2025/2026| Real-Based Questions with Approved
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A nurse educator is revieing with a newly hired nurse the diferencies in manifestations of a
localized versus a systemic infection. The nurse indicates understanding when she states that
which of the following are manifestations of a systmeic infection? (Slect all that apply.)
A. fever
B. malaise
C. edema
D. pain or tenderness
E. increase in pulse and repiratory rate - Correct Answers-A. fever
B. malaise
E. increase in pulse and respiratory rate
A nurse educator is teaching a module on pharmacokinetics to a group of newly licensed nurses.
Which of the following statements by a newly licensed nurse indicates an understanding of the
first-pass effect?
A. "Some medications block normal receptor activity regulated by endogenous compounds or
receptor activity caused by other medications."
B. "Some medications may have to be administered by a nonenteral route to avoid inactivation
as they travel through the liver."
,C. "Some medications leave the body more slowly and therefore have a greater risk for
medication accumulation and toxicity."
D. "Some medications have a wide safety margin, so there is no need for routine serum
medication level monitoring." - Correct Answers-B. CORRECT: Some medications are
inactivated on their first pass through the liver and must be given by a nonenteral route to
prevent this inactivation. These medications are usually given by routes such as sublingual or IV.
A. INCORRECT: This statement describes an antagonist medication, not the first pass-effect.
C. INCORRECT: This statement describes a long half life, not the first-pass effect.
D. INCORRECT: This statement describes a high therapeutic index, not the first-pass effect.
A nurse educator is teaching newly licensed nurses about safe medication administration.
Which of the following statements indicates understanding? (Select all that apply.)
-"I will observe for adverse effects."
-"I will monitor for therapeutic effects"
-"I will prescribe the appropriate dose"
-"I will change the dose if adverse effects occur."
-"I will refuse to give a medication if I believe it is unsafe" - Correct Answers--"I will observe
for adverse effects"
,-"I will monitor for therapeutic effects"
-I will refuse to give a medication if I believe it is unsafe"
A nurse has prepared a sterile field for assisting a provider with a chest tube injection. Which of
the following events should the nurse recognize as contaminating the sterile field. (Select all
that apply.)
A. The provider drops a sterile instrument onto the near side of the sterile field.
B. The nurse moistens a cotton ball with sterile normal saline and places it on the sterile field.
C. The procedure is delayed 1 hour because the provider receives an emergency call.
D. The nurse turns to speak to someone who enters through the door behind the nurse.
E. The client's hand brushes against the outer edge of the sterile field. - Correct Answers-B.
The nurse moistens a cotton ball with sterile normal saline and places it on the sterile field.
C. The procedure is delayed 1 hour because the provider receives an emergency call.
D. The nurse turns to speak to someone who enters through the door behind the nurse.
A nurse has removed a sterile pack form its outside cover and placed it on a clean work surface
in preparation for an invasive procedure. Which of the following flaps should the nurse unfold
first?
A. The flap closet to the body
, B. The right side flap
C. The left side flap
D. The flap farthest from the body - Correct Answers-D. The flap farthest from the body
A nurse in a provider's office is documenting findings following an examination performed for a
client new to the practice. Which of the following parameters should the nurse include as part
of the general survey? (select all that apply)
A. Posture
B. Skin lesions
C. Speech
D. Allergies
E. Immunization status - Correct Answers-A, B, C
A nurse in a provider's office is performing a physical examination of an adult client. Which part
of the hands should the nurse use during palpation for optimal assessment of skin
temperature?
A. Palmar Surface
B. Fingertips
C. Dorsal Surface