FORM B/ ACTUAL EXAM QUESTIONS WITH 100%
CORRECT/COMPLETE SOLUTION.
A nurse is assessing an infant who has water intoxication. Which of the
following findings should the nurse expect? ~CORRECT ANSWER~bounding
pulse
A nurse is discussing the z-track administration of hydroxyzine with a newly
licensed nurse. Which of the following statements indicates the newly
licensed nurse understands the purpose of the technique ~CORRECT
ANSWER~a. This technique decreases the risk of subcutaneous infiltration
1. A nurse is creating a plan of care for a client who has anorexia nervosa.
Which of the following interventions should the nurse include in the plan?
~CORRECT ANSWER~a. Monitor the client for 1 hr after meals
A nurse notices smoke coming from a client's room and discovers a fire in the
wastebasket. After moving the client to safety, which of the followings is the
priority action? ~CORRECT ANSWER~a. Close the fire door on the unit
A nurse is assessing a client who has delirium due to a febrile illness. Which
of the following findings should the nurse expect? ~CORRECT ANSWER~a.
Hallucinations
1. A nurse is caring for a client following an open colectomy. Which of the
following findings places the client at risk for delayed wound healing?
~CORRECT ANSWER~hyperemesis
,1. A home health nurse is reviewing treatment goals with a client who has
diabetes mellitus. The nurse should evaluate which of the following
laboratory tests to determine effective long-term management of blood
glucose levels? ~CORRECT ANSWER~A1C
1. A nurse is caring for a client who has neutropenia due to HIV. Which of the
following precautions should the nurse take while caring for this client?
~CORRECT ANSWER~a. Use a dedicated stethoscope
1. A nurse is caring for a client who reports difficulty falling asleep at night.
Which of the following actions should the nurse take? ~CORRECT
ANSWER~Tell the client to avoid drinking fluids 1 hr before bedtime
1. A nurse is planning care for a newborn who has hyperbilirubinemia and is
to receive phototherapy. Which of the following interventions should the
nurse include? ~CORRECT ANSWER~a. Place the newborn 45 cm from the
light source
1. A nurse is planning care for a client who has schizophrenia and is having
difficulty expressing their feelings. Which of the following referrals should
the nurse make? ~CORRECT ANSWER~social worker
1. A nurse is caring for a client who has heart failure and has started taking
a loop diuretic. Which of the following findings indicates the client is
experiencing an adverse effect of the medication ~CORRECT
ANSWER~decreased reflexes
,1. At the start of an evening shift on a cardiac unit, a licensed practical nurse
brings the nurse a list of client reports. Which of the following client reports
should the nurse assess first? ~CORRECT ANSWER~indigestion
1. A nurse is caring for a client who has just returned to the unit following a
bronchoscopy. Which of the following actions by the assistive personnel
requires the nurse to intervene? ~CORRECT ANSWER~offer oral fluids to
the client
1. A nurse on a medical unit has just received change-of-shift report. Which of
the following clients should the nurse assess first? ~CORRECT ANSWER~a.
A 68 year old client who had a myocardial infarction 2 days ago and reports
chest pain as a 4 on a scale of 0 to 10
1. A nurse is assessing a client prior to performing a blood draw. The nurse
should identify that an allergy to which of the following food can indicate that
the client has an allergy to latex? ~CORRECT ANSWER~avocados
1. A nurse is preparing to witness a client's signature on an informed consent
for a total knee arthroplasty. Which of the following client statements
indicates the nurse should contact the surgeon? ~CORRECT ANSWER~a. I
am thankful there are no serious complications from this type of surgery
1. A nurse is admitting a client who has antisocial personality disorder.
Which of the following client behaviors should the nurse identify as
consistent with this disorder? ~CORRECT ANSWER~a. Uses others for
personal gain
, 1. A nurse is teaching the parent of a school-age child who has scabies about
the application of permethrin 5% cream. The nurse should include which of
the following as a potential adverse effect of the medication? ~CORRECT
ANSWER~burning
1. A nurse is teaching a client who has a new prescription for digoxin. Which
of the following statements should the nurse include in the teaching?
~CORRECT ANSWER~muscle weakness
1. A nurse is planning teaching for a client who is at 10 weeks of gestation
and has a history of urinary tract infections. Which of the following
information should the nurse plan to include in the teaching about UTI
prevention? ~CORRECT ANSWER~a. Empty the bladder before and after
intercourse
1. A nurse is providing discharge teaching to a client who is postpartum and
plans to breastfeed. Which of the following should the nurse recommend the
client increase in their diet during lactation? ~CORRECT ANSWER~a.
Calcium
1. A nurse is providing teaching about preventing mastitis to a client who is
postpartum and breastfeeding her newborn. Which of the following
instructions should the nurse include? ~CORRECT ANSWER~a. Try to have
your baby empty your breasts with each feeding."
1. A nurse is caring for a client who reports chest pain. Which of the following
findings indicates myocardial damage? ~CORRECT ANSWER~a. Troponin I
1.8 ng/mL