CORRECT & VERIFIED ANSWERS (UPDATED TO
PASS)
1. A nurse in a provider's office is
Hepatitis B (HepB)
preparing immunizations for a 12-
The nurse should plan to administer
month-old infant who is
the HepB vaccine to a 12-month-old
immunocompromised. Which of the
following immunizations should the infant who is immunocompromised
nurse plan to administer at this because this vaccine does not contain
time? a live virus.
Varicella (VAR)
Measles-Mumps-Rubella (MMR)
Hepatitis B (HepB)
Human Papillomavirus (HPV4)
2. A nurse is caring for a client who has schizo- "Someone is trying to get a
message to
phrenia. Which of the following through this newspaper."
statements made by the client
indicates delusions of reference? The nurse should recognize that delu- sions
of reference occur when events are
"Someone is trying to get a message to interpreted as directed at the client.
me through this newspaper." The client's belief that someone
would send messages through the
"I am possessed by the evil one and will
newspaper is an example of this.
destroy the world."
"I know these nurses are watching my
every move."
"The dentist put a radio transmitter in
my tooth to control me."
3. A nurse is assessing a client who has epilep- "I suddenly smell a foul
odor."
sy. The nurse should identify that which
,LEVEL 3 CBC PRACTICE A EXAM WITH ALL
CORRECT & VERIFIED ANSWERS (UPDATED TO
PASS)
of the following client statements The nurse should identify this
indicates the preictal phase of a statement as referring to the preictal
seizure? phase of a sim- ple partial seizure. The
client often reports
, LEVEL 3 CBC PRACTICE A EXAM WITH ALL
CORRECT & VERIFIED ANSWERS (UPDATED TO
PASS)
"I open my eyes and cannot an aura or an unusual sensation,
remember what happened." such as the perception of an
"My entire body goes stiff." ottensive smell or a déjà vu
"I suddenly smell a foul odor." experience of having already seen
"Only one side of my body is what is happening.
affected."
4. A nurse is caring for a client who
Apply oxygen via nonrebreather at
has eclampsia and has just
10 L/min.
experienced a ton- ic-clonic seizure.
Which of the following ac- tions
The nurse should administer oxygen
should the nurse take?
at 10L/min via nonrebreather face
Apply oxygen via nonrebreather at mask fol- lowing a seizure. Also, the
10 L/min. nurse should use suction as
Administer calcium gluconate. needed, apply a pulse oximetry
Administer a 500 mL bolus of IV monitor, initiate intravenous flu- ids,
fluids. Place the client in reverse administer magnesium sulfate, insert
Trendelenburg position. an indwelling urinary catheter, and
moni- tor vital signs.
5. A nurse is providing discharge
teaching to "I will remain in a reclining position
for 30
a client following gastric bypass surgery for minutes after I eat."
management of obesity. Which of the fol-
lowing client statements indicates an enzymes daily."
un- derstanding of the teaching?
6. A nurse in an acute
"I will apply moisturizing lotion care mental health
between skin folds." unit
"I will remain in a reclining position for
30 minutes after I eat."
"I will return to my normal diet in 3
weeks." "I will need to take digestive
, LEVEL 3 CBC PRACTICE A EXAM WITH ALL
CORRECT & VERIFIED ANSWERS (UPDATED TO
PASS)
Following gastric bypass surgery, clients are at risk for
dumping syndrome. The nurse should teach the client that this
can be avoided by reclining for 30 min fol- lowing meals.
Remaining in a reclining position slows gastric emptying and Teach the client to use thought-
min- imizes the risk of dumping syndrome. stopping
is caring for a newly admitted client who has techniques.