2025/2026 Actual Complete Real Exam Questions and
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A nurse is preparing to collect a stool specimen from a client
who has had diarrhea for three days, with fever and abdominal
cramping. When reviewing the clients recent medication
administration record, the nurse should recognize that
treatment with which of the following medications increases
the client's risk of developing a Clostridium difficile infection? -
ANSWER-Ciprofloxacin (Recently, a virulent strain of C.
difficile, a bacterium that causes diarrhea and potentially life
threatening colon inflammation, has emerged as a result of
antibiotic therapy with fluoroquinolones, such as ciprofloxacin.
A stool culture confirms the diagnosis. Medications that treat a
C. difficile infection include fidaxomicin, metronidazole, and
vancomycin.)
A home health nurse manager is assisting in the
implementation of an electronic medical record system for
client care. Which of the following actions should the nurse
manager take to promote interoperability? – ANSWER-
Recommend a single coding system for each department to
use. (The nurse manager should recommend a unified coding
,system for each department to use when documenting in the
EMR system. This use of a single coding system ensures that
data is shared accurately among interprofessional
departments and that each department's system is able to
process that coded information. This continuity of shared
data and the ability to use the data is referred to
interoperability.)
A nurse is reviewing the medication administration record of a
client who is 2 days postoperative following abdominal
surgery. The nurse should identify that which of the following
medications can result in delayed wound healing? -
ANSWER-Prednisone
(The nurse should identify that taking prednisone can result in
delayed wound healing. Prednisone is a corticosteroid used in
the treatment of inflammatory disorders. It can mask the
manifestations of infection due to its ability to impair the
inflammatory response. Other medications, such as
anticoagulants and broad-spectrum antibiotics, can also play a
role in delayed wound healing.)
A nurse is preparing to contact a client's provider regarding the
need for a prescription for pain medication. When using the
Situation, Background, Assessment, Recommendation (SBAR)
communication tool, the nurse should provide which of the
,following information in the assessment portion of the tool? -
ANSWER-"The client is in audible distress and rates her pain as
an 8 on a scale from 0 to 10."
(Assessment data regarding the client's current pain level is
information the nurse should include in the assessment portion
of the SBAR communication tool.)
A nurse is preparing to administer morphine 5 mg IM from a 10
mg/mL vial to help manage a client's acute pain. Which of the
following actions should the nurse plan to take after
administering a controlled substance? - ANSWER-Have a
second nurse witness and initial the disposal of the remaining
medication. (When nurses administration a portion of a vial's
amount of a controlled substance, they must discard the rest
safely, such as by injecting it out of the syringe into a sink or
toilet, while a second nurse witnesses the first nurse
discarding it. The second nurse must then initial the waste of
the medication in the client's mediation administration record.)
A nurse is planning meals for a client who practices Judaism
and reports that she strictly adheres to orthodox dietary laws.
The nurse should recognize that which of the following dietary
practices applies to the client's beliefs? - ANSWER-The client is
permitted to eat fish that have scales.
, (The nurse should recognize that Orthodox Jewish dietary laws
permit the client to eat fish that have fins and scales, such as
tuna. However, fish that do not have scales, such as catfish, are
considered unclean and are not permitted.)
A nurse at a provider's office is counseling a client who reports
insomnia. Which of the following statements should the nurse
make to include the client's preferences into a sleep promotion
plan? - ANSWER-"Sleep in the location of your home where you
feel you rest best."
(The nurse should encourage the client to sleep wherever she
feels she gets the most rest, whether it be a bed, couch, or
chair.)
A nurse is preparing to admit a client to the hospital. Which of
the following actions should the nurse take first? - ANSWER-
Determine the need for an interpreter.
(The first action the nurse should take using the nursing
process is to determine the need for an interpreter. If the client
and the nurse do not speak the same language, information
gathered can be inaccurate.)
A nurse in a mental health facility is caring for a client who is
exhibiting a violent behavior and has been placed in seclusion.