Read each question carefully. There is only one correct answ…

Read each question carefully. There is only one correct answer unless the stem of the question includes directions that state otherwise. There are 50 items on the exam. You have 75 minutes to complete the exam. There is no backtracking to complete a skipped question or to change an answer. When you finish the test, click submit.

The nurse is caring for a client with heart failure on a 150…

The nurse is caring for a client with heart failure on a 1500 mL fluid restriction per 24 hours. At the end of the day shift, the nurse reviews the intake record:08:00: Coffee – 8 oz09:00: Orange juice – 4 oz12:00: Soup – 12 oz14:00: Water – 6 oz16:00: Gelatin – 4 oz17:00: Tea – 4 ozAt 20:00 the client asks for a cup of hot tea (8 oz).  The client has not had any additional fluid since dayshift.Can the nurse give the tea without exceeding the fluid restriction?  Put 1 for yes or put 2 for no.

An client has a diagnosis of Diabetes Type II. The client fo…

An client has a diagnosis of Diabetes Type II. The client follows a diabetic diet plan, exercises regularly, and is compliant with medications. The client has a past history of a left foot pressure ulcer, wears glasses, and has bilateral hearing aids. There has been some lost teeth leading to difficulty eating meat and raw vegetables. The nurse is teaching the client about the importance of regular physical examinations. Which examination should the nurse emphasize as a priority for the client to obtain?