Form B LATEST UPDATED EXAM WITH
QUESTIONS AND VERIFIED ANSWERS
ALREADY GRADED A
A nurse is teaching a client who is scheduled for placement of a peripherally inserted central catheter
(PICC) line. Which of the following information should the nurse include in the teaching?
A. Your PICC line will allow long-term access for antibiotic therapy
B. You should use a 5-milliliter barrel syringe to flush your PICC line at home
C. Your PICC line must be placed in your nondominant arm
D. You should immobilize the arm with the PICC line using a sling - ANSWER>>Your PICC line will allow
long-term access for antibiotic therapy
A nurse in a mental health clinic is observing clients in the day room. The nurse sits down to talk with an
adolescent client who was admitted with clinical depression. After a few minutes of conversation, the
adolescent asks the nurse, "Why did you choose to talk to me out of this room full of kids?" Which of the
following responses by the nurse is therapeutic?
A. You looked like you would be the most likely to talk back with me
B. Let's go see what activities are going on outside
C. Why shouldn't I talk to you? You looked lonely
D. You're curious why I am interested in you and not the others? - ANSWER>>You're curious why I am
interested in you and not the others?
An occupational health nurse at a group of health care clinics is planning activities to prevent and control
the spread of communicable disease. The nurse should identify that which of the following activities is a
secondary level of prevention?
A. Influenzas immunizations
B. Tuberculosis screenings
C. Presentations about safer sex practices
D. Evaluations of bloodborne pathogen policies - ANSWER>>B. Tuberculosis screenings
A nurse is caring for a client who is postoperative following a bowel surgery and has an NG tube
connected to low intermittent suction. Which of the following assessment findings should indicate to the
nurse that the NG tube might not be functioning properly?
A. Wall suction set to 60 mmHg
B. Drainage fluid is greenish-yellow
C. Aspirate pH of 3
D. Abdominal rigidity - ANSWER>>D. Abdominal rigidity
A nurse is caring for a 7-year-old child who has severe dehydration. Which of the following findings
should the nurse expect?
A. Blood pressure 94/68 mmHg
B. Urinary output 30 mL/hr
C. Respiratory rate 24/min
,D. Heart rate 152/min - ANSWER>>D. Heart rate 152/min
A client who is having suicidal thoughts tells the nurse, "It just does not seem worth it. Why not end my
misery?" Which of the following responses by the nurse is appropriate?
A. Why do you think your like is not worth it anymore?
B. You can trust me and tell me what you are thinking?
C. I need to know what you mean by misery?
D. Do you have to plan to end your life? - ANSWER>>D. Do you have to plan to end your life?
A nurse is caring for a client who has schizophrenia. Which of the following findings is the nurse's priority?
A. The client asks other clients on the unit for help with bathing and getting dressed
B. The client refuses to take prescribed oral risperidone
C. The client reports hearing voices
D. The client's thoughts jump rapidly from one idea to the next when speaking - ANSWER>>C. The client
reports hearing voices
. A nurse is reviewing the medical history of a client who is taking a garlic supplement. The nurse should
identify that which of the following findings is a contraindication for taking this supplement?
A. The client is taking an antidepressant
B. The client has a history of a seizure disorder
C. The client takes aspirin daily
D. The client has a history of rheumatoid arthritis - ANSWER>>C. The client takes aspirin daily
A nurse is planning discharge teaching for a client who is scheduled to receive intravenous infusions at
home. Which of the following instructions should the nurse plan to include?
A. Plug the infusion pump in an outlet next to the bathroom
B. Pull the cord when unplugging the infusion pump
C. Clean the infusion pump when it is turned on
D. Place the infusion pump cord against the baseboards - ANSWER>>D. Place the infusion pump cord
against the baseboards
A nurse plans to ambulate a client on the third day after cardiac surgery. Which of the following
interventions should the nurse take so that the client will best tolerate ambulation?
A. Provide the client with a water
B. Premedicate the client with the prescribed analgesic
C. Obtain the client's vital signs and oximetry prior to ambulation
D. Reinforce the client's surgical dressing - ANSWER>>Premedicate the client with the prescribed
analgesic
A nurse is planning the discharge of an infant who has tetralogy of Fallot. The nurse anticipates the need
for which of the following equipment?
A. Portable suction
B. Cervical collar
C. Hemodialyzer
D. Pulse oximeter - ANSWER>>D. Pulse oximeter
A nurse is caring for a client who has been taking propranolol. Which of the following findings indicates a
need to withhold the medication?
A. Blood pressure 156/90 mm Hg
, B. Pulse 54/min
C. Potassium 5.2 mEq/L
D. Sodium 130 mEq/L - ANSWER>>B. Pulse 54/min
A nurse is caring for a client who is receiving total parenteral nutrition. Which of the following findings
requires immediate intervention by the nurse?
A. Blood glucose level of 120 mg/dL
B. Serum sodium 138 mEq/L
C. Oral temperature of 37.6C
D. Weight increase of 2 kg in the past 24 hours - ANSWER>>Weight increase of 2 kg in the past 24 hours
. A nurse is assessing a client who has a fentanyl patch in place for chronic pain. Which of the following
findings should the nurse report to the provider?
A. No bowel movement for 3 days
B. Report of dry mouth
C. Respiratory rate 14/min
D. Potassium level 4.8 mEq/L - ANSWER>>A. No bowel movement for 3 days
A nurse is providing teaching to a client who has osteoporosis and a new prescription for alendronate.
Which of the following statements by the client indicates an understanding of the teaching?
A. "I will take this medication within 15 minutes of eating."
B. "I will take this medication at bedtime."
C. "I will take this medication with 8 ounces of water."
D. "I will increase my caffeine intake while taking this medication. - ANSWER>>"I will take this medication
with 8 ounces of water."
A nurse is caring for a client who experienced a stroke and has dysphagia. Which of the following findings
should indicate to the nurse the client is at risk for aspiration?
A. The client tucks his chin while swallowing food
B. The client sits upright in bed during meals
C. The client pockets food on one side of his mouth
D. The client has a cough reflex - ANSWER>>The client pockets food on one side of his mouth
A nurse is caring for a group of clients. Which of the following clients should the nurse assign to an
assistive personnel?
A. A client who has chronic obstructive pulmonary disease and needs guidance on incentive spirometry
B. A client who had a myocardial infarction 3 days ago and reports chest pain
C. A client who had a stroke 2 days ago and needs help toileting
D. A client who has awoken following a bronchoscopy and requests a drink - ANSWER>>A client who
had a stroke 2 days ago and needs help toileting
A nurse is caring for a client who is receiving continuous enteral feedings and reports diarrhea. Which of
the following actions should the nurse take?
A. Discard opened cans of formula after 24 hrs
B. Replace the extension tubing every 48 hrs
C. Irrigate the tubing every 12 hr with 50 mL of warm water
D. Increase the infusion rate - ANSWER>>Discard opened cans of formula after 24 hrs