PN ATI COMPREHENSIVE EXIT EXAM 1 WITH NGN VERIFIED
QUESTIONS AND ANSWERS
1. Nurse is caring requesting Assistance with smoking cessation. The nurse should anticipate
prescription for which of the following
Answer: Bupropion Naltrexone Methadone Disulfiram
2. A nurse is collecting data from a client who has diabetic Ketoacidosis. Which of the following
findings should expect
Answer: Fruity breath
3. A nurse is collecting data from a client who has sickle cell anaemia and is experiencing a
Vaso- occlusive which of the following actions should the nurse take? (Click on the "Exhibit"
button for additional information There are three tabs that contain separate categories data.)
Exhibit
Answer: Recommend a transfusion of packed Rbcs
4. A nurse is contributing to the Development of an in-service Training about the differences in
mental health beliefs across various cultural groups. Which of the following culture- bound
syndromes should the nurse Include when discussing Navajo Indian cultural beliefs?
Answer: Ghost sickness
5. A nurse is assisting with the care of client who has schizophrenia and auditory hallucinations.
Which of The following responses should the nurse make?
Answer: “Let’s talk about what the voices are saying to you."
6. A nurse is assisting with the care of a client who has schizophrenia and auditory
hallucinations. Which of The following response should the nurse make?
Answer: Let's talk about what the voices are saying to you.
7. A nurse is discussing informed consent with a newly licensed nurse. Which of the following
statements by the newly licensed nurse indicates an understanding of the information
Answer: "A client can. Withdraw consent at any time after signing the informed consent form."
8. A nurse is reinforcing teaching with client who has hypertension about decreasing sodium
intake. Which of the following foods Should the nurse recommend?
Answer: 1 baked potato
9. A nurse is caring for a client who is Postoperative following a Transurethral resection of the
Prostate. The nurse notes bright red urinary drainage after notifying the surgeon which of the
following actions should the nurse take?
Answer: Request a prescription to obtain the clients bun level.
10. A nurse is reinforcing teaching with another nurse about how to change an ostomy appliance
for a client who has a sigmoid colostomy which of the following instruction should the nurse
include in the teaching
Answer: Empty clients asked me pouch before removing skin barrier
11. A charge nurse is observing a newly licensed nurse performing Dressing change on a
peripheral IV site. For which of the following actions by the new nurse should the charge nurse
intervene
Answer: Use a sterile gloves to remove the old dressing
12. A nurse is caring for a client who has a peanut allergy the client states I feel like my throat is
closing which of the following actions the nurse should take
Answer: Give epinephrine intramuscularly
13. A nurse is transcribing a client’s Prescription for erythromycin 500 mg four times per day
which of the following information shared the news clarify with the provider
Answer: Time
14. A nurse is reinforcing teaching with who has primary open Angle glaucoma and a new
Prescription for timolol Eye drops which of the following statements by the client indicates an
Understanding of the teaching
Answer: I should check my heart rate while taking this medicine client
15. A nurse in a long-term care facility is caring for a client who has Methicillin resistant
Staphylococcus aureus (Mrsa) which of the following actions should the nurse take
Answer: Wear a gown when assisting the client with personal hygiene
16. A nurse is reinforcing teaching about hand hygiene with a newly licensed news which of the
following information should the nurse include in the teaching?
Answer: Interlace the fingers while rubbing hands together
17. A nurse is reinforcing teaching with a client who has diabetes mellitus and is taking insulin
lispro and insulin glargine which of the following instruction should the nurse include in the
teaching
Answer: Drawl up the insulin list Bro and insulin glargine in separate syringes
18. A nurse is contributing to the plan of care for a client who has ascites Due to cirrhosis which
of the following interventions should the nurse recommend to include in the plan
Answer: Measure the client’s abdominal girth daily
19. A nurse is caring for a newborn who has hyperbilirubinemia and is Receiving photo therapy
which of the following findings should the nurse report to the provider?
