1. A client is prescribed warfarin (Coumadin) for deep vein thrombosis. The nurse should instruct the client to avoid which food due to its interference with the medication?
A. Leafy green vegetables
B. Lean meats
C. Dairy products
D. Citrus fruits
2. A nurse is caring for a client with a nasogastric tube. Which action is essential for the nurse to perform to verify the placement of the tube before each feeding or medication administration?
A. Auscultate over the epigastrium while injecting air into the tube
B. Measure the pH of gastric aspirate
C. Observe for carbon dioxide (CO2) return when aspirating gastric contents
D. Check the tube placement with a chest X-ray every 24 hours
3. A nurse is teaching a group of new parents about infant safety. Which information is most important for the nurse to include in the teaching session?
A. The importance of using a rear-facing car seat for infants
B. How to properly warm a baby’s bottle in the microwave
C. The need to place soft bedding in the crib to keep the baby comfortable
D. The benefits of placing the baby on their stomach to sleep
4. A client with schizophrenia is experiencing command hallucinations instructing self-harm. Which nursing intervention is the priority?
A. Encouraging the client to talk about the hallucinations
B. Placing the client in seclusion to prevent self-harm
C. Administering an antipsychotic medication as prescribed
D. Developing a safety plan with the client to prevent self-harm
5. A client is prescribed enoxaparin (Lovenox) for deep vein thrombosis prophylaxis. The nurse should monitor the client for which of the following adverse effects?
A. Hypertension
B. Hyperkalemia
C. Thrombocytopenia
D. Bradycardia
6. A nurse is preparing to administer medications to a client through a nasogastric tube. Which action is most important for the nurse to take before administering the medications?
A. Confirming the placement of the tube with a chest X-ray
B. Flushing the tube with 30 mL of water
C. Checking for residual volume in the stomach
D. Positioning the client in a supine position
7. A nurse is conducting a smoking cessation class. Which intervention is most effective in helping clients quit smoking?
A. Encouraging the use of nicotine replacement therapy
B. Providing information on the health risks of smoking
C. Implementing a reward system for clients who quit smoking
D. Teaching relaxation techniques to manage stress and cravings
8. A client with major depressive disorder is prescribed sertraline (Zoloft). The nurse should instruct the client to monitor for which potential side effect?
A. Weight gain
B. Insomnia
C. Hypotension
D. Sexual dysfunction
9. A client is admitted with a suspected myocardial infarction. Which assessment finding should the nurse prioritize?
A. Blood pressure
B. Pain level
C. Oxygen saturation
D. Cardiac enzymes
10. A nurse is caring for a client with a tracheostomy. Which action is most important for the nurse to take to prevent infection?
A. Providing frequent oral care to the client
B. Suctioning the tracheostomy tube every 2 hours
C. Changing the tracheostomy ties once a week
D. Using sterile technique during tracheostomy care