2024 EXAM 2025 | ALL CURRENT EXAM VERSIONS
2025 | ACCURATE REAL EXAM QUESTIONS AND
ANSWERS | ACCURATE AND VERIFIED FOR
GUARANTEED PASS | GRADED A
What should a nurse include in teaching about ovarian cancer?
A. Weight gain
B. Urinary retention
C. Hair loss
D. Productive cough
Correct Answer: B
Rationale: Ovarian cancer often presents with vague symptoms such as urinary retention,
frequency, and pelvic pressure.
What finding indicates a decrease in anteroposterior diameter of the chest in a COPD client?
A. pH 7.30
B. PaCO₂ 55 mm Hg
C. HCO₃ 24 mEq/L
D. PaO₂ 60 mm Hg
Correct Answer: C
Rationale: A normal HCO₃ (22–26 mEq/L) suggests absence of chronic CO₂ retention often seen
with barrel chest changes.
What should a nurse do to prevent transmission of TB?
A. Standard precautions only
B. Droplet precautions
C. Initiate contact precautions upon admission
D. No precautions needed
Correct Answer: C
Rationale: Isolation precautions are required immediately to prevent spread (TB actually
requires airborne precautions).
Priority post-dialysis action?
A. Provide meal
B. Weigh client
,C. Attend to older adult 4 hr post-dialysis
D. Encourage ambulation
Correct Answer: C
Rationale: Post-dialysis clients are at risk for hypotension and electrolyte imbalance.
Before lifting a client in bed:
A. Lock wheels
B. Bend at waist
C. Raise bed to waist level
D. Remove pillow
Correct Answer: C
Rationale: Raising the bed prevents back injury.
Correct insulin pen injection:
A. 45-degree angle
B. Massage site
C. Hold pen perpendicular to skin
D. Aspirate first
Correct Answer: C
Rationale: Insulin pens are injected at 90 degrees.
Monitoring immunosuppressed client:
A. Limit fluids
B. Monitor mouth every 8 hr
C. Encourage raw foods
D. Avoid labs
Correct Answer: B
Rationale: Oral mucosa assessment detects infection early.
Client concerned about advance directives:
A. Family can override
B. Cannot change
C. Family cannot alter if client incapacitated
D. Only valid in hospital
Correct Answer: C
Rationale: Advance directives legally protect client wishes.
Heavy lochia intervention:
A. Massage fundus only
B. Ice packs
, C. Administer oxytocin
D. Bed rest
Correct Answer: C
Rationale: Oxytocin promotes uterine contraction to control bleeding.
Care plan for newly admitted child:
A. Standard precautions only
B. Initiate droplet isolation precautions
C. Restrict fluids
D. No visitors
Correct Answer: B
Rationale: Prevents spread of respiratory infections.
Prevent newborn heat loss by conduction:
A. Place under fan
B. Dry newborn immediately
C. Delay skin-to-skin
D. Bathe immediately
Correct Answer: B
Rationale: Drying prevents evaporative heat loss.
Priority 24 hr post-abdominal surgery:
A. Offer fluids
B. Assist with deep breathing and coughing
C. Remove sutures
D. Ambulate immediately
Correct Answer: B
Rationale: Prevents atelectasis and pneumonia.
Correct NG tube placement check:
A. Air bolus auscultation
B. X-ray only
C. Aspirate contents and verify pH
D. Observe color only
Correct Answer: C
Rationale: pH testing confirms gastric placement.
Initiate seizure precautions for:
A. Mild preeclampsia
B. 33 weeks gestation with severe hypertension