2024-2025 Actual Exam 180 Questions and 100%
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2. Which results from a form of pollution? (select all that apply) - CORRECT ANSWER:
b. Land pollution: birth defects and cancer
c. Water pollution: disease and infection
e. Agricultural pollution: birth defects
A 27 year old pregnant patient comes for her monthly check up. You are assessing her
and you hear an S3 ventricular gallop. You understand under these circumstances that
you should? - CORRECT ANSWER: Continue with your exam and document the sound
in her chart
A 30 year old woman tells the nurse that she has been very unsteady and has difficulty
in maintaining her balance. Which area of the brain would the nurse be concerned
about related to these findings? - CORRECT ANSWER: Cerebellum
A 40-year-old patient complains of 4 days of frequent loose stools with abdominal
cramping. What is the priority nursing diagnosis for this patient? - CORRECT ANSWER:
Fluid imbalance
A 56-year-old man who has been staying at a cabin while hunting arrives at the
emergency department with complaints of dizziness, light-headedness, and nausea.
What does the nurse initially suspect? - CORRECT ANSWER: Carbon monoxide
poisoning
A 65 year old man has noticed a change in this personality and his ability to understand.
He also cries and becomes angry very easily. The cerebral lobe responsible for these
behaviors is the ________ lobe. - CORRECT ANSWER: Frontal
,A 70 year old woman has come for a health examination. Which of the following is a
common age-related change in the curvature of the spinal column? - CORRECT
ANSWER: Kyphosis
A barrel chest and hyper resonance upon auscultation would be an expected
assessment finding in a patient with what disease? - CORRECT ANSWER: Emphysema
A home health nurse is discussing the dangers of carbon monoxide poisoning with a
client which of the following information should a nurse include? - CORRECT ANSWER:
carbon monoxide binds with hemoglobin in the body
A home health nurse is discussing the dangers of food poisoning with a client. What is
the form information that should the nurse include? (Select all that apply) - CORRECT
ANSWER: -immunocompromised individuals are at an increased risk for complications
from food poisoning
-client who are at high risk should eat or drink only pasteurized dairy products
-handling raw and fresh food separately can prevent food poisoning
A hospital has just implemented the use of electronic health records (EHRs). While
learning to use this new system, the nurse realizes that EHRs may do which of the
following? - CORRECT ANSWER: Improve access to patient information at the point of
care
A new graduate nurse learns that the facility controls access to electronic health records
by which of the following? - CORRECT ANSWER: Assignment of individual passwords
A new nurse is caring for a patient who is restrained. Which action shows a good
understanding of caring for this patient? - CORRECT ANSWER: Remove restraints as
soon as patient's condition allows
A nurse discovers a small paper fire in a trashcan and a clients bathroom. The client
has been taken to safety and the alarm has been activated. Which of the following
actions should the nurse take? - CORRECT ANSWER: place wet towels along the base
of the door to the clients room
, A nurse educator is conducting a parent class for new guardians of infants which of the
following statements made by a participant indicates understanding? - CORRECT
ANSWER: "once my infant starts to push up I will remove the mobile from over the crib"
A nurse educator is presenting a module on basic first aid for newly licensed Home
health nurses. The client who has heat stroke will have which of the following? -
CORRECT ANSWER: Hypertension
A nurse has provided discharge instructions to a patient and family. What statement by
the family would indicate an understanding of methods to prevent complications from
immobility? - CORRECT ANSWER: "We'll make sure that Dad eats plenty of lean
protein foods."
A nurse is assessing a client who has had diarrhea for 4 days. Which of the following
findings should the nurse expect? (Select all that apply) - CORRECT ANSWER: a.
Hypotension
b. Elevated temperature
c. Poor skin turgor
A nurse is caring for a client who fell at a nursing home the client is oriented to person
place and time and can follow directions. Which of the following actions should the
nurse take to decrease the risk of another fall? (select all that apply) - CORRECT
ANSWER: -Make sure the clients call light's within reach
-Provide the client with nonskid footwear
-Complete a fall risk assessment
A nurse is caring for a client who has a history of falls. Which of the following actions is
the nurses priority? - CORRECT ANSWER: Complete a fall risk assessment
A nurse is caring for a client who has been sitting in a chair for 1 hr. Which of the
following complications is the greatest risk to the client? - CORRECT ANSWER:
Pressure injury