2024-2025 ACTUAL EXAM QUESTIONS AND ANSWERS 100%
CORRECT!!
,A nurse is reviewing the medical record of a client who has a prescription for morphine.
Which of the following findings should the nurse report to the provider? - ANSWER
Urinary retention
A nurse is caring for a client who is at risk for developing pressure ulcers. Which of the
following actions should the nurse take? - ANSWER Position pillows between the bony
prominences
A nurse is caring for a client who is postoperative and is receiving an IV infusion of
cefazolin. Ten minutes after beginning the infusion, the client reports intense itching.
Which of the following actions should the nurse take first? - ANSWER Stop the
medication infusion
A nurse is reinforcing teaching with a client who has gonorrhea. Which of the following
information should the nurse include? - ANSWER You are at risk for infertility with this
infection, regardless of treatment
A nurse is examining a clients IV site and notes a red line up his arm. The client reliant
a throbbing, burning pain at the IV site. The nurse should identify that the clients
manifestations indicate which of the following complications? - ANSWER
Thrombophlebitis
A nurse is reinforcing teaching with an adolescent client regarding testicular self
examination. Which of the following statements by the client demonstrates an
undertsmdibg of the teaching? - ANSWER I understand that testicular cancer is
painless
A nurse in a long term care facility is collecting data from a client who reports fullness in
the rectum and abdominal cramping. Which of the following findings should indicate to
the nurse that the client might have a fecal impaction? - ANSWER Small liquid stools
A nurse in an oncology is reinforcing teaching about Mohs surgery with a client who has
skin cancer. Which of the following information should the nurse include in the
teaching? - ANSWER Mohs surgery is a horizontal shaving of thin layers of the tumor
A nurse is reinforcing teaching about GERd with a client. Which of the following
statements by the client indicates an understanding of the teaching? - ANSWER I
should wait at least 2 hours after eating before going to bed
, A nurse is caring for a client who is 1 day postoperative following a hip arthroplasty. The
client is exhibiting hypotension,tachycardia, and tachypnea. The nurse should recognize
these findings indicate which of the following complications? - ANSWER Pulmonary
embolism
A nurse is reinforcing discharge teaching with a client who has hearing loss. Which of
the following actions should the nurse take when communication with the client? -
ANSWER Rephrase client instructions when not understood
A nurse is caring for a client who is postoperative and has an epidural infusion. Which of
the following findings should the nurse recognize as the priority? - ANSWER Dyspnea
A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client who
has an INR of 4. Available is phytonadione 10 mg/ml. How many ml should the nurse
administer? - ANSWER 0.7
A nurse is reinforcing teaching with a client who has multiple sclerosis and a new
prescription for baclofen. Which of the following instructions should the nurse include in
the teaching? - ANSWER Avoid stopping this medication suddenly
A nurse is planning to implement droplet precautions for a client who has manifestation
of pertussis. Which of the following interventions should the nurse include when
contributing? - ANSWER Apply a mask on the client of transport is needed
A nurse is caring for an older adult client who has a reddened area over the sacrum.
Which of the following actions should the nurse take? - ANSWER Minimize the time the
head of the bed is elevated
A nurse is collecting data from a client and noticed several skin lesions. Which of the
following findings should the nurse report as possible melanoma? - ANSWER Irregular
borders
A nurse is reinforcing teaching with a client who is in a low sodium diet and asks about
how to improve the taste of bland food. Which of the following should the nurse
recommend? - ANSWER Lemon juice
A nurse is assisting with the discharge planning for a client who is postoperative
following a total hip arthroplasty. Which of the following instructions should the nurse
include in the discharge plan? - ANSWER Obtain a raised toilet seat