to increase which of the following?

17 : The nurse is caring for client who has had partial removal the parathyroid gland. The client reports numbness and tingling of the hands and fingers. Which lab value would the nurse expect to see

18 : A nurse is assessing a client who has an oral temperature of 39° C (102.27° F). Which of the following findings should the nurse expect?

19 : A nurse is teaching a client who has a new prescription for zolpidem. The nurse should instruct the client that which of the following is an adverse effect of zolpidem?

21 : A nurse is documenting client care including only unexpected findings related to the client's condition. Which of the following documentation methods the nurse utilizing?

22 : A nurse is receiving report on a group of clients. Using the ABCDE priority framework which f the following clients should the nurse see first?

23 : A nurse is caring for a client who has a terminal diagnosis and states, "l am ready to update my will. " The nurse should identify that the client is experiencing which of the following Kubler-Ross stages of grief?

24 : A nurse is teaching a client about the Rinne test. Which of the following client statements indicates an understanding of the teaching?

25 : A nurse is teaching a newly licensed nurse about preventing puncture injuries, Which of the following instructions should the nurse include?

26 : A nurse is preparing to administer an ophthalmic medication to a client. Which of the following actions should the nurse plan take?

27 : A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (Select all that apply.)

28 : A nurse is preparing to administer digoxin 5 mg PO to a client. The amount available is digoxin 0.5 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest whole number, Use leading zero if it applies. Do not use a trailing zero.)

29 : A nurse is preparing to perform hand hygiene with an alcohol based hand sanitizer. Which of the following actions should the nurse plan to take?

30 : A nurse is teaching a class about pharmacodynamics. The nurse should include that which of the following medication levels occurs when a medication is at the lowest serum concentration?

31 : A nurse is caring for a client whose partner has recently died. The client "l am learning how to pay my own bills." The nurse should identify that the client is experiencing which of the following tasks in Worden's Four Tasks of Grieving?

32 : A nurse is caring for four clients who have drainage tubes. Which of the following clients should the nurse recognize as being at risk for hypokalemia?

33 : A nurse is caring for a client who is it at risk for a pressure injury. Which of the following actions should the nurse take?

34 : A nurse is caring for client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?

35 : A nurse is receiving a telephone prescription for a client from a provider. Which of the following actions should the nurse take when transcribing the prescription?

36 : A nurse in public clinic is planning a health fair for older adult clients in the community. In teaching medication safety, which of the following foods should the nurse advise the clients to avoid when taking their prescriptions?

37 : A nurse is teaching a class about sleep disorders. The nurse should include that which of the following conditions can cause obstructive sleep apnea (OSA)

38 : A nurse is preparing to lift a heavy object. Which of the following actions by the nurse indicates understanding of body mechanics?

39 : A nurse is taking care of a patient that has a new prescription for labetalol (beta blocker). What adverse effect should the nurse include in the medication education?

40 : A nurse is assessing a client who has a wound that is healing by primary intention. Which of the following findings should the nurse expect?

41 : A client is to receive enoxaparin 30 mg subcutaneously. Available is enoxaparin 40 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

42 : A nurse is caring for a client whose partner died 3 years ago and reports that they are still unable to accept the loss. The nurse should identify that the client has manifestations of which of the following types of grief?

43 : A nurse is assessing a client for orthostatic hypotension. Which of the following actions should the nurse take first?

44 : A nurse is reviewing the medical history of a client who is luted for surgery. Which of the following findings places the client at risk for a complication of incisional hematoma forming?

45 : A nurse is teaching a class about expected physiological changes in older adult clients. Which of the following changes should the nurse include?

46 : A nurse is using the NURSE mnemonic when speaking with a client who is experiencing grief. The client reports that they are feeling overwhelmed. Which of the following responses by the nurse demonstrates the "E" in the NURSE mnemonic?

47 : A nurse on a medical unit is reviewing the laboratory reports for a client. Which of the following laboratory values is the priority to report to the provider?

