COM Retake 2024 Exam Questions With Correct/Verified
Answers{100%correct}Graded A+
1. A nurse is preparing to admit a 6-year-old Use droplet precautions when
with varicella to the pediatric unit.Which caring for the child.
of the following actions should the nurse
take? Using droplet precautions
when caring for the child is
A. Assess the child for Koplik spots. appropriate because varicel-
B. Assign the child to a negative air pres- la is highly contagious and
sure room. spreads through respiratory
C. Use droplet precautions when caring droplets. Droplet precautions
for the child. involve wearing a mask and
D. Administer aspirin to the child for fever. maintaining a safe distance
from the infected individual,
which helps prevent the spread
of the virus to others.
2. A nurse enters a client's room and sees a
small fire in the client's bathroom.Identify
the sequence of steps the nurse should
take.(Move the steps into the box on the
right, placing them in the order of perfor-
mance.Use all the steps.)
A. Use the unit's fire extinguisher to at-
tempt to put out the fire.
B. Close all nearby windows and doors.
C. Activate the facility's fire alarm system.
D. Transport the client to another area of
the nursing unit.
3. An older client with a history of heart Review the need for the UAP to
failure is admitted with influenza and re- wear a face mask while in close
quests assistance to sit up in bed to contact with the client.
eat lunch. The nurse observes the unli-
censed assistive personnel (UAP) wear-
ing a gown and gloves to assist the client.
Which action should the nurse take?
A. Instruct the UAP to notify the nurse
of any changes in the client's respiratory
, COM Retake 2024
status.
B. Remind the UAP to apply a fitted res-
pirator mask before entering the client's
room.
C. Assign the UAP to provide care for an-
other client and assume full care of the
client.
D. Review the need for the UAP to wear a
face mask while in close contact with the
client.
4. A nurse is assessing a client who has a There is a loop of tubing below
chest tube with a water seal drainage sys- the drainage system
tem.Upon assessment, the nurse notes
tidaling in the water seal.Which of the fol- This is the correct answer.
lowing is an explanation for the tidaling? Tidaling in the water seal
chamber of a chest drainage
A. The lung has re-expanded. system is normal and indi-
B. There is a loop of tubing below the cates proper functioning. It oc-
drainage system. curs because of the fluctuation
C. The system is working properly. of intrathoracic pressure with
D. The tubing is partially obstructed by the client's breathing. If there
clots. is a loop of tubing below the
drainage system, it prevents
the fluid from returning to the
patient and maintains the wa-
ter seal.
5. A charge nurse is teaching a newly li- Read medication labels at
censed nurse about medication adminis- least two times prior to admin-
tration.Which of the following information istration.
should the charge nurse include?
This is the correct answer.
A. Avoid preparing medications for more Reading medication labels at
than two clients at one time. least two times before admin-
B. Inform clients about the action of each istration is essential to ensure
medication prior to administration. the right medication, dosage,
C. Read medication labels at least two route, and time. It is a crucial
times prior to administration. step in medication safety pro-
, COM Retake 2024
D. Complete an incident report if a client tocols and helps prevent med-
vomits after taking a medication. ication errors.
6. A nurse in an emergency department is Initiate seizure precautions for
assessing a client who reports ingest- the client.
ing thirty diazepam tablets 20 minutes
ago.The client is lethargic and has a res- This is the correct answer. Ini-
piratory rate of 10/min.After securing the tiating seizure precautions is
client's airway and initiating an IV, which crucial in this situation because
of the following actions should the nurse benzodiazepine overdose can
take next? lead to seizures, especially
during the recovery phase as
A. Evaluate the client for further suicidal the drug's effects wear off.
behavior. Implementing seizure precau-
B. Administer flumazenil to the client. tions, such as padding the
C. Monitor the client's IV site for throm- siderails and ensuring a safe
bophlebitis. environment, helps prevent in-
D. Initiate seizure precautions for the jury during a seizure episode.
client.
