Cat 3 ACTUAL UPDATED Exam Questions
and CORRECT Answers
The nurse provides care for a client who requests testing for human immunodeficiency virus
infection (HIV). Which intervention is most important for the nurse to perform before
administering testing?
1. Discuss prevention practices to prevent the transmission of HIV to others.
2. Explain that all tests must be repeated twice to be valid.
3. Ask the client to identify all sexual partners.
4. Determine when the client thinks the exposure to HIV occurred. - CORRECT
ANSWER - 4) CORRECT - Because there is a delay of several weeks after infection
before antibodies can be detected, testing in the interim may result in false-positive results.
The nurse plans for the discharge of a client with Parkinson disease. Which outcome is
appropriate for collaboration between the nurse and the physical therapist? (Select all that apply.)
1. Maintain physical strength and mobility.
2. Bladder training to increase bladder capacity.
3. Optimal use of extremities in performing activities.
4. Proper use of ambulatory assistive devices.
5. Monitor skin for alterations in integrity. - CORRECT ANSWER - 1) CORRECT - A
physical therapist can design a personal exercise program to strengthen and stretch specific
muscles.
3) CORRECT - A physical therapist can help optimize independence with activities.
4) CORRECT - A physical therapist can provide expert advice on the proper use of ambulatory
assistive devices.
The nurse administers a regular insulin intravenous (IV) infusion for a client diagnosed with
diabetic ketoacidosis (DKA). Which finding indicates to the nurse that the client is experiencing
complications from the insulin infusion? (Select all that apply.)
,1. Blood glucose of 66 mg/dL (3.6 mmol/L).
2. Increased urine output.
3. Sodium of 148 mEq/L.
4. Altered mental status.
5. Potassium of 3.0 mEq/L. - CORRECT ANSWER - 1) CORRECT — Insulin can cause
hypoglycemia. The normal glucose level is 70 to 99 mg/dL (3.9 to 5.5 mmol/L).
4) CORRECT — A rapid drop in blood glucose can cause cerebral edema, which can lead to
changes in mental status.
5) CORRECT — An insulin infusion moves potassium into the cells, causing hypokalemia. The
normal potassium level is 3.5 to 5.0 mEq/L.
Which client does the nurse monitor for a heart block after a myocardial infarction (MI)?
1. A client with a non-ST elevation MI.
2. A client with a septal wall MI.
3. A client with an inferior wall MI.
4. A client with a subendocardial wall MI. - CORRECT ANSWER - 3) CORRECT —
The SA node is supplied by the right coronary artery, is located in the inferior wall, and is the
type of infarct to SA node that leads to heart blocks and the related bradyarrhythmia..
The nurse provides care for a client who is newly diagnosed with active tuberculosis and has just
been isolated in a negative airflow pressure room. The client is coughing up a large amount of
thick, rust-colored sputum and is short of breath. The client states, "I have been exhausted for
weeks! I don't understand why I am not getting better. All these medicines are not working."
Which nursing diagnoses are appropriate for the nurse to include in the plan of care? (Select all
that apply.)
1. Ineffective health management.
2. Risk for infection (spread/reactivation).
3. Impaired gas exchange.
4. Ineffective airway clearance.
, 5. Imbalanced nutrition: more than body requirements. - CORRECT ANSWER - 1)
CORRECT- The active tuberculosis is newly diagnosed. This nursing diagnosis is related to
insufficient knowledge about the disease process and the therapeutic regimen.
2) CORRECT- This nursing diagnosis is related to inadequate primary defenses and an
immunocompromised state, as evidenced by active tuberculosis.
3) CORRECT- This nursing diagnosis is related to a ventilation-perfusion imbalance, as
evidenced by shortness of breath and fatigue.
4) CORRECT- This nursing diagnosis is related to a productive cough and excess, thick mucous.
The home care nurse provides wound care for a client in a home that does not have running
water. Which does the nurse do before performing wound care for this client?
1. Perform hand hygiene using an alcohol-based hand rub.
2. Inform the client that care cannot be given without running water in the home.
3. Notify the nursing supervisor that wound care cannot be performed.
4. Call the water company to have water turned on. - CORRECT ANSWER - 1)
CORRECT — The nurse needs to perform hand hygiene before and after caring for the client,
even if the client's home does not have running water. Hand hygiene can be performed using an
alcohol-based hand rub instead of using soap and water.
The nurse assesses an older adult client during an annual wellness checkup. Which client
statement does the nurse consider to be normal and expected? (Select all that apply.)
1. "Although I am tired frequently during the day, I can only sleep 6 hours each night."
2. "I seem to have less of an appetite lately."
3. "Since my spouse died, I do not feel like going out of the house much anymore."
4. "I am worried that I will be unable to afford my new blood pressure medication."
5. "I really enjoy spending time with my grandchildren." - CORRECT ANSWER - 1)
CORRECT— It is normal for an older adult to sleep less than when a younger adult.
2) CORRECT— It is normal for an older adult to have less of an appetite than when a younger
adul.
