JBL TEST FINAL EXAM 2025 ACTUAL EXAM COMPLETE EXAM
QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+
A pt presses the call bell and requests pain medication for a severe headache. To
assess the quality of the pt. Pain, which approach should the nurse use? -
ANSWER Ask the patient to describe the pain
The nurse is wearing personal protective equipment while caring for a pt. When
exiting the room, which PPE should be removed first? - ANSWER Gloves
An older pt is brought to the ED with a sudden onset of confusion that occurred
after experiencing a fall at home. The daughter, who has power of attorney, has
brought the client's prescriptions. Which information should the nurse provide
first when reporting to the healthcare provider using SBAR communication? -
ANSWER Increasing confusion of the pt.
A pt tells the nurse about working out with a personal trainer and swimming three
times a week in an effort to lose weight and sleep better. The pt states that it still
is taking hours to fall asleep at night. Which action should the nurse implement? -
ANSWER Ask the pt for a description of the exercise schedule that is being
followed
2 days prior to discharge from the rehab facility, the nurse is teaching a pt who is
recovering from Guillain-Barre syndrome about home. Which actions should the
nurse include when providing discharge teaching to the pt and spouse? SATA -
ANSWER -review safe transfer strategies
-develop a nutritional plan
-help identify community support
The nurse implements a tertiary prevention program for type 2 diabetes in a rural
health clinic. Which outcome indicates that the program was effective? - ANSWER
pt who develop disease complications promptly received rehabilitation
The nurse has received funding to design a health promotion project for African
,American women who are at risk for developing breast cancer. Which resource is
most important in designing this program? - ANSWER participation of community
leaders in planning the program
A pt with multiple injuries is being treated in the burn trauma unit just hours after
the injuries occurred. The healthcare provider instructs the nurse to avoid auto
contamination when performing dressing changes. Which intervention is most
important for the nurse to implement? - ANSWER use gown, mask, and gloves
with dressing changes
A pt is recovering in the critical care unit following a cardiac cath. IV nitro and
heparin are infusing. The pt is sedated but responds to instructions. After
changing positions, the pt complains of pain at the right groin insertion site. What
action should the nurse implement? - ANSWER Stimulate the pt to take deep
breaths
Prior to obtaining a trapeze bar for a pt with limited mobility, which pt assessment
is most important for the nurse to obtain? - ANSWER upper body muscle strength
While the nurse is assessing an older pt fall risk, the pt reports living at home
alone and never falling. Which action should the nurse take? - ANSWER Continue
to obtain pt data needed to complete the fall risk survey
The nurse is feeding an older adult who was admitted with aspiration pneumonia.
The pt is weak and begins coughing while attempting to drink through a straw.
Which intervention should the nurse implement? - ANSWER Teach coughing and
deep breathing exercises
The nurse is teaching the pt about home care after surgery for an ileal conduit
placement. When reviewing the information, which statement should the nurse
recognize as needing additional education? - ANSWER Empty the pouch when it is
half full.
