EXAM 2025 TEST BANK ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS}
A community health nurse is planning an educational program about
hepatitis A. When preparing the materials, the nurse should identify that
which of the following groups is most at risk for developing hepatitis A?
- ANSWER-children and young adults
A nurse if assisting with the admission of a client who is bedridden and
was admitted from home. The nurses notes a shallow crater in the
epidermis of the client's sacral area. The nurse should document that
the client has a pressure ulcer at which of the following stages? -
ANSWER-Stage 2
A nurse if checking for cardia tamponade on a client who has
pericarditis. Which of the following actions should the nurse take first? -
ANSWER-Auscultate blood pressure for pulsus paradoxes
A nurse in a clinic is collecting data from a client who has a history of
peripheral arterial disease. Which of the following findings on the
client's lower extremities should the nurse expect? - ANSWER-Cool, pale
skin with minimal body hair
A nurse in a provider's office is collecting data from a client who has skin
lesions. The nurse notes that the lesions are 0.5 cm in size, elevated, and
,solid, with very distinct borders. The nurse should document the finding
as which of the following skin lesions? - ANSWER-Papules
A nurse in a providers office is caring for a client who has a new
diagnosis of herpes zoster. The nurse should anticipate a prescription
for which of the following medications? - ANSWER-acyclovir
A nurse is administering a loop diuretic to a client who has 3+ pitting
edema in the lower extremities. Which of the following actions should
the nurse take? - ANSWER-Monitor the client for ototoxicity
A nurse is an urgent care clinic is caring for a client who has a snakebite
on her arm. Which of the following actions should the nurse take? -
ANSWER-immobilize the limb at the level of the heart.
A nurse is assisting in collecting data from a client who has a history of
unstable angina. Which of the following findings should the nurse expect?
- ANSWER-The client reports chest pain when at rest
A nurse is assisting in developing the plan of care for an older adult
client who is to receive a unto of packed RBCs. Which of the following
action should the nurse recommend? - ANSWER-Verify the information
on the packed RBCs with another nurse
A nurse is assisting in monitoring a client who had a myocardial
infarction. For which of the following complications should the nurse
monitor in the first 24 hour? - ANSWER-Ventricular dysrhythmias
, A nurse is assisting in the care of a client who has an abdominal aortic
aneurysm and is scheduled for surgery. The client's vital signs are BP
160/98, HR 102, R-22, SpO2 95%. Which of the following actions should
the nurse take? - ANSWER-Administer antihypertensive medication for
blood pressure
A nurse is assisting in the care of a client who is hypovolemic shock.
While waiting for a unit of blood, the nurse should plan to administer
which of the following IV solutions? - ANSWER-0.9% sodium chloride
A nurse is assisting in the plan of care for a client who is having a
percutaneous transluminal coronary angioplasty with stent placement.
Which of the following actions should the nurse anticipate in the
postoperative plan of care? - ANSWER-Initiate an aspirin regimen
A nurse is assisting in the preparation of a unit of packed RBCs for a
client who has anemia. Which of the following actions should the nurse
take first? - ANSWER-Witness the informed consent
A nurse is assisting with a development of an education session about
malignant melanoma for a group of clients. The nurse should include that
which of the following clients has an increased risk for developing
malignant melaonoma? - ANSWER-a client who has a light complexion
A nurse is assisting with a plan of care for a client who is experiencing
the Somogyi effect and takes intermittent-acting insulin. Which of the
following actions should the nurse include in the plan? -
ANSWER-monitor nighttime blood glucose