EXAM ACTUAL LATEST VERSIONS 90
QUESTIONS AND CORRECT VERIFIED
ANSWERS WITH RATIONALES (100%
CORRECT) A+ GRADED ASSURED
1. Client was brought to the emergency department by his son with reports of difficulty breathing
and inability to walk short distances without becoming extremely short of breath. Client is a 72-
year-old African American man with a history of obesity, hypertension, coronary artery disease,
and diabetes mellitus. Client reports fatigue related to difficulty sleeping at night as a result of a
nonproductive cough that is unresolved with cough drops. Client reports a weight gain of 10
pounds in the past week, despite his decreased appetite. The son reports that his father has been
unable to care for himself as a result of the fatigue and increasing shortness of breath. He states
"he has not showered in over a week."
Assessment findings:
Cardiovascular: Sinus tachycardia with occasional premature ventricular contractions (PVCs).
No murmur noted
Respiratory: Tachypnea, inspiratory crackles auscultated throughout bilateral - CORRECT
ANSWER: The nurse is preparing a plan of care for the client. Based on the information
provided, choose the potential condition with anticipated medication and side effect from the list
of options provided.
Potential condition:
heart failure
Anticipated Medications:
-nitroglycerin
-furosemide
Side effects to monitor:
, -hypotension
-hypokalemia
2. A 64-year-old male client has arrived for an appointment at the outpatient clinic because of
difficulty breathing and a rash.
History:
Hypertension
Hypothyroidism
Depression
Erectile dysfunction
Chronic back pain
Hyperlipidemia
Anterior wall myocardial infarction (MI) at age 44.Up until the MI, he smoked two packs of
cigarettes per day for 25 years. After the MI, he completed a cardiac rehabilitation program. His
only current physical activity is walking around at work.
He reports sleeping on two pillows and waking at night one to two times per week, gasping with
difficulty breathing and having to get up during the night to urinate. He has noticed increased
irritability and anxiety. Client reports joint and back pain in the evenings. He has increasing
shortness of breath when he walks more than 30 feet and is concerned about a red scaly rash on
his left lower leg.
His body mass index (BMI) is 32 kg/m2. He works - CORRECT ANSWER: The nurse reviews
the patient history and physical in the EHR to identify relevant cues requiring follow-up.
Choose the most likely options for the information missing from the statement by selecting from
the lists of options provided.