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Question 1 of 5

An elderly client is admitted with an acute exacerbation of chronic obstructive pulmonary disease. Pulse oximetry is 84% on room air. The client is restless, has expiratory wheezing and a productive cough, and is using the accessory muscles to breathe. Which prescription should the nurse question?

Correct Answer: C

Rationale: Morphine (
C) can depress respiration in COPD, worsening hypoxia, and should be questioned. Albuterol (
A) relieves bronchospasm, methylprednisolone (
B) reduces inflammation, and oxygen (
D) addresses hypoxia, all appropriate for COPD exacerbation.

Question 2 of 5

An elderly client who experiences nighttime confusion wanders from his room into the room of another client. The nurse can best help decrease the client's confusion by:

Correct Answer: D

Rationale: A night light reduces confusion by improving visibility and orientation. Constant supervision is impractical, room-sharing may worsen confusion, and sedatives increase fall risk.

Question 3 of 5

A client complains of some discomfort after a below the knee amputation. Which action by the nurse is most appropriate initially?

Correct Answer: B

Rationale: Ensure that the stump is elevated the first day post-op. This priority intervention prevents pressure caused by pooling of blood, thus minimizing the pain. Without this measure, a firm elastic bandage, opioid narcotics, or guided imagery will have little effect. Opioid narcotics are given for severe pain.

Question 4 of 5

A charge nurse suspects that the unlicensed assistive personnel (UAP) is falsifying the documentation of clients' capillary glucose results rather than performing the test. What is the best action by the charge nurse to handle this situation?

Correct Answer: D

Rationale: Verifying the glucose result personally (
D) provides evidence of falsification. Asking a client (
A) is unreliable, a staff meeting (
B) is too general, and a warning (
C) is premature without proof.

Question 5 of 5

The nurse is assessing a client at 11 weeks gestation. The first day of the client's last menstrual period was September 7. Which of the following findings should the nurse expect to obtain?

Correct Answer: B,D,E

Rationale: At 11 weeks, increased urinary frequency (
B) is expected due to hormonal changes. The Naegele rule (LMP + 1 year - 3 months + 7 days) gives June 14 (
D). Fetal heart tones are detectable by Doppler (E). Fetal movement (
A) is felt later (16-20 weeks), and fundal height of 24 cm (
C) occurs around 24 weeks.

Similar Questions

An 81-year-old client is admitted to a rehabilitation facility 3 days after total hip replacement. The next morning, the unlicensed assistive personnel (UAP) takes the client's vital signs, but when the UAP returns to assist the client with a shower, the client curses at and tries to hit the UAP. Which is the most appropriate response by the practical nurse?
The nurse is assessing a young child at a clinic visit for a mild respiratory infection. Koplik spots are noted on the oral mucous membranes. The nurse should then assess which area of the body?
The nurse is teaching a client with dysrhythmia about the electrical pathway of an impulse as it travels through the heart. Which of these describes the normal pathway?
A client receiving end-of-life care is no longer able to make decisions. The client's appointed medical power of attorney (MPOA) is considering placement of a percutaneous enterogastric feeding tube. The MPOA asks the nurse, 'What would you do if this was your family member?' How should the nurse respond?
The nurse is providing home care to an elderly woman who had a cerebrovascular accident several weeks ago. All of the following need to be done. Which should the nurse plan to do first?

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