UPDATED Exam Questions and
CORRECT Answers
A nurse is collecting data on four clients. Which of the following is the highest priority
finding by the nurse? - Correct Answer- Diarrhea
A nurse in a rehabilitation facility has received report on four clients. Which of the following
should the nurse evaluate first? - Correct Answer- A client who had abdominal surgery 10
days ago and reports feeling his incision pop
A nurses caring for an older adult client who recently experienced the death of her partner.
Which of the following is the priority need of the client? - Correct Answer- Creating
meaningful social relationships
A nurse is preparing to administer oral medication to a client who has unilateral weakness
following a cerebrovascular accident (CVA). Which of the following should be the priority
action of the nurse? - Correct Answer- Have the client position the head with the chin down
while swallowing
A nurse is conducting therapeutic medication monitoring on four clients. Which of the
findings should be immediately reported to the provider? - Correct Answer- Digoxin
3.0ng/mL
A nurses caring for a client who has a urinary track infection. The client is disoriented and
found wandering on another unit. Which of the following actions should the nurse take first?
- Correct Answer- Move the client to room near the nurses station
A nurse is reinforcing discharge teaching to a new mother regarding sudden infant death
syndrome (SIDS). Which of the following is the highest priority to include in the
instructions? - Correct Answer- Place the infant in a supine position when sleeping
A nurse is caring for a client who has a serum potassium level of 3.1 mEq/L. Which of the
following actions should the nurse take first? - Correct Answer- Obtain an ECG