NURSING
PRACTICE EXAM QUESTIONS WITH
CORRECT DETAILED ANSWERS |
ALREADY GRADED A+<RECENT
VERSION>
1. The nurse is reviewing medical prescription for the newly admitted clients. It would
be a PRIORITY for the nurse to flow up with the physician if a client with -
answer✅ a K level of 4.0 and has kayexalate prescribed
2. The nurse should intervene if the nurse suspects a staff member - answer✅ Obtain a
client consent prior to receiving Ativan
3. The community health nurse is caring for the following clients. It would be a priority
for the nurse to initiate a multidisciplinary conference for the client who is -
answer✅ 17 years old, has DM type 1, unemployed, and recent A1C is 13%
4. The Nurse from the postpartum unit has been temporarily assigned to a med surg
floor. It would be most appropriate to assign the nurse to the client who - answer✅
had surgery two hours ago, appendectomy
5. The nurse in a well baby clinic has assigned several children today. It would be
appropriate to suggest follow up for the child who is - answer✅ 18 months old and
needs support to ambulate
6. The nurse is caring for a mechanically ventilated client who was declared brain dead.
An Advance Directive is not documented in the medical record. It would be most
appropriate to obtain consent for organ donation from the - answer✅ Clients closest
family member
,7. The nurse has received report on 4 clients, who should the nurse assess first -
answer✅ been admitted with Guillian Barre syndrome and has begun plasmapheresis
therapy
8. It would be appropriate to assign which of these task to the CNA - answer✅ one - on
- one client observation for safety
9. The nurse should intervene is a staff member - answer✅ discussing a client's DX
with visiting family member
10. The nurse is preparing a staff presentation on legal and ethical issues in nursing. The
nurse would be correct to include which of the following examples. - answer✅
Putting a client in a geriatric chair with the lap tray in front of the client in the day
room to watch TV... Example of false imprisonment
11. The nurse from the pediatric unit has been temp assigned to the ED. It would be most
appropriate to assign the nurse to the client who - answer✅ Is HIV + reporting
nausea and vomiting
12. Four clients recently returned to the unit following invasive diagnostic testing. The
nurse should immediately intervene if one of the clients: - answer✅ Is observed
flexing and extending the legs two hours post cardiac cath
13. The nurse is made aware for the following situations. The nurse should first check the
client who - answer✅ Has a history of partial seizures and is sitting in the bed
picking at the clothing and smacking lips
14. The nurse in a community health clinic is talking with the parent of a child with celiac
disease. Which statement would require follow up by the nurse - answer✅ "I can
feed my child oatmeal and eggs for breakfast."
15. The charge nurse is observing a LPN preforming patient care. Follow up would be
required if - answer✅ The LPN dons clean gloves on the dominant hand before trach
suctioning
16. The nurse at a health promotion fair has taught a group of parents about car seat
safety. Which of the following statement, if made by the parents, would indicate a
, correct understanding of the information given? - answer✅ "I will place my newborn
infant in a rear facing car seat in the middle of the rear seat."
17. The nurse is caring for a client with VRE. The nurse should place the client on -
answer✅ Contact precaution
18. The nurse should initiate protective precaution for a client who has - answer✅ WBC
2500 mm3
19. The nurse has provided health teaching for a group of clients who recently DX with
HIV. Which statement made by the clients will require further teaching - answer✅ "I
will miss not being able to work in my garden."
20. The nurse in the ED is caring for clients admitted following a rescue from the burning
bus. You would first see the client - answer✅ Who has soot on face and the nares and
is coughing
21. A nurse is observing a new hire nurse provide care for assigned clients. The nurse
should intervene if the new hire nurse is observed - answer✅ Cleansing the wound
from the outer surface to the inner surface for the client how wound is infected with
MRSA
22. The nurse is caring for a client who has been DX with RA. The nurse should
anticipate the PT to be prescribed - answer✅ NSAID
23. The nurse is assessing a 2 month old. The nurse should anticipate the infant should -
answer✅ smile socially
24. The nurse is teaching a class on infant nutrition. The nurse should instruct the parents
to introduce - answer✅ Pureed chicken at 7 months
25. The nurse is caring for a 7 year old with thrombocytopenia and is on protective
precaution. Which would b a appropriate toy for the nurse to provide - answer✅ A
board game
, 26. The following pediatric unit has been informed the following clients are being
admitted. The nurse should first plan to assess the client who is - answer✅ 2 year
old, 100.8 temp, BP 68/44
27. The nurse is providing DC instructions to the parents of a patient with a cleft lip. The
nurse should instruct the clients too - answer✅ Encourage the parents to provide the
infant rest periods during feedings
28. The nurse is assessing a 3 year old during a well baby visit. During the visit the boy
states to his mother, "Mommy, I love you. I am going to marry you." The nurse should
- answer✅ Tell the mother that the statement is appropriate for his stage of
development.
29. What are some expected findings when caring for a client with a cyanotic heart defect
- answer✅ Tachycardia, increased respiration rate, delayed growth and development
30. The nurse is teaching a group of parents about the expected growth and development
of 3 year old children. The nurse should include that a 3 year old should - answer✅
play in a group of 2-3 with one being the leader
31. The Nurse and the nurse assistant are caring for a group of clients. Which of the
following client care activity should the nurse assign to the nursing assistant -
answer✅ Placing a AKA patient 24 hours post op in prone position
Assisting a client who had a colon resection 36 hours ago to ambulate
32. The nurse is caring for a client with AIDS who started Zidovidine ATZ. It would be
important to assess - answer✅ CBC
33. The nurse is preforming a ABD assessment. Put in order the correct sequence of
assessment - answer✅ Inspection, auscultation, palpation, percussion
34. The nurse has become aware of the following client situations. The nurse should first
assess the client who - answer✅ Had an ABD hysterectomy yesterday and is
reporting calf pain
35. Nursing considerations when admin heparin - answer✅ ADMIN in ABD, do not
massage, protamine sulfate is antidote