A nurse is admitting a client who has decreased circulation in his left leg. Which of the following actions 

should the nurse take first?

A) Evaluate pedal pulses

B) Obtain a medical history

C) Measure vital signs

D) Assess for leg pain

A) Evaluate pedal pulses

A nurse is preparing to perform postural drainage for a client. Which of the following actions should the 

nurse take?

A) Given the client a bronchodilator immediately after the procedure

B) Position the client for drainage of secretions by gravity

C) Schedule postural drainage following meals

D) Instruct the client regarding the importance of fluid restrictions

B) Position the client for drainage of secretions by gravity

A school nurse is assessing a child who has been stung by a bee. The child's hand is swelling and the 

nurse notes that the child is allergic to insect stings. Which of the following findings should the nurse 

expect if the child develops anaphylaxis? (SATA)

A) Bradycardia

B) Nausea

C) Hypertension

D) Urticaria

E) Stridor

B) Nausea

D) Urticaria

E) Stridor

A nurse is caring for a client who is unconscious. Which of the following actions should the nurse take 

when providing oral care for the client?

A) Test for the presence of the clients gag reflex

B) Place the client in the supine position

C) Use a firm toothbrush for tooth and gum care

D) Use 2 gauze-wrapped fingers to hold the mouth open

A) Test for the presence of the clients gag reflex

A nurse is planning care for a client who has acute myelogenous leukemia and a platelet count of 

48,000/mm^3. Which of the follow interventions should the nurse include?

A) Avoid IM injections

B) Assess the client for ecchymosis once per shift

C) Do not allow the client to have visitors

D) Encourage daily flossing between teeth

A) Avoid IM injection

A nurse is preparing to assess the function of the clients trigeminal nerve (cranial nerve V). Which of the 

following items should the nurse gather for the test?

A) Sugar

B) Coffee

C) Cotton wisps

D) Snellen chart

C) Cotton wisps

A nurse is caring for a client with alcohol use disorder who has undergone detoxification. Which of the 

following medications should the nurse expect the provider to prescribe to assist the client with 

maintaining sobriety

A) Varenicline

B) Clonidine

C) Buprenorphine

D) Disulfiram

D) Disulfiram