LEVEL 1 EXAM 2025 QUESTIONS AND
ANSWERS
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? -
ANS "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.)
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? - ANS 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? - ANS 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)? - ANS "I should expect to feel a firm ridge along the bottom curve of each breast."
(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
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, 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? - ANS 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 enters a clients room and finds the client lying on the floor. The client states that on the
way to the bathroom her "knee locked," causing her to fall. Which of the following actions
should the nurse take first? - ANS Check the client for injuries.
(The first action the nurse should take when using the nursing process is to assess the client.
The nurse should first check the client for injuries and measure vital signs to help determine
physiologic stability. The nurse should also inform the provider of the clients fall and of the
assessment findings.)
A community health nurse is planning prevention strategies for hypertension among members
of her community. The nurse should identify that which of the following ethnic groups in the
community is at greatest risk of developing hypertension? - ANS African American
(Evidence-based practice indicates that individuals of AA ethnicity have the highest prevalence
of hypertension. Therefore, the nurse should identify community members of this ethnicity are
at greatest risk of developing hypertension.)
A nurse is preparing to extinguish a small fire in a clients room. Which of the following actions
should the nurse take when using the fire extinguisher? - ANS Slide the pin on top of the fire
extinguisher straight out.
(The nurse should pull the pin on top of the fire extinguisher to allow for use to extinguish the
fire.)
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