ANSWERS] WITH PRACTICE EXAM DETAILED AND VERIFIED FOR GUARANTEED
PASS- LATEST UPDATE 2025 GRADED A (BRAND NEW!!)
In assessing James' breath sounds, the nurse should ask him to perform which action?
- CORRECT ✔✔✔✔✔ Breathe deeply through the mouth.
To measure capillary refill, the nurse must first perform which action? - CORRECT
✔✔✔✔✔ Compress the nailbed of one finger until it blanches.
James' mother states that this is the third time in recent months she has brought him to
the ED with a cough and shortness of breath. The nurse asks the mother how many
respiratory or other infections James has had within the past year. Why does the nurse
ask this? - CORRECT ✔✔✔✔✔ To assess for a possible immune deficiency disorder.
Which response is best for the nurse to provide? - CORRECT ✔✔✔✔✔ "The clip feels
like squeezing your finger with your other hand."
Which is the most important approach for the nurse to use when applying a nasal
cannula? - CORRECT ✔✔✔✔✔ Check that the openings in the nasal prongs are
aimed into the nose to prevent skin breakdown.
When applying a nasal cannula in the ED, what action is most important for the nurse to
implement to ensure client safety? - CORRECT ✔✔✔✔✔ Determine that all electrical
equipment in the room is functioning correctly and is properly grounded.
Which nursing diagnosis is most relevant to James' current status? - CORRECT
✔✔✔✔✔ Impaired gas exchange.
Which assessment finding further supports diagnosis? - CORRECT ✔✔✔✔✔
Restlessness and fatigue.