nn nn nn nn nn nn nn
nn 2024/2025 (Questions With 100% Correct
nn nn nn nn
Answers) Verified By Experts
nn nn nn nn
nn
1. nnA nn64 nnyear-old nnclient nnscheduled nnfor nnsurgery nnwith nna nngeneral nnanesthetic
nnrefuses nnto nnremove nna nnset nnof nndentures nnprior nnto nnleaving nnthe nnunit nnfor nnthe
nnoperating nnroom. nnWhat nnwould nnbe nnthe nnmost nnappropriate nnintervention nnby nnthe
nnnurse? nn nn
nn
A) Explain nnto nnthe nnclient nnthat nnthe nndentures nnmust nncome nnout nnas nnthey nnmay nnget
nnlost nnor nnbroken nnin nnthe nnoperating nnroom nn nn
B) Ask nnthe nnclient nnif nnthere nnare nnsecond nnthoughts nnabout nnhaving nnthe nnprocedure nn nn
C) Notify nnthe nnanesthesia nndepartment nnand nnthe nnsurgeon nnof nnthe nnclient's nnrefusal nn nn
D) Ask nnthe nnclient nnif nnthe nnpreference nnwould nnbe nnto nnremove nnthe nndentures nnin nnthe
nnoperating nnroom nnreceiving nnarea nn- nnD: nnAsk nnthe nnclient nnif nnthe nnpreference nnwould
nnbe nnto nnremove nnthe nndentures nnin nnthe nnoperating nnroom nnreceiving nnarea nn
nn
2. nnThe nnnurse nnhas nnbeen nnteaching nnadult nnclients nnabout nncardiac nnrisks nnwhen
nnthey nnvisit nnthe nn
nn nn
hypertension nnclinic. nnWhich nnform nnof nnevaluation nnwould nnbest nnmeasure
nnlearning?
nn
A) Performance nnon nnwritten nntests nn nn
B) Responses nnto nnverbal nnquestions nn nn
C) Completion nnof nna nnmailed nnsurvey nn nn
D) Reported nnbehavioral nnchanges nn- nnD: nnReported nnbehavioral nnchanges nn
nn
3. nnThe nnnurse nnis nnplanning nncare nnfor nnan nn18 nnmonth-old nnchild. nnWhich nnaction
nnshould nnbe nn
nn nn
included nnin nnthe nnchild's
nncare?
nn
A) Hold nnand nncuddle nnthe nnchild nnfrequently nn nn
B) Encourage nnthe nnchild nnto nnfeed nnhimself nnfinger nnfood nn nn
C) Allow nnthe nnchild nnto nnwalk nnindependently nnon nnthe nnnursing nnunit nn nn
D) Engage nnthe nnchild nnin nngames nnwith nnother nnchildren nn- nnB: nnEncourage nnthe nnchild
nnto nnfeed nnhimself nnfinger nnfood nn
nn
4. nnA nnpartner nnis nnconcerned nnbecause nnthe nnclient nnfrequently nndaydreams nnabout
nnmoving nnto nnArizona nnto nnget nnaway nnfrom nnthe nnpollution nnand nncrowding nnin nnsouthern
nnCalifornia. nnThe nnnurse nnexplains nnthat nn nn
nn
A) Such nnfantasies nncan nngratify nnunconscious nnwishes nnor nnprepare nnfor nnanticipated
nnfuture nnevents nn nn
,B) Detaching nnor nndissociating nnin nnthis nnway nnpostpones nnpainful nnfeelings nn nn
C) This nnconversion nnor nntransferring nnof nna nnmental nnconflict nnto nna nnphysical nnsymptom
nncan nnlead nnto nnmarital nnconflict nn nn
D) To nnisolate nnthe nnfeelings nnin nnthis nnway nnreduces nnconflict nnwithin nnthe nnclient nnand
nnwith nnothers nn- nnA: nnSuch nnfantasies nncan nngratify nnunconscious nnwishes nnor nnprepare
nnfor nnanticipated nnfuture nnevents nn
nn
5. nnAn nnappropriate nngoal nnfor nna nnclient nnwith nnanxiety nnwould nnbe nnto nn nn
nn
A) Ventilate nnanxious nnfeelings nnto nnthe nnnurse nn nn
B) Establish nncontact nnwith nnreality nn nn
C) Learn nnself-help nntechniques nn nn
D) Become nndesensitized nnto nnpast nntrauma nn- nnC: nnLearn nnself-help nntechniques nn
nn
6. nnWhile nnthe nnnurse nnis nnadministering nnmedications nnto nna nnclient, nnthe nnclient nnstates
nn"I nndo nnnot nnwant nnto nntake nnthat nnmedicine nntoday." nnWhich nnof nnthe nnfollowing
nnresponses nnby nnthe nnnurse nnwould nnbe nnbest? nn nn
nn
A) "That's nnOK, nnits nnall nnright nnto nnskip nnyour nnmedication nnnow nnand nnthen." nn nn
B) "I nnwill nnhave nnto nncall nnyour nndoctor nnand nnreport nnthis." nn nn
C) "Is nnthere nna nnreason nnwhy nnyou nndon't nnwant nnto nntake nnyour nnmedicine?" nn nn
D) "Do nnyou nnunderstand nnthe nnconsequences nnof nnrefusing nnyour nnprescribed
nntreatment?" nn- nnC: nn"Is nnthere nna nnreason nnwhy nnyou nndon't nnwant nnto nntake nnyour
nnmedicine?" nn
nn
7. nnWhile nncaring nnfor nna nnclient, nnthe nnnurse nnnotes nna nnpulsating nnmass nnin nnthe nnclient's
nnperi nnumbilical nn
nn nn
area. nnWhich nnof nnthe nnfollowing nnassessments nnis nnappropriate nnfor nnthe nnnurse nnto
nnperform?
