2024/2025 Newest Actual Exam 3 Versions
Complete 440+ Questions And Correct Answers
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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?
A. Compulsive attention to details
B. Avoids interacting with others
C. Uses others for personal gain
D. Socially awkward in group situations: C. Uses others for personal gain
2. A nurse is interpreting the cardiac rhythm strip of a client who was admitted
ent has atrial
with syncope. Which of the following images indicates that the cli
fibrillation?:
3. A client who has a diagnosis of complete placenta previa is admitted to
the labor and delivery suite at 36 weeks gestation with contractions 5 min in
frequency and 1 min in duration. Which of the following actions should the
nurse take?
A. Rupture the amniotic sac
B. Medicate the client for pain
,C. Prepare the client for a cesarean section
D. Perform a vaginal exam: C. Prepare the client for a cesarean section
4. A charge nurse on a pediatric unit is making assignments for a float nurse
from the medical unit. Which of the following clients is appropriate to assign
to the float nurse?
A. A 10-year-old client who has pneumonia and is receiving respiratory treat-
ments
B. A 4-year-old client who has a Wilms tumor and is receiving chemotherapy
C. An 8-month-old client who is scheduled for a surgical repair of a ventricular
septal defect tomorrow
D. A 14-year-old client who is scheduled for discharge today following place-
ment of a Harrington rod: A. A 10-year-old client who has pneumonia and is
receiving respiratory treatments
5. 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 following is
the priority action?
A. Notify the facility operator.
B. Close the fire doors on the unit.
C. Turn off oxygen sources.
D. Put out the fire with the appropriate extinguisher.: A. Notify the facility opera-
tor.
6. A nurse is assessing an infant who has water intoxication. Which of the
following findings should the nurse expect?
,A. Generalized edema
B. Elevated urine specific gravity
C. Thready pulse
D. Increased hematocrit: A. Generalized edema
7. 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?
A. This technique prevents injury to the sciatic nerve
B. This technique decreases the risk of subcutaneous infiltration
C. This technique allows a larger amount of medication to be injected
D. This technique increases the absorption rate of the drug: This technique
decreases the risk of subcutaneous infiltration
8. 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?
A. Encourage the client to gain 2.3 kg per week
B. Weigh the client once per week throughout hospitalization
C. Monitor the client for 1 hr after meals
D. Allow the client to choose mealtimes: C. Monitor the client for 1 hr after meals
9. A nurse is planning care for a child who has increased intracranial pressure
with a decrease in level of consciousness. Which of the following interven-
tions should the nurse include in the plan of care?
A. Perform active range-of-motion exercises
B. Maintain the head at a midline position
C. Suction the airway frequently
D. Perform neurological checks every 4 hrs: B. Maintain the head at a midline
position
, 10. 10. A nurse is assessing a client who has delirium due to a febrile illness.
Which of the following findings should the nurse expect?
A. Hallucinations
B. Agnosia
C. Bradycardia
D. Aphasia: A. Hallucinations
11. A nurse is assessing a client who is receiving enteral feedings via a gas-
trostomy tube. The nurse should identify that which of the following findings
indicates fluid overload?
A. Diminished bowel sounds
B. Bradycardia
C. Hypotension
D. Bounding pulses: D. Bounding pulses