Newest Actual Exam Complete 420 Questions With Correct
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1. A nurse has delegated care to an assistive personnel. At the end of the shift,
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the Ap asks the nurse to enter data for her because the AP has forgotten
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m her password and needs to leave. Which of the following actions should the
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nursetake?
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…Ans>> Tell the AP to contact the IT department for charting assistance.
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2. A nurse is reinforcing teaching about car seat safety to the parents
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m ofa newborn. The nurse should instruct the parents to place the car
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m seat ina.... m m
…Ans>> Rear-facing position in the back seat.
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3. A nurse is preparing a client for surgery. The client tells the nurse that
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1 m/ m35
,m he is concerned about the safety of a large sum of money in his wallet.
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m Which of the following actions is appropriate for the nurse to take?
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…Ans>> contact securitypersonnel to place the money in the facility safe.
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4. A nurse is caring for a toddler who is admitted to the pediatric unit and
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is 2 hr postoperative following a tonsillectomy. Which of the following
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m findings isa sign on hemorrhage?
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…Ans>> Frequent Swallowing mm m
5. A nurse is reinforcing discharge teaching with an older adult client's
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family about safety precautions when administering a tap water enema to
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the client.Which of the following should the nurse include?
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…Ans>> Instruct the client to bear downduring rectal tube insertion.
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6. A nurse is caring for a client. Which of the following client statements should
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the nurse attend first?
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…Ans>> "My heartburn pain is going into my jaw now"
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7. A nurse is caring for a client who is 3 days postoperative following
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abdom-inal surgery and has a Penrose drain. Which of the following
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m actions should the nurse take?
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…Ans>> Leave the drain insertion site open to air
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2 m/ m35
,8. A nurse is reinforcing with a client who is about to undergo an upper
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m gastrointestinal series with fluoroscopy. Which of the following
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m information should the nurse provide? m m m m
…Ans>> "You will have to drink a contrast medium before thetest."
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9. A nurse is reviewing the medical record of a client who has
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sustaineda full-thickness burn and is in the emergent phase of burn.
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m Which of thefollowing findings should the nurse expect?
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…Ans>> Hypernatremia mm
10. A nurse is planing to administer an ophthalmic medication to a
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m client. Which of the following actions would minimize systemic
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m absorption of themedication? m m m
…Ans>> Wait 5 mins after instillation before instilling the drops in the othereye
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11. A nurse is preparing morning medication for a client who has
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potassium level of 3.2 mEq/L. For which of the following medications
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m should the nursewithhold administration and notify the provider?
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…Ans>> Furosemide mm
3 m/ m35
, 12. A nurse is collecting data from a client who has preeclampsia and is receiv-
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ing magnesium sulfate via a continuous IV infusion. Which of the
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m following findings should the nurse report to the provider?
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…Ans>> Facial flushing mm m
13. A nurse in a provider'a office is collecting data from a client who was
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m discharged from the hospital 7 days ago following treatment from deep-
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vein thrombosis. Which of the following findings is the nurse's priority?
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…Ans>> The clienttakes ibuprofen to treat musculosketal pain.
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14. A nurse in an urgent care clinic is collecting data from a client who
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m reports having diarrhea for the past 3 days. Which of the following
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m findings indicateshypokalemia?m m
…Ans>> Muscle weakness mm m
15. A nurse is participating in a performance improvement process to de-
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m crease the rate of health care-associated infections within the facility. The
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m nurse should recognize that which of the following is an appropriate
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m perfor- mance improvement outcome indicator?
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…Ans>> Client data indicates a decreased rateof infection
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16. A nurse is establishing a baseline postoperative assessment for a client
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who is recovering from a right femoropopliteal bypass graft. Which of
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4 m/ m35