7. A nurse is providing discharge instruc- Shuffling gait.
tions to a client who has a new prescrip-
tion for haloperidol.Which of the following This is the correct answer.
adverse effects should the nurse instruct Shuffling gait, or parkinsonism,
the client to report to the provider? is an extrapyramidal symp-
tom associated with the use
A. Weight gain. of antipsychotic medications
B. Dry mouth. like haloperidol. It is a move-
C. Shuffling gait. ment disorder characterized by
D. Sedation. a shuffling walk, rigidity, and
tremors. Recognizing and re-
porting this symptom promptly
is crucial, as it may indicate the
development of a serious neu-
rological condition called tar-
dive dyskinesia.
8. A nurse is caring for an adolescent client Complete oral hygiene.
who has cystic fibrosis.Which of the fol-
, COM Retake 2024
lowing actions should the nurse instruct
the client to take prior to initiating postur-
al drainage?
A. Eat a meal.
B. Take pancrelipase.
C. Use an albuterol inhaler.
D. Complete oral hygiene.
9. A nurse is preparing an in-service for Administering potassium via IV
a group of nurses about malpractice is- bolus.
sues in nursing.Which of the following
examples should the nurse include in the
teaching as an example of malpractice?
A. Administering potassium via IV bolus.
B. Leaving a nasogastric tube clamped
after administering oral medication.
C. Placing a yellow bracelet on a client
who is at risk for falls.
D. Documenting communication with a
provider in the progress notes of the
client's medical record.
10. A nurse is performing a neurological ex- Shrugs his shoulders.
amination on a client as part of a complete
physical assessment.The nurse should
identify that cranial nerve XI is intact
when the client performs which of the fol-
lowing actions?
A. Sticks his tongue out.
B. Frowns symmetrically.
C. Identifies a sour taste.
D. Shrugs his shoulders.
11. A nurse is planning care for a client Maintain bed elevation at 20
who is receiving continuous enteral tube degrees.
feedings through an open system.Which
Answers{100%correct}Graded A+
1. A nurse is preparing to admit a 6-year-old Use droplet precautions when
with varicella to the pediatric unit.Which caring for the child.
of the following actions should the nurse
take? Using droplet precautions
when caring for the child is
A. Assess the child for Koplik spots. appropriate because varicel-
B. Assign the child to a negative air pres- la is highly contagious and
sure room. spreads through respiratory
C. Use droplet precautions when caring droplets. Droplet precautions
for the child. involve wearing a mask and
D. Administer aspirin to the child for fever. maintaining a safe distance
from the infected individual,
which helps prevent the spread
of the virus to others.
2. A nurse enters a client's room and sees a
small fire in the client's bathroom.Identify
the sequence of steps the nurse should
take.(Move the steps into the box on the
right, placing them in the order of perfor-
mance.Use all the steps.)
A. Use the unit's fire extinguisher to at-
tempt to put out the fire.
B. Close all nearby windows and doors.
C. Activate the facility's fire alarm system.
D. Transport the client to another area of
the nursing unit.
3. An older client with a history of heart Review the need for the UAP to
failure is admitted with influenza and re- wear a face mask while in close
quests assistance to sit up in bed to contact with the client.
eat lunch. The nurse observes the unli-
censed assistive personnel (UAP) wear-
ing a gown and gloves to assist the client.
Which action should the nurse take?
A. Instruct the UAP to notify the nurse
of any changes in the client's respiratory
, COM Retake 2024
status.
B. Remind the UAP to apply a fitted res-
pirator mask before entering the client's
room.
C. Assign the UAP to provide care for an-
other client and assume full care of the
client.
D. Review the need for the UAP to wear a
face mask while in close contact with the
client.