A 12 week gestation is admitted to the antepartum unit with a dx of hyperemesis
gravidarum. Which action is most important for the nurse to implement? -
ANSWER initiate prescribed IV fluids
,A pt with dyspnea is being admitted to the medical unit. To best prepare for the pt
arrival, the nurse should ensure that the pt bed is in which position? - ANSWER
Picture with the bed sitting up
A pt who is scheduled for a bronchoscopy in the morning is anxious and asking the
nurse numerous questions about the procedure. In preparing the pt for the
procedure, which intervention has the highest priority? - ANSWER Instruct pt to
write down questions
While caring for a pt post operative dressing, the nurse observes purulent
drainage at the wound. Before reporting this finding to the provider, the nurse
should review which of the pt lab values? - ANSWER culture for sensitive
organisms
A pt with a lower respiratory tract infection receives a prescription for
ciprofloxacin 500mg PO every 12hrs. When the client requests an afternoon snack,
which dietary choice should the nurse provide? - ANSWER Cinnamon apple sauce
An older male reporting abd pain is admitted from a facility. It has been 7 days
since his last BM and his abd is distended, and he just vomited 150ml of dark
brown emesis. In what order should the nurse implement these interventions? -
ANSWER Send emesis to lab
Elevate HOB
complete focused assessment
offers PRN pain meds
A patient who recently received a prescription for ramelteon to treat sleep
deprivation reports experiencing several side effects since taking the med. Which
side effect should the nurse report to the healthcare provider? - ANSWER
Somnambulism
A pt is scheduled for a spiral CT scan with contrast to evaluate for pulmonary
embolism. Which information in the client's history requires follow up by the
nurse? - ANSWER take metformin for type 2 diabetes
, The nurse should withhold which medication if the client's serum potassium level
is 6.2 mEq/? - ANSWER Spironolactone
A nurse receives a report on a pt who is four hours post-total abdominal
hysterectomy. The previous nurse reports that it was necessary to change the
client's perineal pad hourly and that it is again saturated. The previous nurse also
reports that the client's urinary output has decreased. Which action should the
nurse implement first? - ANSWER Assess for weakness or dizziness
A pt who is admitted for primary hypothyroidism has early signs of myxedema
coma. In assessing the pt, in which sequence should the nurse complete these
actions? - ANSWER -Observe breathing patterns
-assess blood pressure
-measure body temp
-palpate for pedal edema
The nurse is taking the blood pressure measurement of a client with Parkinson's
disease. Which information in the admission assessment is relevant to the nurse's
plan for taking the blood pressure reading? SATA - ANSWER Blurred Vision
Flat Affect
frequent syncope
After administering a proton pump inhibitor, which action should the nurse take to
evaluate the effectiveness of the medication? - ANSWER Ask the pt about
gastrointestinal pain
A pt is receiving enoxaparin 30 mg subcutaneously twice a day. In assessing for
adverse effects of the medication, which serum laboratory value most important
for the nurse to monitor - ANSWER platelet count
A pediatric client is taking the beta-adrenergic blocking agent propranolol. In
developing a teaching plan, the nurse should teach the parents to report which
QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+
A pt presses the call bell and requests pain medication for a severe headache. To
assess the quality of the pt. Pain, which approach should the nurse use? -
ANSWER Ask the patient to describe the pain
The nurse is wearing personal protective equipment while caring for a pt. When
exiting the room, which PPE should be removed first? - ANSWER Gloves
An older pt is brought to the ED with a sudden onset of confusion that occurred
after experiencing a fall at home. The daughter, who has power of attorney, has
brought the client's prescriptions. Which information should the nurse provide
first when reporting to the healthcare provider using SBAR communication? -
ANSWER Increasing confusion of the pt.
A pt tells the nurse about working out with a personal trainer and swimming three
times a week in an effort to lose weight and sleep better. The pt states that it still
is taking hours to fall asleep at night. Which action should the nurse implement? -
ANSWER Ask the pt for a description of the exercise schedule that is being
followed
2 days prior to discharge from the rehab facility, the nurse is teaching a pt who is
recovering from Guillain-Barre syndrome about home. Which actions should the
nurse include when providing discharge teaching to the pt and spouse? SATA -
ANSWER -review safe transfer strategies
-develop a nutritional plan
-help identify community support
The nurse implements a tertiary prevention program for type 2 diabetes in a rural
health clinic. Which outcome indicates that the program was effective? - ANSWER
pt who develop disease complications promptly received rehabilitation
The nurse has received funding to design a health promotion project for African
,American women who are at risk for developing breast cancer. Which resource is
most important in designing this program? - ANSWER participation of community
leaders in planning the program
A pt with multiple injuries is being treated in the burn trauma unit just hours after
the injuries occurred. The healthcare provider instructs the nurse to avoid auto
contamination when performing dressing changes. Which intervention is most
important for the nurse to implement? - ANSWER use gown, mask, and gloves
with dressing changes
A pt is recovering in the critical care unit following a cardiac cath. IV nitro and
heparin are infusing. The pt is sedated but responds to instructions. After
changing positions, the pt complains of pain at the right groin insertion site. What
action should the nurse implement? - ANSWER Stimulate the pt to take deep
breaths
Prior to obtaining a trapeze bar for a pt with limited mobility, which pt assessment
is most important for the nurse to obtain? - ANSWER upper body muscle strength
While the nurse is assessing an older pt fall risk, the pt reports living at home
alone and never falling. Which action should the nurse take? - ANSWER Continue
to obtain pt data needed to complete the fall risk survey
The nurse is feeding an older adult who was admitted with aspiration pneumonia.
