2024 VESION A,B AND C
ACTUAL EXAM 107 QUESTION
AND CORRECT DETAILED
ANSWERS WITH RATIONALES
VERIFIED ANSWERS 2025
TEST!!
,A client is taking cromolin sodium (Intal) Inhaler for chronic asthma. Which statement indicates
the client understands the medication teaching?
A. " I will have my liver enzymes checked monthly."
B. " It is more important to take this medication with food."
C. "I should keep my inhaler with me at all time."
D. "I will not discontinue taking this medication abruptly." - correct answer-D. "I will not
discontinue taking this medication abruptly."
A female client is admitted to the psychiatric department on an emrgency commitment. The
client's husband asks the nurse, "What is going to happen to my wife? Can I take her home
now?" Which information should the nurse provide?
A. Discharge can be completed after arrangements with the business
B. Emergency commitment extends to a maximum of 90 days.
C. Hospitalization is mandated until a mental health court hearing is held.
D. A pschiatric evaluation is required for continued hospitalization. - correct answer-C.
Hospitalization is mandated until a mental health court hearing is held.
A client with a diagnosis of bipolar disorder is taking lithium and divalproex sodium (Depakote).
In assessing this client, which symptom should the nurse report to the healthcare provider
immediately?
A. Recent significant hair loss
B. Noticeable hand tremors
C. Describes having a dry mouth.
D. Complains of blurred vision - correct answer-B. Noticeable hand tremors
The practical nurse (PN) reports the patterns of urinary frequency and volume for several
clients. Which finding necessitates further assessment by the RN?
A. Voiding 300 ml clear yellow urine q4h
,B. Voiding 50 ml cloudy urine every hour
C. Total indwelling catheter output of 1800 ml in 24 hours
D. 400 ml amber urine by straight catheter q6h - correct answer-B. Voiding 50 ml cloudy urine
every hour
At a routine prenatal visit, a client at 24-weeks gestation complains of nasal stuffiness and
occasional nosebleeds. Which hormone is responsible for these changes?
A. Human chorionic gonadotropin.
B. Progesterone.
C. Relaxin.
D. Estrogen. - correct answer-D. Estrogen.
A client who has localized eczematous eruptions on b oth hands is diagnosed as having contact
dermatitis. What instruction should the nurse include in this client's discharge teaching plan?
A. Wear latex gloves whenever outdoors.
B. Apply an oil-based ointment to the affected areas.
C. Take prescribed antihistamine near bedtime.
D. Soak hands in warm soapy water three times a day. - correct answer-B. Apply an oil-based
ointment to the affected areas
While transcribing a new prescription, the nurse notes that the prescribed dosage is much lower
than the recommended dosage listed in the drug reference guide. Which client data supports
the dosage reduction?
A. Decreased serum creatinine
B. Increased serum protein.
C. Increased liver enzymes.
D. Prolonged prothrombin time. - correct answer-C. Increased liver enzymes.
, The nurse assigns an unlicensed assistive personnel (UAP) to take the vital signs of a client who
is positive for Human Immunodeficiency Virus (HIV). What protective apparel should the nurse
counsel the UAP to wear when carrying out this assignment?
A. None.
B. Gown, gloves, mask.
C. Gloves and mask.
D. Gloves only. - correct answer-A. None.
A client with Guillain-Barre syndrome requires a tracheostomy and mechanical ventilation due
to the progression of the disease. What nursing intervention is most helpful in aiding this clinet
to communicate with the staff and family?
A. Speak slowly and disntinctly while in direct view of the client.
B. Teach the client to point to a letter board word chart to communicate needs.
C. Provide the client with a pencil and tablet of paper.
D. With the client, develop a system of eye blinks to communicate "yes" or "no." - correct
answer-D. With the client, develop a system of eye blinks to communicate "yes" or "no."
A client with peptic ulcer disease (PUD) is admitted to the emergency room complaining of
sudden severe upper abdominal pain. Assessment indicates an extremely tender and rigid
abdomen, B/P of 90/60 mmHg, and pulse of 110 beat/minute. The emergency department
nurse should anticipate implementation of which intervention?
A. Preparing the client for emergency abdominal surgery.
B. Infusing the proton pump inhibitor Protonix intravenously.
C. Administering an iced saline lavage.
D. Inserting a nasogastric tube to decompress the bowel. - correct answer-A. Preparing the
client for emergency abdominal surgery.
Which finding should the nurse expect a client to exhibit who is newly diagnosed with
fibromyalgia?