2024/25 Real Exam, Questions With Correct Answers (Verified
Answers) ||Complete A+ Guide
1. A nurse is caring for a client who is at 33 weeks of gestation following
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m an amniocentesis. The nurse should monitor the client for which of the
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following complications?
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A. Vomiting
B. Hypertension
C. Epigastric pain m
D. Contractions
…Ans>> D. Contractions
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2. A nurse is providing teaching to an older adult client about methods
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to promote nighttime
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sleep. Which of the following instructions should the nurse include?
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1 m/ m
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,A. Stay in bed at least 1 hr if unable to fall asleep
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B. Take a 1 hr nap during the day
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C. Perform exercises prior to bedtime m m m m
D. Eat a light snack before bedtime
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…Ans>> D. Eat a light snack before bedtimemm m m m m m m
3. A nurse on a telemetry unit is caring for a client who becomes unconscious
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m and whose monitor displays ventricular tachycardia. Which of the
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m following actions should the nurse take first after determining the client
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does not have a palpable pulse?
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A. Assess heart sounds m m
B. Defibrillate
C. Establish IV access m m
D. Administer epinephrine m
…Ans>> B. Defibrillate mm m
4. A nurse is admitting a client who 1 week postpartum and reports
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excessive vaginal bleeding. The nurse does not speak the same language as
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m the client. The client's partner and 10-year-old child are accompanying her.
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Which of the following actions should the
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nurse take to gather the client's admission data?
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A. Have the client's child translate
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B. Allow the client's partner to translate
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2 m/ m
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,C. Request a female interpreter through the facility
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D. Ask a nursing student who speaks the same language as the client to
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m translate
…Ans>> C. Request a female interpreter through the facility
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5. A nurse is caring for a client who is febrile. To reduce the client's fever,
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the nurse applies a cooling blanket. Which of the following findings
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indicates the client is having an adverse reaction to the cooling?
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a. Flushing
b. Tachycardia
c. Restlessness
d. Shivering
…Ans>> d. Shivering mm m
3 m/ m
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, 6. A nurse is caring for a client who has deep-vein-thrombosis of the left lower
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m extremity. Which of the following actions should the nurse take? (Exhibit)
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A. Position the client with the affected extremity lower than the heart
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B. Withhold heparin IV infusion PTT- 30-40 seconds; x2 if on heparin
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C. Administer acetaminophen m
D. Massage the affected extremity every 4 hr
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…Ans>> B. Withhold heparin IV infusion PTT- 30-40 seconds; x2 if on
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m heparin
7. A nurse is reviewing assessment data from several clients. For which of the
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m following clients should the nurse recommend referral to a dietitian?
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A. An older adult client who has a BMI of 24
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B. A client who has a nonhealing leg ulcer
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C. An older adult client who has presbyopia
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D. A client who has an albumin level of 3.7 g/dL (normal 3.4-5.4)
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…Ans>> B. A client who has a nonhealing leg ulcer
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8. 8. A nurse is providing discharge teaching to a client who has a chronic kid-
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m ney disease and is receiving hemodialysis. Which of the following instructions
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m should the nurse include in the teaching?
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a. Eat 1 g/kg of protein per day
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b. Take magnesium hydroxide for indigestion
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4 m/ m
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