Question 1

A nurse is planning to assist a client who has dysphagia with several oral medications. Which of the following actions should the nurse plan to take? (Select all that apply.)

• A. Check the client’s gag reflex prior to administering medications.

• B. Position the client at a 90∘ angle.

• C. Encourage the client to self-administer the medications.

• D. Administer the medications with a straw.

• E. Place the medication on the back of the client’s tongue.

Question 2

A nurse is reviewing the medical record of a client. Which of the following findings should the nurse identify as a risk factor for a potential complication?

    A. Opioid use, placing the client at risk for constipation

• B. NPO status, placing the client at risk for hyperkalemia

• C. Ambulation, placing the client at risk for pressure injury

• D. Hydration, placing the client at risk for dehydration

Question 4

A nurse is inspecting a client’s abdomen using the correct sequence of assessment techniques. Which of the following should the nurse perform next after inspection?

• A. Palpate the abdomen for tenderness.

• B. Percuss the abdomen for tympany.

• C. Auscultate the abdomen with a stethoscope.

• D. Measure abdominal girth with a tape measure.

Question 7

A nurse is assisting with the admission of a client who has streptococcal pharyngitis. Which of the following precautions should the nurse take?

• A. Wear a surgical mask when giving the client direct care.

• B. Wear an N95 respirator when entering the room.

• C. Place the client in a negative-pressure room.

• D. Wear a gown and gloves only, without a mask.

Question 8

A nurse is documenting a client’s bowel sounds and hears loud, growling sounds. Which of the following terms should the nurse use for documentation?

• A. Borborygmi

• B. Bruit

• C. Tympany

• D. Peristalsis