2025 Exam Test Bank:
Master Key Concepts with
Q&A and Rationales to Pass
on Your First Try
A patient and older patient who describes having difficulty dealing
with several issues which is most concerning - 100 correct
answer as-I keep forgetting which medications I have taken
during the day
Patient has lost 9.9 pounds since his admission six months ago
what instructions should the nurse give - 100 correct answer
as-Eat foods that are easy to eat such as finger foods
invite family members to eat meals with you
exercise every day to increase appetite
Which interventions should the nurse plan to teach to a group of
older adults about health promotion and disease prevention - 100
correct answer as-Pneumococcal immunization
yearly eye exam
periodic mental health screening
annual physical occult blood test
,Recommendations given to an older adult on how to improve
nutritional status - 100 correct answer as-Increase protein to
increase muscle mass
increase calcium intake to prevent osteoporosis
limit sodium intake to prevent Edema
increase fiber to prevent constipation
What are normal findings on an assessment of an older client
related to aging - 100 correct answer as-Decreased height
nail thickening
decreased bladder capacity
A nurse is planning care for patient with hyper natremia which of
the following actions should the nurse anticipate including in the
plan of care - 100 correct answer as-Infuse hypotonic IV
fluids
What is a risk factor for developing hypocalcemia - 100 correct
answer as-Crohn's disease
If a patient has a potassium level of 5.2 what should the nurse
anticipate - 100 correct answer as-Initiating continuous
cardiac monitoring because it indicates hyperkalemia which
increases the risk of arrhythmia's
A patient has a history of long-term use of glucocorticoids causing
hypercalcemia what findings should the nurse anticipate - 100
correct answer as-Confusion
bone pain
nausea and vomiting
When providing education for patient with severe
hypomagnesemia what information should you provide - 100
,correct answer as-Educate your patient on deep tendon
reflexes that will need to be monitored
The nurse is caring for a patient who has been sitting in a chair for
one hour what is the greatest risk to the client - 100 correct
answer as-Pressure ulcer
When caring for postop patient what are interventions to reduce
the risk of thrombus - 100 correct answer as-Apply elastic
stockings
assist the client to change position often
A nurse is planning care for a patient who was on bedrest what
intervention should she include - 100 correct answer as-
Encourage the patient to perform antiembolic exercises every two
hours
A nurse is teaching a patient who has a new prescription for
compression device what statement indicates an understanding
by the client - 100 correct answer as-This thing will keep the
blood pumping through my leg
What instruction should the nurse include when teaching a client
with left lower extremity weakness about using a cane - 100
correct answer as-Hold the cane on the right side keep two
points of support on the floor
after advancing the cane move the week and leg forward
When caring for a patient with Enteral tube feedings due to
dysphagia which of the following positions should the nurse use
for safe care - 100 correct answer as-Semi Fowler's
, A client sitting in the chair I asked to return to bed what is the
nurse is priority - 100 correct answer as-Determine if the
client is able to help with the transfer
A client with COPD understands the use of the orthopenic
position when she states she will do what when she has difficulty
breathing - 100 correct answer as-Sit on the side of her bed
and rest her arms over pillows on top of her bedside table
What are some ways for nurses to prevent injury - 100 correct
answer as-request assistance when repositioning a patient
avoid twisting your spine or bending at the waist
Use smooth movements when lifting and moving clients
What are some points to proper body mechanics - 100 correct
answer as-The lower my center of gravity the more stability I
have
To broaden my base of support I should spread my feet apart
when I lift an object I should hold it as close to my body as
possible
An adolescent client two days postop with a history of diabetes
type one tolerating a regular diet has ambulated successfully
requires pain medicine every 6 to 8 hours his incision is
approximated and free of redness with scant serous drainage on
the dressing the nurse should recognize that the client has which
risk factors for impaired healing - 100 correct answer as-
Impaired circulation
impaired/suppressed immune system
Patient patient five days postop from abdominal surgery and they
provider suspects incision infection So he prescribes anabiotic's