EXAM NEWEST 2024-2025 ACTUAL
EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS)
A-client-who-has-partial-thickness-burns-on-the-chest,-abdomen,-and-right-side-arrives-in-
the-emergency-department.-Which-action-will-the-nurse-take-first?
A.-Remove-the-client's-clothing.
B.-Evaluate-whether-the-client-has-inhaled-smoke.
C.-Insert-a-venous-access-device-in-an-unaffected-arm.
D.-Determine-the-extent-of-the-burns,-using-the-rule-of-nines.---ans-✔✔B
A-client-is-admitted-to-the-hospital,-and-benazepril-is-prescribed-for-hypertension.-Which-
is-an-appropriate-nursing-action-for-clients-taking-this-medication?
A.Assess-for-dizziness.
B.Assess-for-dark,-tarry-stools.
C.Administer-the-medication-after-meals.
D.Monitor-the-electroencephalogram-(EEG).---ans-✔✔A
A-construction-worker-sustains-a-puncture-wound-from-a-rusty-nail-and-the-last-
immunization-for-tetanus-in-unknown.-The-primary-health-care-provider-prescribes-
tetanus-immune-globulin.-Which-type-of-protection-does-this-immunization-offer?
A.-Lifelong-passive-immunity
B.-Long-lasting-active-protection
C.-Stimulation-of-antibody-production
D.-Immediate-passive-short-term-immunity---ans-✔✔D
A-hospice-client-who-has-severe-pain-asks-for-another-dose-of-oxycodone.-Which-
consideration-is-the-nurse's-primary-concern-when-responding-to-the-client's-request?
A.-Prevent-addiction.
B.-Determine-why-the-medication-is-needed.
C.-Provide-alternative-comfort-measures.
D.-Reduce-the-client's-pain.---ans-✔✔D
, A-nurse-receives-an-order-to-administer-cefazolin-2-g/100-mL-NS-IV-every-8-hours.-
Pharmacy-suggests-infusing-the-cefazolin-over-30-minutes.-How-many-milliliters-per-hour-
would-the-nurse-set-the-IV-infusion-device?---ans-✔✔200-mL/hr
The-nurse-has-administered-sublingual-nitroglycerin.-Which-outcome-would-the-nurse-
use-to-determine-the-effectiveness-of-sublingual-nitroglycerin?
A.Relief-of-anginal-pain
B.Improved-cardiac-output.
C.Decreased-blood-pressure
D.Ease-in-respiratory-effort---ans-✔✔A
After-a-subtotal-gastrectomy,-a-client-demonstrates-signs-of-dumping-syndrome.-About-
90-minutes-after-the-initial-attack,-the-client-reports-feeling-shaky.-Which-would-the-nurse-
determine-is-the-cause-of-the-latter-effect?
A.-A-second,-more-extensive-rise-in-glucose
B.-An-overwhelmed-insulin-adjusting-mechanism
C.-A-distention-of-the-duodenum-from-an-excessive-amount-of-chyme
D.-An-overproduction-of-insulin-that-occurs-in-response-to-the-rise-in-blood-glucose.---ans-
✔✔D
Which-type-of-immunity-will-clients-acquire-through-immunizations-with-live-or-killed-
vaccines?
A.-Natural-active-immunity
B.-Artificial-active-immunity
C.-Natural-passive-immunity
D.-Artificial-passive-immunity---ans-✔✔B
Which-situations-accurately-represent-superego-in-a-client,-per-Freud?-(Select-all-that-
apply)
A.-Controlling-the-urge-to-eat-candy-because-he-or-she-knows-it-will-affect-blood-sugar-
levels.
B.-Having-a-craving-for-fruit-but-not-stealing-it-form-the-next-client-because-that-client-
needs-it-more.
C.-Urinating-beside-the-bed-instead-of-waiting-for-the-nurse-to-assist-him-or-her.
D.-Experiencing-a-stomachache-but-refraining-from-stealing-medications-from-a-friend-
because-it-is-illegal.
E.-Feeling-the-urge-to-run-away-from-the-hospital-but-refraining-from-doing-so-because-
the-security-guard-is-watching.---ans-✔✔A-B-D
An-older-client-is-treated-in-the-emergency-department-for-soft-tissue-injuries-that-the-
medical-team-suspect-might-be-caused-by-physical-abuse.-An-adult-child-states-that-the-
client-is-confused-and-often-falls.-A-mini-mental-examination-indicates-that-the-client-is-
oriented-to-person,-place,-and-time.-Which-action-would-the-nurse-take-next?
A.Interview-the-client-without-the-presence-of-family-members.
B.Suggest-that-the-client-call-law-enforcement-officers-if-threatened-by-family-members.
C.Accept-the-adult-child's-explanation-until-more-data-can-be-collected.