ACTUAL Exam Questions and CORRECT
Answers
Heart rate 90/min - CORRECT ANSWER - Normal finding for a client who is 12hr
postoperative following a colon resection.
Absent bowel sounds - CORRECT ANSWER - Finding that should be reported to the
surgeon for a client who is 12hr postoperative following a colon resection.
Hgb 8.2 g/dl - CORRECT ANSWER - Finding that may indicate possible hemorrhaging;
normal Hgb is 13-18M g/dl, 12-16 g/dl.
Gastric pH of 3.0 - CORRECT ANSWER - Normal finding for gastric pH.
Desmopressin - CORRECT ANSWER - Medication that should be administered for a
client who has diabetes insipidus.
Diabetes Insipidus - CORRECT ANSWER - Condition characterized by decreased ADH.
Ibuprofen - CORRECT ANSWER - NSAID that requires monitoring for GI bleed in
clients taking it several times daily for pain.
Stool for occult blood - CORRECT ANSWER - Test that should be monitored for clients
taking ibuprofen to check for GI bleed.
Transmucosal fentanyl - CORRECT ANSWER - Prescription anticipated for a client
experiencing breakthrough pain due to cancer.
,Telemetry monitor - CORRECT ANSWER - Device used to analyze a client for
myocardial infarction.
ST segment - CORRECT ANSWER - Finding that indicates myocardial infarction when
elevated.
Skin care following radiation treatment - CORRECT ANSWER - Includes patting the skin
dry, applying moisturizer, and covering the area loosely.
Bounding peripheral pulses - CORRECT ANSWER - Finding that may indicate fluid
retention or heart failure in a client receiving a blood transfusion.
Furosemide - CORRECT ANSWER - Medication anticipated to be administered for fluid
retention or heart failure.
Magnesium sulfate IV - CORRECT ANSWER - Treatment for hypomagnesemia that
should show effectiveness through clear lungs.
ABG results - CORRECT ANSWER - pH 7.42, PaC02 30 mm Hg, and HCO3 21 mEq/L
indicate compensated respiratory alkalosis.
Deep partial thickness burns - CORRECT ANSWER - Condition where labs expected
during the first 24 hours include decreased BUN, hypoglycemia, hypoalbuminemia, and
decreased hematocrit.
Dumping syndrome - CORRECT ANSWER - Condition that requires dietary adjustments
such as avoiding high-carbohydrate meals and lying down after eating.
Chronic infections of the middle ear - CORRECT ANSWER - Risk factor for hearing loss
that should be included in client teaching.
, Ototoxic medications - CORRECT ANSWER - Use of loop diuretics and antibiotics that
can lead to hearing loss.
Perforation of the eardrum - CORRECT ANSWER - Condition that is a risk factor for
hearing loss.
Frequent exposure to low volume noise - CORRECT ANSWER - Risk factor for hearing
loss that should be included in teaching.
High weight at birth - CORRECT ANSWER - Risk factor for hearing loss that should be
included in teaching.
Small frequent meals - CORRECT ANSWER - Recommended dietary practice for clients
with dumping syndrome.
Lying down after meals - CORRECT ANSWER - Action that slows the movement of food
within the intestines for clients with dumping syndrome.
Fluid retention - CORRECT ANSWER - Condition indicated by bounding peripheral
pulses and distended jugular veins.
Hypomagnesemia - CORRECT ANSWER - Condition treated with magnesium sulfate IV.
Hypoalbuminemia - CORRECT ANSWER - Expected lab finding due to fluid loss in
clients with burns.
Hypoglycemia - CORRECT ANSWER - Expected lab finding due to stress in clients with
burns.
Decreased hematocrit - CORRECT ANSWER - Expected lab finding due to 3rd spacing
during the resuscitation phase in clients with burns.