A) Hearing 1,000 Hz In Both Ears
A) Structure Eating So That No More Than 500 Calories Are Consumed Each
Day.
A) Weight 180 Pounds
A) 103.8°F
B) 102.4°F
B) Reduce Daily Calorie Intake By 100 Calories Each Day.
1. The Nurse Determines The Heart Rate Of 100 Beats Per Minute For A 5-
Year-Old Patient As Being:
C) 99.6°F
D) 98.6°F
A) Heart Rate 94 And Irregular
A) Age 83 Years
B) Rises From Sitting, Walks 20 Feet, And Returns To Sit In 60 Seconds
A) Mother Diagnosed With Diabetes At Age 70
B) Age 65
A) Age 55 Years
A) Assess The Rate For 30 Seconds And Multiple By 2.
B) Body Mass Index 30
A) Body Mass Index Of 29
B) Respiratory Rate 28 And Shallow
1. A Patient With A Body Mass Index Of 28 Wants To Lose Weight. What
Can The Nurse Recommend To This Patient?
10.A Patient Asks, “What Does Spf 15 Mean For A Sunscreen?” What Should The
Nurse Respond To This Patient?
1. The Nurse Has Identified That A Patient Has 24 Health Issues To Be Included
On The Problem List. What Can The Nurse Do To Help Focus On The Patient's
Most Acute Health Care Needs First?
1. The Nurse Auscultates 20 Clicks And Gurgles Over 1 Minute When
Examining A Patient's Abdomen. How Should The Nurse Document This
Finding?
2. The Nurse Asks A Patient To Stand 20 Feet From A Specific Chart That Is
Placed On The Wall When Beginning The Physical Examination Of The Patient's
Eyes. What Is The Nurse Going To Examine In The Patient?
10.A Patient Has Had Two Breast Biopsies Within 10 Years. Both Of These
Biopsies Were To Drain Cysts. The Nurse Should Instruct The Patient That
These Procedures Will Have Which Impact On The Future Development Of
Breast Cancer?
2. The Nurse Is Preparing To Conduct A Physical Examination Of An 18-Year-
Old Patient. To Support This Patient's Developmental Level, How Should The
Nurse Approach This Assessment?
B) Body Mass Index Of 16
10.A Patient Rates The Current Pain Level As Being A 5 On The Numeric Rating
Scale. How Should The Nurse Document This Pain Assessment?
A) “Spf 15 Is The Ratio Of The Number Of Minutes For Treated Versus
Untreated Skin To Redden With Exposure To Ultraviolet B Rays.”
B) “Spf 15 Is The Number Of Times It Takes To Be Applied Before It Will
Prevent Sunburn.”
C) “Spf 15 Is The Number Of Minutes That A Person Is Permitted To Stay In
The Sun After Applying The Product.”
, D) “Spf 15 Is The Number Of Days That The Product Needs To Be Used
Before It Prevents Sunburn.”
A) 12
10.A
10.B
10.B
10.D
10.C
10.A Patient With Spoon-Shaped Brittle Nails Is Diagnosed With An Iron
Deficiency. What Dietary Instructions Can The Nurse Provide To This Patient?
(Select All That Apply.)
10.A
10.A Family Member Of A Patient Recovering From A Traumatic Brain Injury
Asks The Nurse What Can Be Done To Prevent Future Head Injuries. What
Should The Nurse Instruct This Family Member? (Select All That Apply.)
10.B
10.A Patient Is Diagnosed With Coronary Heart Disease And Hypertension. What
Can The Nurse Instruct This Patient To Help Reduce The Modifiable Risk
Factors For Both Of These Disorders? (Select All That Apply.)
10.A
10.A
10.A
10.C
B) 10
10.After A Nervous System Examination, The Nurse Determines That Patient Is At
Risk For A Stroke. What Should The Nurse Instruct The Patient At This Time?
(Select All That Apply.)
10.B
10.B
10.D
10.A, B, C, E
9.A
9.C
9.D
9.B
9.D
9.A
9.B
9.A
9.B
9.A
9.B
9.C
9.B
9.A
9.D
9.A Patient's Patellar Reflex Is Normal For The Right Side But Diminished On The
Left. How Will The Nurse Document This Finding?
