WITH COMPLETE SOLUTIONS GUARANTEED PASS BRAND
NEW 2025
During-a-routine-vital-sign-assessment,-the-nurse-notes-the-client's-bloodpressure-is-212/110.-
Why-is-this-finding-particularly-significant?-----CORRECT- ANSWER--->It-deviates-from-
normal-and-is-significant.--
--
The-normal-adult-temperature-obtained-through-the-oral-route-ranges-from:-
----CORRECT-ANSWER--->97.6°F-to-99.6°F-(36.4°C-to-37.6°C).--
--
To-assess-the-client's-pulse,-the-nurse-knows-the-normal-range-for-pulse-rateof-a-healthy-
adult-is:-----CORRECT-ANSWER--->60-to-100-beats-per-minute.--
--
Infants-and-children's-pulses-vary-most-with:-----CORRECT-ANSWER---
>Respirations--
--
An-ultrasonic-Doppler-is-used-for:-----CORRECT-ANSWER--->Auscultating-apulse-that-is-
difficult-to-palpate.--
--
An-adult-pulse-greater-than-100-beats-per-minute-is:-----CORRECT-
ANSWER--->Tachycardia--
--
A-client-has-smoked-most-of-his-life-and-has-labored-respirations.-He-isexperiencing:----
--CORRECT-ANSWER--->Dyspnea--
--
Which-outcome-best-reflects-achievement-of-the-goal,-"The-client-willdemonstrate-correct-
steps-in-taking-his-own-pulse-rate"?-----CORRECTANSWER--->Palpation-of-the-radial-pulse-
on-the-thumb-side-of-the-inneraspect-of-the-wrist.--
--
What-is-the-most-common-reason-people-contact-healthcare-providers?-
---
--CORRECT-ANSWER--->infectious-disease--
--
,The-nurse-performs-hand-hygiene-with-soap-and-water-before-caring-for-aclient.-What-is-the-
primary-rationale-for-this-action?--- --CORRECT- ANSWER---
>To-eliminate-disease-producing-organisms-from-the-nurse's-
skin--
--
A-nursing-student-presents-to-the-university-health-center-reporting-a-sorethroat,-malaise,-
and-loss-of-appetite.-The-nurse-assesses-the-student-anddetermines-he-or-she-has-large,-white-
yellow-exudates-in-the-back-of-thethroat-and-a-fever.-The-student-is-presenting-with:-----
CORRECT-ANSWER--->Aninfectious-disease--
--
When-a-nurse-picks-up-a-client's-contaminated-tissue-without-gloves-and-failsto-wash-the-
hands-sufficiently,-the-nurse-provides-for-the-client's-organismsto-be-spread-by-which-type-
of-transmission?-----CORRECT-ANSWER--->Contact--
--
What-is-the-most-common-client-site-for-development-ofhealthcareassociated-infections-
(HAl)?-----CORRECT-ANSWER--->UTI--
--
When-the-client-who-has-been-diagnosed-with-hepatitis-B-has-beenhospitalized,-the-type-of-
isolation-the-nursing-staff-should-observe-is:----- CORRECT-ANSWER--->Droplet-
precautions.--
--
A-client-has-an-inguinal-hernia-repair-and-later-develops-amethicillinresistant-Staphylococcus-
aureus-(MRSA)-infection-at-the-surgicalsite.-
What-is-the-most-important-factor-to-prevent-this-infection?-----
ANSWER--->Surgical-asepsis--
COR RECT-
--
The-nurse-explains-to-the-client-that-the-first-line-of-defense-against-infectionis:-----CORRECT-
ANSWER--->Intact-skin-and-mucous-membranes.--
--
When-a-female-African-American-adolescent-client-asks-the-nurse-how-tocare-for-her-long-
hair,-which-is-braided-into-small-braids,-the-nurse-shouldinstruct-the-client-that:-----
CORRECT-ANSWER--->Hair-should-be-washed-asoften-as-necessary--
--
A-new-mother-has-brought-her-infant-into-the-pediatric-clinic.-The-infant-hasan-excoriation-
on-the-buttocks.-What-should-the-nurse-instruct-the-mother?----CORRECT-ANSWER--->Keep-
the-diaper-and-buttocks-clean-and-dry-and-applyzinc-oxide.--
--
,The-nurse-is-caring-for-a-woman-who-informs-the-nurse-that-she-needsassistance-to-remove-
and-clean-her-glass-eye.-What-actions-by-the-nurse- are-
most-appropriate-to-accomplish-the-task?---Pull- --CORRECT- ANSWER---> down-
on-the-lower-lid-and-exert-slight-pressure-below-the- lid.--
--
A-parent-reports-that-their-water-is-not-fluoridated-and-questions-the-nursewhether-her-