nn
nn nn
A) nnMeasure nnthe nnlength nnof nnthe
nnmass
nn nn
B) nnAuscultate nnthe
nnmass
nn
C) nnPercuss nnthenn
nnmass
D) nnPalpate nnthe nnmass nn- nnB: nnAuscultate nnthe
nnmass
nn
8. nnA nnclient nnis nnadmitted nnto nnthe nnhospital nnwith nna nnhistory nnof nnconfusion. nnThe nnclient
nnhas nndifficulty nn
nn
remembering nnrecent nnevents nnand nnbecomes nndisoriented nnwhen nnaway nnfrom
nnhome. nnWhich
nn nn
statement nnwould nnprovide nnthe nnbest nnreality nnorientation nnfor nnthis
nnclient?
nn
A) "Good nnmorning. nnDo nnyou nnremember nnwhere nnyou nnare?" nn nn
,B) "Hello. nnMy nnname nnis nnElaine nnJones nnand nnI nnam nnyour nnnurse nnfor nntoday." nn nn
C) "How nnare nnyou nntoday? nnRemember, nnyou're nnin nnthe nnhospital." nn nn
D) "Good nnmorning. nnYou're nnin nnthe nnhospital. nnI nnam nnyour nnnurse nnElaine nnJones." nn-
nnD: nn"Good nnmorning. nnYou're nnin nnthe nnhospital. nnI nnam nnyour nnnurse nnElaine nnJones."
nn
nn
9. nnThe nnnurse nnis nnteaching nnthe nnparents nnof nna nn3 nnmonth-old nninfant nnabout nnnutrition.
nnWhat nnis nnthe nnmain nnsource nnof nnfluids nnfor nnan nninfant nnuntil nnabout nn12 nnmonths nnof
nnage? nn nn
A) Formula nnor nnbreast nnmilk nn nn
B) Dilute nnnonfat nndry nnmilk nn nn
C) Warmed nnfruit nnjuice nn nn
D) Fluoridated nntap nnwater nn- nnA: nnFormula nnor nnbreast nnmilk nn
nn
10. nnThe nnfamily nnof nna nn6 nnyear-old nnwith nna nnfractured nnfemur nnasks nnthe nnnurse nnif nnthe
nnchild's nnheight
will nnbe nnaffected nnby nnthe nninjury. nnWhich nnstatement nnis nntrue nnconcerning nnlong nnbone
nnfractures nnin nn
nn nn
children?
nn
A) Growth nnproblems nnwill nnoccur nnif nnthe nnfracture nninvolves nnthe nnperiosteum nn nn
B) Epiphyseal nnfractures nnoften nninterrupt nna nnchild's nnnormal nngrowth nnpattern nn nn
C) Children nnusually nnheal nnvery nnquickly, nnso nngrowth nnproblems nnare nnrare nn nn
D) Adequate nnblood nnsupply nnto nnthe nnbone nnprevents nngrowth nndelay nnafter nnfractures nn-
nnB: nnEpiphyseal nnfractures nnoften nninterrupt nna nnchild''s nnnormal nngrowth nnpattern nn
nn
11. nnThe nnnurse nnis nnassessing nna nnclient nnwho nnstates nnher nnlast nnmenstrual nnperiod
nnwas nnMarch nn16, nnand nnshe nnhas nnmissed nnone nnperiod. nnShe nnreports nnepisodes nnof
nnnausea nnand nnvomiting. nnPregnancy nnis nnconfirmed nnby nna nnurine nntest. nnWhat nnwill nnthe
nnnurse nncalculate nnas nnthe nnestimated nndate nnof nndelivery nn(EDD)? nn nn
nn
A) April nn8 nn nn
B) January nn15 nn nn
C) February nn11 nn nn
D) December nn23 nn- nnD: nnDecember nn23 nn
nn
12. nnWhen nnscreening nnchildren nnfor nnscoliosis, nnat nnwhat nntime nnof nndevelopment nnwould
nnthe nnnurse nn
nn nn
expect nnearly nnsigns nnto
nnappear?
