NEWEST ACTUAL EXAM ALL 70 CORRECT
ANSWERS WITH VERIFIED ANSWERS
ALREADY GRADED A+
A nurse is caring for a client who requires a 24-hr urine collection. Which of the
following statements by the client indicates an understanding of the teaching? -
ANSWER- "I flushed what I urinated at 7:00 a.m. and have saved all urine since ."
A nurse is assessing a client who has been on bed rest for the past month. Which of the
following findings should the nurse identify as an indication that the client has developed
thrombophlebitis? -ANSWER- Calf swelling
A nurse manager is overseeing the care on a unit. Which of the following situations
should the nurse manager identify as a violation of HIPAA guidelines? -ANSWER- A
nurse asks a nurse from another unit to assist with her documentation.
A nurse is caring for a client who requires bed rest and has a prescription for
antiembolic stockings. Which of the following actions should the nurse take? -
ANSWER- Remove the stockings at least once per shift.
A nurse is administering IV fluid to an older adult client. The nurse should perform which
priority assessment to monitor for adverse effects? -ANSWER- Auscultate lung
sounds
A nurse is assessing a client's readiness to learn about insulin administration. Which of
the following statements should the nurse identify as an indication that the client is
ready to learn? -ANSWER- "I can concentrate best in the morning."
,A nurse is performing a Romberg's test during the physical assessment of a client.
Which of the following techniques should the nurse use? -ANSWER- Have the client
stand with her arms at her side and her feet together.
A nurse is planning an deduction session for an older adult client who has just learned
that she has type 2 diabetes mellitus. Which of the following strategies should the nurse
plan to use with this client? -ANSWER- Allow extra time for the client to respond to
questions
A nurse is teaching an older client who is at risk for osteoporosis about beginning a
program of regular physical activity. Which of the following types of activity should the
nurse recommend? -ANSWER- Walking briskly
A nurse is assessing an adult client who has been immobile for the past 3 weeks. The
nurse should identify that which of the following findings requires further intervention?
-ANSWER- Erythema on pressure points
A nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to a
client. Which of the following actions should the nurse take? -ANSWER- Gently
shake the container of medication prior to administration.
A nurse is responding to a call light and finds a client lying on the bathroom floor. Which
of the following actions should the nurse take first? -ANSWER- Check the client for
injuries
A nurse is caring for a client who is expressing anger over his diagnosis of colorectal
cancer. Which of the following actions should the nurse take? -ANSWER- Reassure
the client that this is an expected response to grief.
A nurse in a clinic is caring for a middle adult client who states, "The doctor says that,
since I am at an average risk for colon cancer, I should have routine screening. What
, does that involve?" Which of the following responses should the nurse make? -
ANSWER- "You should have a fecal occult blood test every year."
A nurse manager is preparing to review medication documentation with a group of
newly licensed nurses. Which of the following statements should the nurse manager
plan to include in the teaching? -ANSWER- "Use the complete name of the
medication magnesium sulfate."
A nurse is caring for a client who has tuberculosis. Which of the following actions should
the nurse take? -ANSWER- Place the client in a room with negative-pressure airflow.
Wear gloves when assisting the client with oral care.
Use antimicrobial sanitizer for hand hygiene.
A charge nurse is discussing the responsibility of nurses caring for clients who have
Clostridium difficile infection. Which of the following information should the nurse include
in the teaching? -ANSWER- Have family members wear a gown and gloves when
visiting.
A nurse in a surgical suite notes documentation on a client's medical record he has a
latex allergy. In preparation for the client's procedure, which of the following precautions
should the nurse take? -ANSWER- Wrap monitoring cords with stockinette and tape
them in place.
A nurse is caring for a client who is reporting difficulty falling asleep. Which of the
following measures would the nurse recommend? -ANSWER- Use progressive
relaxation techniques at bedtime.
A nurse is caring for a client who has a prescription for 5 units of regular insulin and 10
units of NPH insulin to mix together and administer subcutaneously. Determine the
correct order of steps for this procedure. -ANSWER- Air into NPH
Air into Regular
Draw up Regular
Draw up NPH
A nurse is reviewing practice guidelines with a group of newly licensed nurses. Which of
the following interventions should the nurse include that is within the RN scope of
practice? -ANSWER- Initiate an enteral feeding through a gastrostomy tube.