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📋 DOCUMENT OVERVIEW 176 Qs
This document covers a range of topics in nursing, specifically focusing on patient assessment, hand
hygiene, wound care, pregnancy and childbirth, medication management, and elimination training. The
document provides 176 questions with correct answers and detailed explanations, offering a
comprehensive review of nursing concepts for exam preparation. Students can use this resource to
study, review, and understand key concepts, allowing them to reinforce their knowledge and prepare for
nursing exams with confidence.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
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EXAM QUESTIONS
QUESTION 1
A nurse is caring for a client who presents with an abnormal electrocardiogram reading, and it is
imperative to identify the critical indicator of potential myocardial ischemia or infarction.
A) T-wave inversion on the electrocardiogram
B) Prolonged QT interval on the electrocardiogram
C) QRS complex widening on the electrocardiogram
D) ST segment depression on the electrocardiogram
CORRECT ANSWER
A) T-wave inversion on the electrocardiogram
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, RATIONALE: ST segment elevation is a critical indicator of potential myocardial ischemia or infarction, requiring
immediate medical attention. T-wave inversion may indicate ischemia, but it is not as urgent as ST segment elevation.
QT interval prolongation and QRS complex widening can also indicate cardiac issues but are not as immediately
concerning as ST segment elevation.
QUESTION 2
Which of the following hand hygiene products is most effective for killing germs when soap and water
are not readily available?
A) Moist towelettes
B) Hand sanitizer containing benzalkonium chloride
C) Ethyl alcohol-based hand rub
D) Hydrogen peroxide solution
CORRECT ANSWER
C) Ethyl alcohol-based hand rub
RATIONALE: The correct choice, ethyl alcohol-based hand rub, is the most effective product for killing germs when soap
and water are not available. Moist towelettes (A) are not as effective, benzalkonium chloride (B) has limited antibacterial
properties, and hydrogen peroxide solution (D) is not typically used for hand hygiene.
QUESTION 3
What is the purpose of a patient's excessive urination, often observed in conditions such as diabetes
mellitus?
A) Polyphagia
B) Polydipsia
C) Polyuria
D) Polyphemia
CORRECT ANSWER
C) Polyuria
RATIONALE: Polyuria refers to excessive urination, a common finding in diabetic patients due to high glucose levels in
the blood. This condition leads to an increased amount of urine production, causing polyuria. The incorrect options,
polyphagia, polydipsia, and polyphemia, relate to excessive hunger, thirst, and red blood cells, respectively, and are not
directly associated with excessive urination.
QUESTION 4
A client arrives at the emergency department with a recent surgical incision. The primary goal for
wound care is to promote optimal healing and prevent potential complications. Which procedure
should the nurse implement to achieve these objectives?
A) Replacing the dressing daily with an antibiotic ointment
B) Applying a topical cream to reduce redness and swelling
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, C) Changing the dressing to a sterile gel pad every third day
D) Leaving the existing dressing intact and monitoring for signs of infection
CORRECT ANSWER
A) Replacing the dressing daily with an antibiotic ointment
RATIONALE: The nurse should follow sterile technique and change the dressing daily to promote a clean environment
for healing and prevent infection. Options B and D may slow healing or increase risk of infection, while option C may not
provide adequate frequency for optimal recovery.
QUESTION 5
The nurse is assessing a patient who is 22 weeks pregnant and notices that the patient's reflexes are
being monitored closely. Which reflexes are typically tested in pregnant clients to assess the integrity
of the nervous system and monitor for potential complications?
A) Superficial Reflexes
B) Deep Tendon Reflexes (DTRs)
C) Postural Reflexes
D) Plantar Reflexes
CORRECT ANSWER
B) Deep Tendon Reflexes (DTRs)
RATIONALE: Deep Tendon Reflexes (DTRs) are tested in pregnant clients to assess the integrity of the nervous system
and monitor for potential complications, such as neurological disorders and preeclampsia. The other options are not the
primary reflexes tested in pregnant clients for this purpose.
QUESTION 6
A patient has a prescription for a medication intended to treat symptoms associated with dizziness
and fainting when transitioning from a sitting or lying down position. Which adverse effect is most
likely related to this client's condition?
A) Orthostatic Hypotension
B) Hypertension
C) Vasovagal Syncope
D) Angina Pectoris
CORRECT ANSWER
A) Orthostatic Hypotension
RATIONALE: Orthostatic Hypotension is a form of low blood pressure that occurs when standing up from sitting or lying
down, leading to dizziness or fainting. This is the most likely adverse effect related to the client's condition. The other
options are incorrect because Hypertension is high blood pressure, Vasovagal Syncope is fainting caused by a vasovagal
response, and Angina Pectoris is chest pain caused by reduced blood flow to the heart.
QUESTION 7
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, The nurse receives report on four clients, including a 62-year-old male with a history of diabetes.
During the assessment, he reports feeling lightheaded and dizzy. The nurse recalls a test that
measures glucose levels in the blood to assess for hypoglycemia.
A) 2-Hour Glucose Tolerance Test
B) Capillary Glucose Level
C) Hemoglobin A1c Test
D) Fasting Blood Glucose Test
CORRECT ANSWER
B) Capillary Glucose Level
RATIONALE: The Capillary Glucose Level is a test used to quickly assess glucose levels in the blood, especially in
emergency situations. It's often used to diagnose hypoglycemia. The other options are also related to glucose testing
but don't specifically measure immediate glucose levels.
QUESTION 8
A client reports excessive urine output and muscle cramps following a recent surgery. What is the
primary reason for these symptoms?
A) Dehydration due to inadequate IV fluid administration
B) Electrolyte imbalance caused by inadequate potassium replacement
C) Infection from contaminated IV equipment
D) Allergic reaction to the IV solution
CORRECT ANSWER
B) Electrolyte imbalance caused by inadequate potassium replacement
RATIONALE: The client's symptoms suggest an electrolyte imbalance, particularly potassium, which is essential for
preventing muscle cramps. Administering IV fluids can lead to an imbalance if not carefully monitored, potentially
causing cramping and excessive urine output. The other options do not directly relate to the client's symptoms.
QUESTION 9
A nurse observes a client experiencing confusion, agitation, and hallucinations after a prolonged
period of heavy drinking. The client's vital signs reveal rapid heart rate and high blood pressure.
A) Delirium Tremens
B) Alcohol Withdrawal Syndrome
C) Seizure Disorder
D) Anxiety Attack
CORRECT ANSWER
A) Delirium Tremens
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