NEWEST 2026 TEST BANK| 2
VERSIONS (VERSION A & B) WITH
COMPLETE 50 REAL EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS WITH RATIONALE)
ALREADY GRADED A+ (MOST
RECENT!!)
Amnursemismassessingmthemheartmsoundsmofmamclientmwhomhasmdevelopedmchestmpainmthatmbecome
smworsemwithminspiration.mThemnursemauscultatesmamhigh-
pitchedmscratchingmsoundmduringmbothmsystolemandmdiastolemwithmthemdiaphragmmofmthemstethos
copempositionedmatmthemleftmsternalmborder.mWhichmofmthemfollowingmheartmsoundsmshouldmthemn
ursemdocument?
A.mAudiblemClick
B.mMurmur
C.mThirdmheartmsound
D.mPericardialmfrictionmrubm-mCORRECTmANSWERmD
Amnursemismobtainingmthembloodmpressureminmamclient'smlowermextremity.mWhichmofmthemfollowingm
actionmshouldmthemnursemtake?
A.mAuscultatemformthembloodmpresurematmthemdorsalismpedismartery.
B.mMeasuremthembloodmpressuremwithmthemclientmsittingmonmthemsidemofmthembed.
C.mPlacemthemcuffm7.6cmm(3in)mabovemthempoplitealmartery.
D.mPlacemthembladdermofmthemcuffmovermthemposteriormaspectmofmthemthigh.m-
mCORRECTmANSWERmD
, Amchargemnursemismteachingmadultmcardiopulmonarymresusciationm(CPR)mtomamgroupmofmnewlymlice
nsedmnurses.mWhichmofmthemfollowingmactionsmshouldmthemchargemnursemteachmasmthemfirstmrespo
nseminmCPR?
A.mCallmformassisstance
B.mBeginmChestmcompressions
C.mConfirmmunresponsiveness.
D.mGivemrescuembreaths.m-mCORRECTmANSWERmC
Amnursemismcaringmformamclientmwhomrequiresmamchestmx-
ray.mPriormtomthemclientmbeingmtransportedmformthemprocedure,mwhichmofmthemfollowingmactionsms
houldmthemnursemtakemfirst?
A.mExplainmthemx-raymproceduremtomthemclient.
B.mHelpmthemclientmintomamwheelchairmbeforemthemtransportermarrives.m
C.mAskmifmthemclientmhasmanymquestions.
D.mIdentifymthemclientmusingmtwomidentifiers.m-mCORRECTmANSWERmD
Amnursemismcaringmformamchildmwhomismpostoperativemfollowingmamtonsillectomy.mWhichmofmthemfoll
owingmactionsmshouldmthemnursemtake?
A.mEncouragemthemchildmtomcoughmfrequentlymtomclearmcongestionmfrommanesthesia.
B.mPlacemamheatingmpadmatmthemchild'smneckmformcomfort.m
C.mAdministermanalgesicsmtomthemchildmonmamroutinemschedulemthroughoutmthemdaymandmnight.
D.mProvidemthemchildmwithmicemcreammwhenmoralmintakemisminitiated.m-mCORRECTmANSWERmC
Amnursemismprovidingmtachingmtomamclientmwhomhasmheartmfailuremaboutmhowmtomreducemhismdailymi
ntakemofmsodium.mWhichmofmthemfollowingmfactorsmismthemmostmimportantminmdeterminingmthemcli
ent'smabilitymtomlearnmnewmdietarymhabits?
A.mTheminvolvementmofmthemclientminmplanningmthemchange.
B.mThememphasismthemprovidermplacesmonmthemdietarymchanges.