9.B
9.D
9.C
, 9.C
8.A
8.B, C, D
8.D
8.C
8.C
8.C
8.D
8.B
8.A
8.D
8.D
8.C
8.A
A) Mass Located In The 8 O'clock Position
8.B
8.A, B, C, E
8.A, B, C
C) 8
8.A Patient Recovering From A Stroke Has No Eye Or Verbal Response And Withdraws
From Painful Stimuli. How Would The Nurse Score These Responses Using The
Glasgow Coma Scale?
8.A
8.A
8.A
8.B
7.C
7.A
7.B
7.A
7.A
7.D
7.A, B, C, E
7.C
7.A, B, C, D
7.B
7.B
7.A, B, C
7.A Patient Is Able To Activley Move The Right Arm Against Gravity. How Should The Nurse
Document This Finding?
7.C
A) Serial 7s
7.A
7.A, B, C, E
7.D
7.B
C) Plan To Reduce Weight By 20% In 6 Months.
6.D
6.B
6.B
, 6.C
6.D
6.C
6.A
6.B
6.B
6.A
6.C
6.C
6.A
6.A
6.C
6.A, B, C
6.D
D) 6
6.B
6.D
6.B
5.B
5.A
5.C
5.B
A) Ask The Patient To Sit Quietly In A Chair For 5 Minutes.
B) Ask The Patient To Sit Quietly For 5 Minutes Before Assessing.
A) Patient Rated Pain Level As Being A 5 Using The Rating Scale.
5.A, C
5.D
5.D
5.C
A) Adult Patient Caring For Children Under Age 5
5.B
5.A
C) Heart Attack 5 Years Ago
5.C, D
A) Schedule A Flexible Sigmoidoscopy Every 5 Years.
5.D
5.A
5.D
5.C
5.C
5.A, B, C
5.B
4.D
4.D
4.D
4.D
4.A, B, C
4.B
4.B
A) Location 4
4.D
A) Structure Eating So That No More Than 500 Calories Are Consumed Each
Day.
A) Weight 180 Pounds
A) 103.8°F
B) 102.4°F
B) Reduce Daily Calorie Intake By 100 Calories Each Day.
1. The Nurse Determines The Heart Rate Of 100 Beats Per Minute For A 5-
Year-Old Patient As Being:
C) 99.6°F
D) 98.6°F
A) Heart Rate 94 And Irregular
A) Age 83 Years
B) Rises From Sitting, Walks 20 Feet, And Returns To Sit In 60 Seconds
A) Mother Diagnosed With Diabetes At Age 70
B) Age 65
A) Age 55 Years
A) Assess The Rate For 30 Seconds And Multiple By 2.
B) Body Mass Index 30
A) Body Mass Index Of 29
B) Respiratory Rate 28 And Shallow
1. A Patient With A Body Mass Index Of 28 Wants To Lose Weight. What
Can The Nurse Recommend To This Patient?
10.A Patient Asks, “What Does Spf 15 Mean For A Sunscreen?” What Should The
Nurse Respond To This Patient?
1. The Nurse Has Identified That A Patient Has 24 Health Issues To Be Included
On The Problem List. What Can The Nurse Do To Help Focus On The Patient's
Most Acute Health Care Needs First?
1. The Nurse Auscultates 20 Clicks And Gurgles Over 1 Minute When
Examining A Patient's Abdomen. How Should The Nurse Document This
Finding?
2. The Nurse Asks A Patient To Stand 20 Feet From A Specific Chart That Is
Placed On The Wall When Beginning The Physical Examination Of The Patient's
Eyes. What Is The Nurse Going To Examine In The Patient?
10.A Patient Has Had Two Breast Biopsies Within 10 Years. Both Of These
Biopsies Were To Drain Cysts. The Nurse Should Instruct The Patient That
These Procedures Will Have Which Impact On The Future Development Of
Breast Cancer?