Answer: Loose stools
20. A nurse is caring for a client who is today’s postoperative the client has a prescription for
acetaminophen 300 mg with codeine 30 mg one tablet every 3 to 4 hours PRN for pain the nurse
in advertently Administers two tablets to the client in which of the following location should the
nurse document the error
Answer: Controlled substance inventory record
21. A nurse is caring for an adolescent client who is bulimia nervosa which of the following
actions should the nurse take first
Answer: Observe the client during and after meals
22. A nurse is assigned an assistive personnel to perform a Gastrostomy Feeling for a client who
has been receiving feedings at home which of the following actions should the nurse take to
monitor the APs performance of The task
Answer: Request the AP to provide a return demonstration of the task
23. A community health nurse is a system in the development of a brochure about hypertension
which of the following actions should the nurse take
Answer: Explain the medical terminology using basic one syllable words
24. And charge nurse assigned a nurse for a group of clients which of the following client should
the nurse ask the charge nurse to reassign to an RN?
Answer: a client who has a new diagnosis of diabetes mellitus and to care needs to learn selfadministration of insulin
25. A nurse is caring for a client who has depressive disorder the client states everyone will be
better off if were not around which of the following responses the nurse should make
Answer: Are you thinking of hurting yourself?
26. A nurse is providing a client with IV fluids and finds that the IV pump screen is
malfunctioning which of the following actions should the nurse take
Answer: Discontinue use and take the IV pump
27. A nurse is Reinforcing teaching with the Client family about home Oxygen use via nasal
cannula which of the following statements by a Family member indicates an Understanding of
the teaching
Answer: We will frequently check the top of his ears for sores
28. A nurse is caring for a client who has been giving methylergonovine intramuscularly for
postpartum haemorrhage which of the following should the nurse monitor for Adverse reactions
Answer: Elevated blood pressure
29. A nurse is collecting data from a Child who is one hour Postoperative following a
tonsillectomy which of the following findings is the nurse’s priority
Answer: frequent swallowing
30. A nurse is caring for a client who is in stage kidney disease the client has decided to stop
dialysis Treatment which of the following actions should the nurse take
Answer: Support the clients Decision and stop the treatment
31. A nurse is receiving change of shift report on a group of clients which of the following client
should the nurse see first
Answer: A client who is postoperative following hip arthroplasty and reports calf pain
32. A charge nurse working in a long- term care facility overhears to Assistive personnel in the
nurse’s station discussing a client who was just admitted which of the following actions should
the charge nurse take?
Answer: Tell the APs to stop the conversation
33. A nurse is caring for a client who has a prescription for worsen which of the following
laboratory test should the nurse monitor
Answer: International normalized ratio
34. A nurse is preparing to perform a dry dressing change for a Client who has an infected
Abdominal wound which of the following techniques the nurse should use when performing the
dressing change
Answer: Clean the wound from centre to outer edges Wet to
35. A nurse is reinforcing teaching with a parent who is preschooler has night terrors which of
the following instructions should the nurse Include
Answer: Use a night light near the child's bed
36. A nurse is assisting with the community health education course for a family members who
have an Alzheimer's disease which of the following information should the nurse include?
Answer: Limit number of choices for the client
37. Following a kosher diet which of the following on the menu is OK
Answer: Roasted salmon
38. Which of the following breaks Patient confidentiality
Answer: A nurse tells the chaplain that her assigned client has anew diagnosis of cancer
39. A nurse is collecting data on a Client who has alcohol use disorder and is experiencing
withdrawal which of the following Manifestations should the nurse expect?
Answer: Hypertension
40. A nurse is reviewing the medical Record of a client who has COPD Which of the following
laboratory findings indicates a need to request a dietary referral for the client?
Answer: Pre-albumin 13 mg /dL
41. A nurse is collecting data from a client who has anorexia nervosa which of the following
findings should the nurse identify as a Positive outcome to treatment?
