2025 B Exam Questions And Answers
/. A nurse is assessing a newborns heart rate. Which of the following actions should the
nurse take? - Answer-✅Auscultate the apical pulse at least 1 min
/.A nurse is providing colostomy care for client using a two-piece pouching system.
Which of the following actions should the nurse take? - Answer-✅place the skin barrier
over the stoma and hold it for 30 seconds
-opening should be no more than 0.3cm larger than the stoma
/.A nurse is teaching about adverse effects with a client who is starting to take captopril.
Which of the following findings should the nurse identify as an adverse effect of the
medication to report to the provider? - Answer-✅cough
/.A nurse is caring for an older adult client who is experiencing chronic anorexia and is
receiving an internal tube feedings. Which of the following laboratory values indicates
the client needs additional nutrients added to the feeding? - Answer-✅Albumin 2.8 g/dL
/.An anti-partum nurse is caring for four clients. For which of the following clients should
the nurse initiate seizure precautions? - Answer-✅A client who is at 33 weeks of
gestation and has severe gestational hypertension
/.A nurse manager is planning to make changes to the current scheduling system on the
unit. To facilitate staff acceptance of this change, which of the following actions to the
nurse manager take first? - Answer-✅Provide information about scheduling issues to
the staff.
/.The nurse is providing information to a client immediately before their scheduled
Romberg test. Which of the following statements to the nurse make? - Answer-✅"I will
be checking you once with your eyes open and once with them closed".
/.A nurse and an emergency department is preparing to discharge a client who has
experienced intimate partner violence. Which of the following actions to the nurse take
first? - Answer-✅Develop a safety plan with the client
/.A nurse in an emergency department is caring for a client who is unconscious and
requires emergency medical procedures. The nurse is unable to locate members of the
clients family to obtain consent which of the following actions should the nurse take? -
Answer-✅Proceed with provision of medical care
, /.A nurse is caring for a client who has a fractured femur and has had a fiberglass
cylinder cast for 24 hours. Which of the following assessment findings should the nurse
identify as the priority? - Answer-✅The client's heel is reddened and tender.
Rationale: The greatest risk to this client is injury from a pressure injury. Therefore, the
priority assessment finding the nurse should identify is a reddened and tender heel.
/.A nurse is teaching a client who has a new prescription for total parenteral nutrition
through a central line. Which of the following information should the nurse include in the
teaching? - Answer-✅"I will need to measure your weight daily"
/.A nurse is providing teaching to a client who has a prescription for levothyroxine 25
mcg PO daily. Which of the following instructions to the nurse include in the teaching? -
Answer-✅Take the medication on an empty stomach 30 minutes before breakfast
/.A nurse is caring for a client who has become aggressive and potentially violent.
Which of the following actions to the nurse take? - Answer-✅Allow the client time for
reflection and decision-making.
/.A charge nurse is providing an educational session about infection control for a group
of staff nurses. Which of the following statements by one staff nurse indicates and
understanding of isolation precautions? - Answer-✅"A client who requires airborne
precautions should be placed in a negative pressure, airflow room"
/.A nurse is preparing to administer diazepam, 0.3 mg per kilogram IV bolus to a toddler
who weighs 10 kg and is experience a Grandma seizure. Available is diazepam solution
for injection 5 mg/mL. How many milliliters should the nurse administer? - Answer-✅0.6
mL
/.A nurse is caring for a client who states "my boss accused me of stealing yesterday. I
was so angry I went to the gym and worked out" the nurse should recognize the client is
demonstrating which of the following defense mechanisms? - Answer-✅Sublimation
/.A nurse is caring for a client who has active tuberculosis. Which of the following
actions should the nurse plan to take to prevent the transmission of the disease? -
Answer-✅Have the client wear surgical mask while being transported outside of the
room
/.A nurse is assessing a school, aged child, who has cystic fibrosis. Which of the
following findings is the priority for the nurse to report to the provider? - Answer-
✅Hemoptysis 275 mL/ 24hrs
/.The nurse is preparing to transfer a client who has had a stroke to a rehabilitation
facility. The clients family tells the nurse they are concerned about the level of care of