Testing and Remediation Advanced test[ACTUAL
EXAM WITH RATIONALE] LATEST VERSION
[QUESTIONS AND ANSWERS] DETAILED AND
VERIFIED FOR GUARANTEED PASS- LATEST
UPDATE 2025 GRADED A (BRAND NEW!!)
A nurse is working with administration to enhance the quality of care
provided to clients during the prenatal period. In which of the following roles
is the nurse functioning? - CORRECT ANSWER ✔✔✔✔✔ Advocate
A nurse is reviewing the laboratory results of four clients. Which of the
following should be immediately reported to the provider? - CORRECT
ANSWER ✔✔✔✔✔ A client who is prescribed digoxin (Lanoxin) and
furosemide (Lasix) with a potassium of 3.1 mEq/L
A nurse is caring for a client who is from a culture different than his own.
Which of the following actions by the nurse is most important in the
provision of culturally competent care? - CORRECT ANSWER ✔✔✔✔✔
Identify one's own beliefs and values.
A nurse is reinforcing teaching regarding foods containing complete protein
to a client. Which of the following should be included in the teaching? -
CORRECT ANSWER ✔✔✔✔✔ Soybeans
A nurse is caring for a client who is prescribed lithium (Eskalith). Which of
the following clinical findings should be immediately reported to the
provider? - CORRECT ANSWER ✔✔✔✔✔ Slurred speech
A nurse is caring for a client who is admitted with acute alcohol withdrawal.
Which of the following findings should the nurse report to the provider? -
CORRECT ANSWER ✔✔✔✔✔ Tachycardia
A nurse is reinforcing teaching to a client who is newly diagnosed with
hypertension and has been prescribed captopril (Capoten). The nurse
should reinforce that which of the following medications has the potential to
,reduce the antihypertensive effect of captopril? - CORRECT ANSWER
✔✔✔✔✔ Aspirin (Bayer)
A nurse caring for a client who has been off the unit for physical therapy for
the past hour notes that the infusion pump for the client's total parenteral
nutrition (TPN) is turned off. The client tells the nurse that the battery went
dead while she was in physical therapy. The nurse should monitor the
client for which of the following manifestations? - CORRECT ANSWER
✔✔✔✔✔ Shakiness and diaphoresis
A nurse is reinforcing teaching about methods to decrease nausea to a
client who is receiving chemotherapy. Which of the following statements by
the client indicates a need for further teaching? - CORRECT ANSWER
✔✔✔✔✔ "I should eat low carbohydrate foods."
A nurse is collecting data on a child who is diagnosed with bacterial
epiglottitis. Which of the following clinical findings are associated with the
illness? (Select all that apply.) - CORRECT ANSWER ✔✔✔✔✔ Drooling
is correct. Drooling is a clinical finding associated with epiglottitis.
Stridor is correct. Stridor is a clinical finding associated with epiglottitis.
Difficulty swallowing is correct. Difficulty swallowing is a clinical finding
associated with epiglottitis.
High-grade fever is correct. High-grade fever is a clinical finding associated
with epiglottitis.
A nurse is collecting data on a client who has appendicitis. Identify the site
the nurse should palpate to determine the presence of tenderness at
McBurney's point. (Selectable areas, or "Hot Spots," can be found by
moving the cursor over the artwork until the cursor changes appearance,
usually into a hand. Click only on the Hot Spot that corresponds with your
answer.) - CORRECT ANSWER ✔✔✔✔✔ McBurney's point is located in
the lower right quadrant midway between the anterior iliac crest and the
umbilicus. Pressure over this point will elicit pain in the later stages of
appendicitis. Remember, the screen is not a mirror image.
, A nurse is assisting with the care of a client who is in labor. Following
spontaneous rupture of membranes, the nurse visualizes the umbilical cord
protruding from the vagina and the fetal heart rate is 50/min. After calling
for assistance and notifying the provider, which of the following is the
priority action by the nurse? - CORRECT ANSWER ✔✔✔✔✔ Place client
in knee-chest position.
A nurse is reinforcing teaching to parents of a child who is admitted with
rheumatic fever. Which of the following statements by the parent indicates
a need for further teaching? - CORRECT ANSWER ✔✔✔✔✔ This illness
will not recur because my child has now had it."
A nurse is caring for an infant who has been prescribed a one-time dose of
ceftriaxone (Rocephin) 50 mg/kg IM. The infant weighs 17.6 lb. Available is
500 mg/mL. How many mL should the nurse administer? - CORRECT
ANSWER ✔✔✔✔✔ The nurse should administer 0.8 mL ceftriaxone IM.
nurse in a pediatric provider's office is conducting telephone triage and
receives a call from a client regarding her 4-day-old newborn who was
circumcised 2 days ago. Listen to the audio clip and determine which of the
following responses by the nurse is appropriate. (Click on the audio button
to listen to the telephone conversation.) - CORRECT ANSWER ✔✔✔✔✔
Do not attempt to remove it."
A nurse is reviewing the electronic fetal heart rate tracing of a client who is
in labor. Which of the following images exhibits variable decelerations? -
CORRECT ANSWER ✔✔✔✔✔
A nurse in a rehabilitation center is caring for a client who has just had a
cerebrovascular accident. Based on a review of the client's medical record,
which of the following findings should be immediately reported to the
provider? (Click on the "Exhibit" button below for additional client
information. There are three tabs that contain separate categories of data.)
- CORRECT ANSWER ✔✔✔✔✔ Temperature 37.6º C (99.8º F)
A nurse is reviewing the medical record of a client who has
preeclampsia prior to administering labetalol. For which of the
following findings should the nurse withhold the medication? -
CORRECT ✔✔✔✔✔ Heart rate 54/min
EXAM WITH RATIONALE] LATEST VERSION
[QUESTIONS AND ANSWERS] DETAILED AND
VERIFIED FOR GUARANTEED PASS- LATEST
UPDATE 2025 GRADED A (BRAND NEW!!)
