VESRION A AND B [with
questions and answers ] 2025
a nurse is completing a nutritional assessment on a client and measures BMI, which of the following
readings correlates with a BMI of an overweight client? - ANS✔✔--25
(25-29.9)
a nurse is verifying ng tube placement by the pH of aspirated gastric fluid. which of the following pH values
provides a good indication of correct tube placement? - ANS✔✔--2
(pH between 0-4)
a nurse receives a report from an assistive personnel that a client's BP is 160/95, what should the nurse do
first? - ANS✔✔--recheck the clients BP
(reassess prior to any intervention)
a nurse is discussing immunity with a client who has received an immunization, the nurse should identify
that an immunization functions as part of which of the following types of immunity? - ANS✔✔--acquired
immunity
(artificial/acquired immunity occurs when antigens from toxoids or immunizations are ADMINISTERED to a
client, once in the body, the stimulate the production of antibodies)
a community health nurse is teaching a group of clients about first aid for different types of wounds. which
of the following client statements indicates an understanding of the teaching? - ANS✔✔--i should apply
clean dressings over the top of blood saturated dressings and hold pressure
(to prevent disruption of wound tissue)
a nurse is sitting with the partner of a client who recently died. which of the following actions should the
nurse take to facilitate mourning? - ANS✔✔--encourage the partner to ask for help when needed
a nurse is caring for a pt who is scheduled for a cataract surgery, the client states "is see just fine and have
decided to cancel my surgery". which of the following responses should the nurse make? - ANS✔✔--
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