48 : A nurse is teaching a class about reducing the risk of medication errors. Which of the following information should the nurse include?

49 : A charge nurse is reviewing the documentation completed by a newly licensed nurse. Which of the following entries should the charge nurse recommend for revision?

50 : A nurse is caring for a client who has a cloudy, opaque area over the lens of one eye. The nurse should identify that this is a manifestation of which of the following visual impairments?

51 : A nurse in an emergency department is performing triage on a group of clients. Which of the following clients should the nurse see first?

52 : A nurse opens unit-dose of a prescribed medication prior to administering it to a client. After education, the client refuses to take the medication. Which of the following actions should the nurse take?

53 : A nurse is delegating care for a group of four clients. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?

54 : A nurse is preparing to administer furosemide 30 mg IV bolus stat. Available is furosemide injection 10 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use leading zero if it applies. Do not use a trailing zero.)

55 : A nurse is reviewing a fall risk assessment for a client. Which of the following findings places the client at risk for a fall? Select all that apply,

1 :
A nurse is assessing a client who has had diarrhea for several days. Which of the following findings should the nurse expect?

2 :
A nurse is caring for a client who is on bedrest and is experiencing constipation. Which of the following interventions should the nurse implement?

4 :
A nurse is admitting a new client. Which of the followings steps of the nursing process is the nurse performing when formulating goals to address an identified problem?

5 :
A nurse is teaching a client how to use crutches. Which of the following interventions uses the psychomotor domain of learning?

6 :
A nurse is preparing to administer a client's antihypertensive medication. When using, clinical judgment, which of the following findings indicates the nurse should further assess the client before administering medication?

7 :
A nurse is observing a newly licensed nurse set up a sterile field. Which of the following actions by the newly licensed nurse indicates an understanding of the procedure?

8 :
A nurse is teaching a client how to walk using a walker. After showing the client the procedure, the nurse asks the client to perform the skill. Which of the following types of teaching strategies is the nurse utilizing

9 :
A nurse is caring for a client who has a Penrose drain. Which of the following actions should the nurse take?

10 :
A nurse is caring for client who is taking lisinopril (ACE inhibitor). Which of the following outcomes indicates a therapeutic effect of the medication?

11 :
A nurse is obtaining an oxygen saturation on a client. Which of the following actions should the nurse take?

12 :
A nurse is gathering evidence based practice on catheter associated urinary tract infections (CAUTI). Which of the following roles is the nurse performing?

13 :
A nurse is assessing a client who has circulatory overload. Which of the following findings should the nurse expect?

14 :
A nurse is observing a newly licensed nurse perform hand hygiene. Which of the following actions by the newly licensed nurse indicates an understanding of the procedure?

15 :
A nurse is working with a social worker and a physical therapist in preparing a discharge projection for client who is postoperative. Which of the following steps of the nursing process is the nurse engaging in?

16 :
A nurse is performing passive range of motion on a client who had a stroke. The nurse should identify that passive range of motion is performed to increase which of the following?

17 :
The nurse is caring for client who has had partial removal the parathyroid gland. The client reports numbness and tingling of the hands and fingers. Which lab value would the nurse expect to see

18 :
A nurse is assessing a client who has an oral temperature of 39° C (102.27° F). Which of the following findings should the nurse expect?

19 :
A nurse is teaching a client who has a new prescription for zolpidem. The nurse should instruct the client that which of the following is an adverse effect of zolpidem?

21 :
A nurse is documenting client care including only unexpected findings related to the client's condition. Which of the following documentation methods the nurse utilizing?

22 :
A nurse is receiving report on a group of clients. Using the ABCDE priority framework which f the following clients should the nurse see first?

23 :
A nurse is caring for a client who has a terminal diagnosis and states, "l am ready to update my will. " The nurse should identify that the client is experiencing which of the following Kubler-Ross stages of grief?

24 :
A nurse is teaching a client about the Rinne test. Which of the following client statements indicates an understanding of the teaching?

