REAL 160 QUESTIONS AND ANSWERS
SATISFACTION GUARANTEED SUCCESS
LATEST UPDATE 2022/2023 GRADED A+
A 7-year old is admitted to the hospital with persistent vomiting, and nasogastric tube
attached to low intermittent suction is applied. Which finding is most important for the
nurse to report to the healthcare provider?
a. Shift intake of 640mL IV fluids plus 30mL PO ice chips
b. Serum pH of 7.45
c. Serum potassium of 3.0 mg/dl
d. Gastric output of 100 mL in the last 8 hours
A morbidly obese client is scheduled for gastric bypass surgery. The client completes the
required preoperative nutritional counseling and signs the operative permit. To
promote effective discharge planning, which intervention is most important for the
nurse to implement?
a. Discuss small, low fat, low sugar meal preparation techniques
b. Advise the client to arrange for dietary counseling after being discharged
c. Encourage the client to keep a daily diary for two weeks
d. Suggest that the client’s spouse do the family grocery shopping
The nurse is admitting a client from the post-anesthesia unit to the postoperative
surgical care unit. Which prescription should the nurse implement first?
a. Cefazolin 1-gram IVPB q6 hours
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REAL 160 QUESTIONS AND ANSWERS
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b. Complete blood cell count (CBC) in AM
c. Straight catheterization if unable to void
d. Advance from clear liquid as tolerated
Which needle should the nurse use to administer IV fluids via c lient’s implanted port?
a. 5cc syringe & needle
b. Butterfly stick
c. **click on the image that isn’t any of the other options**
d. Vacutainer
An older client is referred to a rehabilitation facility following a cerebrovascular
accident (CVA). The client is aphasic with left-sided paresis and is having difficulty
swallowing. Which intervention is most important for the nurse to include in the client’s
plan of care?
a. Use pictures and gestures to communicate
b. Arrange for daily home care assistance
c. Facilitate a consultation for speech therapy
d. Initiate passive range of motion exercises
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REAL 160 QUESTIONS AND ANSWERS
SATISFACTION GUARANTEED SUCCESS
LATEST UPDATE 2022/2023 GRADED A+
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REAL 160 QUESTIONS AND ANSWERS
SATISFACTION GUARANTEED SUCCESS
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A client has had several episodes of clear, watery diarrhea that started yesterday. What
action should the nurse implement?
a. Assess the client for the presence of hemorrhoids
b. Administer a prescribed PRN antiemetic
c. Check the client’s hemoglobin level
d. Review the client’s current list of medications
A mother runs into the emergency department with a toddler in her arms and tells the
nurse that her child got into some cleaning products. The child smells of chemicals on
hands, face, and on the front of the child’s clothes. After ensuring the airway is patent,
what action should the nurse implement first?
a. Call poison control emergency
number b. Determine type of chemical
exposure
c. Obtain equipment of for gastric lavage
d. Assess child for altered sensorium
When should the nurse conduct an Allen’s test?
a. Prior to attempting a cardiac output calculation
b. When pulmonary artery pressures are obtained
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REAL 160 QUESTIONS AND ANSWERS
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c. Just before arterial blood gasses are drawn peripherally
d. To assess for presence of deep vein thrombosis in the leg
A nurse with 10-years’ experience working in the emergency department is reassigned
to the perinatal unit to work an 8-hour shift. Which client is best to assign to this nurse?
a. A mother with an infected episiotomy
b. A client who is leaking clear fluid
c. A client at 28-weeks’ gestation in pre-term labor
d. A mother who just delivered a 9-pound baby
A 300mL unit of packed red blood cells is prescribed for a client with heart failure (HF)
who has 3+ pitting edema, shortness of breath with any activity, and cracked in both
lung bases. At what rate should the nurse administer the blood?
a. 150 mL/hour
b. 75 mL/hour
c. 300 mL/hour
d. 50 mL/hour
The nurse enters the room of the client with Parkinson's disease who is taking
carbidopa levodopa. The client is arising slowly from the chair while the unlicensed
assistive personnel (UAP) stands next to the chair. What action should the nurse take?
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REAL 160 QUESTIONS AND ANSWERS
SATISFACTION GUARANTEED SUCCESS
LATEST UPDATE 2022/2023 GRADED A+