EXAMINATION SET QUESTIONS AND ANSWERS
SURE A+
✔✔A nurse is collecting a diet history for a client with chronic renal failure. Which food
choice indicates the client would benefit from further education?
Select one:
a. Cheddar cheese
b. Small sweet potato
c. Wheat bread
d. Small amounts of kiwi - ✔✔Cheddar Cheese
✔✔A nurse is caring for a client with a spinal cord injury who has an indwelling catheter.
Which of the following is the highest priority when providing perineal care for this client?
Select one:
a. Assess for perineal pain or discomfort.
b. Assess the client's knowledge of importance of perineal hygiene.
c. Avoid inadvertently advancing the catheter into the bladder.
d. Examine condition of catheter and drainage tubing. - ✔✔Avoid inadvertently
advancing the catheter into the bladder
, ✔✔A nurse is using the I-SBAR communication tool to provide the client's provider with
information about the client. The nurse should convey the client's pain status in which
portion of the report?
Assessment
Background
Situation
Recommnedation - ✔✔Assessment
✔✔In SBAR, what should background include? - ✔✔medical history, lab findings,
allergies, code
✔✔In SBAR, what should be in the situation? - ✔✔problems the client is experiencing
✔✔In SBAR, what should be in the Assessment? - ✔✔VS, Pain assessment, changes
in assessment findings
✔✔When can an infant turn from his abdomen to his back? - ✔✔5 months old
✔✔When can an infant pull up to a straight position? - ✔✔8-10 months
✔✔When can an infant sit up without support? - ✔✔6-8 months
✔✔When can an infant crawl on his hands and knees? - ✔✔8-10 months
✔✔To promote healing, what should be the protein intake for a patient? - ✔✔1.5g/kg
✔✔To promote wound healing, what should be the proper total caloric intake? - ✔✔35-
40 kcal/kg
✔✔A nurse is teaching a client who has lower extremity how to use a four-point crutch
gait. Which of the following instructions should the nurse include in the teaching?
Support the majority of your weight on the axillae
Keep your elbows extended
Bear weight on both of your legs
Move both crutches forward at the same time - ✔✔Bear weight on both of your legs
✔✔Autonomy - ✔✔independence
✔✔Fidelity - ✔✔faithfulness
✔✔Nonmaleficence - ✔✔do no harm
✔✔Justice - ✔✔fairness