nn
nn nn
A) nnPrenatally nnon
nnultrasound
nn nn
B) nnIn nnearly
nninfancy
nn nn
C) nnWhen nnthe nnchild nnbegins nnto nnbear
nnweight
, D) nnDuring nnthe nnpreadolescent nngrowth nnspurt nn- nnD: nnDuring nnthe nnpreadolescent
nngrowth nnspurt
nn
13. nnA nnclient nnwith nncongestive nnheart nnfailure nnis nnnewly nnadmitted nnto nnhome nnhealth
nncare. nnThe nnnurse nndiscovers nnthat nnthe nnclient nnhas nnnot nnbeen nnfollowing nnthe
nnprescribed nndiet. nnWhat nnwould nnbe nnthe nnmost nnappropriate nnnursing nnaction? nn nn
nn
A) Discharge nnthe nnclient nnfrom nnhome nnhealth nncare nnrelated nnto nnnoncompliance nn nn
B) Notify nnthe nnhealth nncare nnprovider nnof nnthe nnclient's nnfailure nnto nnfollow nnprescribed
nndiet nn nn
C) Discuss nndiet nnwith nnthe nnclient nnto nnlearn nnthe nnreasons nnfor nnnot nnfollowing nnthe nndiet
nn nn
D) Make nna nnreferral nnto nnMeals-on-Wheels nn- nnC: nnDiscuss nndiet nnwith nnclient nnto nnlearn
nnthe nnreasons nnfor nnnot nnfollowing nnthe nndiet nn
nn
14. nnA nnclient nnstates, nn"People nnthink nnI'm nnno nngood, nnyou nnknow nnwhat nnI nnmean?"
nnWhich nnof nnthese nn
nn nn
responses nnwould nnbe nnmost
nntherapeutic?
nn
A) "Well nnpeople nnoften nntake nntheir nnown nnfeelings nnof nninadequacy nnout nnon nnothers." nn nn
B) "I nnthink nnyou're nngood. nnSo nnyou nnsee, nnthere's nnone nnperson nnwho nnlikes nnyou." nn nn
C) "I'm nnnot nnsure nnwhat nnyou nnmean. nnTell nnme nna nnbit nnmore nnabout nnthat." nn nn
D) "Let's nndiscuss nnthis nnto nnsee nnthe nnreasons nnto nncreate nnthis nnimpression nnon
nnpeople?" nn- nnC: nn"I'm nnnot nnsure nnwhat nnyou nnmean. nnTell nnme nna nnbit nnmore nnabout
nnthat." nn
nn
15. nnA nnclient nnbeing nntreated nnfor nnhypertension nnreturns nnto nnthe nncommunity nnclinic nnfor
nnfollow nnup. nnThe nnclient nnsays, nn"I nnknow nnthese nnpills nnare nnimportant, nnbut nnI nnjust nncan't
nntake nnthese nnwater nnpills nnanymore. nnI nndrive nna nntruck nnfor nna nnliving, nnand nnI nncan't nnbe
nnstopping nnevery nn20 nnminutes nnto nngo nnto nnthe nnbathroom." nnWhich nnof nnthese nnis nnthe
nnbest nnnursing nndiagnosis? nn nn
nn
A) Noncompliance nnrelated nnto nnmedication nnside nneffects nn nn
B) Knowledge nndeficit nnrelated nnto nnmisunderstanding nnof nndisease nnstate nn nn
C) Defensive nncoping nnrelated nnto nnchronic nnillness nn nn
D) Altered nnhealth nnmaintenance nnrelated nnto nnoccupation nn- nnA: nnNoncompliance
nnrelated nnto nnmedication nnside nneffects nn
nn
16. nnWhen nnteaching nneffective nnstress nnmanagement nntechniques nnto nna nnclient nn1
nnhour nnbefore nn
nn nn
surgery, nnwhich nnof nnthe nnfollowing nnshould nnthe nnnurse
nnrecommend?
nn
A) Biofeedback nn nn
B) Deep nnbreathing nn nn
C) Distraction nn nn
D) Imagery nn- nnB: nnDeep nnbreathing nn
nn