2024 NEWEST ACTUAL EXAM ALL
QUESTIONS AND CORRECT
ANSWERS|ALREADY GRADED A+
a charge nurse is monitoring the documentation of the medication by a Newley licensed
nurse. The charge nurse should intervene if the Newley licensed nurse uses which of
the following - ANSWERSS for sliding scale or MS for magnesium sulfate
A home health nurse is performing a follow-up visit for a client who has a gastrostomy
tube through which they receive intermittent feedings and medications. The client has
recently developed diarrhea. Which of the following findings should the nurse identify as
a possible
cause of the diarrhea? - ANSWERThe client's care giver washed out the
feeding bag once every 24 hours with warm
water
A nurse is assessing an older adult client for fall risk. Which of the following should the
nurse use to identify the clients safety needs - ANSWERpupil clarity
visual fields
visual activity
a nurse is caring for a client who has restraints to each extremity. Which of the following
assessments should the nurse perform first? - ANSWERcomfort level
a nurse is caring for a client who has TB. Which of the following precautions should the
nurse plan to implement ? - ANSWERAirborne (N95)
A nurse is initiating a protective environment for a client who has had an allogeneic
stem cell transplant. Which of the following precautions should the nurse plan for this
client? - ANSWERmake sure the client wears a mask outside of her room if there is
construction in the area
A nurse is performing a home safety assessment for a client who is receiving
supplemental oxygen. Which of the following observations should the nurse identify as
proper safety protocol? - ANSWERThe client uses no acetone nail polish remover.
, A nurse is providing care for a client who is to undergo a total laryngectomy. Which of
the following interventions is the nurses priority? - ANSWERFor the client explain the
techniques of esophageal speech
A nurse is reaching a client and his family how to care for the client's tracheostomy at
home. Which of the following should the nurse include in the teaching? - ANSWERUse
tracheostomy covers when outdoors
A nurse is reviewing protocol in preparation for suctioning secretions from a client who
has a new tracheostomy. Which of the following actions should the nurse plan to take? -
ANSWERselect a suction catheter that is half the size of the lumen
A pt has MRSA - ANSWERplace the client in a private room
advance directives - ANSWERA legal document designed to indicate a person's wishes
regarding care in case of a terminal illness or during the dying process
advocacy ensures - ANSWERclients health safety and rights
Airborne precautions protective equip - ANSWERprivate room, neg pressure with 6-12
air exchanges/hr mask & respirator N95 for TB
Alarm Reaction Stage - ANSWERdilated pupils
ALT level checked - ANSWERwill indicate liver function
always priority - ANSWERanything that has to do with ABC's
AP can.. - ANSWERdo a simple dressing change
before giving oral med - ANSWERgently shake it
before IV pyelogram - ANSWERensure the pt is free of metal objects
best for osteoporosis - ANSWERwalking
blood pressure - ANSWERrecord the diastolic as the last sound heard
bruit sound - ANSWERnarrowed arterial lumen
BUN levels - ANSWER10-20
C diff precautions - ANSWERhave family where gloves and gown
cane teaching - ANSWERcane forward before taking a step