COLLEGE NEWEST ACTUAL
EXAM 2025 LATEST NEWEST
UPDATE WITH ACTUAL
QUESTIONS AND DETAILED
VERIFIED ANSWERS WITH
RATIONALES (100%
CORRECT) //BRAND NEW!!
/ALREADY GRADED A+ WITH
GUARANTEED SUCCESS AFTER
DOWNLOAD (ALL YOU NEED TO
PASS YOUR EXAMS
,A nurse is told in hand-off report that a patient opens eye spontaneously, is confused but able
to answer questions, and demonstrates purposeful movement to painful stimuli. What does
the nurse calculate the patient's Glasgow Coma Scale to be?
13
A nurse is assessing a patient's abdomen and hears bowel sounds every 20 to 25 seconds.
What action by the nurse is best?
Document the findings in the patient's chart.
A nurse is assisting a patient who is having an examination of the female genitalia. What
action by the nurse is best?
Get the provider; assist patient into lithotomy position.
A nurse assesses a patient's lungs and notes the presence of low-pitched snoring sounds that
clear with coughing. What action by the nurse is best?
Prepare to treat the patient for pneumonia.
The nurse is assessing a patient's cranial nerve III. What technique is best?
Shine a light into the patient's eyes to assess pupil response.
A nurse is assessing a patient's cranial nerves and notes an abnormal response to testing
cranial nerve VI. What action by the nurse is best?
Ask the patient about recent facial trauma.
The nurse reads in a chart that a patient has a paronychia. What assessment technique is most
appropriate?
Inspect the patient's nails and surrounding skin
A new nurse is conducting a patient interview. What behaviors observed by the experienced
nurse require education on this process? (Select all that apply.)
Typing intently on a keyboard when asking questions
e. Providing nonverbal cues to negative thoughts
A nurse is conducting a physical examination using palpation. Which assessments might the
nurse note? (Select all that apply.)
Rebound tenderness
b. Crepitation
c. Guarding
d. Turgor
, e. Consistency
A nurse conducting the general survey of a patient includes which items? (Select all that
apply.)
Hygiene and grooming
b. Affect and mood
c. Speech and gait
e. Developmental status
The nurse examining a patient's skin correlates which conditions with which underlying
pathology? (Select all that apply.)
Peripheral cyanosis: poor circulation
c. Purpura: clotting disorders
d. Jaundice: liver disease
A nurse is educating women on breast cancer risk reduction. What topics does the nurse
include in the presentation? (Select all that apply.)
Exercise
b. Limiting alcohol
c. Low-fat diet
A nurse has finished examining a patient. What actions does the nurse take next? (Select all
that apply.)
Document all findings.
b. Provide privacy for dressing.
c. Provide any hygiene material needed.
e. Cleans the room after the patient leaves.
What response would the nurse give the patient when questioned about the effect of
rheumatoid arthritis on the musculoskeletal system?
Joint inflammation
The nurse is implementing generalized falls precautions for patients who are at risk for falls.
Which intervention indicates a lack of understanding of these precautions?
The patient is wearing socks.