NUR 445 EXAM 2025 ACTUAL EXAM
COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+/ARIZONA COLLEGE
OF NURSING
The client sustained a hot grease burn to the right hand and calls the emergency room for advice. Which
information should the nurse provide to the client?
A. Apply an ice pack to the right hand.
B. Place the hand in cool water.
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C. Be sure to rupture any blister formation.
D. Go immediately to the doctor's office - Correct Answer :ANS: B. Place the hand in cool water.
Rationale: Cool water gives immediate and striking relief from pain and limits local tissue edema and damage.
A child's arm is burned from accidentally spilling boiling water on it and the parent calls the clinic. The nearest ED
is an hour away. Which instructions would be appropriate to give the parent? (Select all that apply)
A. Apply antibiotic ointment to any open skin
B. Briefly soak the arm with cool water
C. Cover the area with a clean dry cloth
D. Place ice on the arm to relieve pain
E. Remove clothing if not stuck to skin around the burn - Correct Answer :ANS: B, C, E
A nurse is caring for a client who has a superficial partial thickness burn. Which of the following is an appropriate
action for the nurse to take?
A. Administer an IV infusion of 0.9% sodium chloride.
B. Apply cool, wet compresses to the affected area.
C. Clean the affected area using a soft-bristle brush.
D. Administer morphine sulfate. - Correct Answer :ANS: B. Apply cool, wet compresses to the affected area.
How is HIV transmitted? (Select all that apply)
A. Saliva
B. Breast milk
C. Semen
D. Urine
E. Blood
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F. Vaginal fluids
G. Sweat - Correct Answer :ANS: B, C, E, F
A patient with osteoporosis is prescribed the bisphosphonate alendronate (Fosamax). What should the nurse
include when teaching the patient about this medication? (select all that apply)
1) Take medication as directed with clear water only
2) Avoid lying down for 30-60 minutes after taking the drug
3) Consume no food or fluids for 30 minutes after taking the drug
4) Take calcium and vitamin D supplements as instructed by health care provider
5) Tingling around the mouth or numbness and tingling of the fingers or toes are expected effects - Correct
Answer :1, 2, 3, 4
The nurse is preparing teaching for a patient with mild osteoarthritis of the knees. Which medication treatments
should the nurse include in these instructions? (select all that apply)
1) opioids
2) NSAIDs
3) hormones
4) antibiotics
5) hyaluronic acid - Correct Answer :2, 5
The nurse is reviewing lab values for a patient with an acute attack of gout. Which lab value should the nurse
expect to be increased?
1) uric acid
2) creatinine
3) hematocrit
4) alkaline phosphatase - Correct Answer :1) uric acid
The nurse is preparing a teaching session for community members on osteoporosis and osteomalacia. What
should the nurse include as potential complication for both of these health problems?
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1) infection
2) fractures
3) blood clots
4) contractures - Correct Answer :2) fractures
Rationale:
Due to loss of bone masseur inadequate mineralization of bone matrix
During an assessment the nurse determines that a patient with knee pain is at risk for osteoarthritis. What did
the nurse assess in this patient?
1) having a history of falls
2) eating a diet high in calcium
3) walking 30 minutes each day
4) being overweight by 30 pounds - Correct Answer :4) being overweight by 30 pounds
Rationale:
Excessive weight contributes to the development of OA, especially in the hip and knee.
The nurse monitors vital signs and lab values for a patient recovering from a total knee replacement. For which
reason is the nurse implementing these actions?
1) prevent the progression of infection
2) teach patient importance of assessments
3) ensure adequate circulation to involved extremity
4) promote rapport between patient and healthcare providers - Correct Answer :3) teach patient the
importance of assessments
Rationale:
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