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Question 1 of 5

A pregnant client with a history of alcohol addiction is scheduled for a nonstress test. The nonstress test:

Correct Answer: B

Rationale: A nonstress test measures fetal heart rate in response to fetal movement, assessing fetal activity and well-being.

Question 2 of 5

If a client is to have a nasogastric (NG) tube inserted for intermittent feedings, which of the following is an appropriate task to delegate to unlicensed assistive personnel?

Correct Answer: C

Rationale: Administering tube feedings (
C) can be delegated to unlicensed assistive personnel if trained, per facility policy. Inserting (
A), verifying (
B), and repositioning (
D) require nursing judgment.

Question 3 of 5

A client has been on prolonged bedrest following surgery. The nurse notes that the patient has pain in the right calf on palpation with dorsiflexion of the ankle. Which of the following causes does the nurse suspect?

Correct Answer: D

Rationale: Calf pain with dorsiflexion (Homan's sign) suggests deep vein thrombosis (
D), common after prolonged bedrest. Arthritis (
A), muscle strain (
B), and compartment syndrome (
C) present differently.

Question 4 of 5

The nurse is caring for an elderly client who presents to the ED with poor appetite, confusion, and weakness. Lab work is ordered for the client. The nurse should immediately notify the health care provider for which lab result?

Correct Answer: C

Rationale: Severe hyponatremia (sodium 118 mEq/L) can cause confusion and weakness and requires immediate provider notification. Other values are within normal ranges.

Question 5 of 5

The nurse is teaching a client with a new diagnosis of epilepsy about self-care. Which of the following instructions should the nurse include?

Correct Answer: A

Rationale: avoiding swimming or bathing alone reduces the risk of injury during a seizure

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