EXAM AND PRACTICE EXAM NEWEST ACTUAL EXAM
COMPLETE 700 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
A nurse is assessing an infant who has water intoxication. Which of
the following findings should the nurse expect? - CORRECT
ANSWER bounding pulse
A nurse is discussing the z-track administration of hydroxyzine with a
newly licensed nurse. Which of the following statements indicates the
newly licensed nurse understands the purpose of the technique -
CORRECT ANSWER a. This technique decreases the risk of
subcutaneous infiltration
1. A nurse is creating a plan of care for a client who has anorexia
nervosa. Which of the following interventions should the nurse include
in the plan? - CORRECT ANSWER a. Monitor the client for 1 hr
after meals
A nurse notices smoke coming from a client's room and discovers a
fire in the wastebasket. After moving the client to safety, which of the
followings is the priority action? - CORRECT ANSWER a. Close
the fire door on the unit
A nurse is assessing a client who has delirium due to a febrile illness.
Which of the following findings should the nurse expect? - CORRECT
ANSWER a. Hallucinations
1. A nurse is caring for a client following an open colectomy. Which of
the following findings places the client at risk for delayed wound
healing? - CORRECT ANSWER hyperemesis
,1. A home health nurse is reviewing treatment goals with a client who
has diabetes mellitus. The nurse should evaluate which of the
following laboratory tests to determine effective long-term
management of blood glucose levels? - CORRECT ANSWER A1C
1. A nurse is caring for a client who has neutropenia due to HIV. Which
of the following precautions should the nurse take while caring for this
client? - CORRECT ANSWER a. Use a dedicated stethoscope
1. A nurse is caring for a client who reports difficulty falling asleep at
night. Which of the following actions should the nurse take? -
CORRECT ANSWER Tell the client to avoid drinking fluids 1 hr
before bedtime
1. A nurse is planning care for a newborn who has hyperbilirubinemia
and is to receive phototherapy. Which of the following interventions
should the nurse include? - CORRECT ANSWER a. Place the
newborn 45 cm from the light source
1. A nurse is planning care for a client who has schizophrenia and is
having difficulty expressing their feelings. Which of the following
referrals should the nurse make? - CORRECT ANSWER social
worker
1. A nurse is caring for a client who has heart failure and has started
taking a loop diuretic. Which of the following findings indicates the
client is experiencing an adverse effect of the medication - CORRECT
ANSWER decreased reflexes
1. At the start of an evening shift on a cardiac unit, a licensed
practical nurse brings the nurse a list of client reports. Which of the
following client reports should the nurse assess first? - CORRECT
ANSWER indigestion
,1. A nurse is caring for a client who has just returned to the unit
following a bronchoscopy. Which of the following actions by the
assistive personnel requires the nurse to intervene? - CORRECT
ANSWER offer oral fluids to the client
1. A nurse on a medical unit has just received change-of-shift report.
Which of the following clients should the nurse assess first? -
CORRECT ANSWER a. A 68 year old client who had a myocardial
infarction 2 days ago and reports chest pain as a 4 on a scale of 0 to
10
1. A nurse is assessing a client prior to performing a blood draw. The
nurse should identify that an allergy to which of the following food can
indicate that the client has an allergy to latex? - CORRECT
ANSWER avocados
1. A nurse is preparing to witness a client's signature on an informed
consent for a total knee arthroplasty. Which of the following client
statements indicates the nurse should contact the surgeon? -
CORRECT ANSWER a. I am thankful there are no serious
complications from this type of surgery
1. A nurse is admitting a client who has antisocial personality disorder.
Which of the following client behaviors should the nurse identify as
consistent with this disorder? - CORRECT ANSWER a. Uses
others for personal gain
1. A nurse is teaching the parent of a school-age child who has
scabies about the application of permethrin 5% cream. The nurse
should include which of the following as a potential adverse effect of
the medication? - CORRECT ANSWER burning
1. A nurse is teaching a client who has a new prescription for digoxin.
Which of the following statements should the nurse include in the
teaching? - CORRECT ANSWER muscle weakness
, 1. A nurse is planning teaching for a client who is at 10 weeks of
gestation and has a history of urinary tract infections. Which of the
following information should the nurse plan to include in the teaching
about UTI prevention? - CORRECT ANSWER a. Empty the bladder
before and after intercourse
1. A nurse is providing discharge teaching to a client who is
postpartum and plans to breastfeed. Which of the following should the
nurse recommend the client increase in their diet during lactation? -
CORRECT ANSWER a. Calcium
1. A nurse is providing teaching about preventing mastitis to a client
who is postpartum and breastfeeding her newborn. Which of the
following instructions should the nurse include? - CORRECT
ANSWER a. Try to have your baby empty your breasts with each
feeding."
1. A nurse is caring for a client who reports chest pain. Which of the
following findings indicates myocardial damage? - CORRECT
ANSWER a. Troponin I 1.8 ng/mL
1. A nurse is providing teaching about car seat safety to the parent of
a term newborn. Which of the following statements by the parent
indicates an understanding of the teaching? - CORRECT ANSWER
a. "I should place my baby's car seat rear-facing until 6 months of
age."
1. A nurse is performing high-frequency chest compressions using a
mechanical chest compression device for a child who has cystic
fibrosis. Which of the following findings indicates the treatment has
been effective? - CORRECT ANSWER a. The child has increased
sputum production
1. A nurse is caring for a client following a possible exposure to
anthrax. Which of the following actions should the nurse take? -
CORRECT ANSWER antitoxin