Answer: The client resumes menstruation
42. A nurse is caring for a client who has an abdominal surgical incision and notices an
evisceration which of the following actions should the nurse take?
Answer: Cover the one with a transparent dressing
43. A nurse is reinforcing teaching about breastfeeding with the Mother of a full term newborn
whose 5 days old which of the following statements by the mother indicates an understanding of
the teaching
Answer: My baby should breast-feed 5 to 10 minutes on each breast.
44. A nurse is reinforcing teaching with a client who has a new prescription for a cervical cap as
a form of contraception which of the following statements by the client indicates an
understanding of the teaching?
Answer: I need to keep the cap in place for at least six hours after intercourse
45. A nurse is reinforcing teaching with who has a prescription for Ferrous sulphate elixir which
of the following statements by the client indicates an understanding of the teaching?
Answer: I will mix the medication with water a client
46. A nurse is assisting a client who requests to take a tub bath which of the following actions
should the nurse take?
Answer: Add bath oil after the client gets into the tub
47. A nurse is reviewing guidelines for documenting client care. Which of the following should
the nurse plan to take?
Answer: Document info telephoned in my a nurse who left the United for the day
48. A nurse is reviewing the guidelines for documenting client care, which of the following
actions should the nurse plan to take
Answer: Avoid quoting client comments when documenting.
49. A nurse is reinforcing teaching with a client who has a new prescription for transdermal
nitro-glycerine patches which of the following statements by the client indicates an
understanding?
Answer: I will place the pitch on a hairless area of skin
50. A nurse is reinforcing discharge teaching with a client who has Tuberculosis. Which of the
following statements by the client indicates an understanding of the teaching?
Answer: "I should throw away my used tissues in a closed plastic bag.
51. A nurse is receiving change-of-shift for a group of clients. Which Of the following clients
should the nurse check first?
Answer: a diet admitted to the facility who has ascending Report Guillain-Barre syndrome
52. A nurse is collecting data from a client who is at 20 of the following findings should the
nurse monitor As a common adverse effect of iron weeks of gestation and has been Taking
ferrous sulphate. For which the following findings should the nurse report to the provider?
Answer: Constipation
53. A nurse is reinforcing teaching with a client who is to have their plaster cast applied to his
right arm which of the Following information should the nurse include in the teaching
Answer: The client's extremity should be elevated after the cast is applied
54. A nurse is caring for a client who is why her newborn is receiving Phytonadione injection
which of the following statements should the nurse make?
Answer: This medication prevents your baby from developing bleeding problems Encourage the
client to be assertive
55. A nurse is caring for a client who has antisocial personality disorder who request to smoke
outside of a scheduled smoke break which of the following is an appropriate response by the
nurse?
Answer: The smoking times on the unit or after each meal
56. A nurse in a mental health facility is Reinforcing teaching with a client about panic attacks
which of the following statements by the client indicates an understanding of the instructions?
Answer: I will use abdominal breathing at the first sign of a panic attack
57. A nurse is caring for a female client who has an indwelling catheter with a urinary drainage
system which of the following actions should the nurse take?
Answer: Instruct the client to hold the drainage bag a waist height when ambulating
58. A nurse is collecting data from a newborn who was born 18 hours ago which of the following
findings should the nurse report to the Provider?
Answer: Yellow sclera
59. A nurse is reinforcing teaching with a parent of a preschooler who has varicella about
expected Clinical manifestations. Which of the following manifestations should the nurse include
(select all that apply)
Answer: Vessels that form crust, pruritus
60. A nurse is reinforcing teaching with a female client who has Tuberculosis and a new
prescription for rifampin which of the following statements by the client indicates An
understanding of the teaching?
Answer: I should use supplemental birth control while I am taking this medication
61. A nurse is caring for an adolescent For several weeks which of the following actions should
the nurse take relative to the clients? Developmental stage?
