Latest Update 2025-2026 Actual Exam 160
Questions with 100% Verified Correct Answers
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.What should the nurse do to keep the chest tubes from becoming occluded?
1. Irrigate tubes as needed
2. Prevent dependent loops
3. Loop the tube over the bed rail
4. Milk the tube frequently - CORRECT ANSWER: 2. Prevent dependent loops
10.The nurse is assessing a client diagnosed with glomerulonephritis. Which of the
following findings is consistent with this disorder?
1.Brown urine
2.Hip pain
3.Hypotension
4.Bradycardia - CORRECT ANSWER: 1.Brown urine
5. The nurse is documenting care provided to a patient with left-sided flaccidity caused
by a stroke. Which term should the nurse use to document this patients motor status?
1. Ipsilateral paraplegia
2. Ipsilateral hemiparesis
3. Contralateral hemiplegia
4. Contralateral quadriparesis - CORRECT ANSWER: 3. Contralateral hemiplegia
,A 27-year-old female presents with a chief complaint of burning and pain on urination.
She has no previous history of urinary tract infection (UTI). What are some additional
symptoms consistent with a diagnosis of lower UTI?
a. Back and abdominal pain
b. Fever, chills, costovertebral angle (CVA) tenderness
c. Blood in urine and frequency
d. Foul-smelling discharge, perineal itch - CORRECT ANSWER: c. Blood in urine and
frequency
A 30-year-old patient presents with pain on urination. The urine microscopy of unspun
urine shows greater than 10 leukocytes/mL, and a dipstick is positive for nitrites. What is
the probable diagnosis?
a. Lower urinary tract infection
b. Chlamydia infection
c. Candidiasis
d. Pyelonephritis - CORRECT ANSWER: a. Lower urinary tract infection
A 34-year-old patient was treated for a UTI and has not responded to antibiotic therapy.
Which of the following actions should be taken next?
a. Send a urine specimen for microscopy and evaluate for fungal colonies.
b. Increase the dose of antibiotic.
c. Order a cytoscopy.
d. Order a different antibiotic. - CORRECT ANSWER: a. Send a urine specimen for
microscopy and evaluate for fungal colonies.
A 42-year-old woman is seen in the clinic with fever, chills, vomiting, and severe dysuria.
She is diagnosed with acute pyelonephritis. How should this patient be managed?
,a. 3-day course of oral antibiotics
b. Hospitalization
c. Encourage cranberry juice intake.
d. 6-week course of antibiotics - CORRECT ANSWER: b. Hospitalization
A 60-year-old man was admitted for cholecystitis that resulted in a cholecystectomy. On
his third day of hospitalization, he begins to sweat profusely, tremble, and has a blood
pressure of 160/100. Based on these findings, what focused assessment should the
nurse complete?
1. Cardiac problems
2. Respiratory problems
3. Withdrawal problems
4. Circulatory problems - CORRECT ANSWER: 3. Withdrawal problems
A 78-year-old man is diagnosed with Stage D bladder cancer and asks the provider
what that means. Which is the best response?
a. "There is no such thing as Stage D cancer."
b. "You have cancer that has spread to the surrounding tissue."
c. "Your cancer has spread to other organs."
d. "Your cancer can be cured by removing your bladder." - CORRECT ANSWER: c.
"Your cancer has spread to other organs."
A child care worker complains of flu-like symptoms. On further assessment, hepatitis is
suspected. The nurse realizes that this individual is at risk for which type of hepatitis?
1.Hepatitis A
, 2.Hepatitis B
3.Hepatitis C
4.Hepatitis D - CORRECT ANSWER: 1.Hepatitis A
A client asks the nurse if he needs to alter any of his activities because he is taking
lithium carbonate. Which of the following responses would be most appropriate?
1. Increase your salt intake if an activity causes you to perspire heavily.
2. Wear sunscreen when you are going to be outdoors in the summer time.
3. Drink less fluid than usual now because you are taking this drug.
4. No changes are necessary for strenuous activities you do outdoors. - CORRECT
ANSWER: 1. Increase your salt intake if an activity causes you to perspire heavily.
A client comes to the emergency department because he thinks he is having a heart
attack. Further assessment determines that the client is not having a heart attack but is
having a panic attack. When beginning to interview the client, which question would be
most appropriate for the nurse to use?
1. Are you feeling much better now that you are lying down?
2. What did you experience just before and during the attack?
3. Do you think you will be able to drive home?
4. What do you think caused you to feel this way? - CORRECT ANSWER: 2. What did
you experience just before and during the attack?
A client complains of acute gastrointestinal distress. While obtaining a health history, the
nurse asks about the family history. Which disorder has a familial basis?
1.Hepatitis
2.Ulcerative colitis