test UPDATED ACTUAL Exam Questions
and CORRECT Answers
A public health nurse is triaging clients at the site of an explosion. The client with which of the
following injuries should be the nurses priority concern? - CORRECT ANSWER -
Incomplete amputation of the foot
A nurse is caring for a client who has a flaccid bladder following a spinal injury. Which of the
following actions should the nurse take first? - CORRECT ANSWER - Initiate a bladder
training schedule
A nurse is collecting data on a client who has a diagnoses of myasthenia gravies. Which of the
following complication is it most important for the nurse to monitor? - CORRECT
ANSWER - Decreased respiratory effort
A nurse is caring for a client who was admitted to the unit 3 hr ago following a total hip
arthroplasty. Which of the following findings should be nurses priority concern? - CORRECT
ANSWER - Oxygen saturation of 90% on oxygen at 2 L per nasal cannula
A nurse is caring for a client who has a compound fracture of the tibia and fibula and is in skin
traction. The client reports pain of 6 on a scale of 0 to 10 under the traction bandage. Which of
the following actions should the nurse take first? - CORRECT ANSWER - Check pedal
pulse
A nurse has been assigned to care for four clients on a medical-surgical floor. Which of the
following clients should the nurse evaluate first - CORRECT ANSWER - A client
following knee replacement surgery complaining of pain and warmth in the calf
A nurse is caring for a client who is newly diagnosed with bipolar disorder and is currently
experiencing an acute mani episode. Which of the following is the priority concern of the nurse?
- CORRECT ANSWER - Preventing injury