Answer: Arrange for uninterrupted visits with the client’s friends
62. I'll charge nurse is observing a newly licensed nurse who is having difficulty finishing all
client care activities by the end of his shift which of the following statements should the nurse
make to help the newly licensed nurse improve his time management skills?
Answer: Complete the task for one client before moving onto the next client
63. A nurse is reinforcing teaching with a client who has diabetes Molite us about a 24 hour
creatinine clearance test which of the following statements should the nurse include in the
teaching?
Answer: You can begin collection of urine after discarding your first morning void
64. A nurse is caring for a client who has Graves' disease which of the following findings should
indicate to the nurse that the client is developing a thyroid storm?
Answer: Tachycardia
65. A nurse is preparing for the admission of a client who has a seizure disorder which of the
following supplies should the nurse place at the bedside for this client?
Answer: A tongue blade
66. A nurse is caring for a client who Believes that she is being followed by FBI agents who are
pretending to be psychiatric staff which of the following responses should the nurse make?
Answer: this must be frightening to you let's talk more about it
67. A nurse’s assistant a client who has cancer to select high protein foods which of the following
foods should the nurse recommend as the highest source of protein
Answer: 8 ounce chopped hard boil egg
68. A nurse is preparing a sterile field to perform a dressing change for a client’s leg wound
which of the following actions should the nurse take?
Answer: Play sterile objects at least 2.5 cm from the edge of the sterile field
69. A nurse is reviewing the plan of care for a client who is receiving treatment for anorexia
nervosa which of the following laboratory findings indicates that the client’s nutrition plan is
effective?
Answer: Cholesterol 190 mg/daL
70. A nurse is collecting data from a client who has taken medroxyprogesterone Acetate for the
past six months which of the following statements by the client should the nurse report to the
provider immediately?
Answer: I have breast tenderness
71. A nurse is planning care for a client Following a right knee arthroplasty which of the
following interventions should the nurse include in the clients plan of care?
Answer: Use the continuous passive motion machine intermittently
72. A nurse is preparing to administer eye drops to a child which of the following actions should
the nurse take ?
Answer: Apply pressure to the lacrimal punctum after administering drops
73. A nurse is reinforcing teaching with a 36- year-old client who is 16 weeks of gestation and is
scheduled for amniocentesis the nurse should include in the teaching the amniocentesis is
performed to identify which of the following findings
Answer: Chromosomal abnormalities
74. A nurse in an acute care setting is preparing to administer medications to a client which of the
following information should the nurse obtain to identify the client
Answer: Client's telephone number
75. A nurse is collecting data from a client who has a history of angina and reports having adult
chest pressure they radiates to the left side of his neck which of the following is the priority
medication the nurse should anticipate the provider prescribes
Answer: Nitro-glycerine
76. A nurse on a hospice unit is caring The active phase of dying which of the following findings
requires intervention by the nurse
Answer: And assistive personnel is encouraging intake of oral fluids
77. A nurse is discussing home care concerns with the son of a client who has Alzheimer's
disease the son states I am so tired all the time but mom needs me which of the following
responses should the nurse make
Answer: Let me give you some information about respite care for your mother
78. A nurse is assisting with the care of a client who is receiving mechanical ventilation for
respiratory failure which of the following actions should the nurse take
Answer: Performed passive range of motion every two hours
79. A nurse is discussing risk factors for child abuse with members of the parenting group the
nurse should identify which of the following findings as a characteristic of perpetrators of child
abuse
Answer: Rigid expectations of behavior
80. A nurse begins to be the newly admitted client who reports that she has my hair anything to
eat today the nurse interrupts the bath and obtains a healthy meal for the client this action by the
nurse is an example of which of the following?
Answer: Veracity
81. creation of a tracheostomy which of the following is she should the nurse take to help
promote the clients recovery
Answer: Ensure airway patency, prevent infection, support communication, and provide holistic
care to promote recovery.
