LATEST UPDATED 140 REAL EXAM QUESTIONS WITH
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1. A home health nurse is caring for a child who has Lyme disease. Which of
the following is an appropriate action for the nurse to take?:ANS Ensure the
state health department has been notified.
2. A nurse is caring for a client who has a vented NG tube set to low intermittent
suction and has vomited. Which of the following actions should the nurse
perform first?: ANS Evaluate functioning of the suction device.
3. While performing a routine assessment, a nurse notices fraying onto the
electrical cord of a client's continuous passive motion (CPM)device. Which of
the following actions should the nurse take first?: ANS Remove the device
from the room.
4. A nurse is setting up a sterile field to perform wound irrigation for a client.
Which of the following actions should the nurse take when pouring the sterile
solution?: ANS Remove the cap and place it sterile side up on a clean surface.
5. A nurse is creating a plan of care for a female client who has recurrent
urinary tract infections. Which of the following interventions should the nurse
include in the plan?: ANS Wear loose fitting underwear.
6. A nurse is caring for an infant who has gastroenteritis. Which of the follow-
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, ing assessments findings should the nurse report to the provider?: ANS
Sunken fontanels and dry mucous membranes.
7. A nurse is conducting health promotion education regarding contraindica-
tions to combination oral contraceptive use to a group of women. Which of the
following conditions should the nurse include in the teaching?: ANS
Hypertension
8. A nurse is providing teaching to a client who has a depressive disorder and
a new prescription for amitriptyline. Which of the following statements by the
client indicates understanding of the teaching?: ANS "I know it will be a
couple of weeks before the medication helps me feel better."
9. A nurse is caring for a client who is immobile. Which of the following
interventions is appropriate to prevent contracture?: ANS Align a trochanter
wedge between the client's legs.
10. A nurse is assessing a client who is postoperative following abdominal
surgery and has an indwelling urinary catheter that is draining dark yellow
urine at 25 mL/hr. Which of the following interventions should the nurse
anticipate?: ANS Obtain a urine specimen for culture and sensitivity
11. A nurse is reporting a client's laboratory tests to the provider to obtain a
prescription for the client's daily warfarin. Which of the following laboratory
tests should the nurse plan to report to obtain the prescription for the war-
farin?: ANS INR
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, 12. A nurse is assessing a client who is taking haloperidol and is experiencing
pseudoparkinsonism. Which of the following findings should the nurse docu-
ment as a manifestation of pseudoparkinsonism?: ANS Shuffling gait
13. A nurse is caring for a client who is experiencing expressive aphasia and
right hemiparesis following a stroke. Which of the following actions by the
nurse best promotes communication among staff caring for the client?: ANS
Having interdisciplinary team meetings for the client on a regular basis.
14. A nurse is caring for a 2-year-old toddler. Which of the following food choic-
es should the nurse recommend to promote independence in eating?: ANS
Banana slices
15. A nurse on a medical-surgical unit is notified that a mass casualty event
has occurred in the community. Which of the following actions should the
nurse plan to take?: ANS Recommend to the provider specific acute care
clients for discharge.
16. A nurse is receiving change-of-shift report for four clients. Which of the
following clients should the nurse assess first?: ANS A client who was just
given a glass of orange juice for low blood glucose level.
17. A nurse is performing postmortem care for a recently deceased client prior
to the client's family visit. Which of the following actions should the nurse plan
to take?: ANS Hold the client's eyes shut for a few seconds.
18. A nurse is admitting a client who has schizophrenia. The client states, "I'm
hearing voices." Which of the following responses is the priority for the nurse
to state?: ANS "What are the voices telling you?"
19. A nurse is administering furosemide IV bolus to a client who has fluid
volume excess. The nurse should recognize which of the following as an
indication that the medication has been effective?: ANS Weight loss
20. A nurse is caring for a client who requires nasotracheal suctioning. Identify
the sequence the nurse should follow to perform suctioning.: ANS 1. Turn on
the suction and set the pressure.
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