Practice 2023 A Exam Questions And
Answers A+ Passed
1. A nurse is caring for a client in the emergency department (ED).
1000:
Temperature: 36.8
Heart rate 98/min
Respiratory rate 18/min
Select the 4 findings that require follow-up by the nurse. - ANSWER ✔ - visual disturbances
Hand grasps
Expressive aphasia
Tingling of the lips
2. A nurse is caring for a client in the emergency department (ED). Click to specify if the finding is
consistent with migraine, stroke, or meningitis. - ANSWER ✔ - Migraine: hand grasps, numbness,
aphasia, visual changes, family history
Stroke: hand grasps, numbness, aphasia, visual changes, family history
Meningitis: hand grasps, visual changes
3. A nurse is caring for a client in the emergency department (ED). Complete the following sentences
by using the list of options. - ANSWER ✔ - a migraine
Pain
4. A nurse is caring for a client who is receiving dialysis treatment.
0530:
Client is awake and alert.
Arteriovenous fistula (AVF) to right forearm. - ANSWER ✔ - Indicated: Notify the provider
immediately, administer 0.9% sodium chloride 200 ml IV bolus, apply oxygen at 2 L/min via nasal
cannula, Position the client's legs elevated
Not indicated: Perform a 12-lead ECG, Obtain blood glucose level is not indicated
5. A nurse is caring for a client who is postoperative following abdominal surgery.
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, 1100: Client received from PACU; initial vital signs recorded. - ANSWER ✔ - Instruct the client to
splint the abdomen with a pillow for coughing.
Plan to ambulate the client as soon as possible
Report urinary output to the provider
Ask the client to rate their pain 0 to 10 pain scale
6. A nurse is caring for a client who is receiving total parenteral nutrition (TPN). A new bag is not
available when the current infusion is nearly completed. - ANSWER ✔ - Administer dextrose 10% in
water until the new bag arrives.
7. A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago. - ANSWER ✔ - The
client reports back pain.
8. A nurse is caring for a client who is having a seizure. - ANSWER ✔ - Turn the client to the side.
9. A nurse in a provider's office is assessing a client who has hypertension and takes propranolol. -
ANSWER ✔ - Reports of a night cough.
10. A nurse is planning to irrigate and dress a clean, granulating wound for a client who has a pressure
injury. - ANSWER ✔ - Use a 30 ml syringe.
11. A nurse is assessing a client who has graves disease. Which of the following images should indicate
to the nurse that the client has exophthalmos - ANSWER ✔ - Choose the one that's not a guy. It
should be one with big bulging eyes staring at you.
12. A nurse is caring for a client who has DKA. Which of the following findings indicate improving? -
ANSWER ✔ - Glucose 272 mg/dl
13. A nurse is caring for a client who has hypothyroidism. Which of the following manifestations
should the nurse expect? - ANSWER ✔ - Constipation
14. A nurse is preparing to administer a blood transfusion to a client who has anemia. - ANSWER ✔ -
check for the type and number of units of blood to administer.
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