B, and C EXAM 2025 QUESTIONS AND
ANSWERS
What should a nurse instruct an adolescent to monitor when prescribed cefazolin? -
ANS Depression
What indicates a parent's understanding of proper car seat use for a newborn? - ANS I can
place a rolled towel on each side of my newborn's head until he can hold his head up.
What action should a nurse take for a school-age child experiencing epistaxis? - ANS Apply
pressure at the bridge of the child's nose.
Which client's statement should a nurse attend to first? - ANS My heartburn pain is going
into my jaw now.
What indicates that a child with varicella is no longer contagious? - ANS All vesicles have
crusted over.
What statement should a nurse expect from a client with a hemoglobin level of 8.8 mg/dL? -
ANS I feel tired all the time.
What action should a nurse take if a client reports mild cramping during a cleansing enema? -
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ANS Slow the rate of instillation.
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, Which client should a nurse first collect data about? - ANS A client with a decreased level of
consciousness and vomiting.
What is the correct action when setting up a sterile field for a dressing change? - ANS Open
the outermost flap of the wrapper toward the body.
What should a nurse frequently remind a client with bipolar disorder experiencing mania? -
ANS Expectation for her behavior.
What action should a nurse take for a client with viral pneumonia? - ANS Administer
Azithromycin.
What suggestion should a preceptor make to a nurse struggling with time management? -
ANS Try to complete a task before moving on to the next.
What should a nurse use to secure a dressing for an older adult postoperative client? -
ANS Use paper tape for securing the new dressing.
What should be included in the plan of care for a client with anorexia nervosa? -
ANS Maintain continuity of staff members.
What alteration in perception is indicated by a client with schizophrenia hearing special
messages? - ANS Hallucination.
What should a nurse teach a postpartum client about bathing her newborn? - ANS use mild
soap
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What challenge does a client with heart failure report regarding their diet? - ANS Difficulty
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limiting sodium in his diet.
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, What is the appropriate way to wash a newborn's head? - ANS Under a stream of running
water.
What dietary recommendation should a nurse provide to a client with heart failure to limit
sodium intake? - ANS Replace bottled salad dressing with homemade vinegar and oil
dressing.
What nonpharmacological pain relief instruction should a nurse give to a postpartum client
with an episiotomy? - ANS Sit on soft pillows throughout the day.
How should a nurse respond to a client with a new colostomy who is reluctant to resume sexual
relations? - ANS "I'm available if you'd like to talk about your concerns."
What transmission precaution should a nurse teach a client with hepatitis C? - ANS Avoid
sharing razors with other family members.
What statement indicates a need for further teaching about foot care in a diabetic client? -
ANS "I will be sure to wear cotton socks."
What intervention should a nurse recommend for a client with bulimia nervosa? -
ANS Observe the client for 1 hour after meals.
What is an appropriate referral for a client following a myocardial infarction? -
ANS Respiratory therapist for breathing exercises.
What care setting should a nurse recommend for an older adult client who had a total hip
arthroplasty and cannot ambulate independently? - ANS Skilled nursing facility.
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, What food should a nurse recommend for a preschool-age child with celiac disease? -
ANS Corn tortillas with black beans.
What isolation precautions should a nurse initiate for a client with mononucleosis? -
ANS Droplet precautions.
What instruction should a nurse give to a client about taking sublingual nitroglycerin tablets? -
ANS Wait 5 minutes between doses.
What client statement indicates transference in a therapeutic relationship? - ANS "I feel
really close to you because you remind me of my ex-boyfriend."
What should a nurse monitor for a client who has been placed in restraints? - ANS Monitor
the client's skin integrity on a regular schedule.
When should a newly diagnosed type 1 diabetes client be referred for diabetic education? -
ANS When the client states that he will treat hypoglycemic reactions with 15 g of
carbohydrates.
What action should a nurse take regarding a client's large sum of money before surgery? -
ANS Contact security personnel to place the money in the facility safe.
What task is appropriate to delegate to assistive personnel on a medical-surgical unit? -
ANS Administer a large-volume enema to a client.
What finding should a nurse expect in a client with a full-thickness burn in the emergent phase?
- ANS Hypercalcemia.
What is the age of the child being assessed at a well-child visit? - ANS 18 months old.
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