EXAM A PRACTICE QUESTIONS WITH
CORRECT ANSWERS
AAnurseAwhoAhasArecentlyAcompletedAorientationAisAbeginningAworkAinAtheAlaborAandAdeliveryAunitAfor
AtheAfirstAtime.AWhenAmakingAassignments,AwhichAclientAshouldAtheAchargeAnurseAassignAtoAthisAnewAn
urse?A-AcorrectAanswersAAmultiparousAclientAwhoAisAdilatedA5AcmAandA50%Aeffaced
AAclientAwithAhumanAimmunodeficiencyAvirusA(HIV)AinfectionAhasAwhiteAlesionsAinAtheAoralAcavityAthatA
resembleAmilkAcurds.ANystatinA(Mycostatin)ApreparationAisAprescribedAasAaAswishAandAswallow.AWhichA
informationAisAmostAimportantAforAtheAnurseAtoAprovideAtheAclient?A-
AcorrectAanswersOralAhygieneAshouldAbeAperformedAbeforeAtheAmedication.
AAclientAwhoAisAadmittedAwithAemphysemaAisAhavingAdifficultyAbreathing.AInAwhichApositionAshouldAth
eAnurseAplaceAtheAclient?A-
AcorrectAanswersSittingAuprightAandAforwardAwithAbothAarmsAsupportedAonAanAoverAtheAbedAtable
AAclientAwithAchronicArenalAinsufficiencyA(CRI)AisAtakingA25AmgAofAhydrochlorothiazideA(HCTZ)APOAandA
40AmgAofAfurosemideA(Lasix)APOAdaily.AToday,AatAaAroutineAclinicAvisit,AtheAclient'sAserumApotassiumAlev
elAisA4AmEq/L.AWhatAisAtheAmostAlikelyAcauseAofAthisAclient'sApotassiumAlevel?A-
AcorrectAanswersTheAclient'sArenalAfunctionAhasAaffectedAhisApotassiumAlevel.
AAregisteredAnurseA(RN)AdeliversAtelehealthAservicesAtoAclientsAviaAelectronicAcommunication.AWhichAn
ursingAactionAcreatesAtheAgreatestAriskAforAprofessionalAliabilityAandAhasAtheApotentialAforAaAmalpractic
eAlawsuit?A-AcorrectAanswersSendingAmedicalArecordsAtoAhealthAcareAprovidersAviaAtheAInternet
WhichApathophysiologicAresponseAsupportsAtheAcontraindicationAforAopioids,AsuchAasAmorphine,AinAcli
entsAwithAincreasedAintracranialApressureA(ICP)?
A.SedationAproducedAbyAopioidsAisAaAresultAofAaAprolongedAhalf-lifeAwhenAtheAICPAisAelevated.
B.HigherAdosesAofAopioidsAareArequiredAwhenAcerebralAbloodAflowAisAreducedAbyAanAelevatedAICP.
A
C.DysphoriaAfromAopioidsAcontributesAtoAalteredAlevelsAofAconsciousnessAwithAanAelevatedAICP.
A
D.OpioidsAsuppressArespirations,AwhichAincreasesAPco2AandAcontributesAtoAanAelevatedAICP.A-
AcorrectAanswersD
TheAgreatestAriskAassociatedAwithAopioidsAsuchAasAmorphineA(D)AisArespiratoryAdepressionAthatAcausesA
anAincreaseAinAPco2,AwhichAincreasesAICPAandAmasksAtheAearlyAsignsAofAintracranialAbleedingAinAheadAi
njury.A(A,AB,AandAC)AdoAnotAsupportAtheArisksAassociatedAwithAopioidAuseAinAaAclientAwithAincreasedAICP.
TheAchargeAnurseAofAaAmedicalAsurgicalAunitAisAalertedAtoAanAimpendingAdisasterArequiringAimplement
ationAofAtheAhospital'sAdisasterAplan.ASpecificAfactsAaboutAtheAnatureAofAthisAdisasterAareAnotAyetAknow
n.AWhichAinstructionAshouldAtheAchargeAnurseAgiveAtoAtheAotherAstaffAmembersAatAthisAtime?
A.PrepareAtoAevacuateAtheAunit,AstartingAwithAtheAbedriddenAclients.
B.UAPsAshouldAreportAtoAtheAemergencyAcenterAtoAhandleAtransports.
