REAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ / NEWEST EXAM / JUST
RELEASED!!
NGN: Nurses Notes, saturation is low. Noted cyanosis in the
clients lips.
Healthcare provider made aware.
1310: pain rating for on a pain scale of 0 to 10. Temperature
elevation noted. The client is anxious and using accessory
muscles to breathe. Alerted the surgeon about the client
status. New orders noted. (what does the nurse need to
document at 1330? SATA)
A) urine
output.
B) Respiratory
rate.
C) Blood pressure.
D) Pain.
E) Temperature.
F) Flow rate of oxygen.
G) Oxygen saturation. - ANSWER-B) Respiratory rate.
C) Blood pressure.
D) Pain.
E) Temperature.
G) Oxygen saturation.
,The nurse has completed the diet teaching of a client who is
being discharged following treatment of a leg wound. A high-
protein diet is encouraged to promote wound healing. Which
lunch toys by the client indicates that the teaching was
effective?
A) A peanut butter sandwich with soda and cookies.
B) Vegetable soup, crackers, and milk.
C) A tuna fish sandwich with chips and ice cream.
D) A salad with three kinds of lettuce and fruit. - ANSWER-C) A
tuna fish sandwich with chips and ice cream.
A client with foul-smelling drainage from an incision on the
upper left arm is admitted with a suspected MRSA. Which
nursing intervention should the nurse include in the plan of
care? SATA.
A) Institute contact precautions for staff and visitors.
B) Use standard precautions and wear a mask.
C) Send wound drainage for culture and sensitivity.
D) Monitor the clients white blood cell count.
E) Explain the purpose of a low bacteria diet. - ANSWER-A)
Institute contact precautions for staff and visitors.
C) Send wound drainage for culture and sensitivity.
D) Monitor the clients white blood cell count.
An adult client who is admitted to the mental health unit for
treatment of bipolar disorder has a slightly slurred speech
,pattern and an unsteady gait. Which assessment finding is
most important for the nurse to report to the healthcare
provider?
A) Weight loss of 10 pounds in the past month.
B) Six hours of sleep in the past
three days.
C) Blood alcohol level of
0.09%.
D) Serum lithium level of 1.6. - ANSWER-D) Serum lithium
level of 1.6.
When conducting diet teaching for a client who is on a post
operative full liquid
diet, which foods should the nurse encouraged the client
to eat? SATA.
A) Clear beef broth.
B) Vanilla frozen yogurt.
C) Vegetable juice.
D) Creamy peanut butter.
E) Canned fruit cocktail. - ANSWER-A) Clear beef broth.
B) Vanilla frozen yogurt.
C) Vegetable juice.
An infant born with esophageal atresia and tracheoesophageal
fistula receives
, a prescription for internal feedings after corrective surgery. To
promote normal
growth and development of the infant, which action should the
nurse include in
the plan of care? - ANSWER-Offer a pacifier for non-
Nutritive sucking
The nurse is preparing a four year-old client with a serum
bilirubin level of 19 for
discharge from the hospital. When teaching the parents
about home photo
therapy, which instruction should the nurse include in the
discharge teaching
plan?
A) Cover with a receiving blanket.
B) Perform diaper changes under the light.
C) Feed the infant every four hours.
D) Reposition the infant every two hours. - ANSWER-D)
Reposition the infant every two hours.
The nurse initiate the procedure to remove a clients
peripherally inserted central catheter when a code blue is
called for another client in the unit who collapse in the hallway
while ambulating with the unlicensed assistive personnel.
Which action should the nurse take?