QUESTIONS WITH ANSWERS CORRECT/VERIFIED LATEST UPDATE
EXAMS FOR NURSING GRADED A+
A nurse is caring for a newborn whose parent asks why her baby is receiving vitamin K. The nurse
should explain to the parents that the newborn should receive vitamin K to prevent which of the
following? A. Bleeding
B. Potassium deficiency
C. Infection
D. Hyperbilirubinemia - CORRECT RESPONSE ✔✔A. Bleeding
Newborns should receive vitamin K at birth because they have low levels of vitamin K, which can lead to
bleeding. Vitamin K does not prevent potassium deficiency, infection, or hyperbilirubinemia in a
newborn.
A charge nurse is observing a newly licensed nurse administer enteral feedings via NG tube. Which of
the following actions by the newly licensed nurse indicates an understanding of the procedure? A.
Instills 100 mL of air into the NG tube after checking for residual.
B. Flushes the NG tube with 0.9% sodium chloride irrigation every 2 hr.
C. Adds 20 mL of blue dye to each feeding to help detect aspiration.
D. Keeps the head of the bed elevated to 45° for 1 hr after feedings. - CORRECT RESPONSE ✔✔D. Keeps
the head of the bed elevated to 45° for 1 hr after feedings.
The nurse should keep the client's head elevated to 45° for 1 hr after feedings to decrease the risk for
aspiration. The nurse should inject 10 to 30 mL of air into the NG tube before checking residual to clear
the tube of any feeding. Instilling excessive air into the tube can cause abdominal distention and
discomfort. The nurse should use 20 mL of tap water to flush the NG tube before and after each feeding.
Using 0.9% sodium chloride irrigation can lead to hypernatremia. The nurse should avoid adding dye to
the feeding to detect aspiration because using dye can increase the risk of death.
A nurse is teaching a client about foods high in vitamin A. Which of the following foods should the nurse
recommend as having the highest amount of vitamin A?
,A. 1 medium raw carrot
B. 1/2 cup cooked spinach
C. 1/2 cup cooked butternut squash
D. 1 cup sliced cantaloupe - CORRECT RESPONSE ✔✔A. 1 medium raw carrot
The nurse determines that carrots are the best source to recommend because 1 medium raw carrot
contains 2,025 mcg/dL of vitamin A. The nurse should recommend a different food, because 1/2 cup
cooked spinach contains 737 mcg/dL, 1/2 cup cooked butternut squash contains 714 mcg/dL, and 1 cup
sliced cantaloupe contains 516 mcg/dL of vitamin A.
An RN is planning care for a group of clients and is working with a licensed practical nurse (LPN) and an
assistive personnel (AP). Which of the following tasks should the RN delegate to the LPN?
A. Collection of a stool specimen
B. Preparation of a client's postoperative bed
C. Administration of a unit of packed RBCs
D. Insertion of a nasogastric tube - CORRECT RESPONSE ✔✔D. Insertion of a nasogastric tube
The nurse should delegate the insertion of a nasogastric tube to the LPN because this task is within the
LPN's scope of practice. The nurse should delegate collection of a stool specimen and preparation of a
client's postoperative bed to an AP because these tasks are within the AP's scope of practice. The RN
should administer packed RBCs because this task is not within the scope of practice for an LPN or AP.
A nurse on a medical-surgical unit is caring for a client prior to a surgical procedure. Which of the
following findings should indicate to the nurse that the client has the ability to sign the informed
consent?
A. The client's partner tells the nurse that the client understands the procedure.
B. The nurse locates the provider's prescription for the surgical procedure.
C. The nurse witnesses the provider's explanation of the procedure.
D. The client is able to accurately describe the upcoming procedure. - CORRECT RESPONSE ✔✔D. The
client is able to accurately describe the upcoming procedure.
,The ability of the client to accurately describe the upcoming procedure indicates that the provider
adequately informed the client, and that the client has the ability to sign the informed consent. The
client can tell his partner that he understands the procedure, but the nurse must speak directly to the
client to ensure that the client understands what the provider has told him before being certain that the
client has the ability to sign the form. A written prescription for a surgical procedure does not ensure
that the provider has explained the procedure to the client or that the client has the knowledge to give
informed consent. Even though the provider has explained the procedure to the client, the nurse cannot
assume that the client understands the information the provider gave.
AAnurseAisAcaringAforAaAclientAwhoAisAreceivingAtotalAparenteralAnutritonA(TPN)AsolutionAbyAcontinuousAIVAi
nfusionAatA60AmL/hr.ATheAnurseAdiscoversAtheAinfusionApumpAhasAstoppedAworking.AWhichAofAtheAfollowi
n gAactionsAshouldAtheAnurseAtakeAwhileAwaitingAforAaAnewAinfusionApump?
A.AAdministerAtheATPNAsolutionAatAtheAsameArateAusingAmanualAdripAtubing.
B.AOfferAtheAclientAoralAfluidsAinAplaceAofAtheATPNAsolution.
C.AInfuseA0.9%AsodiumAchlorideAsolutionAusingAmanualAdripAtubingAatA30AmL/hr.
D.AProvideAdextroseA10%AinAwaterAsolutionAusingAmanualAdripAtubingAatA60AmL/hr.A-
ACORRECTARESPONSEAA✔✔D.AProvideAdextroseA10%AinAwaterAsolutionAusingAmanualAdripAtubingAatA60AmL
/hr.