5) CORRECT— It is normal to enjoy the next phase of life as a grandparent instead of a parent.
and CORRECT Answers
The nurse provides care for a client who requests testing for human immunodeficiency virus
infection (HIV). Which intervention is most important for the nurse to perform before
administering testing?
1. Discuss prevention practices to prevent the transmission of HIV to others.
2. Explain that all tests must be repeated twice to be valid.
3. Ask the client to identify all sexual partners.
4. Determine when the client thinks the exposure to HIV occurred. - CORRECT
ANSWER - 4) CORRECT - Because there is a delay of several weeks after infection
before antibodies can be detected, testing in the interim may result in false-positive results.
The nurse plans for the discharge of a client with Parkinson disease. Which outcome is
appropriate for collaboration between the nurse and the physical therapist? (Select all that apply.)
1. Maintain physical strength and mobility.
2. Bladder training to increase bladder capacity.
3. Optimal use of extremities in performing activities.
4. Proper use of ambulatory assistive devices.
5. Monitor skin for alterations in integrity. - CORRECT ANSWER - 1) CORRECT - A
physical therapist can design a personal exercise program to strengthen and stretch specific
muscles.
3) CORRECT - A physical therapist can help optimize independence with activities.
4) CORRECT - A physical therapist can provide expert advice on the proper use of ambulatory
assistive devices.
The nurse administers a regular insulin intravenous (IV) infusion for a client diagnosed with
diabetic ketoacidosis (DKA). Which finding indicates to the nurse that the client is experiencing
complications from the insulin infusion? (Select all that apply.)
,1. Blood glucose of 66 mg/dL (3.6 mmol/L).
2. Increased urine output.
3. Sodium of 148 mEq/L.
4. Altered mental status.
5. Potassium of 3.0 mEq/L. - CORRECT ANSWER - 1) CORRECT — Insulin can cause
hypoglycemia. The normal glucose level is 70 to 99 mg/dL (3.9 to 5.5 mmol/L).
4) CORRECT — A rapid drop in blood glucose can cause cerebral edema, which can lead to
changes in mental status.
5) CORRECT — An insulin infusion moves potassium into the cells, causing hypokalemia. The
normal potassium level is 3.5 to 5.0 mEq/L.
Which client does the nurse monitor for a heart block after a myocardial infarction (MI)?
1. A client with a non-ST elevation MI.
2. A client with a septal wall MI.
3. A client with an inferior wall MI.
4. A client with a subendocardial wall MI. - CORRECT ANSWER - 3) CORRECT —
The SA node is supplied by the right coronary artery, is located in the inferior wall, and is the
type of infarct to SA node that leads to heart blocks and the related bradyarrhythmia..
The nurse provides care for a client who is newly diagnosed with active tuberculosis and has just
been isolated in a negative airflow pressure room. The client is coughing up a large amount of
thick, rust-colored sputum and is short of breath. The client states, "I have been exhausted for
weeks! I don't understand why I am not getting better. All these medicines are not working."
Which nursing diagnoses are appropriate for the nurse to include in the plan of care? (Select all
that apply.)
1. Ineffective health management.
2. Risk for infection (spread/reactivation).
3. Impaired gas exchange.
4. Ineffective airway clearance.
, 5. Imbalanced nutrition: more than body requirements. - CORRECT ANSWER - 1)
CORRECT- The active tuberculosis is newly diagnosed. This nursing diagnosis is related to
insufficient knowledge about the disease process and the therapeutic regimen.
2) CORRECT- This nursing diagnosis is related to inadequate primary defenses and an
immunocompromised state, as evidenced by active tuberculosis.
3) CORRECT- This nursing diagnosis is related to a ventilation-perfusion imbalance, as
evidenced by shortness of breath and fatigue.
4) CORRECT- This nursing diagnosis is related to a productive cough and excess, thick mucous.
The home care nurse provides wound care for a client in a home that does not have running
water. Which does the nurse do before performing wound care for this client?
1. Perform hand hygiene using an alcohol-based hand rub.
2. Inform the client that care cannot be given without running water in the home.
3. Notify the nursing supervisor that wound care cannot be performed.
4. Call the water company to have water turned on. - CORRECT ANSWER - 1)
CORRECT — The nurse needs to perform hand hygiene before and after caring for the client,
even if the client's home does not have running water. Hand hygiene can be performed using an
alcohol-based hand rub instead of using soap and water.
The nurse assesses an older adult client during an annual wellness checkup. Which client
statement does the nurse consider to be normal and expected? (Select all that apply.)
1. "Although I am tired frequently during the day, I can only sleep 6 hours each night."
2. "I seem to have less of an appetite lately."
3. "Since my spouse died, I do not feel like going out of the house much anymore."
4. "I am worried that I will be unable to afford my new blood pressure medication."
5. "I really enjoy spending time with my grandchildren." - CORRECT ANSWER - 1)
CORRECT— It is normal for an older adult to sleep less than when a younger adult.
2) CORRECT— It is normal for an older adult to have less of an appetite than when a younger
adul.
5) CORRECT— It is normal to enjoy the next phase of life as a grandparent instead of a parent.