82. A nurse is assisting with the admission of a client who has Vera Cella zoster which of the
following intervention should the nurse plan to implement
Answer: Initiate contact precautions for the client
83. A nurse is caring for a client who has major depressive disorder Andis taking antidepressants
the nurse should identify which of the following findings is the priority to report to the provider
Answer: The client has a sudden increase in energy
84. America's hair for a client who is postoperative following joint replacement and he has a new
prescription for enoxaparin. For which of the following actions should the nurse monitor
Answer: Epistaxis
85. A nurse in a provider’s office is caring for a client who states my doctor is always in a big
hurry it makes me nervous and I forget what I wanted to ask her which of the following
responses should the nurse make
Answer: Let's make a list of what you'd like to ask the doctor before she comes in to see you
86. A nurse is preparing to administer Subcutaneously to a client who has a pulmonary embolism
the client weighs 132 pounds the amount available is 100 mg/mL how many millilitres should
the nurse administer
Answer: 0.9 ml
87. A nurse is assisting with the green needle examination of a client who is in eight weeks of
gestation the nurse notes the clients vagina and vulva are a purplish colour the nurse should
document to find them as which of the following
Answer: Chadwick sign
88. A nurse is contributing to the plan of care for a client who has urinary incontinence which of
the following intervention should the nurse suggest to help prevent skin breakdown
Answer: Dry the skin thoroughly after cleansing the perennial area
89. The nurse is reinforcing teaching with a client who is receiving chemotherapy and develop
stomatitis which of the following instruction should the nurse include in the teaching
Answer: Use a soft bristle toothbrush
90. A nurse is collecting data from a client who is receiving magnesium sulphate via continuous
IV infusion to treat preeclampsia which of the following findings indicate that the medication is
here in a therapeutic affect
Answer: Deep tendon reflexes 2+
91. A nurse is reinforcing teaching with And a healthcare proxy which of the following client
statements and the kids and understanding of the teaching
Answer: I do not need to name a relative as my designee in my
92. A nurse is caring for a client who is today's postoperative which of the following findings
should the nurse identify as an indication of postoperative infection
Answer: Serous drainage in the clothes section collection device
93. A nurse is caring for a client who was admitted for observation following that he injury
which of the following findings by the nurse indicates the client is experiencing increased
intracranial pressure
Answer: Decreased BP
94. A nurse is caring for a client who has a prescription for nph insulin 10units and regular
insulin 15 units subcutaneously after injecting 10 units of air into the nph vial which of the
following actions should the nurse take next
Answer: Withdraw 10 units of NPH insulin
95. A nurse is reviewing the medical record of a client who has hepatic cirrhosis which of the
following lab values should the nurse report to the provider
Answer: Potassium 3.1 mEq per liter
96. A nurse is observing an assistive Tympanic temperature which of the following actions
should the nurse identify as an indication that the A Understands how to perform the procedure
Answer: The AP pulls the pinna up and back
97. A nurse is collecting data from a female client who reports she wants to begin taking oral
contraceptives which of the following findings is a contra indication for this client
Answer: Hypertension
98. A nurse is re-enforcing discharge teaching with a client who is stable angina pectoris which
of the following statements by the client indicates an understanding of what to do when chest
pain occurs
Answer: Stop what I am doing and lie down
99. A nurse is receiving a telephone prescription from a client’s provider which of the following
actions should the nurse take (select all that apply)
Answer: Ask the provider to spell out the name of the medication, request that the provider
confirm the read back of the prescription, record the date and time of the telephone prescription
100. A nurse is reinforcing teaching about passive range of motion exercises with the family of a
client who has had a stroke which of the following instructions should the nurse include in the
teaching
Answer: Support the extremity above and below each joint during the exercises
101. A nurse is caring for a client who Cycloserine the nurse to monitor the client for which of
the following Adverse effects
Answer: Respiratory depression
102. A nurse is reinforcing teaching with a client who has a prescription for an antibiotic therapy
the client tells the nurse that he always experiences diarrhoea when he takes antibiotics which of
the following food choices should the nurse recommend to lessen the occurrence of diarrhoea
Answer: Yogurt
103. A nurse is reviewing the medical record for a child who is scheduled to receive a varicella
immunization which of the following findings in the clients record should the nurse recognize as
a contra indication
Answer: Chemotherapy treatments
104. A nurse in a long-term care facility is delegating care for a group of clients for the upcoming
shift which of the following tasks the nurse delegate to an assistive personnel (select all that
apply)
Answer: Measure vital signs for a client who requires contact precaution, record urine output for
a client who has a super pubic catheter, trees for a client who is receiving radiation therapy to
radiology
105. A nurse in an inpatient medical health facility is reinforcing teaching with a client who
signed a consent form for electro convulsive therapy which of the following statements about a
client indicates an understanding of the procedure
Answer: I might have short term memory loss after the procedure
106. A nurse is assisting with discharge During a mass casualty incident which of the following
client should the nurse recommend for discharge?
