ACTUAL COMPLETE REAL EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+ / NEWEST EXAM / JUST RELEASED!!
A nurse is monitoring a client who has a nasogastric (NG) tube
set to intermittent suction to manage a mechanical intestinal
obstruction. Which of the following findings should the nurse
report? a) Potassium 4.2 mEq/L
b) BUN 16 mg/dL
c) Abdominal distention
d) Bile-colored drainage from the NG tube - ANSWER-C.
Abdominal distention
A nurse working in a provider's office is caring for a client
who received penicillin 6 potassium 15 min ago to treat strep
throat. Which of the following is the priority finding the nurse
should report to the provider? a) Nausea
b) Hypotension
c) Abdominal pain
d) Arthralgia - ANSWER-C. Abdominal pain
A nurse is assisting with the transfer of a client from a
medical-surgical unit to an intensive care unit following a
change in status. Which of the following information should
the nurse include in the transfer documentation? (Select all
that apply.) a) Primary health problem
b) Scheduled times for dressing changes
,c) Current medication prescriptions
d) Number of family members who have visited
e) Admission vital signs from 1 week ago - ANSWER-A. Primary
health problem
B. Scheduled times for dressing changes
C. Current medication prescriptions
A nurse is collecting data from a client prior to administering
hydrochlorothiazide for mild hypertension. Which of the
following findings should the nurse identify as a
contraindication to administering the medication? a) 2+ pedal
edema
b) Potassium 2.8 mEq/L
c) Allergy to shellfish
d) History of GERD - ANSWER-B. Potassium 2.8 mEq/L
A nurse is caring for a client who has a terminal illness
and is in the active phase of dying. The client refuses
further hydration and nourishment. Which of the following
actions should the nurse take?
a) Request a prescription for IV fluids.
b) Ask the client's health care surrogate for permission to
withhold nourishment.
c) Provide regular oral care for the client with a moist swab.
d) Explain the importance of oral hydration to the chest. -
ANSWER-C. Provide regular oral care for the client with a
moist swab.
,A nurse is caring for a client who has a terminal illness
and is in the active phase of dying. The client refuses
further hydration and nourishment. Which of the following
actions should the nurse take?
a) Request a prescription for IV fluids.
b) Ask the client's health care surrogate for permission to
withhold nourishment.
c) Provide regular oral care for the client with a moist swab.
d) Explain the importance of oral hydration to the chest. -
ANSWER-c) Provide regular oral care for the client with a
moist swab.
A nurse is caring for a client who has returned to the unit
following a cardiac catheterization using a femoral
approach. Which of the following methods should the nurse
use to monitor for complications? a) Check the client's
blood pressure while the client lies supine, sits, and stands.
b) Palpate the client's brachial pulses
and compare bilaterally.
c) Check for jugular vein distention
while the client is supine.
d) Palpate the client's pedal pulses
and compare bilaterally. - ANSWER-D.
Palpate the client's pedal pulses and
compare bilaterally.
A nurse is reinforcing teaching about food care with a client
who has diabetes mellitus. Which of the following client
statements indicates understanding of the teaching?
, a) "I should put lotion between my toes
every day to prevent dryness and
cracking."
b) "I should apply a heating pad to my
feet every night to help with
circulation."
c) "I should use my wrist to test the
temperature of the water before
bathing."
d) "I should round the corners of my
toenails
with a nail file to prevent ingrown nails." - ANSWER-C. "I
should use my wrist to test the temperature of
the water before bathing."
A nurse is contributing to the plan of care for a client who has
disuse syndrome following cast removal from a lower
extremity. Which of the following referrals should the nurse
include in the plan of care? a) Dietitian
b) Herbalist
c) Occupational therapist
d) Social worker - ANSWER-C. Occupational Therapist
A nurse is collecting data from a client who had a left
hemispheric stroke. Which
of the following findings should the nurse report to the
provider immediately?
a) Difficulty
speaking