250+ ACTUAL QUESTIONS AND CORRECTLY WELL
DEFINED ANSWERS LATEST 2024 – 2025 ALREADY
GRADED A+
1. A home health nurse is conducting an initial home visit for a
client who has terminal breast cancer. The client has two school-
age children and a limited support system. Which of the
following is the priority nursing action?
A. Inform the client of available community resources
B. Assist the client in finding child care options
C. Agree upon short-term goals for the client
D. Ask the client about their understanding of the diagnosis -
✔✔ANSWER✔✔>>Inform the client of available community
resources
10. A nurse is caring for a full-term newborn immediately
following birth. Which of the following actions should the nurse
take first?
A. Instill erythromycin ophthalmic ointment in the newborn's
eyes
B. Weigh the newborn
C. Place identification bracelets on the newborn
D. Dry the newborn - ✔✔ANSWER✔✔>>Dry the newborn
100. A nurse is caring for a client following insertion of a
subclavian nontunneled percutaneous central venous catheter.
The provider writes a prescription to initiate an IV infusion of
,Ringer's lactate at 150 mL per hr. Prior to starting the infusion,
which of the following actions should the nurse take?
A. Apply oxygen at 3 L/min per nasal cannula
B. Review the chest x-ray report
C. Flush the catheter with sterile water
D. Obtain a peripheral blood glucose level -
✔✔ANSWER✔✔>>Review the chest x-ray report
101. A nurse is planning care for a newly admitted client. Which
of the following interventions should the nurse plan to take first?
A. Initiate an IV access for the client
B. Administer pain medication to the client
C. Send the client to radiology for a CT scan
D. Insert an NG tube for the client -
✔✔ANSWER✔✔>>Administer pain medications to the client
102. A community health nurse is performing a vision screening
on a 4 month old infant. When shining a light source into the
infant's visual field, which of the following is an expected
finding?
A. The infant's eyes turn toward the light
B. The infant's head turns away from the light
C. The infant's eyes remain focused toward the floor
D. The infant closes their eyes - ✔✔ANSWER✔✔>>The infant
closes their eyes
103. A nurse is monitoring a client during an IV urography
procedure. Which of the following client reports is the priority
finding?
A. Metallic taste in mouth
,B. Abdominal fullness
C. Feeling flushed and warm
D. Swollen lips - ✔✔ANSWER✔✔>>Swollen lips
104. A nurse is reviewing the history and physical of a client
who has right ventricular heart failure. Which of the following is
an expected finding?
A. Creptius
B. Elevated pulmonary artery pressure
C. Hepatosplenomegaly
D. Confusion - ✔✔ANSWER✔✔>>Hepatosplenomegaly
105. A nurse is teaching a client and their family about home
hospice care. Which of the following information should the
nurse include in the teaching?
A. Hospice care improves quality of life through palliative care
B. Hospice care provides 24 hr, in home care
C. Hospice care is intended to postpone death
D. Hospice care encourages the family to coordinate health care
services - ✔✔ANSWER✔✔>>Hospice care improves quality of
life through palliative care
106. A nurse is preparing to administer eye drops to a client.
Which of the following nursing actions is appropriate?
A. Have the client tilt her head slightly so that the medication
enters the nasolacrimal duct
B. Gently wash away any exudate along the eyelid margin from
the outside towards the inner canthus
C. Use aseptic technique and drop the medication into the
conjunctival sac
, D. Drop prescribed number of drops onto the cornea -
✔✔ANSWER✔✔>>Use aseptic technique and drop the
medication into the conjunctival sac
107. A nurse suspects another nurse is chemically impaired
during their shift. Which of the following is an appropriate
action for the nurse to take?
A. Report to the nurse manager
B. Set up a time to meet with the nurse
C. Assume care of the nurse's assigned clients
D. Ask another staff nurse to confirm the suspicion -
✔✔ANSWER✔✔>>Report to the nurse manager
18. A nurse is observing a newly licensed nurse irrigate a client's
wound. Which of the following actions should the nurse identify
as an indication that the newly licensed nurse understands
wound irrigation?
A. Cleanses the wound with povidone-iodine with cotton balls
B. Administers PO analgesia 20 min prior to irrigation
C. Warms the irrigation solution in the microwave oven prior to
application
D. Irrigates the wound from the top to the bottom -
✔✔ANSWER✔✔>>Administers PO analgesia 20 minutes prior
to irrigation
180. A nurse is assessing an infant who has water intoxication.
Which of the following findings should the nurse expect?
A. Generalized edema
B. Elevated urine specific gravity
C. Thready pulse