EXAM NEWEST ACTUAL EXAM (2
VERSIONS) (RATIONALES AVAILABLE) WITH
COMPLETE QUESTIONS AND DETAILED
ANSWERS GRADED A | BRAND NEW!!!
VERSION A
A nurse is providing teaching to a client who has a new
prescription for a metered-dose inhaler (MDI). Which of the
following instructions should the nurse include? (select all that
apply)
A. Shake the inhaler well before each use.
B. Exhale fully before placing the inhaler in the mouth.
C. Press down on the inhaler after starting to breathe in
deeply.
D. Hold breath for at least 10 seconds after inhaling the
medication.
A, B, C, D
,Rationale: Shaking the inhaler mixes the medication properly
to ensure the correct dosage is delivered. The client should
exhale fully before placing the inhaler in their mouth, press
down on the inhaler while starting to breathe in, and hold
their breath for at least 10 seconds after inhaling the
medication.
A nurse is teaching a client who has a new diagnosis of
hypertension about lifestyle changes. Which of the following
recommendations should the nurse include?
A. Limit alcohol intake to three drinks per day.
B. Engage in moderate exercise for at least 150 minutes per
week.
C. Increase sodium intake to 3,000 mg per day.
D. Consume a diet high in saturated fats.
B. Engage in moderate exercise for at least 150 minutes per
week.
,Rationale: Regular moderate exercise helps lower blood
pressure and improve cardiovascular health. Alcohol intake
should be limited to one drink per day for women and two for
men. Sodium intake should be limited to 2,300 mg per day or
less. A diet low in saturated fats is recommended.
A nurse is preparing to administer a blood transfusion to a
client. Which of the following actions should the nurse take
first?
A. Prime the IV tubing with 0.9% sodium chloride.
B. Obtain the client's vital signs.
C. Ensure the client has given informed consent.
D. Hang the blood product and start the transfusion.
C. Ensure the client has given informed consent.
Rationale: Ensuring the client has given informed consent is
the first step before starting a blood transfusion. After
obtaining consent, the nurse should prime the IV tubing with
0.9% sodium chloride, obtain baseline vital signs, and then
hang the blood product.
, A client with diabetes mellitus reports feeling dizzy and shaky.
The nurse checks the blood glucose level and finds it to be 50
mg/dL. Which of the following is the nurse's priority action?
A. Administer a glucagon injection.
B. Provide 15 grams of carbohydrates.
C. Recheck the blood glucose level in 15 minutes.
D. Notify the healthcare provider.
B. Provide 15 grams of carbohydrates.
Rationale: The priority action for a blood glucose level of 50
mg/dL, which indicates hypoglycemia, is to provide a quick
source of carbohydrates to raise the blood glucose level.
Rechecking the level and notifying the healthcare provider are
important but not the immediate priority.
The nurse is preparing to administer a cleansing enema. Which
of the following steps should the nurse take first?