Questions from Actual New
Version Exam and 100% Correct Answers
The nurse cares for the client diagnosed with HIV. The client reports difficulty coping
diagnosis. The nurse encourages the client to take which action?
, with the
1. Attend church services weekly.
2. Obtain a prescription or an anti-depressant medication.
3. Keep a journal recording feelings.
4. Identify successful coping mechanisms used in the past. CORRECT ANSWER: 4. Identify
successful coping mechanisms used in the past.
The nurse cares for a client scheduled for a magnetic resonance imaging (MRI) of the back.
client response required an intervention by the nurse? Which
1. I am allergic to shellfish and iodine.
2. I use nitroglycerin tablets for angina.
3. I had a total hip replacement three years ago.
4. I am on a blood thinner and bleed easily. CORRECT ANSWER: 3. I had a total hip
replacement three years ago.
The nurse instructs the client diagnosed with vitamin B12 deficiency. The nurse recognizes teaching is
effective if the client chooses which menu?
1. Broiled chicken breast, white rice, green beans, and lemonade.
2. Liver and onions, macaroni and cheese, tossed salad, and milk.
3. Medium-rare beef steak, baked sweet potato, boiled carrots, and soda.
4. Baked pork chop, mashed potatoes, creamed corn, and tea CORRECT ANSWER: 2. Liver and
onions, macaroni and cheese, tossed salad, and milk.
The nurse cares for the client diagnosed with advanced cirrhosis. When the client raises both arms,
the nurse observes flapping tremors of the hands and wrists. What is the medical term used to
describe this?
1. Apraxia.
2. Caput medusa.
,3. Fetor hepaticus.
4. Asterixis. CORRECT ANSWER: 4. Asterixis.
The nurse cares for the client who returned from overseas having recently lost both lower limbs to a
car bomb. The nurse notes the client is increasingly irritable, is unable to sleep well due to recurring
nightmares, and seems hyper vigilant. The nurse recognizes these symptoms are most likely
indicative of which condition?
1. Obsessive compulsive disorder (OCD).
2. Bipolar disorder.
3. Regression.
4. Post-traumatic stress disorder (PTSD). CORRECT ANSWER: 4. Post-
traumatic stress disorder (PTSD).
selection
The nurse cares for the client following a vegan diet. The nurse recognizes which meal is
BEST?
1. Scrambled eggs, wheat toast, coffee, and cantaloupe.
2. Bagel with peanut butter, strawberries and orange juice.
3. Bran flakes, soy milk, grapefruit and tofu.
4. Fresh fruit, yogurt, blueberry muffin, and tea. CORRECT ANSWER: 3.
Bran
flakes, soy milk, grapefruit and tofu.
The nurse assists the client to breastfeeding the baby for the first time. Which observation by the
nurse indicates that the baby is nursing appropriately?
1. Swallowing
noises can be heard.
2. The baby's head is turned toward the mother's breast.
3. The client reports a pinching sensation as the baby sucks.
4. The baby's cheeks are dimpled with each suck. CORRECT ANSWER: 1. Swallowing noises
can be heard.
, The community nurse instructs the client receiving isoniazid. The nurse is MOST concerned if the
client makes which statement?
1. I will not eat tuna sandwiches.
2. I will frequently wash my hands.
3. I will limit my alcohol intake to 1 beer/day.
4. I will eat small, frequent feedings. CORRECT ANSWER: 3. I will limit my alcohol intake
to 1 beer/day.
At 1500, the nurse begins the infusion of packed red blood cells (PRBC's). The client asks the nurse
when the transfusion will be completed. Which response by the nurse is accurate?
1. The transfusion will be completed by 2000.
2. The transfusion will be completed by 1600 3. The transfusion will be
completed by 1800.
4. The transfusion will be completed by 2200. CORRECT ANSWER: 3. The transfusion
will be completed by 1800 (infuse 3-4 hrs)
The nurse prepares to administer an intramuscular injection to the one-year-old infant. The infant is
in the 70th percentile for height and weight. The nurse determines which injection site is MOST
appropriate?
1. Vastus lateralis.
2. Deltoid.
3. Ventrogluteal.
4. Abdomen. CORRECT ANSWER: 1. Vastus lateralis.
The nurse plans a burn prevention program for older adults. What is the best description of the cause
of burns in the elderly population?
1. Frayed electrical wires.
2. Pots and pans on a stove.
3. A lighted cigarette.
4. A bathtub of hot water. CORRECT ANSWER: 2. Pots and pans on a stove.