9year-old-child-needs-fluoride-supplements.-Which-responseby-the-nurse-is-most-
appropriate?--
----CORRECT-ANSWER--->In-the-absence-of-fluoridated-water-supplies,supplementation-is-
recommended-What-is-the-primary-goal-of-the-planningphase-of-the-nursing-process?-----
CORRECT-ANSWER--->The-third-step-of-thenursing-process;-the-nurse-prioritizes-diagnoses,-
formulates-desired-goals,and-selects-nursing-interventions.--
--
A-nurse-is-conducting-an-assessment-of-a-client.- Which-
information-would- --CORRECT-ANSWER---
the-nurse-identify-as-a-primary-source?--->The- client-isthe-
primary-source-of-information--
--
A-nursing-student-is-developing-interpersonal-skills.-Which-method-wouldbest-facilitate-this-
type-of-learning?--->Participating- --CORRECT-ANSWER--- incommunication-
courses.--
--
In-order-to-implement-the-most-effective-care-for- clients-
what-is-the-most- --CORRECT-ANSWER---
appropriate-action-for-the-student-to-take?--->Apply-
theoretical-knowledge-to-present-clinical-situations.--
--
A-client-has-been-discharged-from-an-acute-care-facility.-The-first-task-a-homehealth-nurse-
must-accomplish-is:--- --CORRECT-ANSWER--- >Coordinatingfuture-
care-for-the-client--
--
The-nurse-observes-the-client-while-walking-into- the-room.-
What- --CORRECT-ANSWER---
information-will-this-provide-the-nurse?---
>Informationregarding-the-client's-gait--
--
Which-cultural-group-may-interpret-touch-by-another-as-an-invasion-ofprivacy?----
--CORRECT-ANSWER--->Chinese--
--
, The-home-care-nurse-is-preparing-to-perform-a-nursing-history-on-a-newlyassigned-adult-
client-with-a-venous-stasis-ulcer.-Which-statement-by-thenurse-is-most-accurate?-----
CORRECT-ANSWER--->"I-would-like-to-schedule-atime-for-me-to-perform-a-nursing-history.-
It-will-take-around-30-to-60minutes."--
--
While-performing-the-nursing-history,-the-nurse-notes-that-the-client-reportshaving-very-little-
pain-but-is-occasionally-grimacing-and-rubbing-oneshoulder-throughout-the-interview.-The-
nurse-acknowledges-this-behavior,questions-the-client,-and-then-proceeds-with-other-phases-
of-the-interview.This-action-takes-place-during-which-phase-of-the-nursing-interview?-----
CORRECT-ANSWER--->Maintenance--
--
When-making-an-inference-from-the-cues-obtained-during-an-assessment,-itis-important-for-
the-nurse-to-keep-what-in-mind?-----CORRECT-ANSWER-->Validate-inferences-with-the-
patient-- Upon-admission-to-the-hospital,-the-client-states,-"I-am-having-surgery-tocorrect-my-
back.-I-have-pain-in-the-lower-back-and-the-doctor-is-going-to-do-alumbar-laminectomy."-
This-statement-reflects-the-client's:-----CORRECT- ANSWER--->Chief-complaint--
--
To-gather-subjective-data-on-a-client's-nutrition-and-metabolic-pattern,-thenurse-should:-----
CORRECT-ANSWER--->Ask-the-client-for-a-24-hour-diet-recall--
--
An-intensive-care-unit-nurse-reports-the-client's-condition-to-the-nurse-on-themedical-unit.-
This-is-a(an):-----CORRECT-ANSWER--->Secondary-source--
--
A-client-had-a-cerebrovascular-accident-yesterday-and-is-currently-comatose.-
What-type-of-scale-should-the-nurse-use-to-weigh-the-client?-
----CORRECT-ANSWER--->Bed-Scale--
--
To-obtain-data-about-an-adult-client's-sexuality-and-reproductive-pattern,-thenurse-should-
ask-the-client:-----CORRECT-ANSWER--->Has-anything-changedyour-sexual-performance?--
--
During-a-health-assessment,-the-nurse-uses-deep-palpation-to-assess-aclient's:----
--CORRECT-ANSWER--->Liver--
--
When-percussing-the-liver,-the-sound-should-be:--- --CORRECT-ANSWER---
>Dullsound--
--
When-performing-a-cranial-nerve-assessment-on-an-adult-client,-the-nurseassesses-the-
trigeminal-nerve-by:--->Palpating-the- --CORRECT-ANSWER---