VERSION 2025 ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS |VERIFIED ANSWERS|ALREADY GRADED A+||
BRAND NEW!!
A nurse is planning care to prevent a catheter-related bloodstream infection for a client who is
receiving IV fluid therapy. Which of the following interventions should the nurse include in the
plan? - CORRECT ANSWER-Perform hand hygiene before touching the IV tubing.
(The nurse should perform thorough hand hygiene before touching any part of the infusion
system or the client to reduce the risk of catheter-related blood stream infections.)
A nurse is creating a plan of care for a client who is non-ambulatory and has bladder and bowel
incontinence. Which of the following interventions should the nurse include to prevent skin
breakdown? - CORRECT ANSWER-Offer the client a glass of water every two hour when
repositioning.
(The nurse should offer the client a glass of water every two hours on the clients repositioning
schedule. This helps prevent dehydration, which increases the risk of skin breakdown.)
A nurse is teaching a young adult female client about health screening for breast cancer. Which
of the following statements by the client indicates an understanding of breast self-examination
(BSE)? - CORRECT ANSWER-"I should expect to feel a firm ridge along the bottom curve of each
breast."
A nurse is caring for a client who is 2 days postoperative following an above-the-knee
amputation. The client states he is experiencing a dull, burning pain in the leg that was
amputated. Which of the following actions should the nurse take to treat the client's
neuropathic pain? - CORRECT ANSWER-Administer a beta-blocking medication to the client.
(The nurse should administer a beta-blocking medication to the client. This classification of
medication has been shown to relieve the phantom limb pain manifestations of constant dull
and burning type pain.)
,A newly licensed nurse asks a charge nurse where to find information about scope of practice
for registered nurses. Which of the following responses should the charge nurse make? -
CORRECT ANSWER-"The state board of nursing can provide this information"
(each state develops a nurse practice act, which defines scope of practice for nurses in that
state. This practice act is available on the board of nursing website for each state.)
(The nurse should instruct the client at a firm ridge is expected along the bottom curve of each
breast. The client should be able to feel this area during the BSE. Performing a BSE promotes
breast self awareness so that the client knows how her breast normally feel. The awareness
increases the clients ability to identify changes that require further evaluation.)
A nurse is caring for an adolescent who is in critical condition following a motor vehicle crash
which he was the passenger. The clients parent shout at the nurse, asking why her son is dying
instead of the driver. Which of the following actions should the nurse take to provide emotional
support to the parent? - CORRECT ANSWER-Inform the parent that anger is a natural response
when dealing with loss.
(The nurse should identify that the parent is in the anger stage of grief. The nurse should assist
the parent to understand that anger is a natural response to loss and encourage her to talk
about her feelings.)
A nurse is teaching an older adult client about accessing electronic resources for healthcare
information on the internet. Which of the following statements should the nurse include in the
teaching? - CORRECT ANSWER-"Websites ending in '.gov' are reliable sites for obtaining health
information from government agencies."
(The nurse should teach the client how to select reliable internet websites when researching
health care information. The nurse should identify that websites ending in '.gov' and '.edu' are
considered reliable and credible sources for health information. Websites ending in '.com'
should not be used for researching credible healthcare information.)
A nurse is providing discharge teaching about nutrition management to a client who has COPD.
Which of the following instructions should the nurse include in the teaching? - CORRECT
ANSWER-Have a high-calorie protein drink between meals.
, (The nurse should encourage a client who has COPD to drink a high-calorie protein drink
between meals. Anorexia is a manifestation of COPD and this added nutritional intake promotes
weight gain.)
A nurse is caring for a client who has dysphagia following a stroke. Which of the following
actions should the nurse take to facilitate safe swallowing and decrease the risk of aspiration? -
CORRECT ANSWER-Delay the clients meal-time if he is fatigued.
(To facilitate safe swallowing and decrease the risk of aspiration, the nurse should encourage
the client to test prior to meal-time. If the client is fatigued, the nurse should delay the meal-
time and give the client time to rest.)
120 mg x 0.8 mL/80 mg= - CORRECT ANSWER-1.2 mL
A nurse is teaching the parent of a toddler about home injury prevention. When discussing
snacks, which of the following statements by the parent indicates an understanding of the
teaching? - CORRECT ANSWER-"I can give her watermelon pieces after I remove the seeds."
(The nurse should inform the parent that toddlers can easily choke on seeds from fruits, such as
watermelon seeds or cherry pits, because of their round shape and size. Removing the seeds
and cutting the watermelon into pieces provides the toddler with a nutritious snack that does
not increase the toddler's risk of foreign body obstruction.)
A nurse is asked by a provider to perform an invasive procedure for which he has not received
training. Which of the following actions should the nurse take to ensure that it is within his legal
scope of practice to perform this procedure? - CORRECT ANSWER-Check the states nurse
practice act before performing the procedure.
(The nurse should check the state's nurse practice act to verify that performance is within his
scope of practice. This will ensure that the nurse follows legal guidelines for his scope of
practice. If the nurse works in more than one state, he should check the nurse practice act for
each state, because guidelines for this procedure might differ from state to state. If the
procedure is within the nurse's scope of practice, he should take necessary steps to gain
competence in the procedure before performing it on a client.)