COMPREHENSIVE ASSESSMENT FORM A
& B EXAM | NEWEST ACTUAL EXAM
COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS GRADED A+ | 100%
CORRECT | 2024 UPDATE!!
A nurse is providing information to a client immediately before his
scheduled Romberg test. Which of the following statements should the
nurse make? - ✔✔✔ Correct Answer > "I will be checking you once
with your eyes open and once with them closed."
A nurse on a medical-surgical unit is caring for a client who has a new
diagnosis of terminal cancer. The client tells the nurse that they would
like to go home to be with family and loved ones. Which of the
following actions should the nurse take? - ✔✔✔ Correct Answer >
Make a referral for social services.
A nurse is assessing a client who has decreased visual acuity due to
cataracts. The nurse should identify that which of the following
physiological changes is the cause for the client's visual loss? - ✔✔✔
Correct Answer > Increased opacity of the lens
,A nurse is caring for a client following a vacuum-assisted birth. The
nurse should monitor the client for which of the following
complications related to vacuum-assisted birth? - ✔✔✔ Correct
Answer > Cervical laceration
A nurse is assessing a client who has a chest tube. Which of the
following findings should the nurse expect? - ✔✔✔ Correct Answer >
Occlusive dressing on the insertion site
A charge nurse is speaking with the partner of a client. The partner
states that the client is not receiving adequate care. Which of the
following actions should the charge nurse take first to resolve the
situation? - ✔✔✔ Correct Answer > Ask the partner to list specific
concerns.
A nurse is teaching a client who has a new prescription of total
parenteral nutrition though a central line. Which of the following
information should the nurse include in the teaching? - ✔✔✔ Correct
Answer > "I will need to measure your weight daily."
A nurse is teaching a client who is at 20 weeks gestation about common
discomforts associated with pregnancy. Which of the following
statements indicates an understanding of the teaching? - ✔✔✔
Correct Answer > "I will wear a supportive bra overnight."
,A nurse is caring for a client who is taking valproic acid for seizure
control. For which of the following adverse effects should the nurse
monitor and report? - ✔✔✔ Correct Answer > Jaundice
A nurse is providing discharge instructions about newborn care to a
client who is postpartum. Which of the following statements indicates
to the nurse that the client understands the teaching? - ✔✔✔ Correct
Answer > "I will cover my baby's body when I wash her hair."
"I will use the bulb syringe first in her mouth and then in her nose."
A nurse on a mental health unit is conducting a mental status
examination (MSE) on a newly admitted client. Which of the following
components of the MSE is the priority for the nurse to assess? - ✔✔✔
Correct Answer > Ideas of self-harm
A nurse is preparing to administer lactated Ringer's 1,500 mL IV to
infuse at 50 mL/hr. The drop factor of the manual IV tubing is 15
gtt/mL. The nurse should set the manual IV infusion to deliver how
many gtt/min? - ✔✔✔ Correct Answer > 13 gtt/min
A nurse is providing teaching to a client who has a new diagnosis of
type 1 diabetes mellitus. The nurse should instruct the client to monitor
for which of the following findings as a manifestation of hypoglycemia?
- ✔✔✔ Correct Answer > Irritability
, A nurse is providing teaching to a client who is scheduled for
electroconvulsive therapy (ECT). The nurse should inform the client that
which of the following findings is an adverse effect of ECT? - ✔✔✔
Correct Answer > Short-term memory loss
A charge nurse notices that one of the nurses on the shift frequently
violates unit policies by taking an extended amount of time for break.
Which of the following statements should the charge nurse make to
address this conflict? - ✔✔✔ Correct Answer > "I would like to talk to
you about the unit policies regarding break time."
A nurse in the emergency department is caring for a client who is at 9
weeks gestation and reports nausea and vomiting for the past 2 days.
Which of the following findings should the nurse expect? - ✔✔✔
Correct Answer > Urine specific gravity 1.052
A nurse is caring for an older adult client who is experiencing chronic
anorexia and is receiving enteral tube feedings. Which of the following
laboratory values indicates that the client needs additional nutrients
added to the feeding? - ✔✔✔ Correct Answer > Albumin 2.8 g/dL
A nurse is conducting group therapy with clients who have breast
cancer. The nurse should recognize which of the following statements
by a client is an example of altruism. - ✔✔✔ Correct Answer > "I told
my doctor that I would like to start a support group for other women
who are sick in my community."