Answer: a client who had diabetic ketoacidosis and has a blood
107. A nurse is caring for a client who is postoperative following a sub total thyroidectomy the
nurse should place the client in which of the following positions
Answer: Semi Fowler's
108. A nurse is discussing the plan of care of a client who is four hours postoperative and has a
urotoxy with an assistive personnel which of the following statements should the nurse include in
the discussion
Answer: We need to check the clients urine output every hour
109. A nurse is collecting data from a client who has heart failure the nurse notices the client has
crackles in the bases of the lungs shortness of breath and a respiratory rate of 24 bpm which of
the following actions should the nurse take
Answer: Maintain the client and high Fowlers position
110. A nurse is preparing to administer0.9% sodium chloride 250 mL IV to infuse over 30
minutes to a client the nurse just set the IV pump to deliver how many millilitres per hour
Answer: 500
111. A nurse is collecting data from an Infection and is taking Ciprofloxacin. The client reports
pain in her calf muscle which of the following statements should the nurse make
Answer: Discontinue the medication I will ask your provider for
112. A home health nurse is conducting a home inspection for a client who is it was for falls
which of the following instruction should the nurse provide for the client
Answer: Move the client’s bed to the main floor on the house
113. A nurse in an acute mental health facility is caring for an adolescent who is exhibiting
destructive behavior which of the following actions should the nurse take after applying physical
restraints to the client
Answer: Plan to remove the restraints as soon as the client is calm
114. A nurse is caring in the clients respirations and notes they are of average death rate is 24
bpm and the rhythm is regular which of the following alterations in the clients breathing pattern
should the nurse continue to monitor
Answer: Tachypnoea
115. A nurse manager is a system with the negotiation between to charge nurses were having a
conflict overstaffed not completing assignments which of the following actions should the nurse
manager take
Answer: Establish ground rules before beginning discussion between the charge nurses
116. A charge nurse in a long-term care On a nurse’s breath which of the following actions
should the nurse take first?
Answer: Call the supervisor to ask for another nurse
117. A nurse is caring for a client who is receiving instrument internal to feeding and he has
diarrhoea which of the following actions should the nurse take
Answer: Deliver a smaller amount of formula more frequently
118. A nurse is feeding a client who had a stroke resulting in left side of weakness which of the
following actions should the nurse take
Answer: Encourage the client to drink a small amount of liquids to clear his mouth of food
119. A nurse is caring for a client who is taking furosemide which of the following affects should
the nurse monitor
Answer: Hypokalaemia
120. A nurse is reinforcing teaching with a client who has a UTI which of the following
instruction should the nurse include in the teaching
Answer: Wear cotton underwear
121. A nurse is reinforcing dietary teaching with a client whose pre- pregnancy BMI was 30.5 the
nurse should recognize that the client understands the teaching when she states she should expect
to gain how many pounds during her pregnancy
Answer: 16 pounds
122. A nurse is caring for a client who is Diarrhoea Which of the following findings should the
nurse expect?
