LEVEL 4, Proctored 2025 UPDATE Exam
For Level 4|Test Bank | ASSURED
SUCCESS
/. Meningitis in infants. Causes? Treatment? - Answer-Symptoms include alterations
in temperature, vomiting, seizures, and nuchal rigidity
/.Heart Failure Initial Action - Answer-Assessing breath sounds to determine
respiratory status
/.EMTALA - Answer-Requires client stability before discharge, prohibits refusing
care for uninsured clients
/.Vasovagal Response Prevention - Answer-Avoid bearing down, use an arm
reacher, avoid cold compress, and gag reflex
/.Viral Hepatitis Diet - Answer-High carb, high calorie, moderate fat, and protein to
promote healing
/.Disaster Planning - Answer-Expired items should be checked every 6 months
/.Impaired Nurse Management - Answer-First action: Remove the impaired nurse
from the work environment
/.Thiazide Medication - Answer-Increases calcium levels
/.Conflict Resolution Strategy - Answer-Smoothing focuses on positive aspects to
minimize emotional conflict
/.Hydrotherapy - Answer-Performed 1-2 times daily, washing small areas on
client's wound, using scissors and forceps to remove loose debris
/.Case Manager - Answer-Identifies treatment, care settings, and equipment to
promote cost-effective positive outcomes
/.Chlorhexidine Wipes - Answer-Should be used for bathing patients
/.Hand Washing Duration - Answer-Should be 15-20 seconds
, /.Home Health Visits - Answer-Involve family, caregivers, and current provider for
treatment plan approval
/.Electrolytes for Addison Disease - Answer-Include hypoglycemia, high potassium,
low sodium, and high calcium
/.Tocolytic Terbutaline - Answer-Relaxes uterine smooth muscle to suppress
preterm labor
/.Hepatitis Clients Blood Donation - Answer-Not allowed
/.Degenerative Disk Disease - Answer-Managed with muscle strengthening
exercises and prevention of bone density loss
/.Osteoporosis - Answer-Results in height loss and is characterized by low bone
density and osteoarthritis
/.Platelet Transfusion - Answer-Administered through a filter over 15-30 minutes
/.Cystic Fibrosis Interventions - Answer-Include increased fat intake, aerobic
exercises, and enzyme intake 30 minutes before meals
/.Cyclosporine and Grapefruit - Answer-Grapefruit should be avoided as it increases
serum levels
/.SIRS Sepsis - Answer-Manifests as tachycardia, low blood pressure, and low
platelet count
/.West Nile Virus - Answer-Causes encephalitis when transmitted by bugs
/.Fidelity - Answer-Involves keeping promises
/.High H and H in Burns - Answer-Occurs
/.CKD Diet - Answer-May include iron supplements, low protein, and avoidance of
salt substitutes
/.Grunting in Infants - Answer-Indicates sepsis
/.Nonmaleficence - Answer-Involves doing no harm
/.RSV Precautions - Answer-Include droplet, contact, and standard precautions
/.Fluid Offer to Infant with RSV - Answer-Every 10 minutes
/.Potassium Administration - Answer-Not to exceed 10 ml/hr