ACTUAL EXAM EACH VERSION CONTAINS 400
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES|ALREADY GRADED A+
(BRAND NEW!!)
Q: Which activity demonstrates fine motor skills in an infant
aged 2–4 months?
ANSWER: Bringing objects from hand to mouth
Q: ANSWER client with cystic fibrosis asks why percussion is
performed. What is the primary purpose?
ANSWER: Loosen pulmonary secretions
Q: An older adult in acute care is experiencing emotional
stress after surgery. Which intervention is most appropriate?
ANSWER: Reality orientation
Q: Health promotion with a chronically ill client should
include primary prevention. What is an example?
ANSWER: Encouraging daily physical exercise
,Q: ANSWER client prescribed vitamin B complex asks what
to expect. What should the nurse teach?
ANSWER: It may turn the urine bright yellow
Q: Elbow restraints are prescribed for a confused client. What
is most important for the nurse to do?
ANSWER: Assess the client’s condition every hour
Q: After ileostomy teaching, a 68-year-old says, "It will be
difficult for my wife to care for a helpless old man." This
reflects which Erikson’s conflict?
ANSWER: Integrity versus despair
Q: ANSWER Chinese-speaking client’s daughter asks
questions while maintaining eye contact. What concept does
this reflect?
ANSWER: Assimilation
Q: Considering Erikson’s theory, a 21-year-old male with
spinal injury below T6 will most likely struggle with what?
ANSWER: Developing meaningful relationships
Q: ANSWER CBC, urinalysis, and chest x-ray are ordered
before surgery. Client asks why. What is the best response?
ANSWER: "They are done to identify other health risks."
Q: ANSWER client with osteoporosis refuses milk due to
bloating. What calcium-rich food should the nurse suggest?
ANSWER: Yogurt
Q: What treatment is anticipated for a client with hypothermia
in the ED?
ANSWER: Core rewarming with warm fluids
, Q: How can the nurse best support a terminally ill client in the
stage of acceptance?
ANSWER: Stay nearby without initiating conversation
Q: ANSWER client with a leg prosthesis and syncopal
episodes is at risk for what?
ANSWER: Falls
Q: ANSWER terminally ill client in acceptance appears
peaceful but uninvolved with the environment. How should
the nurse respond?
ANSWER: Accept the behavior the client is exhibiting
Q: ANSWER client falls when a stretcher strap breaks. What
is the nurse’s accountability?
ANSWER: Liable, along with the employer, for
defective/misapplied equipment
Q: ANSWER client with AIDS has white plaques in the oral
cavity. This most likely represents what?
ANSWER: Candida albicans
Q: ANSWER nurse says, "That client can just wait for
lorazepam; I get so annoyed when people drink too much."
What does this reflect?
ANSWER: Personal bias
Q: Accepting descriptive statements from a confused older
client reflects which therapy?
ANSWER: Validation therapy
Q: Which task is most appropriate to delegate to UAP?
ANSWER: Assessing blood pressure before physical therapy