2025/2026 | ACTUAL COMPLETE ALL
REAL EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ |
NEWEST EXAM /JUST RELEASED!!!
A nurse is caring for a client who has COPD with copious
secretions. Which of the following actions should the nurse
take? a) Place the client in prone position.
b) Administer high-flow oxygen.
c) Limit fluid intake.
d) Perform postural drainage. - ANSWER-D. Perform postural
drainage.
A nurse is collecting data from a client who had a long arm cast
applied 2 hr ago. Which of the following findings of the affected
extremity should the nurse report to the provider immediately?
a) The client reports increased pain at
the area of the fracture.
b) The client reports severe itching
under the cast.
c) The client's capillary refill is 3
seconds.
,d) The client's fingers are cool to the
touch. - ANSWER-D. The client's
fingers are cool to the touch.
A nurse is caring for a client who has been admitted with
Addison's disease. For which of the following laboratory
findings should the nurse plan to monitor and report to the
provider? a) Glucose 55 mg/dL
b) Potassium 3.8 mEq/L
c) Sodium 140 mEq/L
d) BUN 15 mg/dL - ANSWER-A. Glucose 55 mg/dL
A nurse is caring for a client who is postoperative following a
right radical mastectomy. Which of the following actions should
the nurse take to prevent the development of lymphedema?
a) Keep both arms below the level of
the client's heart.
b) Limit range-of-motion exercises
with the affected arm.
c) Obtain blood pressure readings
using the client's right arm.
d) Use the client's left arm to obtain
blood samples. - ANSWER-D. Use the
client's left arm to obtain blood sample
,A nurse is preparing to administer subcutaneous enoxaparin.
In which order should the nurse perform the following steps?
(Move the steps into the box on the right, placing them in order
of performance. Use all stamps.)
a) Check the medication administration record to verify the
client's allergies.
b) Ensure an air bubble is present in the prefilled enoxaparin
syringe.
c) Locate the injection site 5 cm (2 in) to the right or left of the
umbilicus.
d) Pinch clean skin at the injection site and dart the needle into
the skinfold at a
90 degree angle
e) Slowly inject the medication into the site without
aspirating. - ANSWER-A. Check the medication
administration record to verify the client's allergies. B.
Ensure an air bubble is present in the prefilled enoxaparin
syringe.
C. Locate the injection site 5 cm (2 in) to the right or left of the
umbilicus.
D. Pinch clean skin at the injection site and dart the needle into
the skinfold at a
90 degree angle
E. Slowly inject the medication into the site without aspirating.
, A nurse is collecting data from a client who is African-
American. Which of the
following areas should the nurse check to
determine the presence of pallor? a)
Antecubital space
b) Pinna of the ear
c) Abdomen
d) Conjunctiva - ANSWER-A. Antecubital space
A nurse is caring for a client who is postoperative following an
appendectomy. Which of the following information should the
nurse include when documenting in the electronic medical
record? a) Incision healing well
b) Client status unchanged throughout shift
c) Abdominal wound dry, without redness
d) Client received an adequate amount of fluid - ANSWER-B.
Client status unchanged throughout shift
A nurse is caring for a client who is 24 hr postoperative
following abdominal surgery. The client
received an opioid analgesic 1 hr ago and now reports a pain
level of 2 on a scale of 0 to 10. Which
of the following actions should the
nurse take? a) Reposition the client.
b) Administer an additional dose of pain medication.