LEVEL 1 EXAM WITH VERIFIED QUESTIONS
AND DETAILED ANSWERS || ALREADY
GRADED A+ || GUARANTEED PASS || LATEST
UPDATE 2025
A nurse is preparing to collect a stool specimen from a client who has had
diarrhea for three days, with fever and abdominal cramping. When reviewing
the clients recent medication administration record, the nurse should recognize
that treatment with which of the following medications increases the client's risk
of developing a Clostridium difficile infection? - ANSWER-Ciprofloxacin
(Recently, a virulent strain of C. difficile, a bacterium that causes diarrhea and
potentially life threatening colon inflammation, has emerged as a result of
antibiotic therapy with fluoroquinolones, such as ciprofloxacin. A stool culture
confirms the diagnosis. Medications that treat a C. difficile infection include
fidaxomicin, metronidazole, and vancomycin.)
A home health nurse manager is assisting in the implementation of an electronic
medical record system for client care. Which of the following actions should the
nurse manager take to promote interoperability? - ANSWER-Recommend a
single coding system for each department to use.
(The nurse manager should recommend a unified coding system for each
department to use when documenting in the EMR system. This use of a single
coding system ensures that data is shared accurately among interprofessional
departments and that each department's system is able to process that coded
information. This continuity of shared data and the ability to use the data is
referred to interoperability.)
A nurse is reviewing the medication administration record of a client who is 2
days postoperative following abdominal surgery. The nurse should identify that
,which of the following medications can result in delayed wound healing? -
ANSWER-Prednisone
(The nurse should identify that taking prednisone can result in delayed wound
healing. Prednisone is a corticosteroid used in the treatment of inflammatory
disorders. It can mask the manifestations of infection due to its ability to impair
the inflammatory response. Other medications, such as anticoagulants and
broad-spectrum antibiotics, can also play a role in delayed wound healing.)
A nurse is preparing to contact a client's provider regarding the need for a
prescription for pain medication. When using the Situation, Background,
Assessment, Recommendation (SBAR) communication tool, the nurse should
provide which of the following information in the assessment portion of the
tool? - ANSWER-"The client is in audible distress and rates her pain as an 8 on
a scale from 0 to 10."
(Assessment data regarding the client's current pain level is information the
nurse should include in the assessment portion of the SBAR communication
tool.)
A nurse is preparing to administer morphine 5 mg IM from a 10 mg/mL vial to
help manage a client's acute pain. Which of the following actions should the
nurse plan to take after administering a controlled substance? - ANSWER-Have
a second nurse witness and initial the disposal of the remaining medication.
(When nurses administration a portion of a vial's amount of a controlled
substance, they must discard the rest safely, such as by injecting it out of the
syringe into a sink or toilet, while a second nurse witnesses the first nurse
discarding it. The second nurse must then initial the waste of the medication in
the client's mediation administration record.)
A nurse is caring for a client who is 2 days postoperative following an above-
the-knee amputation. The client states he is experiencing a dull, burning pain in
the leg that was amputated. Which of the following actions should the nurse
take to treat the client's neuropathic pain? - ANSWER-Administer a beta-
blocking medication to the client.
, (The nurse should administer a beta-blocking medication to the client. This
classification of medication has been shown to relieve the phantom limb pain
manifestations of constant dull and burning type pain.)
A newly licensed nurse asks a charge nurse where to find information about
scope of practice for registered nurses. Which of the following responses should
the charge nurse make? - ANSWER-"The state board of nursing can provide
this information"
(each state develops a nurse practice act, which defines scope of practice for
nurses in that state. This practice act is available on the board of nursing website
for each state.)
A nurse is preparing to document care in a client's medical record. In adherence
with the Joint Commission National Patient Safety Goals regarding
communication errors, which of the following entries should the nurse make? -
ANSWER-"Client medicated with morphine 5 mg IM for pain."
(The nurse is using approved abbreviations and providing accurate and detailed
information, which should reduce communication errors according to the Joint
Commission National Patient Safety Goals.)
A nurse on a medical-surgical unit is caring for a group of clients. Which of the
following clients should the nurse monitor for the development of reflex urinary
incontinence? - ANSWER-A client who has a T12 spinal cord injury.
(The nurse should identify that a client who has a C1 to S2 spinal cord injury is
at risk of developing reflex urinary incontinence. With this type of incontinence,
the client is unaware that the bladder is full and therefore lacks the urge to void,
resulting in the involuntary loss of urine. The nurse should monitor for this form
of incontinence and implement interventions such as intermittent
catheterization.)
A nurse manager is developing a facility policy about the use of a fax machine
to communicate information from a client's electronic medical record (EMR).
Which of the following should the nurse include in the policy? - ANSWER-Use
a cover sheet when sending a fax from the health care unit.