VATI GREEN LIGTH COMPREHENSIVE
FORM A,B,C EXAM QUESTIONS
WITH DETAILED ANSWERS
A nurse is admitting a client who has antisocial personality disorder. Which of the f
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ollowing client behaviors should the nurse identify as consistent with this disorder?
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A. Compulsive attention to details
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B. Avoids interacting with others
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C. Uses others for personal gain
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D. Socially awkward in group situations - ANSWERS-
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C. Uses others for personal gain
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A nurse is interpreting the cardiac rhythm strip of a client who was admitted with sy
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ncope. Which of the following images indicates that the client has atrial fibrillation?
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- ANSWERS-
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A client who has a diagnosis of complete placenta previa is admitted to the labor a
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nd delivery suite at 36 weeks gestation with contractions 5 min in frequency and 1
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min in duration. Which of the following actions should the nurse take?
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A. Rupture the amniotic sac
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B. Medicate the client for pain
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C. Prepare the client for a cesarean section
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D. Perform a vaginal exam - ANSWERS-
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C. Prepare the client for a cesarean section
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A charge nurse on a pediatric unit is making assignments for a float nurse from the
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medical unit. Which of the following clients is appropriate to assign to the float nurs
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e?
A. A 10-year-old client who has pneumonia and is receiving respiratory treatments
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B. A 4-year-old client who has a Wilms tumor and is receiving chemotherapy
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C. An 8-month-
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old client who is scheduled for a surgical repair of a ventricular septal defect tomorr
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ow
D. A 14-year-
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old client who is scheduled for discharge today following placement of a Harrington
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rod - ANSWERS-A. A 10-year-
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old client who has pneumonia and is receiving respiratory treatments
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A nurse notices smoke coming from a client's room and discovers a fire in the wast
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ebasket. After moving the client to safety, which of the following is the priority actio
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n?
A. Notify the facility operator.
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B. Close the fire doors on the unit.
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C. Turn off oxygen sources.
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D. Put out the fire with the appropriate extinguisher. - ANSWERS-
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A. Notify the facility operator.
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,A nurse is assessing an infant who has water intoxication. Which of the following fi
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ndings should the nurse expect?
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A. Generalized edema
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B. Elevated urine specific gravity
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C. Thready pulse
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D. Increased hematocrit - ANSWERS-A. Generalized edema
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A nurse is discussing the z-
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track administration of hydroxyzine with a newly licensed nurse. Which of the follow
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ing statements indicates the newly licensed nurse understands the purpose of the t
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echnique?
A. This technique prevents injury to the sciatic nerve
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B. This technique decreases the risk of subcutaneous infiltration
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C. This technique allows a larger amount of medication to be injected
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D. This technique increases the absorption rate of the drug - ANSWERS-
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This technique decreases the risk of subcutaneous infiltration
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A nurse is creating a plan of care for a client who has anorexia nervosa. Which of t
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he following interventions should the nurse include in the plan?
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A. Encourage the client to gain 2.3 kg per week
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B. Weigh the client once per week throughout hospitalization
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C. Monitor the client for 1 hr after meals
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D. Allow the client to choose mealtimes - ANSWERS-
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C. Monitor the client for 1 hr after meals
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A nurse is planning care for a child who has increased intracranial pressure with a
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decrease in level of consciousness. Which of the following interventions should the
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nurse include in the plan of care?
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A. Perform active range-of-motion exercises
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B. Maintain the head at a midline position
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C. Suction the airway frequently
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D. Perform neurological checks every 4 hrs - ANSWERS-
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B. Maintain the head at a midline position
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10. A nurse is assessing a client who has delirium due to a febrile illness. Which of
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the following findings should the nurse expect?
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A. Hallucinations
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B. Agnosia
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C. Bradycardia
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D. Aphasia - ANSWERS-A. Hallucinations
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A nurse is assessing a client who is receiving enteral feedings via a gastrostomy tu
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be. The nurse should identify that which of the following findings indicates fluid over
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load?
