1. A client with chronic obstructive pulmonary disease (COPD) is prescribed oxygen therapy. Which assessment finding indicates a potential complication of oxygen therapy in this client?
A. Decreased respiratory rate
B. Increased oxygen saturation
C. Confusion and restlessness
D. Improved skin color
2. A nurse is caring for a client who is at risk for developing pressure ulcers. Which intervention is most important for the nurse to implement?
A. Reposition the client every 4 hours
B. Use a pressure-relieving mattress on the client’s bed
C. Apply lotion to the client’s skin to keep it moisturized
D. Encourage the client to sit in a chair for most of the day
3. A nurse is providing education to a client with diabetes about foot care. Which statement by the client indicates an understanding of proper foot care?
A. “I will soak my feet in warm water every day.”
B. “I will apply lotion between my toes after bathing.”
C. “I will inspect my feet daily for any cuts or blisters.”
D. “I will trim my toenails using scissors to keep them neat.”
4. A client with bipolar disorder is exhibiting signs of mania. Which nursing intervention is a priority during the acute phase?
A. Encouraging the client to engage in group therapy sessions
B. Administering an antipsychotic medication as prescribed
C. Allowing the client to make independent decisions about daily activities
D. Providing a quiet and structured environment to reduce stimuli
5. A client is receiving a continuous intravenous infusion of heparin. The nurse should monitor the client for which of the following adverse effects?
A. Hypertension
B. Bradycardia
C. Hematuria
D. Bleeding
6. A nurse is caring for a client who is receiving enteral feedings through a nasogastric tube. Which action is essential for the nurse to perform?
A. Elevate the head of the bed to at least 30 degrees during and after feedings
B. Flush the tube with 10 mL of air before and after administering medications
C. Change the enteral feeding bag and tubing every 24 hours
D. Administer medications through the tube without crushing or diluting them
7. A nurse is conducting a health screening at a community event. Which finding in a client’s history should prompt further assessment for potential cardiovascular risk?
A. Family history of diabetes
B. Sedentary lifestyle
C. Vegetarian diet
D. History of seasonal allergies
8. A client with post-traumatic stress disorder (PTSD) is experiencing a flashback. Which nursing intervention is most appropriate during this time?
A. Engaging the client in a discussion about the triggering event
B. Providing a quiet and safe environment for the client
C. Administering an anxiolytic medication as prescribed
D. Encouraging the client to engage in physical activity to distract from the flashback
9. A client is admitted with acute pancreatitis. Which dietary intervention is most appropriate for this client?
A. High-fat diet to prevent malnutrition
B. Low-protein diet to reduce pancreatic workload
C. NPO (nothing by mouth) status to rest the pancreas
D. Clear liquid diet to maintain hydration
10. A nurse is caring for a client with a history of seizures. Which action is most important for the nurse to take during a seizure episode?
A. Restrain the client to prevent injury
B. Place a padded tongue blade in the client’s mouth
C. Turn the client onto their side to maintain a clear airway
D. Administer a prescribed anticonvulsant medication immediately
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