The pt is weak and begins coughing while attempting to drink through a straw.
Which intervention should the nurse implement? - ANSWER Teach coughing and
deep breathing exercises
The nurse is teaching the pt about home care after surgery for an ileal conduit
placement. When reviewing the information, which statement should the nurse
recognize as needing additional education? - ANSWER Empty the pouch when it is
half full.
A 12 week gestation is admitted to the antepartum unit with a dx of hyperemesis
gravidarum. Which action is most important for the nurse to implement? -
ANSWER initiate prescribed IV fluids
,A pt with dyspnea is being admitted to the medical unit. To best prepare for the pt
arrival, the nurse should ensure that the pt bed is in which position? - ANSWER
Picture with the bed sitting up
A pt who is scheduled for a bronchoscopy in the morning is anxious and asking the
nurse numerous questions about the procedure. In preparing the pt for the
procedure, which intervention has the highest priority? - ANSWER Instruct pt to
write down questions
While caring for a pt post operative dressing, the nurse observes purulent
drainage at the wound. Before reporting this finding to the provider, the nurse
should review which of the pt lab values? - ANSWER culture for sensitive
organisms
A pt with a lower respiratory tract infection receives a prescription for
ciprofloxacin 500mg PO every 12hrs. When the client requests an afternoon snack,
which dietary choice should the nurse provide? - ANSWER Cinnamon apple sauce
An older male reporting abd pain is admitted from a facility. It has been 7 days
since his last BM and his abd is distended, and he just vomited 150ml of dark
brown emesis. In what order should the nurse implement these interventions? -
ANSWER Send emesis to lab
Elevate HOB
complete focused assessment
offers PRN pain meds
A patient who recently received a prescription for ramelteon to treat sleep
deprivation reports experiencing several side effects since taking the med. Which
side effect should the nurse report to the healthcare provider? - ANSWER
Somnambulism
A pt is scheduled for a spiral CT scan with contrast to evaluate for pulmonary
embolism. Which information in the client's history requires follow up by the
nurse? - ANSWER take metformin for type 2 diabetes
, The nurse should withhold which medication if the client's serum potassium level
is 6.2 mEq/? - ANSWER Spironolactone
A nurse receives a report on a pt who is four hours post-total abdominal
hysterectomy. The previous nurse reports that it was necessary to change the
client's perineal pad hourly and that it is again saturated. The previous nurse also
reports that the client's urinary output has decreased. Which action should the
nurse implement first? - ANSWER Assess for weakness or dizziness
A pt who is admitted for primary hypothyroidism has early signs of myxedema
coma. In assessing the pt, in which sequence should the nurse complete these
actions? - ANSWER -Observe breathing patterns
-assess blood pressure
-measure body temp
-palpate for pedal edema
The nurse is taking the blood pressure measurement of a client with Parkinson's
disease. Which information in the admission assessment is relevant to the nurse's
plan for taking the blood pressure reading? SATA - ANSWER Blurred Vision
Flat Affect
frequent syncope
After administering a proton pump inhibitor, which action should the nurse take to
evaluate the effectiveness of the medication? - ANSWER Ask the pt about
gastrointestinal pain
A pt is receiving enoxaparin 30 mg subcutaneously twice a day. In assessing for
adverse effects of the medication, which serum laboratory value most important
for the nurse to monitor - ANSWER platelet count
A pediatric client is taking the beta-adrenergic blocking agent propranolol. In
developing a teaching plan, the nurse should teach the parents to report which