A. Diminished bowel sounds
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B. Bradycardia
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C. Hypotension
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D. Bounding pulses - ANSWERS-D. Bounding pulses
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,A nurse is caring for a client following an open colectomy. Which of the following fi
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ndings places the client at risk for delayed wound healing?
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A. INR 1.1
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B. Hyperemesis
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C. HbA1c 5.6%
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D. Uncontrolled pain - ANSWERS-B. Hyperemesis
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A home health nurse is reviewing treatment goals with a client who has diabetes m
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ellitus. The nurse should evaluate which of the following laboratory tests to determi
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ne effective long-term management of blood glucose levels?
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A. 3-hr oral glucose tolerance test
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B. HbA1c zv
C. Fasting blood glucose test
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D. Urinalysis for ketones - ANSWERS-B. HbA1c
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A nurse is caring for a client who has neutropenia due to HIV. Which of the followin
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g precautions should the nurse take while caring for this client?
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A. Wear an N95 respirator
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B. Insert an indwelling urinary catheter to monitor urinary output
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C. Monitor the client's vital signs every 8 hr
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D. Use a dedicated stethoscope - ANSWERS-D. Use a dedicated stethoscope
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A nurse is caring for a client who reports difficulty falling asleep at night. Which of t
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he following actions should the nurse take?
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A. Encourage the client to ambulate in the hallway 1 hr before bedtime
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B. Tell the client to avoid drinking fluids 1 hr before bedtime
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C. Schedule routine care tasks during hours when the client is awake
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D. Advise the client to leave the television in the room on when trying to fall asleep
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- ANSWERS-C. Schedule routine care tasks during hours when the client is awake
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A nurse is planning care for a newborn who has hyperbilirubinemia and is to receiv
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e phototherapy. Which of the following interventions should the nurse include?
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A. Clothe the newborn in light cotton
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B. Check the newborn's temperature every 8 hrs. (every 4)
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C. Administer 120 mL of water between feedings
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D. Place the newborn 45 cm from the light source - ANSWERS-
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D. Place the newborn 45 cm from the light source
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A nurse is planning care for a client who has schizophrenia and is having difficulty
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expressing their feelings. Which of the following referrals should the nurse make?
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A. Art therapist
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B. Speech-language pathologist
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C. Social worker
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D. Recreational therapist - ANSWERS-A. Art therapist
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A nurse is caring for a client who has heart failure and has started taking a loop diu
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retic. Which of the following findings indicates the client is experiencing an adverse
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effect of the medication?
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A. Decreased reflexes
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B. Weight gain of 1.4 kg
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, C. Increased urinary output
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D. Jugular vein distention - ANSWERS-A. Decreased reflexes
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At the start of an evening shift on a cardiac unit, a licensed practical nurse brings t
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he nurse a list of client reports. Which of the following client reports should the nurs
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e assess first?
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A. Constipation
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B. Indigestion
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C. Swollen ankles
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D. Urinary frequency - ANSWERS-B. Indigestion
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. A nurse is caring for a client who has just returned to the unit following a broncho
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scopy. Which of the following actions by the assistive personnel requires the nurse
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to intervene?
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A. Encourages the client to use the incentive spirometer
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B. Elevates the head of the client's bed
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C. Offers oral fluids to the client
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D. Checks the client's pulse oximetry - ANSWERS-C. Offers oral fluids to the client
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. A nurse in a mental health facility is interviewing a newly admitted client. Which of
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the following actions should the nurse take when conducting the interview?
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A. Insist the client use direct eye contact during the interview
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B. Seat the client at least 3.7m from the nurse
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C. Position the client's chair between the nurse's chair and the door
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D. Lean in slightly when speaking to the client - ANSWERS-
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D. Lean in slightly when speaking to the client
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A nurse on a medical unit has just received change-of-
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shift report. Which of the following clients should the nurse assess first?
