(Actual Exam) Ques ons with verified Answers (Latest Update
2026) UPDATE!!
A nurse, an emergency department complete an assessment on an adolescent client that has
conduct disorder. The client threaten suicide to a teacher at school which of the following
statements should the nurse include in the assessment. - ANSWER Tell me how o en do you
drink alcohol?
A nurse is observing bonding to the client, her newborn, which of the following ac ons by the
client requires the nurse to intervene - ANSWER Viewing the newborn's ac ons to be
uncoopera ve
A nurse is caring for a client who is taking levothyroxine, which of the following finding should
indicate that the medica on was effec ve - ANSWER Weight loss
A nurse is planning, discharge teaching for cord care for a parent of a newborn which
instruc ons would you include in the teaching - ANSWER Keep the cord dry un l it falls off
(cord should be kept clean and dry to prevent infec on)
A nurse is assessing a client in PACU, which of the following findings indicates decreased cardiac
output - ANSWER oliguria
A nurse is assis ng with mass, casualty triage explosion at a local factory which of the following
client. Should the nurse iden fy as a priority. - ANSWER A client with indica ons of
hypovolemic shock
A nurse is receiving report on for clients which of the following client should the nurse assess
first - ANSWER A client who is chronic kidney disease with cloudy, diasylate ou low
,A nurse is caring for a client just received the first dose of lisinopril. The following is appropriate
nursing interven on. - ANSWER Provide standby assist with the client from bed
A nurse is caring for a client who is in labor, and is receiving electronics fetal monitoring. The
nurse is reviewing the monitor tracing in notes early decelera ons, which of the following
should the nurse expect - ANSWER Head compression
A nurse is caring for a client who has chronic kidney disease. The nurse should iden fy which of
the following laboratory values as an indica on of hemodialysis. - ANSWER Glomerular
filtra on rate of 14 ML/minute
A nurse is caring for an infant who has prescrip on for con nuous pulse oximetry. The
following is an appropriate ac on for the nurse to take. - ANSWER Heat the skin one minute
prior to placing the program
A nurse in a mental health facility receives a change of shi report on four clients which of the
following client. Should the nurse plan to assess first. - ANSWER Client placed in restraints to
the aggressive behavior
A nurse working at the clinic is teaching a group of clients who are pregnant on the use of
nonpharmacological pain management, which of the following statement by the nurse is an
appropriate descrip on of the use of hypnosis during labor - ANSWER Hypnosis promotes
increase control of her pain percep on during contrac ons
A nurse in a County Jail health clinic is leading group therapy session. A client who was
incarcerated for the is addressing the group. Which of the following is an example of reac on
forma on? - ANSWER I think that people just you're just lazy and should earn money
honestly
, A nurse is obtaining a medical history of a client who has a new prescrip on for Isosorbide
mono trate which of the following should the nurse iden fy as a contraindica on to medica on
- ANSWER glaucoma
16 - ANSWER No ques ons
The nurse is caring for a client recovering from an acute myocardial infrac on, which of the
following interven on should the nurse include in the point of care - ANSWER Obtain a
cardiac rehabilita on consult
A nurse is caring for a client who has breast cancer and has been covering receiving
chemotherapy, which of the following laboratory value should nurse report to the provider -
ANSWER WBC 3,000/mm3
Home health nurse is carefully planned for Alzheimer's disease to the following ac on. Should
the nurse include in the plan of care - ANSWER Place a daily calendar in the kitchen
A nurse is performing change of shi assessments on four clients which of the following
findings. Should the nurse report to the provider first. - ANSWER Client who has
gastroenteri s and his lethargic and confused
A nurse is caring for a client who is in the second trimester of pregnancy and ask how to treat
cons pa on which of the following statements by the nurse is appropriate - ANSWER Drink
hot water with lemon juice each morning when you wake up
22 - ANSWER No ques on