Comprehensive
Retake 2025 – 100%
Real Actual Exam
with Verified
Questions & Correct
Answers [Graded A+]
A nurse is caring for a client who has a recent diagnosis of a terminal
illness. The nurse should identify which of the following as an indication
of hopelessness? - ANS✔✔---The client has a decreased level of energy
A nurse is preparing to collect data on a preschooler. Which of the
following behaviors by the child indicates that he is ready to cooperate?
(SATA-3) - ANS✔✔---1. Allows the nurse to touch him on the arm
2. Answers questions asked by the nurse
3. Makes eye contact with the nurse
A nurse is caring for a client who recently gave birth to her first child. The
newborn is crying and the client states, "I can't seem to do anything right.
What should I do?" Which of the following responses should the nurse make?
- ANS✔✔---"Let me show how to swaddle and cuddle him, then try."
,A nurse is using a glucometer to measure a client's capillary
blood glucose level. Which of the following actions should the
nurse take? - ANS✔✔---Keep the finger in dependent position
A nurse is reviewing the home medications with a client who recently
had a transient ischemic attacks and is to begin taking clopidogrel.
The nurse should instruct the client that which of the following otc
meds interact adversely w clopidogrel? - ANS✔✔---Naproxen
A nurse on a mental health unit is planning care for a group of clients.
Which of the following clients should the nurse see first? - ANS✔✔---
A client who has schizo and is having command hallucinations
A nurse is collecting data from a client who has a long leg cast that was applied 2
days ago. The client's foot is pale w a weak pedal pulse and the client reports foot
numbness. Which of the following actions should the nurse take first? - ANS✔✔---
Check for pain w passive movement of the affected extremity
A nurse in a providers office is reinforcing teaching about cigarette
smoking w a client. Which of the following adverse effects should
the nurse include in the teaching? - ANS✔✔---Somnolence
A nurse is reinforcing teaching with a client who has a new
prescription for digoxin. Which of the following instructions
should the nurse include in the teaching? -
ANS✔✔---"Monitor for muscle weakness while taking the
medication"
A charge nurse is discussing confidentiality requirements w a
newly licensed nurse when sharing a client's medical info. Which
of the following individuals should the charge nurse identify as
appropriate with whom to share client info? - ANS✔✔---A social
worker who's assigned an involuntary committed school-age client
, A nurse is contributing to the development of an in-service program for mental
health nursing staff. The nurse should include that the staff can medicate a
client against his will, without a court hearing in which of the following
situations? - ANS✔✔---A client who is attempting to hurt himself or others
A nurse is reviewing lab values for a client who is at 34 weeks of gestation.
Which of the following findings should the nurse report to the provider? -
ANS✔✔---Urine protein plus
A nurse in a provider's office is collecting data from a client who has a history
of hypertension during his annual physical examination. Which of the following
findings should the nurse report to the provider immediately? - ANS✔✔---
Blurred vision
A nurse is caring for a client who suddenly develops chest pain and dyspnea.
Which of the following actions should the nurse take first? - ANS✔✔---
Elevate the client's HOB
A nurse is collecting data from a client who is 4 hr postop following
a hemicolectomy. Which of the following findings is a nurse's
priority, requiring immediate intervention? - ANS✔✔---O2 sat 89%
A nurse is reinforcing teaching on a client who has diabetes mellitus.
Which of the following lab tests is most accurate of blood glucose
effective management? - ANS✔✔---Glycoslated Hemoglobin
A nurse is supervising an AP obtain supplies for a client who is on
seizure precautions. Which of the following materials should the AP
place in the client's room? - ANS✔✔---Oral suction equipment