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A. A 68-year-
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old client who had a myocardial infarction 2 days ago and reports chest pain 4 on a
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scale of 0 to 10
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B. A 48-year-
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old client who has AIDS, pneumocystis pneumonia, and a temperature of 38.3 C (1
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01F)
C. A 60-year-old client who has COPD, is receiving 2 L/
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min O2 via a nasal cannula, and has an oxygen saturation of 89%
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D. A 26-year-
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old female client who has pelvic inflammatory disease and is unable to void -
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ANSWERS-A 68-year-
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old client who had a myocardial infarction 2 days ago and reports chest pain 4 on a
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scale of 0 to 10
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A nurse is assessing a client prior to performing a blood draw. The nurse should id
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entify that an allergy to which of the following food can indicate that the client has a
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n allergy to latex?
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A. Peanutszv
B. Shellfish
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C. Avocados
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D. Eggs - ANSWERS-C. Avocados
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FORM A,B,C EXAM QUESTIONS
WITH DETAILED ANSWERS
A nurse is admitting a client who has antisocial personality disorder. Which of the f
zv zv zv zv zv zv zv zv zv zv zv zv zv zv
ollowing client behaviors should the nurse identify as consistent with this disorder?
zv zv zv zv zv zv zv zv zv zv zv
A. Compulsive attention to details
zv zv zv zv
B. Avoids interacting with others
zv zv zv zv
C. Uses others for personal gain
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D. Socially awkward in group situations - ANSWERS-
zv zv zv zv zv zv zv
C. Uses others for personal gain
zv zv zv zv zv
A nurse is interpreting the cardiac rhythm strip of a client who was admitted with sy
zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv
ncope. Which of the following images indicates that the client has atrial fibrillation?
zv zv zv zv zv zv zv zv zv zv zv zv
- ANSWERS-
zv zv
A client who has a diagnosis of complete placenta previa is admitted to the labor a
zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv
nd delivery suite at 36 weeks gestation with contractions 5 min in frequency and 1
zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv
min in duration. Which of the following actions should the nurse take?
zv zv zv zv zv zv zv zv zv zv zv
A. Rupture the amniotic sac
zv zv zv zv
B. Medicate the client for pain
zv zv zv zv zv
C. Prepare the client for a cesarean section
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D. Perform a vaginal exam - ANSWERS-
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C. Prepare the client for a cesarean section
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A charge nurse on a pediatric unit is making assignments for a float nurse from the
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medical unit. Which of the following clients is appropriate to assign to the float nurs
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e?
A. A 10-year-old client who has pneumonia and is receiving respiratory treatments
zv zv zv zv zv zv zv zv zv zv zv
B. A 4-year-old client who has a Wilms tumor and is receiving chemotherapy
zv zv zv zv zv zv zv zv zv zv zv zv
C. An 8-month-
zv zv
old client who is scheduled for a surgical repair of a ventricular septal defect tomorr
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ow
D. A 14-year-
zv zv
old client who is scheduled for discharge today following placement of a Harrington
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rod - ANSWERS-A. A 10-year-
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old client who has pneumonia and is receiving respiratory treatments
zv zv zv zv zv zv zv zv zv
A nurse notices smoke coming from a client's room and discovers a fire in the wast
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ebasket. After moving the client to safety, which of the following is the priority actio
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n?
A. Notify the facility operator.
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B. Close the fire doors on the unit.
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C. Turn off oxygen sources.
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D. Put out the fire with the appropriate extinguisher. - ANSWERS-
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A. Notify the facility operator.