A nurse is working with administration to enhance the quality of care
provided to clients during the prenatal period. In which of the following roles
is the nurse functioning? - CORRECT ANSWER ✔✔✔✔✔ Advocate
A nurse is reviewing the laboratory results of four clients. Which of the
following should be immediately reported to the provider? - CORRECT
ANSWER ✔✔✔✔✔ A client who is prescribed digoxin (Lanoxin) and
furosemide (Lasix) with a potassium of 3.1 mEq/L
A nurse is caring for a client who is from a culture different than his own.
Which of the following actions by the nurse is most important in the
provision of culturally competent care? - CORRECT ANSWER ✔✔✔✔✔
Identify one's own beliefs and values.
A nurse is reinforcing teaching regarding foods containing complete protein
to a client. Which of the following should be included in the teaching? -
CORRECT ANSWER ✔✔✔✔✔ Soybeans
A nurse is caring for a client who is prescribed lithium (Eskalith). Which of
the following clinical findings should be immediately reported to the
provider? - CORRECT ANSWER ✔✔✔✔✔ Slurred speech
A nurse is caring for a client who is admitted with acute alcohol withdrawal.
Which of the following findings should the nurse report to the provider? -
CORRECT ANSWER ✔✔✔✔✔ Tachycardia
A nurse is reinforcing teaching to a client who is newly diagnosed with
hypertension and has been prescribed captopril (Capoten). The nurse
should reinforce that which of the following medications has the potential to
,reduce the antihypertensive effect of captopril? - CORRECT ANSWER
✔✔✔✔✔ Aspirin (Bayer)
A nurse caring for a client who has been off the unit for physical therapy for
the past hour notes that the infusion pump for the client's total parenteral
nutrition (TPN) is turned off. The client tells the nurse that the battery went
dead while she was in physical therapy. The nurse should monitor the
client for which of the following manifestations? - CORRECT ANSWER
✔✔✔✔✔ Shakiness and diaphoresis
A nurse is reinforcing teaching about methods to decrease nausea to a
client who is receiving chemotherapy. Which of the following statements by
the client indicates a need for further teaching? - CORRECT ANSWER
✔✔✔✔✔ "I should eat low carbohydrate foods."
A nurse is collecting data on a child who is diagnosed with bacterial
epiglottitis. Which of the following clinical findings are associated with the
illness? (Select all that apply.) - CORRECT ANSWER ✔✔✔✔✔ Drooling
is correct. Drooling is a clinical finding associated with epiglottitis.
Stridor is correct. Stridor is a clinical finding associated with epiglottitis.
Difficulty swallowing is correct. Difficulty swallowing is a clinical finding
associated with epiglottitis.
High-grade fever is correct. High-grade fever is a clinical finding associated
with epiglottitis.
A nurse is collecting data on a client who has appendicitis. Identify the site
the nurse should palpate to determine the presence of tenderness at
McBurney's point. (Selectable areas, or "Hot Spots," can be found by
moving the cursor over the artwork until the cursor changes appearance,
usually into a hand. Click only on the Hot Spot that corresponds with your
answer.) - CORRECT ANSWER ✔✔✔✔✔ McBurney's point is located in
the lower right quadrant midway between the anterior iliac crest and the
umbilicus. Pressure over this point will elicit pain in the later stages of
appendicitis. Remember, the screen is not a mirror image.
, A nurse is assisting with the care of a client who is in labor. Following
spontaneous rupture of membranes, the nurse visualizes the umbilical cord
protruding from the vagina and the fetal heart rate is 50/min. After calling
for assistance and notifying the provider, which of the following is the
priority action by the nurse? - CORRECT ANSWER ✔✔✔✔✔ Place client
in knee-chest position.
A nurse is reinforcing teaching to parents of a child who is admitted with
rheumatic fever. Which of the following statements by the parent indicates
a need for further teaching? - CORRECT ANSWER ✔✔✔✔✔ This illness
will not recur because my child has now had it."
A nurse is caring for an infant who has been prescribed a one-time dose of
ceftriaxone (Rocephin) 50 mg/kg IM. The infant weighs 17.6 lb. Available is
500 mg/mL. How many mL should the nurse administer? - CORRECT
ANSWER ✔✔✔✔✔ The nurse should administer 0.8 mL ceftriaxone IM.
nurse in a pediatric provider's office is conducting telephone triage and
receives a call from a client regarding her 4-day-old newborn who was
circumcised 2 days ago. Listen to the audio clip and determine which of the
following responses by the nurse is appropriate. (Click on the audio button
to listen to the telephone conversation.) - CORRECT ANSWER ✔✔✔✔✔
Do not attempt to remove it."
A nurse is reviewing the electronic fetal heart rate tracing of a client who is
in labor. Which of the following images exhibits variable decelerations? -
CORRECT ANSWER ✔✔✔✔✔
A nurse in a rehabilitation center is caring for a client who has just had a
cerebrovascular accident. Based on a review of the client's medical record,
which of the following findings should be immediately reported to the
provider? (Click on the "Exhibit" button below for additional client
information. There are three tabs that contain separate categories of data.)
- CORRECT ANSWER ✔✔✔✔✔ Temperature 37.6º C (99.8º F)
A nurse is reviewing the medical record of a client who has
preeclampsia prior to administering labetalol. For which of the
following findings should the nurse withhold the medication? -
CORRECT ✔✔✔✔✔ Heart rate 54/min