2. The Nurse Is Preparing To Conduct A Physical Examination Of An 18-Year-
Old Patient. To Support This Patient's Developmental Level, How Should The
Nurse Approach This Assessment?
B) Body Mass Index Of 16
10.A Patient Rates The Current Pain Level As Being A 5 On The Numeric Rating
Scale. How Should The Nurse Document This Pain Assessment?
A) “Spf 15 Is The Ratio Of The Number Of Minutes For Treated Versus
Untreated Skin To Redden With Exposure To Ultraviolet B Rays.”
B) “Spf 15 Is The Number Of Times It Takes To Be Applied Before It Will
Prevent Sunburn.”
C) “Spf 15 Is The Number Of Minutes That A Person Is Permitted To Stay In
The Sun After Applying The Product.”
, D) “Spf 15 Is The Number Of Days That The Product Needs To Be Used
Before It Prevents Sunburn.”
A) 12
10.A
10.B
10.B
10.D
10.C
10.A Patient With Spoon-Shaped Brittle Nails Is Diagnosed With An Iron
Deficiency. What Dietary Instructions Can The Nurse Provide To This Patient?
(Select All That Apply.)
10.A
10.A Family Member Of A Patient Recovering From A Traumatic Brain Injury
Asks The Nurse What Can Be Done To Prevent Future Head Injuries. What
Should The Nurse Instruct This Family Member? (Select All That Apply.)
10.B
10.A Patient Is Diagnosed With Coronary Heart Disease And Hypertension. What
Can The Nurse Instruct This Patient To Help Reduce The Modifiable Risk
Factors For Both Of These Disorders? (Select All That Apply.)
10.A
10.A
10.A
10.C
B) 10
10.After A Nervous System Examination, The Nurse Determines That Patient Is At
Risk For A Stroke. What Should The Nurse Instruct The Patient At This Time?
(Select All That Apply.)
10.B
10.B
10.D
10.A, B, C, E
9.A
9.C
9.D
9.B
9.D
9.A
9.B
9.A
9.B
9.A
9.B
9.C
9.B
9.A
9.D
9.A Patient's Patellar Reflex Is Normal For The Right Side But Diminished On The
Left. How Will The Nurse Document This Finding?
9.B
9.D
9.C
, 9.C
8.A
8.B, C, D
8.D
8.C
8.C
8.C
8.D
8.B
8.A
8.D
8.D
8.C
8.A
A) Mass Located In The 8 O'clock Position
8.B
8.A, B, C, E
8.A, B, C
C) 8
8.A Patient Recovering From A Stroke Has No Eye Or Verbal Response And Withdraws
From Painful Stimuli. How Would The Nurse Score These Responses Using The
Glasgow Coma Scale?
8.A
8.A
8.A
8.B
7.C
7.A
7.B
7.A
7.A
7.D
7.A, B, C, E
7.C
7.A, B, C, D
7.B
7.B
7.A, B, C
7.A Patient Is Able To Activley Move The Right Arm Against Gravity. How Should The Nurse
Document This Finding?
7.C
A) Serial 7s
7.A
7.A, B, C, E
7.D
7.B
C) Plan To Reduce Weight By 20% In 6 Months.
6.D
6.B
6.B
, 6.C
6.D
6.C
6.A
6.B
6.B
6.A
6.C
6.C
6.A
6.A
6.C
6.A, B, C
6.D
D) 6
6.B
6.D
6.B
5.B
5.A
5.C
5.B
A) Ask The Patient To Sit Quietly In A Chair For 5 Minutes.
B) Ask The Patient To Sit Quietly For 5 Minutes Before Assessing.
A) Patient Rated Pain Level As Being A 5 Using The Rating Scale.
5.A, C
5.D
5.D
5.C
A) Adult Patient Caring For Children Under Age 5
5.B
5.A
C) Heart Attack 5 Years Ago
5.C, D
A) Schedule A Flexible Sigmoidoscopy Every 5 Years.
5.D
5.A
5.D
5.C
5.C
5.A, B, C
5.B
4.D
4.D
4.D
4.D
4.A, B, C
4.B
4.B
A) Location 4
4.D