EXAM 60 ACTUAL QUESTIONS
WITH VERIFIED CORRECT
ANSWERS 100% TOP SCORE
1. A nurse at a rehabilitation facility is assisting with the admission of
a client who has left hemiplegia following a stroke. Which of the
following actions should the nurse take first?: Determine the client's
mental status
2. A nurse is planning care for a client who practices Judaism. Which
of the following questions should the nurse ask the client to better
understand how he practices Judaism?: "Do you observe the Sabbath?"
3. A nurse is caring for a client who has a visual impairment. When
setting up the client's meal tray, the nurse should take which of the
following actions?: -
Describe food placement using the numbers on the face of a clock
4. A nurse is reinforcing teaching with a male client about clean
intermittent self-catheterization. Which of the following instructions
should the nurse include?: Wash the catheter with soap and water after use
5. A nurse is caring for a client who has a terminal illness. Which of
the following is an expected response by a family member during the
anger stage of grieving?: The family member criticizes care provided by the
nurse
, 6. A nurse is assisting with the plan of care for a client who is dying.
Which of the following interventions should the nurse include in the plan
of care?: Allow family to assist the client with personal hygiene
7. A nurse is preparing to collect blood samples from an older adult
client. Which of the following actions should the nurse take when
performing venipuncture?: Apply the tourniquet over the client's sleeve
8. A nurse is collecting data from a client who is receiving a
continuous IV infusion of lactated Ringer's for dehydration. Which of
the following findings indicates infiltration of the solution into the
subcutaneous area?: The area around the infusion site is cool to the touch
9. A nurse is reinforcing teaching about home safety with a client who
is at risk for falls. Which of the following client statements indicates an
understanding of the teaching?: I will secure all of my electrical cords to
the baseboard
10. A nurse is reinforcing teaching about sleep promotion with a client
who reports having difficulty sleeping. Which of the following client
statements indicates an understanding of the teaching?: I should play
music that relaxes me before I go to bed
11. A nurse is reinforcing teaching with the partner of a client who has
left-sided weakness about how to safely move the client from a bed to a
chair at home. which of the following statements by the partner indicates
an understanding of the teaching?: I'll bend at the knees when lifting to get
better leverage
12 A nurse is reinforcing teaching about health promotion with an older
adult client. Which of the following instructions to the client is an