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,A nurse is assessing an infant who has water intoxication. Which of the following fi
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ndings should the nurse expect?
zv zv zv zv
A. Generalized edema
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B. Elevated urine specific gravity
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C. Thready pulse
zv zv
D. Increased hematocrit - ANSWERS-A. Generalized edema
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A nurse is discussing the z-
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track administration of hydroxyzine with a newly licensed nurse. Which of the follow
zv zv zv zv zv zv zv zv zv zv zv zv
ing statements indicates the newly licensed nurse understands the purpose of the t
zv zv zv zv zv zv zv zv zv zv zv zv
echnique?
A. This technique prevents injury to the sciatic nerve
zv zv zv zv zv zv zv zv
B. This technique decreases the risk of subcutaneous infiltration
zv zv zv zv zv zv zv zv
C. This technique allows a larger amount of medication to be injected
zv zv zv zv zv zv zv zv zv zv zv
D. This technique increases the absorption rate of the drug - ANSWERS-
zv zv zv zv zv zv zv zv zv zv zv
This technique decreases the risk of subcutaneous infiltration
zv zv zv zv zv zv zv
A nurse is creating a plan of care for a client who has anorexia nervosa. Which of t
zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv
he following interventions should the nurse include in the plan?
zv zv zv zv zv zv zv zv zv
A. Encourage the client to gain 2.3 kg per week
zv zv zv zv zv zv zv zv zv
B. Weigh the client once per week throughout hospitalization
zv zv zv zv zv zv zv zv
C. Monitor the client for 1 hr after meals
zv zv zv zv zv zv zv zv
D. Allow the client to choose mealtimes - ANSWERS-
zv zv zv zv zv zv zv zv
C. Monitor the client for 1 hr after meals
zv zv zv zv zv zv zv zv
A nurse is planning care for a child who has increased intracranial pressure with a
zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv
decrease in level of consciousness. Which of the following interventions should the
zv zv zv zv zv zv zv zv zv zv zv zv
nurse include in the plan of care?
zv zv zv zv zv zv
A. Perform active range-of-motion exercises
zv zv zv zv
B. Maintain the head at a midline position
zv zv zv zv zv zv zv
C. Suction the airway frequently
zv zv zv zv
D. Perform neurological checks every 4 hrs - ANSWERS-
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B. Maintain the head at a midline position
zv zv zv zv zv zv zv
10. A nurse is assessing a client who has delirium due to a febrile illness. Which of
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the following findings should the nurse expect?
v zv zv zv zv zv zv
A. Hallucinations
zv
B. Agnosia
zv
C. Bradycardia
zv
D. Aphasia - ANSWERS-A. Hallucinations
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A nurse is assessing a client who is receiving enteral feedings via a gastrostomy tu
zv zv zv zv zv zv zv zv zv zv zv zv zv zv
be. The nurse should identify that which of the following findings indicates fluid over
zv zv zv zv zv zv zv zv zv zv zv zv zv
load?
A. Diminished bowel sounds
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B. Bradycardia
zv
C. Hypotension
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D. Bounding pulses - ANSWERS-D. Bounding pulses
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,A nurse is caring for a client following an open colectomy. Which of the following fi
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ndings places the client at risk for delayed wound healing?
zv zv zv zv zv zv zv zv zv
A. INR 1.1
zv zv
B. Hyperemesis
zv
C. HbA1c 5.6%
zv zv
D. Uncontrolled pain - ANSWERS-B. Hyperemesis
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A home health nurse is reviewing treatment goals with a client who has diabetes m
zv zv zv zv zv zv zv zv zv zv zv zv zv zv
ellitus. The nurse should evaluate which of the following laboratory tests to determi
zv zv zv zv zv zv zv zv zv zv zv zv
ne effective long-term management of blood glucose levels?
zv zv zv zv zv zv zv
A. 3-hr oral glucose tolerance test
zv zv zv zv zv
B. HbA1c zv
C. Fasting blood glucose test
zv zv zv zv
D. Urinalysis for ketones - ANSWERS-B. HbA1c
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A nurse is caring for a client who has neutropenia due to HIV. Which of the followin
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g precautions should the nurse take while caring for this client?
