500+ REAL EXAM QUESTIONS AND CORRECT ELABORATED
ANSWERS LATEST VERSION ALREADY A GRADED|BRAND
NEW!!{REVISED}2025/2026.
A nurse is caring for a client who has cancer and is deciding
between two treatment plans. The client asks the nurse for
assistance in making the decision. Which of the following
responses should the nurse make?
"I understand this is a difficult decision."
"Tell me more about your understanding of the options."
"You will make the right choice."
"I will ask your provider to talk with you further." - ANSWER-
"Tell me more about your understanding of the options."
This response by the nurse is therapeutic because it is offering a
general lead that facilitates communication between the nurse
and the client and will help the nurse to explore the client's
feelings about the treatment options.
A nurse is caring for an older adult client who is experiencing
chronic anorexia and is receiving enteral tube feedings. Which
,of the following laboratory values indicates that the client needs
additional nutrients added to the feeding?
Creatinine 1.1 mg/dL
Albumin 2.8 g/dL
Triglycerides 100 mg/dL
Alkaline phosphatase 118 units/L - ANSWER-Albumin 2.8 g/dL
The nurse should recognize that an albumin level of less than
3.5 g/dL indicates malnutrition and a need for additional
nutritional supplementation. The expected reference range for
albumin is 3.5 to 5 g/dL.
A charge nurse is speaking with the partner of a client. The
partner states that the client is not receiving adequate care.
Which of the following actions should the charge nurse take first
to resolve the situation?
Evaluate the changes the partner requests.
Review the client's plan of care.
Analyze other reports of poor care to look for trends.
Ask the partner to list specific concerns. - ANSWER-Ask the
partner to list specific concerns.
,The first action the nurse should take using the nursing process
is to assess the situation by asking the partner to list specific
concerns.
A nurse is caring for an adolescent.
Select the 4 findings that require follow-up.
Pedal pulse
Pain
Blood pressure
Capillary refill
Skin temperature
Heart rate - ANSWER-Pedal pulse
Pain
Capillary refill
Skin temperature
When recognizing cues, the nurse should identify the
assessment findings that require follow-up in an adolescent who
has an injury to the right leg include capillary refill, pedal pulse,
skin temperature, and pain. The adolescent rates their pain as 10
on a scale of 0 to 10, which requires follow-up by the nurse. A
capillary refill of 4 seconds is not within the expected reference
range of less than 2 seconds. A pedal pulse of +1 is diminished
and not within the expected reference range. Skin temperature
, of the right extremity is cool to the touch, which is an
unexpected finding. These findings are indicative of decreased
perfusion to the extremity and require follow-up by the nurse.
A nurse is caring for an adolescent.
Which of the following actions should the nurse take after the
adolescent returns from surgery?
Select all that apply.
Apply warm packs to right extremity for the first 24 hr.
Elevate affected limb at chest level.
Perform neurovascular assessments every hour.
Assist the adolescent with ambulation from bed to chair.
Remove indwelling urinary catheter when no longer indicated. –
ANSWER-Elevate affected limb at chest level.
Perform neurovascular assessments every hour.
Remove indwelling urinary catheter when no longer indicated.
When analyzing cues for a post-operative adolescent, actions
the nurse should take include elevating the affected limb at
chest level, performing neurovascular assessments every hour,