ACTUAL EXAM (GUARANTEED PASS) ACTUAL EXAM A+
• A nurse on a medical unit is preparing to discharge a client to home. Which of the following
actionsshould the nurse take as part of the medication reconciliation process?
• Seal unused hospital medications in a plastic bag.
• Evaluate the client's ability to self-administer medications.
• Report an identified discrepancy to The Joint Commission.
• Compare prescriptions with medications the client received during hospitalization.
• A nurse is reviewing a client's medication prescription that reads, "digoxin 0.25 by mouth
everyday." Which of the following components of the prescription should the nurse verify
with the provider?
• medication name
• route of administration
• medication dose
• frequency of administration
• A nurse is teaching a group of staff nurses about the use of essential oils for aromatherapy.
Thenurse should include in the teaching that this therapy might be contraindicated for which
of the following clients?
• a client who has a history of physical abuse
• a client who has a permanent pacemaker
• a client who has ulcerative colitis
• a client who has asthma
• A nurse is admitting a client who has rubella. Which of the following types of transmission based
precautions should the nurse initiate?
• droplet
• airborne
• contact
• protective environment
• A nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to a client.
Which ofthe following actions should the nurse take?
, • gently shake the container of medication prior to administration
• transfer the medication to a medicine cup
• place the client in the semi-Fowler's position prior to medication administration
• verify the dosage by measuring the liquid before administering it
• A nurse is performing a peripheral vascular assessment for a client. When placing the bell of
the stethoscope on the client's neck, she hears the following sound. This sound indicates which
of thefollowing? (Click on the audio button to listen to the clip.)
• Narrowed arterial lumen
• Distended jugular veins
• Impaired ventricular contraction
• Asynchronous closure of the aortic and pulmonic valves
• A nurse is caring for a client who is refusing a blood transfusion for religious reasons. The
client's partner wants the client to have the blood transfusion. Which of the following actions
should the nurse take?
• Ask the client to consider a direct donation.
• Withhold the blood transfusion.
• Request a consultation with the ethics committee.
• Ask the client's family to intervene.
• A nurse in an acute care facility is preparing a discharge summary for a client who is transferring
toa long-term care facility. Which of the following documentation should the nurse include?
• client flow sheet
• acuity ranges
• current medications
• incident reports
• A nurse is assessing an adult client who has been immobile for the past 3 weeks. The nurse
shouldidentify that which of the following findings requires further intervention?
• Erythema on pressure points
• Lower-extremity pulse strength of 2+
• Fluid intake of 3,000 mL per day
• A bowel movement every other day