Answer: The test will show conduction patterns and different paths of cardiac electrical activity
123. A nurse is reinforcing teaching with a newly licensed nurse about performing a 12 lead ECG
which of the following statements about a newly licensed nurse indicates an understanding of the
teaching A nurse is reinforcing teaching with a parent of a newborn about home safety
percolation which of the following statements by the parent indicates an understanding of the
teaching
Answer: I will make sure that I can fit one finger between the mattress and the side of my
newborns crib
124. A nurse is collecting data from a client who is receiving IV therapy the nurse suspects fluid
infiltration which of the following findings should the nurse expect at the insertion site
Answer: Edema
125. A nurse is reinforcing teaching about foot care with a client who has diabetes mellitus which
of the following instruction should the nurse include in the teaching
Answer: Cut your toenails straight across
126. A nurse is caring for four clients which of the following situations require a signed consent
form
Answer: Giving a Haemophilus influenza B vaccine to an infant
127. A nurse is administering a client's medication The following actions should the nurse take
Answer: Verify the medication three times with the medication
128. A nurse is collecting data from a middle adult client who reports experiencing sexual
dysfunction the nurse should identify that which of the following medications the client states
can cause sexual dysfunction
Answer: Fluoxetine
129. A community health nurse is assisting with the development of a pamphlet regarding
choking hazards for toddlers which of the following foods should the nurse include
Answer: Grapes
130. A nurse is reinforcing teaching with a client who has Gerd and a prescription for ranitidine
which of the following statements by the client indicates an understanding of the teaching
Answer: I should take this medication in the morning and at bedtime
131. A nurse is reinforcing teaching with the parents of a newborn about me then which of the
following instructions should the nurse include in the teaching
Answer: Cleanse the eyes from the inner canthus outward
132. A nurse manager in a long-term Based practice with a group of staff nurses which of the
following activities should the nurse manager identify as an example of evidence-based practice
Answer: Staffing the unit based on client acuity and needs
133. A nurse is caring for a client who states I feel we have a good relationship and you will keep
my information confidential I want you to know I am planning to commit suicide today which of
the following responses should the nurse make
Answer: I can't keep a conversation like this to myself
134. A nurse is preparing to give change of shift report on a client who is today's postoperative
following total knee arthroscopy which of the following information about the client should the
nurse include in the report
Answer: Time of last pain medication
135. A nurse is assisting with the plan of care for an order of the client who has dementia and is
experiencing nocturnal confusion which of the following actions should the nurse take to
decrease the clients risk for injury
Answer: Activate bed alarm
136. A nurse is reinforcing teaching with a client who has a new diagnosis of COPD which of the
following statements by the client indicates an understanding of the teaching
Answer: I should practice pursed lip breathing exercises
137. A nurse is reinforcing teaching About testicular examination which of the following
statements by a client indicates an understanding of the teaching
Answer: I should expect one testicle to be larger than the other
138. A nurse is reinforcing teaching with a client who is in 16 weeks of gestation and has a
prescription for fear is Sophie to treat I am deficiency anaemia which of the following
recommendations should the nurse week to improve the absorption of the medication
Answer: Avoid drinking milk with the iron supplement
139. A nurse answers the room of a school age child and find some on the floor experiencing a
tonic clonic seizures which of the following actions should the nurse take
Answer: Place a pillow under the child's head
140. A nurse is implementing a bladder training program for a client who had a stroke which of
the following intervention should the nurse take
Answer: Check for residual urine after voiding
141. A nurse is collecting data from a client who is it risk for a pulmonary embolism following
surgery which of the following findings should the nurse monitor
Answer: Dyspnea
