VERSION [QUESTIONS AND ANSWERS] WITH PRACTICE
EXAM DETAILED AND VERIFIED FOR GUARANTEED PASS-
LATEST UPDATE 2025 GRADED A (BRAND NEW!!)
Auditory Hallucinations - ✔✔✔✔✔ Schizophrenic client hearing voices telling them to
harm others
Electroconvulsive Therapy - ✔✔✔✔✔ Treatment for depression with increased risk
due to hyperthyroidism
Rheumatoid Arthritis - ✔✔✔✔✔ Nurse should report ESR of 75 mm/hr in a client's lab
results
Mechanical Ventilation - ✔✔✔✔✔ Effective suctioning indicated by decreased peak
inspiratory pressure
Seclusion Room - ✔✔✔✔✔ Client with violent behavior should be managed assertively
by the nurse
Adrenalectomy - ✔✔✔✔✔ Priority postoperative action is monitoring fluid and
electrolyte status
Surgical Procedure - ✔✔✔✔✔ Nurse should respect client's decision to refuse surgery
Borderline Personality Disorder - ✔✔✔✔✔ Improved condition indicated by decreased
clinging behavior
Healthy Snack Options - ✔✔✔✔✔ Nurse should recommend air-popped popcorn for
school-age children
Enoxaparin - ✔✔✔✔✔ Nurse should teach client to take acetaminophen for pain relief
concurrently
Fibromyalgia - ✔✔✔✔✔ Nurse should administer pregabalin for pain in a client with
fibromyalgia
, Digoxin Toxicity - ✔✔✔✔✔ Risk indicated by potassium level of 3.1 mEq/L in a client
with CHF
Alteplase - ✔✔✔✔✔ Contraindicated in a client with a history of hip arthroplasty 1
week ago
Implantable Cardioverter Defibrillator - ✔✔✔✔✔ Client understands teaching if they
avoid microwave oven use
Indwelling Urinary Catheter - ✔✔✔✔✔ Dark yellow urine drainage at 25ml/hr requires
obtaining a urine specimen
Stillbirth - ✔✔✔✔✔ Nurse should offer to take pictures of the newborn for the grieving
client
Burn Injury - ✔✔✔✔✔ Priority action to prevent wound infection is using sterile
dressings
Alzheimer's Disease - ✔✔✔✔✔ Nurse should assist caregiver in arranging a daycare
program for the client
Postpartum Urinary Retention - ✔✔✔✔✔ Nurse should perform a fundal massage for a
client unable to urinate
Medication Reconciliation - ✔✔✔✔✔ Nurse should compare home medications to
admission prescriptions
Betamethasone - ✔✔✔✔✔ Adverse effect is hypotension in a client with preterm labor
at 25 weeks gestation
Central Venous Catheter Blood Sample - ✔✔✔✔✔ Actions include aspirating for blood
return and flushing with sodium chloride
Preschooler Dressing Change - ✔✔✔✔✔ Prepare child by explaining the procedure in
simple terms
Deep-breathing methods - ✔✔✔✔✔ Techniques taught to a child before a medical
procedure.
Abdominal incision wound care - ✔✔✔✔✔ Process including irrigating with a 10-mL
syringe and using low-pressure flow.
Client prioritization - ✔✔✔✔✔ Determining which client to see first based on conditions
like gestation week and symptoms.