ACTUAL EXAM 2 VERSIONS (VERSION A AND B)
COMPLETE 170 QUESTIONS WITH DETAILED ANSWERS
ALREADY GRADED A+
1. A school nurse is assessing a child who has been stung by a bee. The child's hand is
swelling and the nurse notes that the child is allergic to insect stings. Which of the
following findings should the nurse expect if the child develops anaphylaxis? (SATA)
A) Bradycardia
B) Nausea
C) Hypertension
D) Urticaria
E) Stridor
Answer B) Nausea
D) Urticaria
E) Stridor
2. A nurse is caring for a client who is unconscious. Which of the following actions
,should the nurse take when providing oral care for the client?
A) Test for the presence of the clients gag reflex
B) Place the client in the supine position
C) Use a firm toothbrush for tooth and gum care
D) Use 2 gauze-wrapped fingers to hold the mouth open
Answer A)Testforthepresence ofthe clients gag reflex
3. A nurse is planning care for a client who has acute myelogenous leukemia and a
platelet count of 48,000/mm^3. Which of the follow interventions should the nurse
include?
A) Avoid IM injections
B) Assess the client for ecchymosis once per shift
C) Do not allow the client to have visitors
D) Encourage daily flossing between teeth
Answer A) Avoid IM injection
4. A nurse is preparing to assess the function of the clients trigeminal nerve (cranial
nerve V). Which of the following items should the nurse gather for the
,test?
A) Sugar
B) Coffee
C) Cotton wisps
D) Snellen chart
Answer C) Cotton wisps
5. A nurse is caring for a client with alcohol use disorder who has undergone
detoxification. Which of the following medications should the nurse expect the
provider to prescribe to assist the client with maintaining sobriety
A) Varenicline
B) Clonidine
C) Buprenorphine
D) Disulfiram
Answer D) Disulfiram
6. A newly admitted client who has major depressive disorder states to the nurse,
, "I'm a failure, I can't even cope with the little things anymore." Which of the
following responses should the nurse provide?
A) "What happened in your life to make you feel like such a failure?"
B) "It sounds as if you are feeling pretty overwhelmed right now"
C) "Do you feel like you don't deserve to feel good about yourself?"
D) "I know you feel like that now, but you'll feel differently when you get better"
Answer C) "Do you feel like you don't deserve to feel good about yourself?"
7. A nurse is caring for a middle-aged adult client. The nurse should identify which of
the following statements as an indication that the client has completed Eriksons
developmental task for her age group?
A) "I am comfortable with my decision to choose a lifelong partner."
B) "I think I have done a good job with my children since they are all indepen- dent
now."
C) "As I look back over my life, I can see that I have achieved most of the goals