Exam and All Correct Answers 2025-
2026 Updated.
A nurse is assisting with the care of a client who was admitted to the emergency department
(ED). - Answer Schizophrenia
- Pressured speech
- Social impairment
- Grandiose delusions
Bipolar 1 Disorder
- Pressured speech
- Social impairment
- Grandiose delusions
A nurse is caring for a client who is 12 hr postoperative following a total hip arthroplasty. Which
of the following actions should the nurse take? - Answer Place an abduction wedge between
the client's legs when in bed.
A nurse is evaluating the safe use of electrical equipment by a newly hired assistive personnel
(AP). Which of the following actions by the AP demonstrates an understanding of the proper
use of electrical equipment? - Answer Grasps the plug of a device in the client's room to pull
it straight out from the wall
A nurse is assisting with the care of an adolescent in the emergency department (ED). - Answer
- skin findings
- temperature
- WBC count
- casual blood glucose
- potassium
- pain
A nurse is assisting with the care of a client admitted with profuse vomiting and abdominal pain.
- Answer - peritonitis
- bowel obstruction
,A nurse on the medical-surgical unit is assisting with the care of a client who was admitted from
the emergency department (ED). - Answer - confusion
- sodium level
A nurse is assisting with care of a client who is on 24-hr observation. - Answer - hemorrhage
- thrombocytopenia
A nurse is caring for a client who is postoperative following a perineal prostatectomy. For each
potential postoperative complication below, click to specify the nursing intervention that the
nurse should implement. - Answer - offer the client a sitz bath to relieve pain and promote
healing
- encourage the client to drink prune juice to relieve constipation
- instruct the client to perform calf pump and foot circle exercises to promote venous return and
reduce the risk of a deep vein thrombosis.
A nurse is collecting data on a newborn who is 3 days old. - Answer - temperature of 36.4° C
(97.5° F)
- Weight 2,545 g (5 lb 9 oz) 12% weight loss
- Breastfeeding every 3 to 5 hr for 5 to 10 min.
- Birth parent reports nipple discomfort throughout the feeding
- Mild tremors noted when awake
A nurse on a mental health unit is caring for a client. For each nursing action, click to specify if
the nursing action is anticipated or contraindicated for the client. - Answer ANTICIPATED:
- Offer high calorie snacks frequently.
- Initiate suicide precautions.
- Encourage the client to attend group therapy.
CONTRAINDICATED:
- Allow the client to sleep with their hands beneath the blanket.
A nurse is assisting in the care of a client who is postoperative following administration of
general anesthesia. - Answer ACTIONS:
- administer dantrolene
- administer oxygen
, CONDITION:
-malignant hyperthermia
PARAMETERS:
- monitor for hypercapnia
- monitor for muscle tension
A nurse is assisting with the care of a client who has a new diagnosis of anorexia nervosa.
Complete the following sentence by using the lists of options. - Answer - electrolyte
imbalance
- fear of weight gain
A nurse is assisting with the care of a client who has bulimia nervosa. Drag words from the
choices below to fill in each blank in the following sentence. - Answer - cardiovascular
abnormalities
- electrolyte imbalance
A nurse is assisting with the development of an in-service for newly licensed nurses about
seclusion. In which of the following situations should the nurse identify the need to request a
prescription for seclusion? - Answer A client attempts to hit another client during group
therapy.
A nurse is caring for a client who has an indwelling urinary catheter. Which of the following
actions should the nurse take? - Answer Wipe the drainage port with an antiseptic wipe after
emptying urine from the bag.
A nurse is reinforcing teaching with a client who has acute diverticulitis. Which of the following
statements by the client indicates an understanding of the instructions? - Answer "I will
receive the nutrients I need through my IV fluid."
A nurse is reinforcing teaching with a client about the client's recent diagnosis of multiple
sclerosis. The client states, "I am very upset and I want to be alone for a little while." Which of
the following responses should the nurse make? - Answer "I see that you are feeling
overwhelmed. I will come back when you are ready."
A nurse in an outpatient surgery center is reinforcing discharge teaching with a client following a
lithotripsy for uric acid stones. Which of the following instructions should the nurse plan to
include in the teaching? - Answer Strain the urine to collect stone fragments.