EXAM 2025 EXAM 2 VERSIONS
COMPLETE EXAM QUESTIONS
WITH DETAILED VERIFIED
ANSWERS /A+ STUDY MATERIAL
VERSION A
A nurse is providing teaching to a client who has a new dx
of type 1 DM. The client expresses feelings of hopelessness
about managing the disease. Which of the following actions
should the RN take first?
Explore the client's past coping mechanisms
The first action the nurse should take when using the
nursing process is to assess the methods that the client
used to successfully cope with other issues in the past and
then reinforce them. This will help encourage the client to
begin to learn self-care.
,A nurse manager is teaching a group of newly licensed
nurses about which procedures are within their scope of
practice. Which of the following examples should the nurse
include in the teaching?
Monitoring a continuous intra-arterial infusion of a
thrombolytic medication
Monitoring the infusion of a clot-dissolving agent is within
a nurse's scope of practice. In addition, the nurse should
inspect the IV line for a disconnection, check the infusion
site for bleeding, and maintain site integrity.
A RN is completing a pre-admission interview for a client
who is to undergo surgery the following day. The client
reports a latex allergy. Which of the following interventions
should the RN include when planning care for the client's
surgery?
-Notify ancillary department of the client's allergy
-Label the surgical suite as latex-free
-Ensure a latex allergy care is available
Notify ancillary departments of the client's allergy is
correct. Notifying ancillary departments of the client's
sensitivity to latex allows the staff to take appropriate
measures to ensure that medications and surgical items are
not contaminated by latex. Label the surgical suite as
latex-free is correct. This helps keep personnel from
,bringing rubber products into the room. Ensure a latex
allergy cart is available is correct. A latex allergy cart
should be kept in the operating room at all times. All of
the contents must be latex-free.
A school RN is teaching a group of parents about measures
to prevent firearm injuries in the home. Which of the
following instructions should the nurse include in the
teaching?
"Keep ammunition and guns in separate, locked locations."
The nurse should instruct the parents to keep ammunition
in a locked cabinet separate from the firearms to reduce
the risk for injury. This action will prevent access to the
firearm and also prevents injury from accidental discharge
because the firearm does not contain ammunition. Also,
the keys to the cabinet should not be accessible to
children.
A nurse is caring for a client who has a terminal illness. The
client requests a do-not-resuscitate (DNR) order, but their
family opposes the decision. Which of the following actions
should the nurse take first?
Gather information to support the client's request for a
DNR order
Using the nursing process, the first action the nurse should
take is to assess the situation by gathering information to
, support the client's request for a DNR order. This
information should include the client's current clinical
status, factors such as the client's spirituality, culture, and
family dynamics, and evidence from literature about the
client's condition.
The nurse should verbalize the client's request to have
DNR status with the family members and maintain open
communication about the client's situation. However,
there is another action the nurse should take first.
a home health nurse is performing a home assessment for
an older adult client. which of the following statements by
the client should alert the nurse to suggest additional safety
measures?
"I use space heaters to keep warm in the winter."
A common environmental hazard in the home is the use of
space heaters, which can increase the risk of fire.
The use of a handheld shower head, along with secure grab
bars and colored adhesive tape on the bottom of the
bathtub, are important safety measures that can help
reduce the risk for falls.
a nurse is preparing to administer an intramuscular
injection to a client. at which of the following angles should
the nurse plan to insert the needle
90