TheAnurseAshouldAuseAanAinfusionApumpAwhenAadministeringATPNAsolutionAtoAensureAaccurateAdosageAan
dAshouldAtaperAtheAinfusionArateAbeforeAdiscontinuingAtheAsolutionAtoApreventAhypoglycemia.AIfAtheAnurs
e
AisAunableAtoAcontinueAtheATPNAinfusionAbyAinfusionApump,AtheAnurseAshouldAuseAmanualAdripAtubingAtoAi
nfuseAdextroseA10%AinAwaterAatAtheAsameArateAasAtheATPNAsolution.ATheAnurseAshouldAonlyAadministerAth
eATPNAsolutionAusingAanAinfusionApumpAtoAdeliverAitAatAaAcontrolledArate.ATheAnurseAmustAcontinueAtoApro
videAfluidsAbyAIVAinfusionAtoAaAclientAwhoAhasAbeenAreceivingAaAcontinuousATPNAinfusionAtoApreventArebou
ndAhypoglycemia.ATheAnurseAshouldAinfuseAanAIVAsolutionAthatAwillAmaintainAadequateAbloodAglucoseAlev
e ls,A0.9%AsodiumAchlorideAdoesAnotAhaveAadequateAglucose.
AAnurseAisAassessingAaAclientAwhoAhasAschizophreniaAandAisAtakingAchlorpromazine.AWhichAofAtheAfollowin
gAfindingsAisAtheApriorityAforAtheAnurseAtoAreportAtheAprovider?
A.ATemperatureA39.4°ACA(103°AF)
B.AHeadacheA
C.AConstipation
, D.AVomitingA-ACORRECTARESPONSEAA✔✔A.ATemperatureA39.4°ACA(103°AF)
TheAgreatestAriskAtoAtheAclientAisAinjuryAfromAneurolepticAmalignantAsyndrome,AaApotentiallyAlifethreateni
ngAadverseAeffectAofAchlorpromazineAinAwhichAtheAclientAcanAhaveAaAhighAtemperature,Adysrhyth
mia,AdecreasedAlevelAofAconsciousness,AandAlabileAbloodApressure.ATherefore,AtheApriorityAfindingAforAtheA
nurseAreportAtoAtheAproviderAisAhyperpyrexia.AHeadache,Aconstipation,AandAvomitingAareAcommonAadvers
eAeffectsAofAchlorpromazine.ATheAnurseAshouldAreportAtheAheadacheAandAvomitingAtoAtheAproviderAandAre
questAanalgesiaAandAanAantiemetic,Arespectively.ATheAnurseAshouldAencourageAtheAclientAtoAincreaseAfibe
r AandAfluidAintakeAasAwellAasAactivityAforAconstipation.
AAnurseAisAteachingAtheAparentAofAaAschool-
ageAchildAaboutAadministeringAearAdrops.AWhichAofAtheAfollowingAresponsesAbyAtheAparentAindicatesAanAu
nderstandingAofAtheAteaching?
A.A"IAshouldAadministerAtheAearAdropsAasAsoonAasAIAremoveAthemAfromAtheArefrigerator."
B.A"IAshouldApullAtheAtopAofAherAearAupwardAandAbackAwhileAinstillingAtheAmedication."
C.A"IAshouldAmassageAbehindAherAearAafterAIAinstillAtheAdrops."
D.A"IAshouldAhaveAherAlieAonAtheAaffectedAsideAforAaAfewAminutesAafterAIAputAtheAdropsAinAtheAear."A-
ACORRECTARESPONSEAA✔✔B.A"IAshouldApullAtheAtopAofAherAearAupwardAandAbackAwhileAinstillingAtheAmedi
cation."
TheAnurseAshouldAinstructAtheAparentAtoApullAtheApinnaAupwardAandAbackAinAchildrenAolderAthanA3AyearsAo
fAageAtoAstraightenAtheAearAcanalAandAallowAtheAmedicationAtoAreachAtheAentireAcanal.AForAchildrenAyoung
erAthanA3AyearsAofAageAtheAparentAshouldAgentlyApullAtheApinnaAdownwardAandAback.ATheAnurseAshouldAin
structAtheAparentAtoAallowAoticAmedicationAsheAstoresAinAtheArefrigeratorAtoAwarmAtoAroomAtemperatureA
p
riorAtoAadministrationAtoApreventAdizzinessAandApain.ATheAnurseAshouldAinstructAtheAparentAtoAgentlyAmas
sageAtheAtragusAonAtheAareaAanteriorAtoAtheAearAtoAallowAtheAmedicationAtoAreachAtheAentireAcanal.ATheAn
urseAshouldAinstructAtheAparentAtoAhaveAtheAchildAremainAlyingAonAtheAunaffectedAsideAforAaAfewAminutesA
afterAinstillingAtheAmedicationAtoAallowAtheAmedicationAtoAremainAinAtheAearAcanal.
AAnurseAisAassessingAaAclientAwhoAisAexperiencingAautonomicAdysreflexia.AWhichAofAtheAfollowingAfindingsA
shouldAtheAnurseAexpect?A(SelectAallAthatAapply.)
A.ANystagmus
B.AFacialAflushing