A
,C.TheAlicensedAstaffAshouldAbeginAcountingAwheelchairsAandAIVApolesAonAtheAunit.
A
D.ContinueAwithAcurrentAassignmentsAuntilAmoreAinstructionsAareAreceived.A-AcorrectAanswersD
A
WhenAfacedAwithAanAimpendingAdisaster,AhospitalApersonnelAmayAbeAalertedAbutAshouldAcontinueAwit
hAcurrentAclientAcareAassignmentsAuntilAfurtherAinstructionsAareAreceivedA(D).AEvacuationAisAtypicallyAaA
responseAofAlastAresortAthatAbeginsAwithAclientsAwhoAareAmostAableAtoAambulateA(A).A(B)AisAprematureA
andAisAlikelyAtoAincreaseAtheAchaosAifAincomingAcasualtiesAareAanticipated.A(C)AisApoorAutilizationAofAper
sonnel.
TheAnurseAassessesAaAclientAwhileAtheAUAPAmeasuresAtheAclient'sAvitalAsigns.ATheAclient'sAvitalAsignsAch
angeAsuddenly,AandAtheAnurseAdeterminesAthatAtheAclient'sAconditionAisAworsening.ATheAnurseAisAunsu
reAofAtheAclient'sAresuscitativeAstatusAandAneedsAtoAcheckAtheAclient'sAmedicalArecordAforAanyAadvance
dAdirectives.AWhichAactionAshouldAtheAnurseAimplement?
A.AskAtheAUAPAtoAcheckAforAtheAadvancedAdirectiveAwhileAtheAnurseAcompletesAtheAassessment.
B.AssignAtheAUAPAtoAcompleteAtheAassessmentAwhileAtheAnurseAchecksAforAtheAadvancedAdirective.
C.CheckAtheAmedicalArecordAforAtheAadvancedAdirectiveAandAthenAcompleteAtheAclientAassessment.
AD.CallAforAtheAchargeAnurseAtoAcheckAtheAadvancedAdirectiveAwhileAcontinuingAtoAassessAtheAclient.A-
AcorrectAanswersD
BecauseAtheAclient'sAconditionAisAworsening,AtheAnurseAshouldAremainAwithAtheAclientAandAcontinueAth
eAassessmentAwhileAcallingAforAhelpAfromAtheAchargeAnurseAtoAdetermineAtheAclient'sAresuscitativeAsta
tusA(D).A(AAandAB)AareAtasksAthatAmustAbeAcompletedAbyAaAnurseAandAcannotAbeAdelegatedAtoAtheAUAP.
A(C)AisAcontraindicated.
TheAnurseAisApreparingAaAclientAforAsurgeryAscheduledAinA2Ahours.AAAUAPAisAhelpingAtheAnurse.AWhichAt
askAisAimportantAforAtheAnurseAtoAperform,AratherAthanAtheAUAP?
A.RemoveAtheAclient'sAnailApolishAandAdentures.
B.AssistAtheAclientAtoAtheArestroomAtoAvoid.
A
C.ObtainAtheAclient'sAheightAandAweight.
A
D.OfferAtheAclientAemotionalAsupport.A-AcorrectAanswersD
A
ByAusingAtherapeuticAtechniquesAtoAofferAsupportA(D),AtheAnurseAcanAdetermineAanyAclientAconcernsAt
hatAneedAtoAbeAaddressed.A(A,AB,AandAC)AareAallAactionsAthatAcanAbeAperformedAbyAtheAUAPAunderAtheA
supervisionAofAtheAnurse.
UntilAtheAcensusAonAtheAobstetricsA(OB)AunitAincreases,AanAunlicensedAassistiveApersonnelA(UAP)AwhoA
usuallyAworksAinAlaborAandAdeliveryAandAtheAnewbornAnurseryAisAassignedAtoAworkAonAtheApostoperati
veAunit.AWhichAclientAwouldAbeAbestAforAtheAchargeAnurseAtoAassignAtoAthisAUAP?
