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Question 1 of 5

A recovering alcoholic asked the nurse, 'Will it be ok for me to just drink at special family gatherings?' Which initial response by the nurse would be best?

Correct Answer: D

Rationale: A recovering person cannot return to drinking without starting the addiction process over.
Total abstinence is required to maintain recovery.

Question 2 of 5

The nurse is caring for a client with polycythemia vera. Which of the following actions should the nurse take? Select all that apply.

Correct Answer: A, B, C

Rationale: Increased fluids (
A), phlebotomy (
B), and aspirin (
C) manage polycythemia vera by reducing blood viscosity and clotting risk. Leg elevation (
D) is irrelevant, and iron supplementation (E) worsens the condition.

Question 3 of 5

The clinic nurse is reinforcing teaching to a client about the advance directive form that needs to be completed. Which statement indicates that the client understands the information?

Correct Answer: A

Rationale: Giving a copy to the health care proxy (
A) ensures the advance directive is communicated. Doctor approval (
B), refrigerator posting (
C), and nurse witnessing (
D) are incorrect or unnecessary.

Question 4 of 5

The nurse administers the prescribed dose of hydromorphone 2 mg to a client who had knee replacement surgery 2 days ago. Which assessment finding is most concerning to the nurse?

Correct Answer: A

Rationale: Falling asleep mid-conversation (
A) may indicate opioid-induced respiratory depression, a life-threatening concern. Constipation (
B), emesis (
C), and pruritus (
D) are less urgent side effects.

Question 5 of 5

The nurse is assisting with care of a client with blunt head injury admitted for observation, including hourly neurologic checks. At 1:00 AM, the client reports a headache; the neurologic check is normal, and the nurse administers acetaminophen prn. At 2:00 AM, the client appears to be sleeping. What action does the nurse anticipate taking?

Correct Answer: A

Rationale: Hourly neurologic checks require arousing the client to assess orientation (
A). Checking paresthesia (
B), assuming relief (
C), or only verifying respiratory rate (
D) do not meet monitoring requirements.

Similar Questions

A 13-month-old child is admitted to the pediatric unit with diarrhea and vomiting. The mother tells the nurse that she is worried because her son does not yet walk. She says her other children walked at eight and nine months and asks what could be wrong with this child. How should the nurse respond?
A client diagnosed with cirrhosis is experiencing pruritus. Which strategies are appropriate for the nurse to teach the client to promote comfort and skin integrity? Select all that apply.
The nurse is reinforcing teaching for a client with bipolar disorder who has a new prescription for lithium. Which of the following statements by the client would require follow-up?
A client who is being evaluated for suspected ectopic pregnancy reports sudden-onset, severe, right lower abdominal pain and dizziness. Which of the following additional assessment findings will the nurse anticipate if the client is experiencing a ruptured ectopic pregnancy? Select all that apply.
The nurse reinforces education to the parent of a child who was diagnosed with attention-deficit hyperactivity disorder and received a prescription of methylphenidate. Which statement by the parent best demonstrates that teaching has been effective?

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