1,2& 3 ACTUAL EXAM
EACH VERSION CONTAINS 400 QUESTIONS
AND CORRECT DETAILED ANSWERS
WITH RATIONALES | | ALREADY GRADED A+
(BRAND NEW!!)
1. A nurse is taking the vital signs of a client who has just been
admitted to the healthcare facility. Which intervention by the nurse
provides greater client satisfaction? - ANSWER 🗸 The nurse
adjusts the bed and asks if the client is comfortable.
2. Which workers would the nurse consider to be at high risk of
developing dermatitis? Select all that apply - ANSWER 🗸
Dry Cleaners
Dye Operators
3. A client on hospice care is receiving palliative treatment. A
palliative approach involves planning measures aimed to do what?
- ANSWER 🗸 Relieve the client's discomfort
,4. Two nurses are planning to help a client with one-sided weakness
move up in bed. What should the nurses do to conform to a basic
principle of body mechanics? - ANSWER 🗸 Position the nurses on
either side of the bed with their feet apart, gather the pull sheet
close to the client, turn toward the head of the bed, and then move
the client
5. Arrange these fine-motor skills in ascending order as the infant
develops them - ANSWER 🗸
Reflexive grasp
Looks at and plays with fingers
Pulls feet to the mouth
Bangs objects together
Uses pincer grasp
Places objects into containers
6. Which assessment finding is associated with depression? -
ANSWER 🗸 The client has islands of intact memory
7. Which skill in critical thinking requires to be orderly in data
collection? - ANSWER 🗸 Interpretation
8. A high-protein diet is recommended for a client recovering from a
fracture. The nurse recalls that the rationale for a high-protein diet
is to do what? - ANSWER 🗸 Promote cell growth and bone union.
,9. The nurse is providing restraint education to a group of nursing
students. The nurse should include that it is inappropriate to use a
restraint device to do what? - ANSWER 🗸 Prevent an adult client
from getting up at night when there is insufficient staffing on the
unit.
10. A client who has been battling cancer of the ovary for 7 years
is admitted to the hospital in a debilitated state. The healthcare
provider tells the client that she is too frail for surgery or further
chemotherapy. When making rounds during the night, the nurse
enters the client's room and finds her crying. Which is the most
appropriate intervention by the nurse? - ANSWER 🗸 Sit down
quietly next to the bed and allow her to cry.
11. A client is admitted with a diagnosis of premature labor. The
nurse discovers that the client has been using heroin throughout her
pregnancy. What is the most appropriate action for the nurse to
take? - ANSWER 🗸 Inform the client's healthcare provider.
12. A client has been instructed to stop smoking. The nurse
discovers a pack of cigarettes in the client's bathrobe. What is the
nurse's initial action? - ANSWER 🗸 Tell the client that the
cigarettes were found.
13. A client has a pressure ulcer that is full thickness with
necrosis into the subcutaneous tissue down to the underlying
, fascia. The nurse should document the assessment finding as which
stage of pressure ulcers? - ANSWER 🗸 Stage III
14. A client expresses concern about being exposed to radiation
therapy because it can cause cancer. What should the nurse
emphasize when informing the client about exposure to radiation?
- ANSWER 🗸 Only a small part of the body is irradiated.
15. A 3-year-old child with eczema of the face and arms has
disregarded the nurse's warnings to "stop scratching, or else!" The
nurse finds the toddler scratching so intensely that the arms are
bleeding. The nurse then ties the toddler's arms to the crib sides,
saying, "I'm going to teach you one way or another." How should
the nurse's behavior be interpreted? - ANSWER 🗸 These actions
can be construed as assault and battery
16. A client with cancer is informed that the chemotherapy is no
longer working and that death is inevitable. Keeping in mind
Kübler-Ross's stages of death and dying, place the following
nursing interventions that are most appropriately associated with
each stage in order from the stage of denial to acceptance. -
ANSWER 🗸
1.Avoid confronting the client.
2.Redirect negative feelings constructively.
3.Help the client identify realistic versus unrealistic goals.
4.Help the client celebrate the simple pleasures in everyday life
5.Provide maximal comfort measures.