Exam 2026-2027 Actual Complete Real Exam Questions
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A telephone triage RN receives a call from a 45 year old woman
complaining of a
"migraine headache". The nurse determines this patient has
many knowledge
deficits related to headaches and their management. What would
be an appropriate rationale for deferring the education to
another time?
a. Migraine headaches are more common in some ethnic
minorities, and the nurse is unsure about this woman's ethnic
background.
b. The patient may not be physically or emotionally ready to
learn since she is in significant pain.
c. Patients with migraine headaches need to be seen and
evaluated by a provider urgently, so the nurse needs to facilitate
an urgent appointment or emergency room visit.
d. She is unable to provide this patient with the clinic's
standard teaching sheet for migraine headaches. - ANSWER-b.
The patient may not be physically or emotionally ready to learn
since she is in significant pain.
,Aspirin therapy has recently been approved for primary
prevention of cardiovascular events. However, the risk-to-
benefit ratio should be assessed because aspirin is known
to increase risk of: a. Hot flashes in post-menopausal
women.
b. Bronchospasm in patients with asthma
c. Gastrointestinal bleeding
d. Gall bladder information - ANSWER-c. Gastrointestinal
bleeding
Which of the following is cited frequently as a barrier to patient
counseling in ambulatory care?
a. Lack of interest by patients
b. Time constraints for clinicians and the episodic nature of
interactions.
c. Inability to overcome language barrier and low literacy.
d. Lack of community resources and printed materials. -
ANSWER-b. Time constraints for Clinicians and episodic
nature of interactions
Motivational interviewing has been described as a patient-
centered and collaborative method of changing behavior. A
feature of motivational interviewing involves individuals who:
a. Learn by observing others
b. Change behavior in response to reinforcements; increasing
rewards for healthy behaviors and decreasing rewards for
unhealthy ones.
, c. Take health related action if they perceive susceptibility to and
severity of an illness can be reduced by taking the action.
d. Have self-eficacy and can be guided to evaluate their own
behavior and generate their own behavior and generate their
own solutions to change. - ANSWER-d. Have self-eficacy and
can be guided to evaluate their own behavior and generate
their own solutions to change.
In providing health education about weight management to a
large group, which instructional method is most likely to be
successful? a. Case study
b. Role playing
c. Powerpoint presentation and discussion.
d. Simulation exercises - ANSWER-c. Powerpoint presentation
and discussion
Whitney, a 24- year-old African American, presented in labor
for her first baby,
having had no prenatal care. She does not want any extra
tests done on her
baby, and does not see the reason for hang the baby tested for
sickle cell disease, since she had her husband are both healthy.
Her nurse would best explain the reason for the testing by
saying:
a. One in 10 African Americans has sickle cell trait, and 1 in
325 has sickle cell disease.
b. Whitney may have sickle cell disease and not know it,
because the chronic anemia and vasocculsive effects of sickle
cell disease usually occur when a woman is older.