Actual 2024 Exam
A nurse is providing teaching about the use of crutches using a three-point gait to
a client who has tibia fracture. Which of the following actions by the client
indicates an understanding of the teaching?
A. Positioning both hands on the grips with his elbows slightly flexed
B. Supporting his body weight while leaning on the axillary crutch pads (Support
body weight using both Crutches when shifting weight)
C. Stepping with his affected leg first when going up stairs (Unaffected First)
D. Moving both crutches with the stronger leg forward - ✔️CORRECT
ANSWER✅-A. Positioning both hands on the grips with his elbows slightly flexed
A case manager is meeting with a client who asks about using alternative
therapies to manage her rheumatoid arthritis. Which of the following statements
should the nurse make?
A. Im sure you can find alternative remedies through an online support group
B. If there are therapies available to you, your provider will tell you about them
C. Feel free to try whatever therapies that fit within your personal belief system
,D. We can review some information to help you select a safe alternative
practitioner. - ✔️CORRECT ANSWER✅-D. We can review some information to
help you select a safe alternative practitioner.
A nurse is assessing a client following a ischemic stroke. Which of the following
findings is the priority for the nurse to report to the provider?
A. The client reports a metallic taste in his mouth
B. A client reports a decreased appetite
C. The client coughs after swallowing
D. The client has poor fitting dentures - ✔️CORRECT ANSWER✅-C. The client
coughs after swallowing
A nurse is developing a plan of care for a newborn whose mother tested positive
for heroin during pregnancy. The newborn is experiencing neonatal abstinence
syndrome. Which of the following actions should the nurse include in the plan?
A. Swaddle the newborn with this leg extended.
B. Maintain eye contact with the newborn during feedings.
C. Minimize noise in the newborn environment
D. Administer naloxone to the newborn - ✔️CORRECT ANSWER✅-C. Minimize
noise in the newborn environment
,● Reduce environmental stimuli (decrease lights, lower noise level).
A newly licensed nurse is reviewing the role of a nurse in disaster planning. Which
of the following is an activity a nurse should engage in to assist in disaster
preparedness?
A. Participate in community drills and mock events.
B. Vaccinate susceptible children and adults against smallpox
C. Assess types, levels and scopes of disasters.
D. Make quarantine preparations for those exposed to anthrax Rationale: Assess
First - ✔️CORRECT ANSWER✅-A. Participate in community drills and mock
events.
A nurse is obtaining a client's medical history before initiating 1000 ml of 0.9%
NaCl with 20 mEq/L KCl IV to correct hypokalemia. Which of the following findings
is a contraindication to the client receiving this IV solution?
A. Severe renal impairment. (Stage IV Kidney Disease)
B. Chronic alcohol use disorder
C. Multiple sclerosis
, D. Advanced cardiac disease. - ✔️CORRECT ANSWER✅-A. Severe renal
impairment. (Stage IV Kidney Disease)
A nurse is auscultating heart sounds of an adult client experiencing dyspnea. The
nurse hears a soft, turbulent sound between beats at the left midclavicular line in
the fifth intercostal space. Which of the following is an appropriate documentation
of the findings?
a. Fourth heart sound at the aortic area
b. Murmur at the mitral area
c. Third heart sound at the tricuspid area
d. Pericardial friction rub at the pulmonic area - ✔️CORRECT ANSWER✅-b.
Murmur at the mitral area
A nurse is teaching a client who has a newly documented latex allergy. Which of
the following statements by the clients indicates an understanding of the
teaching?
a. I will remove dairy products from my diet
b. I will remove peanuts from my diet
c. I will remove bananas from my diet
d. I will remove gluten from my diet - ✔️CORRECT ANSWER✅-c. I will remove
bananas from my diet