LATEST UPDATE 2023 REAL EXAM 180
QNS AND ANS GRADED A+
• A charge nurse in a long-term care facility is preparing to
administer noon insulin to a patient. The nurse observes that the
assistive personnel (AP) has no documented the patient's blood
glucose level. Which of the following actions should the charge
nurse take first?
Determine if the AP has completed the assignment.
• A nurse is working on a unit for patients with
dementia. Which of the following patient situations
requires the nurse to write an incident report?
A patient is found lying on the floor next to a chair
• A nurse is discharging a patient who was admitted for newly diagnosed
type 2
diabetes mellitus. The patient is independent and lives alone.
Which of the followingshould be included in the discharge plan?
Refer the patient to a diabetic support group.
• A nurse is caring for a group of patients, which of
the following can be assigned to an assistive
personnel?
, Collecting a stool specimen two tests for occult blood
• A nurse is caring for a patient who has type 2 diabetes mellitus
and a blood glucose level of 60 mg/dL. For which of the
following findings should the nurse monitor? Fasting plasma
glucose level
• A female patient who is an abusive marriage has discusses with
the nurse strategies to prevent this abuse. Which of the
following patient statements indicate an
understanding of an appropriate strategy?
"I need to recognize the signs that my husband is
becoming abusive." c. "I need to identify what triggers
my husband's anger to prevent his abuse."
• A patient is scheduled for an outpatient colonoscopy+
which of the followingactions is a nursing responsibility
in the informed consent process?
Verify that there is a signed and witnesses consent form in the
patient's chart.
,• A nurse smells alcohol on the breath of an assistive
personnel CAP) duringreport. Which of the following
actions should the nurse take?
Report the situation to the nurse manager.
• A nurse from a medical-surgical unit is floating to a
postpartum unit. Which ofthe following patients is an
appropriate assignment for the nurse to accept?
A patient who had a cesarean delivery 24hr ago.
• A nurse is caring for a full-term newborn who was
circumcised 6 hours ago, which of the following
findings indicates that the newborn is experiencing
pain?
Furrowed Brow
• A nurse is reinforcing teaching with a patient about organ
donation. Which of the following patient statements indicated
a need for further teaching?
"My doctor should decide if my organs will be donated."
• A patient who is prescribed metoprolol (Lopressor) for
hypertension tells the
, nurse, "I don't want to take this medication because it
makes me tired all the time." Which of the following is the
appropriate response?
"Let's talk with your doctor about other options."
• A nurse is preparing to administer an IM injection to a
patient. To reduce the risk of needle stick injury, the
nurse should?
Dispose of the used needle immediately in a puncture-proof sharps
container.
• A Nurse is contributing to the discharge plan for a patient
following surgery.
Which of the following findings indicate the need for an
interdisciplinary care conference?
The patient requires assistance to pay for dressing supplies.
• A patient who is 24 hour postoperative suddenly develops chest
pain, dyspnea,
anxiety, diaphoresis, and cough. Which of the following
actions should the nurse take first?
Elevate the head of the patient's bed.