2027 ACTUAL COMPLETE REAL EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) ALREADY
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A nurse is discussing incident reports with a group of newly
licensed nurses. The nurse should include that which of the
following situations requires the completion of an incident
report? - ANSWER -- A client's prescribed laboratory testing
was not obtained.
A nurse is caring for a client who has terminal cancer. Which of
the following actions should the nurse take to promote the
client's autonomy? - ANSWER -- Allow the client to choose
treatment times
A charge nurse is monitoring the documentation of
medications by a newly licensed nurse. The charge nurse
should intervene if the newly licensed nurse uses which of the
following abbreviations? - ANSWER -- qd
A nurse is testing a client for conduction deafness by
performing the weber's test. Which of the following actions
should the nurse take when performing the test? - ANSWER --
Place the base of the vibrating tuning fork on the top of the
clients head.
,A nurse is preparing to bathe a client who has dementia. Which
of the following actions should the nurse take? - ANSWER --
Use distraction when bathing the client
. A nurse is caring for a client who has urinary
incontinence. Which of the
following interventions should the nurse take to prevent
skin breakdown?
- - ANSWER -Request prescription for an
indwelling catheter
. A nurse is caring for a client who has a colostomy. Which of
the following actions should the nurse take? - ANSWER -- Rub
the peristomal skin dry after cleaning.
A nurse is preparing a client who has terminal cancer for
discharge. Which of
the following questions should the nurse ask when
assessing the client's
psychosocial history? - ANSWER -- What techniques do you
use to cope with
stress?
. A nurse is preparing change of shift report after the night
using the I-SBAR
communication tool. Which of the following data should
the nurse include
,reporting background
information?
- - ANSWER -Start first dose of
penicillin at 1200.
A nurse is changing a client's colostomy pouch and notices
peristomal skin irritation. Which of the following actions should
the nurse take? - ANSWER -- Change the pouch once every 24
hr to prevent infection.
A nurse is assisting in the use of a fracture bedpan for a client
who is immobile due to cast. Which of the following actions
should the nurse take? - ANSWER -- place the shallow end of
the fracture pan under the clients buttocks
. A nurse is teaching a client about dietary recommendations to
lower high blood pressure. Which of the following statements
by the client indicates an understanding of the teaching? -
ANSWER -- i should consume low fat dairy products
The nurse provides dietary instructions to a client who needs
to limit intake of sodium. The nurse instructs the client that
which food items must be avoided because of their high
sodium content? SATA - ANSWER -- ham - soy sauce
A nurse is teaching a client about high fiber foods that can
assist in lowering
LDL. Which of the following foods should be included in
the teaching? -
, ANSWER -- beans - whole grains -
broccoli
A nurse is creating a plan of care for a client who has left
hemiplegia which of the following interventions should the
nurse include? - ANSWER -- Apply an orthotic boot on the
client left foot
A nurse is caring for a client who has a drainage evacuator.
Which of the following is an appropriate action by the nurse -
ANSWER -- measure drainage by emptying into graduated
cylinder
. A nurse is preparing to suction a client who has a
tracheostomy. Which of the
following should the nurse do first? - ANSWER -- Hyper
oxygenate the client
manually for 30 to 60 seconds before
suctioning
A nurse is caring for a client who is scheduled for surgery.
While the nurse is witnessing the client's signature, the client
states, "but I don't understand what is meant by resecting my
intestines." Which of the following actions should the nurse
take? - ANSWER -- Notify the provider.
A nurse is obtaining informed consent from a client who is
scheduled for surgery. The client states "I don't want to go
through with the procedure. Which of the following actions