|ACTUAL QUESTIONS AND VERIFIED
Question 1
A nurse in an emergency department is assessing a client who has hyperthermia. Which of
the following findings should the nurse identify as an indication that the client has heat
exhaustion?
A: Hallucinations
B: Vomiting
C: Bradycardia
D: Seizures
CORRECT ANSWER
B: Vomiting
Question 2
A nurse is developing an in-service for a group of coworkers about adolescents' reactions
to death. Which of the following information should the nurse include when discussion an
adolescent's response to death?
A: Adolescents cope with death better than children of other ages.
B: Adolescents view funeral services as an opportunity for closure.
C: Adolescents are more concerned with the past than the present or future.
D: Adolescents often alienate themselves from their peers when grieving.
CORRECT ANSWER
D: Adolescents often alienate themselves from their peers when grieving.
1
,Question 3
A nurse is providing teaching to a client who is experiencing malabsorption related to
lactose intolerance. Which of the following foods should the nurse recommend to the
client as the best nondairy source of calcium?
A: Ground beef
B: Collard greens
C: Cauliflower
D: Walnuts
CORRECT ANSWER
B: Collard greens
Question 4
A nurse is caring for a client who is receiving heparin therapy and has an aPTT of 92
seconds. Which of the following medications should the nurse anticipate the provider
might prescribe for the client?
A: Leucovorin
B: Vitamin K
C: Deferoxamine
D: Protamine
CORRECT ANSWER
D: Protamine
Question 5
A nurse is assessing a client who is postoperative following the placement of an ileostomy
due to complication of ulcerative colitis. In which of the following areas should the nurse
expect the ileostomy to be located? (You will hind hot spots to select in the artwork below.
Select only the hot spot that corresponds to your answer.)A: Right lower abdomen
2
, superior to umbilicus.B: Left lower abdomen even with the umbilicus.C: Right lower
abdomen inferior to umbilicus.
CORRECT ANSWER
The nurse should expect a client who is postoperative following the placement of an
ascending colostomy to have an ostomy located on the right side of the abdomen, lateral
to, and slightly above the umbilicus.
Question 6
A nurse is providing teaching to the parent of an infant who has gastroesophageal reflux
about home care. Which of the following statements by the parent indicates an
understanding of the teaching?
A: "I should feed my infant a larger amount of formula less frequently."
B: "I should feed my infant a bottle of formula within 1 hour of bedtime."
C: "I should place my infant on his side to sleep."
D: "I should add 1 teaspoon of rice cereal to my infant's formula."
CORRECT ANSWER
D: "I should add 1 teaspoon of rice cereal to my infant's formula."
Question 7
A nurse is reviewing the laboratory report of a client who is taking exenatide to treat type
2 diabetes mellitus. The nurse should recognize that which of the following laboratory
results is an indication of an adverse reaction to the medication?
A: HbA1c 6.8%
B: Hct 45%
C: Creatinine 0.9 mg/dL
D: Lipase 185 units/L
CORRECT ANSWER
D: Lipase 185 units/L
3
Question 1
A nurse in an emergency department is assessing a client who has hyperthermia. Which of
the following findings should the nurse identify as an indication that the client has heat
exhaustion?
A: Hallucinations
B: Vomiting
C: Bradycardia
D: Seizures
CORRECT ANSWER
B: Vomiting
Question 2
A nurse is developing an in-service for a group of coworkers about adolescents' reactions
to death. Which of the following information should the nurse include when discussion an
adolescent's response to death?
A: Adolescents cope with death better than children of other ages.
B: Adolescents view funeral services as an opportunity for closure.
C: Adolescents are more concerned with the past than the present or future.
D: Adolescents often alienate themselves from their peers when grieving.
CORRECT ANSWER
D: Adolescents often alienate themselves from their peers when grieving.
1
,Question 3
A nurse is providing teaching to a client who is experiencing malabsorption related to
lactose intolerance. Which of the following foods should the nurse recommend to the
client as the best nondairy source of calcium?
A: Ground beef
B: Collard greens
C: Cauliflower
D: Walnuts
CORRECT ANSWER
B: Collard greens
Question 4
A nurse is caring for a client who is receiving heparin therapy and has an aPTT of 92
seconds. Which of the following medications should the nurse anticipate the provider
might prescribe for the client?
A: Leucovorin
B: Vitamin K
C: Deferoxamine
D: Protamine
CORRECT ANSWER
D: Protamine
Question 5
A nurse is assessing a client who is postoperative following the placement of an ileostomy
due to complication of ulcerative colitis. In which of the following areas should the nurse
expect the ileostomy to be located? (You will hind hot spots to select in the artwork below.
Select only the hot spot that corresponds to your answer.)A: Right lower abdomen
2
, superior to umbilicus.B: Left lower abdomen even with the umbilicus.C: Right lower
abdomen inferior to umbilicus.
CORRECT ANSWER
The nurse should expect a client who is postoperative following the placement of an
ascending colostomy to have an ostomy located on the right side of the abdomen, lateral
to, and slightly above the umbilicus.
Question 6
A nurse is providing teaching to the parent of an infant who has gastroesophageal reflux
about home care. Which of the following statements by the parent indicates an
understanding of the teaching?
A: "I should feed my infant a larger amount of formula less frequently."
B: "I should feed my infant a bottle of formula within 1 hour of bedtime."
C: "I should place my infant on his side to sleep."
D: "I should add 1 teaspoon of rice cereal to my infant's formula."
CORRECT ANSWER
D: "I should add 1 teaspoon of rice cereal to my infant's formula."
Question 7
A nurse is reviewing the laboratory report of a client who is taking exenatide to treat type
2 diabetes mellitus. The nurse should recognize that which of the following laboratory
results is an indication of an adverse reaction to the medication?
A: HbA1c 6.8%
B: Hct 45%
C: Creatinine 0.9 mg/dL
D: Lipase 185 units/L
CORRECT ANSWER
D: Lipase 185 units/L
3
