Questions and answers 2024\2025
A+ Grade
A client is reporting chest pain. What statement made by the client helps the nurse to understand the
client has a naturalistic belief in the cause of illness?
A. "My life is really out of balance."
B. "I knew I should have changed my diet."
C. "I should have gone to church last week."
D. "I forgot to take my medicines last night."
- correct answer A. "My life is really out of balance."
A nurse is working in a healthcare facility that serves a diverse population. What action(s) by the nurse
will allow the nurse to empathize with and understand this population? (Select all that apply.)
A. Be open to people who are different.
B. Have a curiosity about people.
C. Become culturally competent.
D. Interact with each person in the same way.
E. Request nurses take care of patients with the same ethnicity.
F. Always request an interpreter for people from other countries.
- correct answer A. Be open to people who are different.
B. Have a curiosity about people.
C. Become culturally competent.
Which statement is accurate about assessing the spleen?
,A. It must be enlarged at least three times normal size for it to be palpable
B. It is easily felt by reaching the left hand behind the 11th and 12th ribs.
C. It is normally felt by rolling the client on the right side and palpating.
D. It is a firm mass palpated slightly left of midline in the upper abdomen.
- correct answer A. It must be enlarged at least three times normal size for it to be palpable
What is the best place for the nurse to hear lower lobe lung sounds with a stethoscope?
A. Posterior chest below the 3rd intercostal space
B. Posterior-axillary line at the 4th intercostal space
C. Anterior chest at the level of the 4th intercostal space.
D. Anterior-axillary line at the 5th intercostal space.
- correct answer A. Posterior chest below the 3rd intercostal space
The nurse is assessing a client who has a history of mitral stenosis. How should the nurse assess this
client with a stethoscope to listen for this condition?
A. Place the bell on the 5th intercostal space, left midclavicular line.
B. Place the bell on the 2nd intercostal space, left midclavicular line.
C. Put the diaphragm on the 5th intercostal space, left sternal border.
D. Put the diaphragm on the 2nd intercostal space, left sternal border.
- correct answer A. Place the bell on the 5th intercostal space, left midclavicular line.
The nurse is assessing a client who has a history of aortic regurgitation. Where should the nurse place
the stethoscope diaphragm to listen for this condition?
A. 2nd intercostal space along the right sternal border
B. 2nd intercostal space along the left sternal border.
C. 3rd intercostal space on the right midclavicular line
, D. 5th intercostal space on the left midclavicular line
- correct answer A. 2nd intercostal space along the right sternal border
The client is experiencing severe pruritis and small papules and burrows on areas over one hand and the
inner thighs. Which assessment data best explains the condition the client is experiencing?
A. The client works in a daycare setting that has had a scabies outbreak.
B. The client has been using a chemical stripping agent for home remodeling.
C. The client has a family history of psoriasis in both parents and a sibling.
D. The client routinely works with clay and paint as a hobby.
- correct answer A. The client works in a daycare setting that has had a scabies outbreak.
A client comes to the clinic with a report of fever and a recent exposure to someone who was diagnosed
with meningitis. Which nursing assessment should be completed during the initial examination of this
client?
A. Level of consciousness
B. Gait characteristics
C. Presence of trauma
D. Bladder control ability.
- correct answer A. Level of consciousness
A client reports feeling increasingly fatigued for several months, and the nurse observes that the client's
lips are pale. Which additional data should the nurse collect based on this presentation?
A. Current alcohol and tobacco use
B. A 24-hour dietary recall
C. Use of vitamin and iron supplements
D. Daily pattern of oral hygiene practices
- correct answer C. Use of vitamin and iron supplements