Question 1: A nurse is educating a client about managing hypertension. Which statement indicates the need for further teaching?
Rationale: Clients should not stop antihypertensive medications even if their blood pressure normalizes without consulting their healthcare provider.
Question 2: Which nursing intervention is most effective in reducing the risk of deep vein thrombosis (DVT) in a postoperative client?
Rationale: Early ambulation is the most effective intervention to promote circulation and reduce the risk of DVT.
Question 3: A client with chronic obstructive pulmonary disease (COPD) is experiencing increased shortness of breath. What is the nurse’s priority action?
Rationale: Administering a prescribed bronchodilator helps relieve airway obstruction, which is critical for clients with COPD experiencing shortness of breath.
Question 4: A nurse is monitoring a client with diabetes for signs of hypoglycemia. Which symptom is an early indicator of hypoglycemia?
Rationale: Tremors are an early symptom of hypoglycemia due to the body’s attempt to release stored glucose.
Question 5: Which lab value indicates a client is at risk for bleeding?
Rationale: Platelet counts below 150,000/mm³ indicate thrombocytopenia, increasing the client’s risk for bleeding.
