ACTUAL EXAM NEWEST VERSION 2024/2025 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
|ALREADY GRADED A+
A nurse is collecting data from an older adult client as part of a
neurosensory examination. Which of the following findings
should the nurse expect as changes associated w/aging? Select
all.
A. Slower light touch sensation
B. Some vision & hearing decline
C. Slower fine finger movement
D. Some short-term memory decline
E. Slower superficial pain sensation - ANSWER-B, C, D
A nurse is collecting data from an older adult client as part of a
neurosensory examination. Which of the following findings
should the nurse expect as changes associated w/aging? Select
all.
A. Slower light touch sensation
B. Some vision & hearing decline
,C. Slower fine finger movement
D. Some short-term memory decline
E. Slower superficial pain sensation - ANSWER-B, C, D
A nurse is providing discharge instructions to a client who has a
prescription for the use of oxygen in his home. Which of the
following should the nurse teach the client about using oxygen
safely in his home? Select all.
A. Family members who smoke must be at least 10 ft from the
client when the oxygen is in use
B. Nail polish should not be used near a client who is receiving
oxygen
C. A "No smoking" sign should be placed on the front door
D. Cotton bedding & clothing should be replaced w/items made
from wool
E. A fire extinguisher should be readily available in the home -
ANSWER-B, C, E
Family members that smoke should do so outside, and wool
creates static electricity so it should be avoided.
A nurse in an outpatient clinic is caring for a client who states
she is trying to get pregnant. The client currently takes a
Category D pregnancy risk med for the control of seizures.
Which of the following statements by the nurse is appropriate?
,A. "This med is prescribed if necessary but it is known to
cause adverse effects to the fetus."
B. "This med has evidence indicating that it is safe to take
during pregnancy & will not harm the fetus."
C. "This med cannot be taken during pregnancy because the
risk outweighs the potential benefits."
D. "This med hasn't been studied in pregnant women but is
believed to be safe for the fetus." - ANSWER-A.
Category D meds are known to cause harm to fetuses, however
the use during pregnancy may be warranted based on potential
benefits.
A nurse in an outpatient surgical center is admitting a client for a
laproscopic procedure. The client has a prescription for
preoperative diazepam (Valium). Prior to administering the med,
which of the following actions is the highest priority?
A. Teaching the client about the purpose of the med
B. Administering the med to the client at the prescribed time
C. Identifying the client's med allergies
D. Documenting the client's anxiety level - ANSWER-C.
The greatest risk to the client is an allergic reaction to the med
, A nurse in an outpatient surgical center is admitting a client for a
laproscopic procedure. The client has a prescription for
preoperative diazepam (Valium). Prior to administering the med,
which of the following actions is the highest priority?
A. Teaching the client about the purpose of the med
B. Administering the med to the client at the prescribed time
C. Identifying the client's med allergies
D. Documenting the client's anxiety level - ANSWER-C.
The greatest risk to the client is an allergic reaction to the med
A nurse is preparing to administer methylprednisolone acetate
(Depo-Medrol) 10 mg by IV bolus. The amount available is 40
mg/mL. How many mL should the nurse administer? (round to
nearest tenth) - ANSWER-0.3 mL
A nurse is preparing to administer methylprednisolone acetate
(Depo-Medrol) 10 mg by IV bolus. The amount available is 40
mg/mL. How many mL should the nurse administer? (round to
nearest tenth) - ANSWER-0.3 mL
A nurse is preparing to administer lactated Ringer's (LR) IV 100
mL over 15min. The nurse should set the infusion pump to
deliver how many mL/hr? (round to nearest whole number) -
ANSWER-400 mL/hr