EXAM] LATEST VERSION [QUESTIONS AND ANSWERS]
DETAILED AND VERIFIED FOR GUARANTEED PASS-
LATEST UPDATE 2025 GRADED A (BRAND NEW!!)
A RN admits a female patient who weighs 246 lbs with a height of 5 ft 4 in. Calculate the
BMI of the female patient. - CORRECT ANSWER ✔✔✔✔✔ Use the formula
(lbs)/(in^2) multiply by 703
BMI 42 indicates the patient is obese
A RN is reviewing discharge instructions regarding car seat safety to the parent of a
newborn. Which of the following instructions will the nurse include in the discharge
teaching (SATA)
A. Position the infant rear-facing in the backseat.
B. Be sure the car seat is at a 90 degree angle
C. Be sure the care seat is at a 45 degree angle
D. Position the car seat behind the passenger or drivers seat
E. Position the care seat in the middle of the back seat
F. Keep infants in rear-facing car seats until age 6 months
G. Keep infants in rear-facing car seat until 2 yr old or until the child reaches the
maximum ht and wt for the seat. - CORRECT ANSWER ✔✔✔✔✔ (A, C, E, G)
A. Position the infant rear-facing in the backseat - (RAT) the car seat should never be in
the front seat of a car due to the increased risk for injury from the air bags during a
MVA.
C. Be sure the care seat is at a 45 degree angle - (RAT) the car seat should be at a 45
degree angle.
E. Position the care seat in the middle of the back seat - (RAT) the car seat should be in
the middle away from air bags and side impact.
G. Keep infants in rear-facing car seat until 2 yr - (RAT) keep the child in the rear-facing
car seat until the child reaches 2yo or until the child reaches the maximum ht and wt for
the seat.
A RN is caring for a patient who fell at a nursing home. The patient is oriented x 3
(person, place & time) and can follow directions. Which of the following actions should
the RN take to decrease the risk of another fall? (SATA)
A. Place a belt restraint on the patient when they are sitting on the bedside commode
,B. Keep the bed in its lowest position with all side rails up
C. Make sure that the patient's call light is within reach
D. Provide the patient with nonskid footwear
E. Complete a fall-risk assessment - CORRECT ANSWER ✔✔✔✔✔ (C,D,E)
C. Make sure that the patient's call light is within reach
D. Provide the patient with nonskid footwear
E. Complete a fall-risk assessment
Note- You do not put all the side rails up in the bed because this is considered a
restraint.
A RN is caring for a patient who has a Hx of falls. Which of the following actions is the
RNs priority?
A. Complete a fall-risk assessment
B. Educate the patient and family about fall risks
C. Eliminate safety hazards from the patients environment
D. Make sure the patient uses assistive aids in their possession - CORRECT ANSWER
✔✔✔✔✔ A. Complete a fall-risk assessment
(Rat) this is a priority nursing question therefore the question should direct you to the
nursing process. The first action the nurse should take using the nursing process is to
assess or collect data from the patient.
A RN discovers a small paper fire in a trash in a patients bathroom. The patient has
been taken to safety and the alarm has been activated. Which of the following actions
should the RN take?
A. Open the windows in the patients room to allow smoke to escape
B. Obtain a class C fire extinguisher to extinguish the fire
C. Remove all electrical equipment from the patient room
,D. Place wet towels along the base of the door to the patients room - CORRECT
ANSWER ✔✔✔✔✔ D. Place wet towels along the base of the door to the patients
room - (RAT) to contain the fire and smoke in the room.
Note - do not obtain a class C fire extinguisher but instead obtain a class A fire
extinguisher which is used for ordinary combustibles such as cloth and paper.
A nurse manager is completing an in-service on a group of new nurses in the transition
to practice program. The nurse manager asks one nurse student to define the acronym
"RACE". Please indicate what each letter in the acronym means. - CORRECT
ANSWER ✔✔✔✔✔ R - Rescue and protect the patients who are at or near the fire.
Patients who can walk are able to do so on command to a safe location.
A - Activate the alarm
C - Contain/confine the fire by closing doors and windows, by placing a wet towel under
the door in the patients room, and by turning off all oxygen sources and any electrical
devices. Ventilate patient's who are on life support by using a bag-valve mask
E - Extinguish the fire with a general/appropriate fire extinguisher (Class A) for your
normal combustables
A RN discovers that she administered an antihypertensive medication to a patient in
error. Identify the appropriate sequence of steps that the RN should take using the
following actions.
A. Call the MD
B. Check the VS
C. Notify the risk manager
D. Complete an incident report
E. Instruct the patient to remain in bed until further notice - CORRECT ANSWER
✔✔✔✔✔ (A, B, C, D, E)
A. Call the MD
B. Check the VS
C. Notify the risk manager
D. Complete an incident report
E. Instruct the patient to remain in bed until further notice
Note - If the question was a priority question, what would the RN do first? First, I would
check the VS.
A RN is discussing disaster planning with the board members of a hospital. Which of the
following actions should the RN take?
A. Incident commander
, B. Medical command physician
C. Triage officer
D. Media liaison - CORRECT ANSWER ✔✔✔✔✔ Medical command physician -
(RAT) oversee's the use of resources (equipment and personnel)
NOTE - the incident commander manages the incident and key leaders within the
facility
NOTE - Expect the triage officer to prioritize the treatment of patients coming in for
treatment
NOTE - Expect the media liaison to communicate with members of the media and press
on behalf of the facility
A RN prepares the ER to admit patients who were exposed to inhalation anthrax during
a bioterrorism attack. Which antibiotic is used to treat patients who have been exposed
to inhalation anthrax? - CORRECT ANSWER ✔✔✔✔✔ Ciprofloxacin (Cipro) will treat
and prevent the spread of anthrax
(RAT) Ciprofloxacin and doxycycline IV/PO is used following exposure. Treatment
includes one or two additional antibiotic (vancomycin, penicillin and anthrax antitoxin)
A RN at a mental health clinic is caring for four patients. The RN should recognize the
following patients is using dissociation as a defense mechanism? - CORRECT
ANSWER ✔✔✔✔✔ A patient who was abused as a child describes the abuse as if it
happened to someone else
What are the signs and symptoms of hypoglycemia? Use the mnemonic He IS TIRED! -
CORRECT ANSWER ✔✔✔✔✔ He - Headache
I - Irritability
S - Sweating
T - Tachycardia
I - Irritability
R - Restlessness
E - Excessive Hunger
D - Dizziness
The RN is working with a new MD . The RN is preparing the patient for the
administration of an epidural. The RN consult the MD for the verification of which
medication ordered? - CORRECT ANSWER ✔✔✔✔✔ Heparin (RAT) Heparin can
cause spinal hematoma - the risk for hematoma at the puncture site for spinal or
epidural medication administration is increased while taking heparin.