A.AnAadolescentAwhoAwasAreadmittedAtoAtheAhospitalAbecauseAofAaApostoperativeAinfection
A
B.AAwomanAwithAaAnewAcolostomyAwhoArequiresAdischargeAteaching
A
, C.AAwomanAwhoAhadAaAhipAreplacementAandAmayAbeAtransferredAtoAtheAhomeAcareAunit
A
AD.AAmanAwhoAhadAaAcholecystectomyAandAcurrentlyAhasAaAnasogastricAtubeAsetAtoAintermittentAsuctio
nA-AcorrectAanswersC
TheAchargeAnurseAwillAbeAresponsibleAforAprovidingAaAreportAtoAtheAhomeAcareAunitAifAtheAtransferAocc
ursA(A).ATheAclientAisAinfectedAandAanAemployeeAwhoAworksAonAanAOBAunitAshouldAbeAassignedAtoAclea
nAcasesAinAcaseAtheAemployeeAisArequiredAtoAreturnAtoAtheAOBAunitA(B).AThisArequiresAtheAskillsAofAaAreg
isteredAnurseA(RN)AtoAdoAdischargeAteachingAandAprovideAemotionalAsupportA(D).AThisAmayArequireAski
llsAbeyondAtheAlevelAofAthisAUAP.
AAmaleAclientAisAadmittedAforAobservationAafterAbeingAhitAonAtheAheadAwithAaAbaseballAbat.ASixAhoursAa
fterAadmission,AtheAclientAattemptsAtoAcrawlAoutAofAbedAandAasksAtheAnurseAwhyAthereAareAsoAmanyAb
ugsAinAhisAbed.AHisAvitalAsignsAareAstable,AandAtheApulseAoximeterAreadingAisA98%AonAroomAair.AWhichAi
nterventionAshouldAtheAnurseAperformAfirst?
A.AdministerAoxygenAperAnasalAcannulaAatA2AL/min.
B.PlanAtoAcheckAhisAvitalAsignsAagainAinA30Aminutes.
C.NotifyAtheAhealthAcareAproviderAofAtheAchangeAinAmentalAstatus.
D.AskAtheAclientAwhyAheAthinksAthereAareAbugsAinAtheAbed.A-AcorrectAanswersC
OneAofAtheAearliestAsignsAofAincreasedAintracranialApressureA(ICP)AisAaAchangeAinAmentalAstatusA(C).AItAis
AimportantAtoAactAearlyAandAquicklyAwhenAsymptomsAofAincreasedAICPAoccur.ABecauseAhisAoxygenAsatu
rationAisAnormal,AtheAadministrationAofAoxygenA(A)AisAnotAtheAtopApriority.AVitalAsignsAshouldAbeAmonit
oredAfrequentlyA(B),AbutAtheAclient'sAconfusionAshouldAbeAreportedAimmediately.A(D)AisAnotAaAusefulAin
tervention.
TheAnurseAisAmonitoringAaAclientAwhoAisAreceivingAbedsideAconsciousAsedationAwithAmidazolamAhydroc
hlorideA(Versed).AInAassessingAtheAclient,AtheAnurseAdeterminesAthatAtheAclientAhasAslurredAspeechAwit
hAdiplopia.ABasedAonAthisAfinding,AwhatAactionAshouldAtheAnurseAtake?
A.OpenAtheAairwayAwithAaAchinAlift-headAtiltAmaneuver.
A
B.ObtainAaAfingerstickAglucoseAreading.
A
C.AdministerAflumazenilA(Romazicon).
A
D.ContinueAtoAmonitorAtheAclient.A-AcorrectAanswersD
A
TheAdesiredAlevelAIIIAinAconsciousAsedationAincludesAslurredAspeech,AglazedAeyes,AandAmarkedAdiplopia
.ABecauseAthisAisAtheAdesiredAoutcomeAofAtheAmedicationAregimen,AnoAactionAisAneededAbutAcontinuin
gAtoAmonitorAtheAclientA(D).ATheAairwayAisAopenAifAtheAclientAisAableAtoAtalkA(A).AThereAareAnoAsignsAofAh
ypoglycemiaA(B).ANoAreversalAisAnecessaryAforAtheAbenzodiazepineA(Versed)AwithoutAsignsAofAoverseda
tion,AsuchAasArespiratoryAdepressionA(C).
TheAnurseAisAassessingAaAclientAusingAtheASnellenAchartAandAdeterminesAthatAtheAclient'sAvisualAacuityAi
sAtheAsameAasAinAaApreviousAexamination,AwhichAwasArecordedAasA20/100.AWhenAtheAclientAasksAtheA
meaningAofAthis,AwhichAinformationAshouldAtheAnurseAprovide?