VERSION 2025-2026 UPDATED 160 QUESTIONS AND CORRECT
DETAILED ANSWERS||COMPLETE EXAM WITH VERIFIED ANSWERS
ALREADY GRADED A+
A male client approaches B. Projection
the nurse with an angry
expression on his face and
raises his voice, saying "My
roommate is the most
selfish, self-centered,
angry person I have ever
met and if he loses his
temper one more time
with me, I am going to
punch him out!" The nurse
recognizes that the client
is using which defense
mechanism?
A. Splitting
B. Projection
C. Rationalization
D. Denial
,The nurse is teaching the B. Empty pouch when it is half full
client about home care
after surgery for an ileal
conduit placement. When
reviewing the information,
which statement should
the nurse recognize as
needing additional
education?
A. report presence of
mucus in the urine
B. Empty pouch when it is
half full
C. Look at the stoma when
replacing appliance
D. Anticipate shrinking of
the stoma
A nurse who is working in C. Chest discomfort one hour after consuming a large,
the emergency spicy meal
department triage area is
presented with four clients
at the same time. The
client presenting with
which symptoms requires
the most immediate
intervention by the nurse?
A. One inch bleeding
laceration on the chin of
crying 5 year old
B. Low grade fever,
headache and malaise for
the past 72 hours
C. Chest discomfort one
hour after consuming a
large, spicy meal
,D. Unable to bear weight
on the left food, with
swelling and bruising
, When the nurse enters the D. Begin chest compressions at 100/minute
room of a male client who
was admitted for a
fractured femur, his
cardiac monitor displays a
normal sinus rhythm, but
he has no spontaneous
respirations and his
carotid pulse is not
palpable. Which
intervention should the
nurse implement?
A. Analyze the cardiac
rhythm in another lead
B. Obtain a 12-lead
electrocardiogram
C. Observe for swelling at
the fracture site
D. Begin chest
compressions at
100/minute