2025/2026 ACTUAL COMPLETE REAL EXAM QUESTIONS
AND WELL ELABORATED ANSWERS TOP RATED VERSION
/ALREADY A+ GRADED|BRAND NEW!!{REVISED}
A nurse on a pediatric unit is collecting data from four newly
admitted clients.
Which of the following clients should the nurse identify as being
at risk for urinary retention? - ANSWER-A school-age child who
has allergic rhinitis and is taking diphenhydramine.
A nurse is preparing to administer purified protein derivative
(PPD) to a client who has suspected TB. Which of the following
actions should the nurse plan to take? - ANSWER-Ensure the
injection produces a wheal on the skin
A nurse is contributing to the plan of care for a client who is at
risk of developing pressure ulcers. Which of the following
actions should the nurse include in the plan of care? - ANSWER-
Place the client in a 30° lateral position.
A nurse is assisting with performing a non stress test for a client
who is at 39 weeks of gestation which of the
followinginstructions
,should the nurse reinforce with the client? - ANSWER-"You
should depress the button on the handheld when you feel your
baby move."
A nurse is reinforcing discharge teaching with a client following
cataract surgery. Which of the following instructions should the
nurse include in the teaching marker? - ANSWER-Sleep on the
non-operative side for 2 weeks.
A nurse manager is preparing to complete a performance
analysis for a group of assistive personnel. The manager asks a
stafollowing nurse for feedback on each assistants a bilities.
Which of the following actions should the stafollowing nurse
take? - ANSWER-Discuss how each AP's actions measure
against the job description.
A nurse working in a provider's office receives a phone call
from the parent of a school- age child who has varicella. The
parent asked the nurse when the child can return to school.
Which of the following responses should the nurse make? -
ANSWER-"When the lesions have scabbed over."
A nurse in a pediatric clinic is collecting the data from a school-
age child whose injuries are inconsistent with the parent's
stated cause. Which of the following actions should the nurse
,take? - ANSWER-Report the suspected abuse to a appropriate
agency.
A nurse is collecting data from a middle adult female client who
is taking melatonin. Which of the following responses to the
med should the nurse expect?
- ANSWER-improved sleep
A nurse on a pediatric unit is collecting data from four newly
admitted clients. Which of the following clients should the nurse
identify as being at risk for urinary retention? - ANSWER-A
school-age child who has allergic rhinitis and is taking
diphenhydramine.
A nurse is preparing to administer purified protein derivative
(PPD) to a client who has suspected TB. Which of the following
actions should the nurse plan to take? - ANSWER-Ensure the
injection produces a wheal on the skin
A nurse is contributing to the plan of care for a care for a client
who has chest tube connected to a closed drainage system.
Which of the following actions should the nurse i nclude in the
plan of care? - ANSWER-Maintain the drainage system below the
level ofIthe client's chest.
, A nurse in an acute mental health facility is caring for a client
who has borderline personality disorder and reports. "I am going
to kill my girlfriend when I get out of here." Which of the
following actions should the nurse take? - ANSWER-Notify the
client's care team of the threats against the partner
A nurse is admitting a client who is at high risk for suicide.
Which of the following actions is the nurse's priority? -
ANSWER-Search the client's personal belongings
A nurse is caring for a client who is 1 day postoperative and is
unable to ambulate. Which of the following actions should the
nurse take to promote the client's venous return? - ANSWER-
Maintain the sequential compression device.
A nurse on an acute care unity is collecting data from a school-
age Child who
has cystic fibrosis. Which of the following findings is the priority
for the nurse? - ANSWER-Reports lack of appetite
A nurse assisting with a childbirth class is discussing non
pharmacological strategies used during labor. Which of the
following statements by a client indicates an understanding of
cutaneous stimulation? - ANSWER-"I should use
counterpressure for back pain during labor."