4. A nurse is assessing a client who has a There is a loop of tubing below
chest tube with a water seal drainage sys- the drainage system
tem.Upon assessment, the nurse notes
tidaling in the water seal.Which of the fol- This is the correct answer.
lowing is an explanation for the tidaling? Tidaling in the water seal
chamber of a chest drainage
A. The lung has re-expanded. system is normal and indi-
B. There is a loop of tubing below the cates proper functioning. It oc-
drainage system. curs because of the fluctuation
C. The system is working properly. of intrathoracic pressure with
D. The tubing is partially obstructed by the client's breathing. If there
clots. is a loop of tubing below the
drainage system, it prevents
the fluid from returning to the
patient and maintains the wa-
ter seal.
5. A charge nurse is teaching a newly li- Read medication labels at
censed nurse about medication adminis- least two times prior to admin-
tration.Which of the following information istration.
should the charge nurse include?
This is the correct answer.
A. Avoid preparing medications for more Reading medication labels at
than two clients at one time. least two times before admin-
B. Inform clients about the action of each istration is essential to ensure
medication prior to administration. the right medication, dosage,
C. Read medication labels at least two route, and time. It is a crucial
times prior to administration. step in medication safety pro-
, COM Retake 2024
D. Complete an incident report if a client tocols and helps prevent med-
vomits after taking a medication. ication errors.
6. A nurse in an emergency department is Initiate seizure precautions for
assessing a client who reports ingest- the client.
ing thirty diazepam tablets 20 minutes
ago.The client is lethargic and has a res- This is the correct answer. Ini-
piratory rate of 10/min.After securing the tiating seizure precautions is
client's airway and initiating an IV, which crucial in this situation because
of the following actions should the nurse benzodiazepine overdose can
take next? lead to seizures, especially
during the recovery phase as
A. Evaluate the client for further suicidal the drug's effects wear off.
behavior. Implementing seizure precau-
B. Administer flumazenil to the client. tions, such as padding the
C. Monitor the client's IV site for throm- siderails and ensuring a safe
bophlebitis. environment, helps prevent in-
D. Initiate seizure precautions for the jury during a seizure episode.
client.
7. A nurse is providing discharge instruc- Shuffling gait.
tions to a client who has a new prescrip-
tion for haloperidol.Which of the following This is the correct answer.
adverse effects should the nurse instruct Shuffling gait, or parkinsonism,
the client to report to the provider? is an extrapyramidal symp-
tom associated with the use
A. Weight gain. of antipsychotic medications
B. Dry mouth. like haloperidol. It is a move-
C. Shuffling gait. ment disorder characterized by
D. Sedation. a shuffling walk, rigidity, and
tremors. Recognizing and re-
porting this symptom promptly
is crucial, as it may indicate the
development of a serious neu-
rological condition called tar-
dive dyskinesia.
8. A nurse is caring for an adolescent client Complete oral hygiene.
who has cystic fibrosis.Which of the fol-
, COM Retake 2024
lowing actions should the nurse instruct
the client to take prior to initiating postur-
al drainage?
A. Eat a meal.
B. Take pancrelipase.
C. Use an albuterol inhaler.
D. Complete oral hygiene.
9. A nurse is preparing an in-service for Administering potassium via IV
a group of nurses about malpractice is- bolus.
sues in nursing.Which of the following
examples should the nurse include in the
teaching as an example of malpractice?
A. Administering potassium via IV bolus.
B. Leaving a nasogastric tube clamped
after administering oral medication.
C. Placing a yellow bracelet on a client
who is at risk for falls.
D. Documenting communication with a
provider in the progress notes of the
client's medical record.
10. A nurse is performing a neurological ex- Shrugs his shoulders.
amination on a client as part of a complete
physical assessment.The nurse should
identify that cranial nerve XI is intact
when the client performs which of the fol-
lowing actions?
A. Sticks his tongue out.
B. Frowns symmetrically.
C. Identifies a sour taste.
D. Shrugs his shoulders.
11. A nurse is planning care for a client Maintain bed elevation at 20
who is receiving continuous enteral tube degrees.
feedings through an open system.Which