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A. Wear an N95 respirator
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B. Insert an indwelling urinary catheter to monitor urinary output
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C. Monitor the client's vital signs every 8 hr
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D. Use a dedicated stethoscope - ANSWERS-D. Use a dedicated stethoscope
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A nurse is caring for a client who reports difficulty falling asleep at night. Which of t
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he following actions should the nurse take?
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A. Encourage the client to ambulate in the hallway 1 hr before bedtime
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B. Tell the client to avoid drinking fluids 1 hr before bedtime
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C. Schedule routine care tasks during hours when the client is awake
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D. Advise the client to leave the television in the room on when trying to fall asleep
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- ANSWERS-C. Schedule routine care tasks during hours when the client is awake
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A nurse is planning care for a newborn who has hyperbilirubinemia and is to receiv
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e phototherapy. Which of the following interventions should the nurse include?
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A. Clothe the newborn in light cotton
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B. Check the newborn's temperature every 8 hrs. (every 4)
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C. Administer 120 mL of water between feedings
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D. Place the newborn 45 cm from the light source - ANSWERS-
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D. Place the newborn 45 cm from the light source
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A nurse is planning care for a client who has schizophrenia and is having difficulty
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expressing their feelings. Which of the following referrals should the nurse make?
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A. Art therapist
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B. Speech-language pathologist
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C. Social worker
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D. Recreational therapist - ANSWERS-A. Art therapist
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A nurse is caring for a client who has heart failure and has started taking a loop diu
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retic. Which of the following findings indicates the client is experiencing an adverse
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effect of the medication?
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A. Decreased reflexes
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B. Weight gain of 1.4 kg
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, C. Increased urinary output
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D. Jugular vein distention - ANSWERS-A. Decreased reflexes
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At the start of an evening shift on a cardiac unit, a licensed practical nurse brings t
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he nurse a list of client reports. Which of the following client reports should the nurs
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e assess first?
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A. Constipation
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B. Indigestion
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C. Swollen ankles
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D. Urinary frequency - ANSWERS-B. Indigestion
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. A nurse is caring for a client who has just returned to the unit following a broncho
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scopy. Which of the following actions by the assistive personnel requires the nurse
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to intervene?
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A. Encourages the client to use the incentive spirometer
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B. Elevates the head of the client's bed
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C. Offers oral fluids to the client
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D. Checks the client's pulse oximetry - ANSWERS-C. Offers oral fluids to the client
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. A nurse in a mental health facility is interviewing a newly admitted client. Which of
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the following actions should the nurse take when conducting the interview?
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A. Insist the client use direct eye contact during the interview
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B. Seat the client at least 3.7m from the nurse
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C. Position the client's chair between the nurse's chair and the door
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D. Lean in slightly when speaking to the client - ANSWERS-
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D. Lean in slightly when speaking to the client
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A nurse on a medical unit has just received change-of-
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shift report. Which of the following clients should the nurse assess first?
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A. A 68-year-
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old client who had a myocardial infarction 2 days ago and reports chest pain 4 on a
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scale of 0 to 10
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B. A 48-year-
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old client who has AIDS, pneumocystis pneumonia, and a temperature of 38.3 C (1
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01F)
C. A 60-year-old client who has COPD, is receiving 2 L/
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min O2 via a nasal cannula, and has an oxygen saturation of 89%
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D. A 26-year-
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old female client who has pelvic inflammatory disease and is unable to void -
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ANSWERS-A 68-year-
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old client who had a myocardial infarction 2 days ago and reports chest pain 4 on a
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scale of 0 to 10
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A nurse is assessing a client prior to performing a blood draw. The nurse should id
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entify that an allergy to which of the following food can indicate that the client has a
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n allergy to latex?
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A. Peanutszv
B. Shellfish
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C. Avocados
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D. Eggs - ANSWERS-C. Avocados
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