REAL EXAM QUESTIONS AND ALL CORRECT ANSWERS
(VERIFIED ANSWERS) 100% SOLVED AND GUARANTEED
SUCCESS /2025 BRAND NEW EXAM!!
The mother of a child with tetralogy of Fallot asks the nurse
"Why did this happen to my baby? What did I do wrong?"
Which response is most helpful? - ANSWER-This must be a
very difficult time for you
The healthcare provider prescribes bladder irrigation to
maintain patency of a
clients indwelling catheter. Which intervention should the
nurse implement? -
ANSWER-Use sterile syringe to irrigate the normal
saline 20ML
The nurse assesses a client for a pulse deficit and counts an
apical pulse for 72
bpm and a radial pulse of 88 bpm. What action should the
nurse take? -
ANSWER-Obtain a second pulse
deficit reading
,A female who is 1 day post mastectomy is crying when the
nurse enter the room. What action should the nurse take? -
ANSWER-Stay with the client in silence touching her forearm
A 24 hour urine collection is in progress. The client tells the
nurse that the last voiding was accidentally flushed instead of
saving in the container. What intervention should the nurse
initiate? - ANSWER-Discard the urine and start another 24 hour
period
A hospitalized male client is receiving nasogastric tube
feedings via a small bore tube and a continuous pump infusion.
He reports that he had a bad bout of severe coughing a few
minutes ago but feels fine now. What action is best for the
nurse to take? - ANSWER-After clearing the tube with 30ml of
air check the pH of fluid withdrawn from the tube
The nurse is caring for a 3 year old who is 2 hours post op from
a cardiac catherization via the right femoral artery. Which
assessment finding is an indication of arterial obstruction? -
ANSWER-Right foot is cool to the touch and appears pale and
blanched
Following and MVA a 3 year old girl has a spica cast applied.
Which toy is best
,for the nurse for this 3 yr old child - ANSWER-Set of cloth and
hand puppets
An infant with Tetralogy of fallot becomes acutely cyanotic and
hyperpneic which action should the nurse implement first -
ANSWER-Place the infant in a knee chest position
A child is admitted with DKA is demonstrating Kussmaul
respirations. The nurse
determines that the increased respiratory rate is a compensatory
mechanism for
which acid base alteration - ANSWER-
Metabolic acidoses
A 7 year old is admitted to the hospital with persistent vomiting,
and ng tube attached to low intermittent suction is applied.
Which finding is most important for the nurse to report to the
healthcare provider - ANSWER-serum potassium
3.0
The nurse is evaluating diet teaching for a client who has celiac
disease. Choosing which food indicates the teaching has been
effective – ANSWER-creamed corn
, During a well baby , the nurse hides a block under the babies
blanket, and the baby looks for the block. Which normal growth
and development milestone is the baby developing - ANSWER-
object permanenence
The nurse is measuring the frontal occipital circumference of a
3 month old infant and notes that the FOC has increased 5
inches since birth and the child's head appears large in relation
to body size. Which action is most important for the nurse to
take next - ANSWER-Palpate the anterior fontanel for tension
and bulging
A client who is taking an oral dose of tetracycline reports
gastrointestinal upset.
Which snack should the nurse instruct the client to take
with tetracycline -
ANSWER-toasted wheat bread
and jelly
A older adult male is being discharged after a MI and
receives a new rx for
atenolol. Which instruction is most important for the nurse
to include in her
clients teaching plan? - ANSWER-Standing slowly when
getting up from bed