comprehensive questions and verified answers (
detailed & elaborated) ACTUAL EXAM 2025
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Terms in this set (254)
2 days prior to discharge -review safe transfer strategies
from the rehab facility, the -develop a nutritional plan
nurse is teaching a pt who -help identify community support
is recovering from
Guillain-Barre syndrome
about home. Which
actions should the nurse
include when providing
discharge teaching to the
pt and spouse? SATA
,A 3-year-old boy was D. Children usually resume their toileting behaviors
successfully toilet trained when they leave the hospital
prior to his admission to
the hospital for injuries
sustained from a fall. His
parents are very
concerned that the child
has regressed in his
toileting behaviors. Which
information should the
nurse provide to the
parents?
A. A retraining program
will need to be initiated
when the child returns
home.
B. Diapering will be
provided since
hospitalization is stressful
to preschoolers
C. A potty chair should be
brought from home so he
can maintain his toileting
skills
D. Children usually resume
their toileting behaviors
when they leave the
hospital
,A 7-year old is admitted to D. Serum potassium of 3.0 mg/dL
the hospital with
persistent vomiting, and a
nasogastric tube attached
to low intermittent suction
is applied. Which finding is
most important for the
nurse to report to the
healthcare provider?
A. Shift intake of 640mL IV
fluids plus 30mL PO ice
chips
B. Serum pH of 7.45
C. Gastric output of 100
mL in the last 8 hours
D. Serum potassium of 3.0
mg/dL
A 12 week gestation is initiate prescribed IV fluids
admitted to the
antepartum unit with a dx
of hyperemesis
gravidarum. Which action
is most important for the
nurse to implement?
An adolescent who was had a cold and ear infection for the past two days.
diagnosed with diabetes
mellitus Type 1 at the age
of 9 is admitted to the
hospital in diabetic
ketoacidosis. Which
occurrence is the most
likely cause of
ketoacidosis?
, An adolescent who was C. Had a cold and ear infection for the past two days
diagnosed with diabetes
mellitus Type 1 at the age
of 9, is admitted to the
hospital in diabetic
ketoacidosis. Which
occurrence is the most
likely cause of the
ketoacidosis?
A. Ate an extra peanut
butter sandwich before
gym class
B. incorrectly administered
too much insulin
C. Had a cold and ear
infection for the past two
days
D. Skipped eating lunch
An adult client is admitted Explain the reason for using only non-narcotics
to the ED after falling from
a ladder. While waiting to
have a CT scan, the client
requests something for a
severe headache. When
the nurse offers a
prescribed dose of
acetaminophen, the pt
asks for something
stronger. Which
intervention should the
nurse implement?