2026/2027 Newest Actual Exam 3 Versions
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1. A nurse in an emergency c.Tell me how often you drink alcohol
department completes an
assessment on an adolescent client
that has conduct disorder. The
client threatened suicide to teacher
at school. Which of the following
statements should the nurse include
in the assessment?
a.Tell me about your siblings
b.Tell me what kind of music you
like
c.Tell me how often you drink
alcohol
b.Tell me about your school
schedule
,A nurse is planning discharge c. Keep the cord dry until it falls off
teaching for cord care for the
parent of a newborn. Which
instructions would you include in
the teaching?
a.Contact provider if the cord still
turns black
b.Clean the base of the cord with
hydrogen peroxide daily
c. Keep the cord dry until it falls off
d.The cord stump will fall off in five
days
A Nurses caring for client who has a) WBC 3,000/mm3
breast cancer and has been
covering receiving chemotherapy.
Which of the following laboratory
values should nurse report to
provider?
a) WBC 3,000/mm3
b) Hemoglobin 14 g/dl
c) Platelet 250,000/mm3
d) aPTT 30 seconds
A nurse is teaching a client about a. "Carbohydrates should be at least 45% of your
nutritional intake. The nurse should caloric intake.
include which of the following in
the teaching?
a. "Carbohydrates should be at
least 45% of your caloric intake."
b. "Protein should be at least 55% of
your calorie intake."
c. "Carbohydrates should be at
least 30% of your caloric intake."
d. "Protein should be at least 60%
of your caloric intake."
,A nurse is assessing a client who A. Hallucinations
has delirium due to a febrile illness.
Which of the following findings
should the nurse expect?
A. Hallucinations
B. Agnosia
C. Bradycardia
D. Aphasia
A nurse is admitting a client who is c.Do you have any active lesions?
in labor and at 38 wks of gestation
to the maternal newborn unit. The
client has a history of herpes
simplex virus 2. Which of the
following questions is most
appropriate for the nurse to ask the
client?
a.Have your membranes ruptured?
b.How far apart are your
contractions?
c.Do you have any active lesions?
d.Are you positive for beta strap?
A nurse is completing a dietary c.Meat and dairy products are eaten separately.
assessment for client who is Jewish
and observes kosher dietary
practices. Which of the following
behaviors should the nurse expect
to find?
a.Leavened bread maybe eaten
during Passover.
b.Shellfish is commonly consumed
in the diet.
c.Meat and dairy products are
eaten separately.
d.Fasting from meat occurs during
Hanukkah.
, Nurses caring for client was in end- b.Hydromorphone
stage osteoporosis and is reporting
severe pain. Clients respiratory rate
is 14 per minute. Which of the
following medications should the
nurse expect to be the highest
priority to administer to the client?
a.Promethazine
b.Hydromorphone
c.Ketorolac
d.Amitriptyline
A nurse is assessing a client who is B. Place the client in a low-Fowler's position
postoperative following abdominal
surgery. The client states, "I feel like
my incision ripped open." The nurse
notes dehiscence of the incision.
Which of the following actions
should the nurse take? Med Surg
page 670
A. Extend the client's legs above
heart level
B. Place the client in a low-Fowler's
position
C. Instruct the client to perform the
Valsalva maneuver
D. Apply a dry gauze dressing to
the incision