FULL ACTUAL EXAM QUESTIONS
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VERIFIED GRADED A+
Themnursemismwearingmpersonalmprotectivemequipmentmwhilemcaringmformampt.mWhenmexitingmthemr
oom,mwhichmPPEmshouldmbemremovedmfirst?m-mCORRECTmANSWERmGloves
AnmoldermptmismbroughtmtomthemEDmwithmamsuddenmonsetmofmconfusionmthatmoccurredmaftermexperi
encingmamfallmatmhome.mThemdaughter,mwhomhasmpowermofmattorney,mhasmbroughtmthemclient'smpre
scriptions.mWhichminformationmshouldmthemnursemprovidemfirstmwhenmreportingmtomthemhealthcar
emprovidermusingmSBARmcommunication?m-mCORRECTmANSWERmIncreasingmconfusionmofmthempt.
Amptmpressesmthemcallmbellmandmrequestsmpainmmedicationmformamseveremheadache.mTomassessmthem
qualitymofmthempt.mPain,mwhichmapproachmshouldmthemnursemuse?m-
mCORRECTmANSWERmAskmthempatientmtomdescribemthempain
Amptmtellsmthemnursemaboutmworkingmoutmwithmampersonalmtrainermandmswimmingmthreemtimesmam
weekminmanmeffortmtomlosemweightmandmsleepmbetter.mThemptmstatesmthatmitmstillmismtakingmhoursmto
mfallmasleepmatmnight.mWhichmactionmshouldmthemnursemimplement?m-
mCORRECTmANSWERmAskmthemptmformamdescriptionmofmthemexercisemschedulemthatmismbeingmfollow
ed
2mdaysmpriormtomdischargemfrommthemrehabmfacility,mthemnursemismteachingmamptmwhomismrecovering
mfrommGuillain-
Barremsyndromemaboutmhome.mWhichmactionsmshouldmthemnursemincludemwhenmprovidingmdischa
rgemteachingmtomthemptmandmspouse?mSATAm-mCORRECTmANSWERm-reviewmsafemtransfermstrategies
-developmamnutritionalmplan
-helpmidentifymcommunitymsupport
,Themnursemimplementsmamtertiarympreventionmprogrammformtypem2mdiabetesminmamruralmhealthmcli
nic.mWhichmoutcomemindicatesmthatmthemprogrammwasmeffective?m-
mCORRECTmANSWERmptmwhomdevelopmdiseasemcomplicationsmpromptlymreceivedmrehabilitation
ThemnursemhasmreceivedmfundingmtomdesignmamhealthmpromotionmprojectmformAfricanmAmericanmw
omenmwhomarematmriskmformdevelopingmbreastmcancer.mWhichmresourcemismmostmimportantminmdesi
gningmthismprogram?m-
mCORRECTmANSWERmparticipationmofmcommunitymleadersminmplanningmthemprogram
Amptmwithmmultipleminjuriesmismbeingmtreatedminmthemburnmtraumamunitmjustmhoursmaftermtheminjuri
esmoccurred.mThemhealthcaremproviderminstructsmthemnursemtomavoidmautomcontaminationmwhenm
performingmdressingmchanges.mWhichminterventionmismmostmimportantmformthemnursemtomimplem
ent?m-mCORRECTmANSWERmusemgown,mmask,mandmglovesmwithmdressingmchanges
Amptmismrecoveringminmthemcriticalmcaremunitmfollowingmamcardiacmcath.mIVmnitromandmheparinmaremi
nfusing.mThemptmismsedatedmbutmrespondsmtominstructions.mAftermchangingmpositions,mthemptmcom
plainsmofmpainmatmthemrightmgroinminsertionmsite.mWhatmactionmshouldmthemnursemimplement?m-
mCORRECTmANSWERmStimulatemthemptmtomtakemdeepmbreaths
Priormtomobtainingmamtrapezembarmformamptmwithmlimitedmmobility,mwhichmptmassessmentmismmostmi
mportantmformthemnursemtomobtain?m-mCORRECTmANSWERmuppermbodymmusclemstrength
Whilemthemnursemismassessingmanmoldermptmfallmrisk,mthemptmreportsmlivingmatmhomemalonemandmnev
ermfalling.mWhichmactionmshouldmthemnursemtake?m-
mCORRECTmANSWERmContinuemtomobtainmptmdatamneededmtomcompletemthemfallmriskmsurvey
Themnursemismfeedingmanmoldermadultmwhomwasmadmittedmwithmaspirationmpneumonia.mThemptmism
weakmandmbeginsmcoughingmwhilemattemptingmtomdrinkmthroughmamstraw.mWhichminterventionmsh
ouldmthemnursemimplement?m-
mCORRECTmANSWERmTeachmcoughingmandmdeepmbreathingmexercises
,Themnursemismteachingmthemptmaboutmhomemcaremaftermsurgerymformanmilealmconduitmplacement.m
Whenmreviewingmtheminformation,mwhichmstatementmshouldmthemnursemrecognizemasmneedingmad
ditionalmeducation?m-mCORRECTmANSWERmEmptymthempouchmwhenmitmismhalfmfull.
