Versions 1–7 (V1–V7) | Verified Actual Exam Questions with Detailed
Answers | Graded A+ | Guaranteed Pass | Latest Updated 2025
Version
, V1-V7 160 TOTAL QUESTIONS EACH VOLUME
1. Following discharge teaching, a male client with duodenal ulcer
tells the nurse the he will drink plenty of dairy products, such as
milk, to help coat and protect his ulcer. What is the best follow-up
action by the nurse?
• Review with the client the need to avoid foods that are rich in milk and cream
2. A male client with hypertension, who received new
antihypertensive prescriptions at his last visit returns to the clinic two
weeks later to evaluate his blood pressure (BP). His BP is 158/106
and he admits that he has not been taking the prescribed medication
because the drugs make him “feel bad”. In explaining the need for
hypertension control, the nurse should stress that an elevated BP
places the client at risk for which pathophysiological condition?
• Stroke secondary to hemorrhage
• The nurse observes an-unlicensed-assistive-personnel (UAP)
positioning a newly admitted client who has a seizure disorder. The
client is supine and the UAP is placing soft pillows along the side
rails. What action should the nurse implement?
An adolescent with major depressive disorder has been taking
duloxetine (Cymbalta) for the past 12 days. Which assessment
finding requires immediate follow-up?
• Describes life without purpose
5.A 60-year-old female client with a positive family history of ovarian
cancer has developed an abdominal mass and is being evaluated for
possible ovarian cancer. Her Papanicolau (Pap) smear results are
negative. What information should the nurse include in the client’s
teaching plan?
• Further evaluation involving surgery may be needed
,6.A client who recently underwear a tracheostomy is being prepared
for discharge to home. Which instructions is most important for the
nurse to include in the discharge plan?
• Teach tracheal suctioning techniques
7. In assessing an adult client with a partial rebreather mask, the nurse notes
that the oxygen
reservoir bag does not deflate completely during inspiration and
the client’s respiratory rate is 14 breaths / minute. What action
should the nurse implement?
• Document the assessment data
• Rational: reservoir bag should not deflate completely
during inspiration and the client’s respiratory rate is
within normal limits.
8. During shift report, the central electrocardiogram (EKG)
monitoring system alarms. Which client alarm should the nurse
investigate firs?
2/175
, • Respiratory apnea of 30 seconds
9.During a home visit, the nurse observed an elderly client with
diabetes slip and fall. What action should the nurse take first?
• Check the client for lacerations or fractures
At 0600 while admitting a woman for a schedule repeat cesarean
10.
section (C-Section), the client tells the nurse that she drank a cup a
coffee at 0400 because she wanted to avoid getting a headache. Which
action should the nurse take first?
• Inform the anesthesia care provider
After placing a stethoscope as seen in the picture, the nurse
11.
auscultates S1 and S2 heart sounds. To determine if an S3 heart
sound is present, what action should the nurse take first?
• Listen with the bell at the same location
12. A 66-year-old woman is retiring and will no longer have a health
insurance through her place of employment. Which agency
should the client be referred to by the employee health nurse for
health insurance needs?
• Medicare
13. A client who is taking an oral dose of a tetracycline complains of
gastrointestinal upset. What snack should the nurse instruct the
client to take with the tetracycline?
• Toasted wheat bread and jelly
14. Following a lumbar puncture, a client voices several complaints.
What complaint indicated to the nurse that the client is
experiencing a complication?
• “I have a headache that gets worse when I sit up”