PRACTICE B EXAM QUESTIONS AND
CORRECT ANSWERS LATEST EXAM
UPDATE
An antepartum nurse is caring for 4 pts. For which of the following pts
should the nurse initiate seizure precautions?
A. A client who is at 33 weeks of gestation and has severe gestational
hypertension
B. A client who is at 16 weeks of gestation and has a hydatidiform
mole
C. A client who is at 28 weeks of gestation and is experiencing
vaginal bleeding
D. A client who is at 12 weeks of gestation and has group B
streptococcus
A. A client who is at 33 weeks of gestation and has severe gestational
hypertension
The nurse should initiate seizure precautions for a client who has severe
gestational hypertension because an extremely elevated blood pressure
in an antepartum client can trigger seizure activity. The nurse should
provide the client with a quiet, darkened environment; place suction
equipment and oxygen at the bedside; and place the call button within
the client's reach.
A nurse is preparing to replace a pt's transdermal fentanyl patch after 72
hr of use. After the nurse opens the packet containing the new pouch, the
,pt declines to accept it. Which of the following actions should the nurse
take?
A. Withhold pain medications for 24 hr after the old patch is removed.
B. Ask another nurse to witness the disposal of the new patch.
C. Seal the patches in a plastic bag and place in the client's trash basket.
D. Stick the two patches to each other and place them in the sharps bin.
B. Ask another nurse to witness the disposal of the new patch.
A nurse is caring for a client who has a new prescription for clonidine.
The nurse should inform the pt that which of the following findings is an
adverse effect of this med?
A. Diarrhea
B. Dry mouth
C. Photophobia
D. Bruising
B. Dry mouth
A nurse is providing teaching to a pt who speaks a different language
than the nurse about an upcoming diagnostic procedure. Which of the
following actions should the nurse take?
A. Speak in a loud voice when explaining the procedure to the client.
B. Use pictures to illustrate the procedure to the client.
C. Use medical terminology to explain the procedure to the client.
D. Validate the client's understanding of the procedure by watching for
the client to smile and nod
B. Use pictures to illustrate the procedure to the client.
A nurse is caring for a client who has DVT. Which of the following
actions should the nurse take?
,A. Teach the client to massage the affected extremity.
B. Instruct the client to elevate the affected extremity when sitting.
C. Assess pulses proximal to the affected area.
D. Apply a cold compress to the affected extremity.
B. Instruct the client to elevate the affected extremity when sitting.
A nurse is developing a discharge plan for a school-age child who has
thrombocytopenia. The nurse should instruct the child to avoid which of
the following?
A. Large groups of people
B. Quickly changing positions
C. Eating fresh fruits
D. Blowing the nose
D. Blowing the nose
A nurse is caring for a child who has hypotonic dehydration and is
receiving an oral rehydration solution. Which of the following lab
results indicates that the treatment regimen is effective?
A. Urine pH 6.0
B. Urine specific gravity 1.035
C. Serum sodium 136 mEq/L
D. Serum potassium 3.9 mEq/L
C. Serum sodium 136 mEq/L
A child who has hypotonic dehydration has a serum sodium level below
130 mEq/L. A serum sodium level of 136 mEq/L, which is within the
expected reference range, indicates that this child is responding well to
the oral rehydration solution.
, A nurse in an ED is assessing a school-age child who was brought in by
her parents and has scald burns to both hands and wrists. The nurse
suspects physical abuse. Which of the following actions should the nurse
take?
A. Discuss his suspicion of physical abuse with the provider.
B. Confront the parents with his suspicion of physical abuse.
C. Ask the hospital security to detain and question the parents.
D. Contact child protective services.
D. Contact child protective services.
A nurse is performing an abdominal assessment on a client. Identify the
sequence of actions the nurse should take.
Auscultation
Inspection
Palpation
Percussion
1) Inspection
2) Auscultation
3) Percussion 4) Palpation
A nurse is caring for a newborn who has herpes simplex virus (HSV).
Which of the following isolation precautions should the nurse initiate?
A. contact
B. droplet
C. airborne
D. protective environment
A. contact