Am12mweekmgestationmismadmittedmtomthemantepartummunitmwithmamdxmofmhyperemesismgravidaru
m.mWhichmactionmismmostmimportantmformthemnursemtomimplement?m-
mCORRECTmANSWERminitiatemprescribedmIVmfluids
Amptmwithmdyspneamismbeingmadmittedmtomthemmedicalmunit.mTombestmpreparemformthemptmarrival,mt
hemnursemshouldmensuremthatmthemptmbedmisminmwhichmposition?m-
mCORRECTmANSWERmPicturemwithmthembedmsittingmup
Amptmwhomismscheduledmformambronchoscopyminmthemmorningmismanxiousmandmaskingmthemnursemnu
merousmquestionsmaboutmthemprocedure.mInmpreparingmthemptmformthemprocedure,mwhichminterve
ntionmhasmthemhighestmpriority?m-mCORRECTmANSWERmInstructmptmtomwritemdownmquestions
Whilemcaringmformamptmpostmoperativemdressing,mthemnursemobservesmpurulentmdrainagematmthemw
ound.mBeforemreportingmthismfindingmtomthemprovider,mthemnursemshouldmreviewmwhichmofmthemptm
labmvalues?m-mCORRECTmANSWERmculturemformsensitivemorganisms
Amptmwithmamlowermrespiratorymtractminfectionmreceivesmamprescriptionmformciprofloxacinm500mgmP
Omeverym12hrs.mWhenmthemclientmrequestsmanmafternoonmsnack,mwhichmdietarymchoicemshouldmth
emnursemprovide?m-mCORRECTmANSWERmCinnamonmapplemsauce
Anmoldermmalemreportingmabdmpainmismadmittedmfrommamfacility.mItmhasmbeenm7mdaysmsincemhismlast
mBMmandmhismabdmismdistended,mandmhemjustmvomitedm150mlmofmdarkmbrownmemesis.mInmwhatmord
ermshouldmthemnursemimplementmtheseminterventions?m-mCORRECTmANSWERmSendmemesismtomlab
ElevatemHOB
completemfocusedmassessment
offersmPRNmpainmmeds
, Ampatientmwhomrecentlymreceivedmamprescriptionmformramelteonmtomtreatmsleepmdeprivationmrepor
tsmexperiencingmseveralmsidemeffectsmsincemtakingmthemmed.mWhichmsidemeffectmshouldmthemnursem
reportmtomthemhealthcaremprovider?m-mCORRECTmANSWERmSomnambulism
AmptmismscheduledmformamspiralmCTmscanmwithmcontrastmtomevaluatemformpulmonarymembolism.mWh
ichminformationminmthemclient'smhistorymrequiresmfollowmupmbymthemnurse?m-
mCORRECTmANSWERmtakemmetforminmformtypem2mdiabetes
Themnursemshouldmwithholdmwhichmmedicationmifmthemclient'smserummpotassiummlevelmism6.2mmEq
/?m-mCORRECTmANSWERmSpironolactone
Amnursemreceivesmamreportmonmamptmwhomismfourmhoursmpost-
totalmabdominalmhysterectomy.mThempreviousmnursemreportsmthatmitmwasmnecessarymtomchangemth
emclient'smperinealmpadmhourlymandmthatmitmismagainmsaturated.mThempreviousmnursemalsomreportsmt
hatmthemclient'smurinarymoutputmhasmdecreased.mWhichmactionmshouldmthemnursemimplementmfirst
?m-mCORRECTmANSWERmAssessmformweaknessmormdizziness
Amptmwhomismadmittedmformprimarymhypothyroidismmhasmearlymsignsmofmmyxedemamcoma.mInmasse
ssingmthempt,minmwhichmsequencemshouldmthemnursemcompletemthesemactions?m-
mCORRECTmANSWERm-Observembreathingmpatterns
-assessmbloodmpressure
-measurembodymtemp
-palpatemformpedalmedema
ThemnursemismtakingmthembloodmpressuremmeasurementmofmamclientmwithmParkinson'smdisease.mW
hichminformationminmthemadmissionmassessmentmismrelevantmtomthemnurse'smplanmformtakingmthembl
oodmpressuremreading?mSATAm-mCORRECTmANSWERmBlurredmVision
FlatmAffect
frequentmsyncope