WITH ALL VERSIONS OF THE EXAM
WITH ALLMODULES COVERED |
ACCURATE AND VERIFIED QUESTIONS
AND ANSWERS FOR GUARANTEED
PASS| LATEST UPDATE
1. Phototherapy for Newborn
Question: A nurse is caring for a newborn who is under phototherapy lights. Which of the
following is an appropriate nursing action?
a) Ensure eye shield is covering the eyes
b) Apply lotion to exposed skin
c) Offer glucose water between feedings
d) Discontinue breast-feeding during treatment
✅ Correct Answer: a) Ensure eye shield is covering the eyes
Rationale: Phototherapy can cause damage to the newborn’s eyes, so eye protection is
essential. Applying lotion is contraindicated, and breastfeeding should continue.
2. Acute Compartment Syndrome
Question: A nurse is assessing a client who has a long arm cast. Which of the following findings
is indicative of acute compartment syndrome?
a) Shortness of breath
b) Petechiae
c) Change in mental status
,d) Edema
✅ Correct Answer: d) Edema
Rationale: Edema can be an early sign of compartment syndrome, especially when
accompanied by pain and decreased perfusion distal to the cast.
3. Conscious Sedation with Midazolam
Question: A client receiving moderate (conscious) sedation with midazolam has a respiratory
rate of 9/min and is not responding to commands. Which action should the nurse take?
a) Place the client in a prone position
b) Implement positive pressure ventilation
c) Perform nasopharyngeal suctioning
d) Administer flumazenil
✅ Correct Answer: d) Administer flumazenil
Rationale: Flumazenil is a benzodiazepine antagonist that reverses the effects of midazolam and
is used in cases of respiratory depression.
4. Client Confidentiality Breach
Question: A nurse overhears assistive personnel discussing a client by name in the cafeteria.
What should the nurse do first?
a) Report the AP's behavior to the supervisor
b) Complete an incident report
c) Provide written information on confidentiality
d) Tell the AP to discontinue the conversation
✅ Correct Answer: d) Tell the AP to discontinue the conversation
Rationale: Immediate action is required to stop the breach of confidentiality. Other actions may
follow but the priority is to halt the discussion.
, 5. Health Screening Education
Question: A community health nurse is teaching adults about health screenings. African
American males are almost twice as likely as Caucasians to experience which condition?
a) Testicular cancer
b) Obesity
c) Stroke
d) Melanoma
✅ Correct Answer: c) Stroke
Rationale: African American men have a higher incidence and risk of complications from stroke
compared to other demographics.
6. Sprained Ankle Treatment
Question: A nurse is caring for a client who sprained his ankle 12 hours ago. Which provider
prescription should the nurse question?
a) Elevate the extremity on two pillows
b) Apply heat to the affected extremity for 45 minutes on/45 minutes off
c) Wrap the affected extremity with a compression dressing
d) Assess sensation, movement, and pulse every 4 hours
✅ Correct Answer: b) Apply heat to the affected extremity for 45 minutes on/45 minutes off
Rationale: Heat should not be applied within the first 24–48 hours of injury as it increases
swelling. Cold therapy is recommended early on.
7. Hepatic Encephalopathy Diet
Question: Which food selection by a client with hepatic encephalopathy indicates
understanding of dietary teaching?