A client calls the nurse with a complaint of sudde

Question 1 of 5

A client calls the nurse with a complaint of sudden deep throbbing leg pain. What is the appropriate first action by the nurse?

A. Suggest isometric exercises B. Maintain the client on bed rest C. Ambulate for several minutes D. Apply ice to the extremity

Correct Answer: B

Rationale: Maintaining bed rest is the first action for sudden deep leg pain, suggesting DVT. Rest prevents embolism, per vascular nursing. Exercises or ambulation risk dislodging a clot, ice is secondary. B prioritizes safety.

Question 2 of 5

A 24 year-old male is admitted with a diagnosis of testicular cancer. The nurse would expect the client to have

A. scrotal discoloration B. sustained painful erection C. inability to achieve erection D. heaviness in the affected testicle

Correct Answer: D

Rationale: Heaviness in the affected testicle is expected in testicular cancer. A painless mass causing a heavy sensation is typical, per oncology nursing. Discoloration , priapism , or impotence are less common. D guides assessment focus.

Question 3 of 5

The nurse is performing a physical assessment on a client who just had an endotracheal tube (ET) inserted. Which finding would call for immediate action by the nurse?

A. Breath sounds can be heard bilaterally B. Mist is visible in the face C. Pulse is visible in the face D. Client is unable to speak

Correct Answer: D

Rationale: Client unable to speak is expected with an ET tube and doesn't require immediate action; however, if misinterpreted, bilateral breath sounds missing would. The question likely intends a critical finding assume typo. A (if absent) would prompt action, per airway standards, but as written, D is normal.

Question 4 of 5

The nurse is to administer a new medication to a client. Which of these actions best demonstrate awareness of safe, proficient nursing practice?

A. Verify the order for the medication. Prior to giving the medication the nurse should say, 'Please state your name.' B. Upon entering the room the nurse should ask: 'What is your name? What allergies do you have?' and then check the client's name band and allergy band. C. As the room is entered say 'What is your name?' then check the client's name band. D. Verify the client's allergies on the admission sheet and order. Verify the client's name on the nameplate outside the room then as the nurse enters the room ask the client 'What is your first, middle and last name?'

Correct Answer: B

Rationale: Asking name and allergies then checking bands best demonstrates safe practice. It confirms identity and allergies at the bedside, per medication safety standards. A lacks allergy check, C misses allergies, D is overly complex. B ensures accuracy.

Question 5 of 5

A client arrives in the emergency department after a radiologic accident at a local factory. The first action of the nurse would be to

A. begin decontamination procedures for the client B. ensure physiologic stability of the client C. wrap the client in blankets to minimize staff contamination D. double bag the client's contaminated clothing

Correct Answer: B

Rationale: ABCs (airway, breathing, circulation) take priority to stabilize the client before decontamination.

A client calls the nurse with a complaint of sudden deep throbbing leg pain. What is the appropriate first action by the nurse?

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