ACTUAL EXAM ALL 100 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
A nurse is caring for a client who has hepa c encephalopathy that is being treated with
lactulose. The client is experiencing excessive stools. Which of the following findings is an
adverse effect of this medica on? - ANSWER Hypokalemia
A nurse is caring for a client who has emphysema and is receiving mechanical ven la on. The
client appears anxious and restless, and the high-pressure alarm is sounding. Which of the
following ac ons should the nurse take first? - ANSWER Instruct the client to allow the
machine to breathe for them.
A nurse is teaching a client who has a family history of colorectal cancer. To help mi gate this
risk, which of the following dietary altera ons should the nurse recommend? -
ANSWER Add cabbage to the diet.
A home health nurse is assigned to a client who was recently discharged from a rehabilita on
center a er experiencing a right-hemispheric stroke. Which of the following neurologic deficits
should the nurse expect to find when assessing the client? (Select all that apply.) -
ANSWER Visual spa al deficits, Le hemianopsia, One-sided neglect
A nurse is caring for a client who has viral pneumonia. The client's pulse oximeter readings have
fluctuated between 79% and 88% for the last 30 min. Which of the following oxygen delivery
systems should the nurse ini ate to provide the highest concentra on of oxygen? -
ANSWER Nonrebreather mask
, A nurse is caring for a client who has bilateral pneumonia and an SaO2 of 85%. The client has
dyspnea with a produc ve cough and is using accessory muscles to breathe. Which of the
following ac ons should the nurse take first? - ANSWER Place the client in high-Fowler's
posi on.
A nurse is planning care for a client who has extensive burn injuries and is
immunocompromised. Which of the following precau ons should the nurse include in the plan
of care to prevent a Pseudomonas aeruginosa infec on? - ANSWER Avoid placing plants
or flowers in the client's room.
An older adult client is brought to an emergency department by a family member. Which of the
following assessment findings should cause the nurse to suspect that the client has hypertonic
dehydra on? - ANSWER Urine specific gravity 1.045
A nurse in an emergency department is reviewing the provider's prescrip ons for a client who
sustained a ra lesnake bite to the lower leg. Which of the following prescrip ons should the
nurse expect? - ANSWER Administer an opioid analgesic to the client.
A nurse is assessing a client who has had a suspected stroke. The nurse should place the priority
on which of the following findings? - ANSWER Dysphagia
A nurse is teaching a young adult client how to perform tes cular self-examina on. Which of
the following instruc ons should the nurse include? - ANSWER Roll each tes cle between
the thumb and fingers.
A nurse is providing instruc ons to a client who has type 2 diabetes mellitus and a new
prescrip on for me ormin. Which of the following statements by the client indicates an
understanding of the teaching? - ANSWER "I should take this medica on with a meal."