NEW!! ACTUAL EXAM ALL 100
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
1. Amnursemismcaringmformamclientmwhomhasmhepaticmencephalopathymthatmismbeingmtreatedmwi
thmlactulose.mThemclientmismexperiencingmexcessivemstools.mWhichmofmthemfollowingmfindin
gsmismanmadversemeffectmofmthismmedication?m-mCORRECTmANSWERmHypokalemia
2. Amnursemismcaringmformamclientmwhomhasmemphysemamandmismreceivingmmechanicalmventila
tion.mThemclientmappearsmanxiousmandmrestless,mandmthemhigh-
pressuremalarmmismsounding.mWhichmofmthemfollowingmactionsmshouldmthemnursemtakemfirst
?m-mCORRECTmANSWERmInstructmthemclientmtomallowmthemmachinemtombreathemformthem.
3. Amnursemismteachingmamclientmwhomhasmamfamilymhistorymofmcolorectalmcancer.mTomhelpmmiti
gatemthismrisk,mwhichmofmthemfollowingmdietarymalterationsmshouldmthemnursemrecommend
?m-mCORRECTmANSWERmAddmcabbagemtomthemdiet.
4. Amhomemhealthmnursemismassignedmtomamclientmwhomwasmrecentlymdischargedmfrommamreha
bilitationmcentermaftermexperiencingmamright-
hemisphericmstroke.mWhichmofmthemfollowingmneurologicmdeficitsmshouldmthemnursemexpec
tmtomfindmwhenmassessingmthemclient?m(Selectmallmthatmapply.)m-
mCORRECTmANSWERmVisualmspatialmdeficits,mLeftmhemianopsia,mOne-sidedmneglect
5. Amnursemismcaringmformamclientmwhomhasmviralmpneumonia.mThemclient'smpulsemoximetermre
adingsmhavemfluctuatedmbetweenm79%mandm88%mformthemlastm30mmin.mWhichmofmthemfollo
wingmoxygenmdeliverymsystemsmshouldmthemnurseminitiatemtomprovidemthemhighestmconcent
rationmofmoxygen?m-mCORRECTmANSWERmNonrebreathermmask
, 6. AmnursemismcaringmformamclientmwhomhasmbilateralmpneumoniamandmanmSaO2mofm85%.mThemc
lientmhasmdyspneamwithmamproductivemcoughmandmismusingmaccessorymmusclesmtombreathe.
mWhichmofmthemfollowingmactionsmshouldmthemnursemtakemfirst?m-
mCORRECTmANSWERmPlacemthemclientminmhigh-Fowler'smposition.
7. Amnursemismplanningmcaremformamclientmwhomhasmextensivemburnminjuriesmandmismimmunoco
mpromised.mWhichmofmthemfollowingmprecautionsmshouldmthemnursemincludeminmthemplanm
ofmcaremtompreventmamPseudomonasmaeruginosaminfection?m-
mCORRECTmANSWERmAvoidmplacingmplantsmormflowersminmthemclient'smroom.
8. Anmoldermadultmclientmismbroughtmtomanmemergencymdepartmentmbymamfamilymmember.mW
hichmofmthemfollowingmassessmentmfindingsmshouldmcausemthemnursemtomsuspectmthatmthem
clientmhasmhypertonicmdehydration?m-mCORRECTmANSWERmUrinemspecificmgravitym1.045
9. Amnurseminmanmemergencymdepartmentmismreviewingmthemprovider'smprescriptionsmformamcl
ientmwhomsustainedmamrattlesnakembitemtomthemlowermleg.mWhichmofmthemfollowingmprescri
ptionsmshouldmthemnursemexpect?m-
mCORRECTmANSWERmAdministermanmopioidmanalgesicmtomthemclient.
10. Amnursemismassessingmamclientmwhomhasmhadmamsuspectedmstroke.mThemnursemshouldmplacem
themprioritymonmwhichmofmthemfollowingmfindings?m-mCORRECTmANSWERmDysphagia
11. Amnursemismteachingmamyoungmadultmclientmhowmtomperformmtesticularmself-
examination.mWhichmofmthemfollowingminstructionsmshouldmthemnurseminclude?m-
mCORRECTmANSWERmRollmeachmtesticlembetweenmthemthumbmandmfingers.
12. Amnursemismprovidingminstructionsmtomamclientmwhomhasmtypem2mdiabetesmmellitusmandmamn
ewmprescriptionmformmetformin.mWhichmofmthemfollowingmstatementsmbymthemclientmindica
tesmanmunderstandingmofmthemteaching?m-
mCORRECTmANSWERm"Imshouldmtakemthismmedicationmwithmammeal."