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Core Domains
Management of Care
Safety and Infection Control
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
Psychosocial Integrity
Health Promotion and Maintenance
Introduction
This comprehensive assessment is designed to evaluate clinical competency and
readiness for professional nursing practice through the Content Mastery Series. The
purpose of the exam is to ensure that candidates possess the critical thinking skills and
foundational knowledge necessary to provide safe, high-quality patient care. The
assessment utilizes multiple-choice and scenario-based questions to mirror clinical
environments, emphasizing real-world application and ethical decision-making. By
,focusing on evidence-based practice and regulatory compliance, this exam challenges the
learner's ability to prioritize interventions, manage complex physiological needs, and
navigate legal responsibilities within the modern healthcare system.
SECTION ONE: QUESTIONS 1–100
1. A nurse is caring for a client who is 24 hours postoperative following abdominal
surgery. Which of the following findings is the priority for the nurse to report to the
provider?
A. Sanguineous drainage on the dressing
B. Absence of bowel sounds in all quadrants
C. Urinary output of 20 mL/hr
D. Pain level of 6 on a scale of 0 to 10
🟢 C. Option
🔴 Explanation: Urinary output of less than 30 mL/hr is a sign of decreased renal
perfusion and potential shock, requiring immediate intervention.
2. A nurse is teaching a client about a new prescription for enteric-coated aspirin.
Which of the following statements by the client indicates an understanding of the
teaching?
,A. I should crush the tablet if it is too hard to swallow.
B. I will take this medication with a full glass of water.
C. I can take this medication on an empty stomach.
D. I will chew the tablet to make it work faster.
🟢 B. Option
🔴 Explanation: Enteric-coated medications should be swallowed whole with water to
prevent premature dissolution in the stomach and reduce gastric irritation.
3. A nurse is preparing to administer an intramuscular injection to an infant. Which of
the following muscles should the nurse use?
A. Deltoid
B. Dorsogluteal
C. Vastus lateralis
D. Ventrogluteal
🟢 C. Option
🔴 Explanation: The vastus lateralis is the preferred site for IM injections in infants
because it is the most developed muscle in this age group.
, 4. A nurse is caring for a client who is experiencing a panic attack. Which of the
following actions should the nurse take?
A. Ask the client to explain what triggered the attack.
B. Provide the client with detailed instructions on relaxation.
C. Stay with the client and remain calm.
D. Encourage the client to walk around the unit.
🟢 C. Option
🔴 Explanation: Staying with a client in a state of panic provides safety and reassurance;
using a calm voice helps lower the client's anxiety.
5. A nurse is reviewing the medical record of a client who has a prescription for a
potassium-sparing diuretic. Which of the following laboratory values should the
nurse report to the provider?
A. Sodium 138 mEq/L
B. Potassium 5.4 mEq/L
C. Magnesium 2.0 mEq/L
D. Calcium 9.5 mg/dL
🟢 B. Option