25 :
A nurse is teaching a newly licensed nurse about preventing puncture injuries, Which of the following instructions should the nurse include?

26 :
A nurse is preparing to administer an ophthalmic medication to a client. Which of the following actions should the nurse plan take?

27 :
A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (Select all that apply.)

28 :
A nurse is preparing to administer digoxin 5 mg PO to a client. The amount available is digoxin 0.5 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest whole number, Use leading zero if it applies. Do not use a trailing zero.)

29 :
A nurse is preparing to perform hand hygiene with an alcohol based hand sanitizer. Which of the following actions should the nurse plan to take?

30 :
A nurse is teaching a class about pharmacodynamics. The nurse should include that which of the following medication levels occurs when a medication is at the lowest serum concentration?

31 :
A nurse is caring for a client whose partner has recently died. The client "l am learning how to pay my own bills." The nurse should identify that the client is experiencing which of the following tasks in Worden's Four Tasks of Grieving?

32 :
A nurse is caring for four clients who have drainage tubes. Which of the following clients should the nurse recognize as being at risk for hypokalemia?

33 :
A nurse is caring for a client who is it at risk for a pressure injury. Which of the following actions should the nurse take?

34 :
A nurse is caring for client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?

35 :
A nurse is receiving a telephone prescription for a client from a provider. Which of the following actions should the nurse take when transcribing the prescription?

36 :
A nurse in public clinic is planning a health fair for older adult clients in the community. In teaching medication safety, which of the following foods should the nurse advise the clients to avoid when taking their prescriptions?

37 :
A nurse is teaching a class about sleep disorders. The nurse should include that which of the following conditions can cause obstructive sleep apnea (OSA)

38 :
A nurse is preparing to lift a heavy object. Which of the following actions by the nurse indicates understanding of body mechanics?

39 :
A nurse is taking care of a patient that has a new prescription for labetalol (beta blocker). What adverse effect should the nurse include in the medication education?

40 :
A nurse is assessing a client who has a wound that is healing by primary intention. Which of the following findings should the nurse expect?

41 :
A client is to receive enoxaparin 30 mg subcutaneously. Available is enoxaparin 40 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

42 :
A nurse is caring for a client whose partner died 3 years ago and reports that they are still unable to accept the loss. The nurse should identify that the client has manifestations of which of the following types of grief?

43 :
A nurse is assessing a client for orthostatic hypotension. Which of the following actions should the nurse take first?

44 :
A nurse is reviewing the medical history of a client who is luted for surgery. Which of the following findings places the client at risk for a complication of incisional hematoma forming?

45 :
A nurse is teaching a class about expected physiological changes in older adult clients. Which of the following changes should the nurse include?

46 :
A nurse is using the NURSE mnemonic when speaking with a client who is experiencing grief. The client reports that they are feeling overwhelmed. Which of the following responses by the nurse demonstrates the "E" in the NURSE mnemonic?

47 :
A nurse on a medical unit is reviewing the laboratory reports for a client. Which of the following laboratory values is the priority to report to the provider?

48 :
A nurse is teaching a class about reducing the risk of medication errors. Which of the following information should the nurse include?

49 :
A charge nurse is reviewing the documentation completed by a newly licensed nurse. Which of the following entries should the charge nurse recommend for revision?

50 :
A nurse is caring for a client who has a cloudy, opaque area over the lens of one eye. The nurse should identify that this is a manifestation of which of the following visual impairments?

51 :
A nurse in an emergency department is performing triage on a group of clients. Which of the following clients should the nurse see first?

52 :
A nurse opens unit-dose of a prescribed medication prior to administering it to a client. After education, the client refuses to take the medication. Which of the following actions should the nurse take?

53 :
A nurse is delegating care for a group of four clients. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?

54 :
A nurse is preparing to administer furosemide 30 mg IV bolus stat. Available is furosemide injection 10 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use leading zero if it applies. Do not use a trailing zero.)

55 :
A nurse is reviewing a fall risk assessment for a client. Which of the following findings places the client at risk for a fall? Select all that apply,