EXAM LATEST 2024 QUESTIONS &
ANSWERS
A nurse in an emergency department completes an assessment on an adolescent
patient that has conduct disorder. The patient threatened suicide to teacher at
school. Which of the following statements should the nurse include in the
assessment?
• Tell me about your siblings
• Tell me what kind of music you like
• Tell me how often do you drink alcohol
• Tell me about your school schedule
(ANS- c) Tell me how often do you drink alcohol
A nurse is observing bonding to the patient her newborn. Which of following
actions by the patient requires the nurse to intervene?
• Holding the newborn in an en face position
• Asking the father to change the newborn's diaper
• Requesting the nurse take the newborn nursery so she can rest
• Viewing the newborn's actions to be uncooperative
(ANS- d) Viewing the newborn's actions to be uncooperative
A nurse is caring for patient who is taking levothyroxin. Which of the following
findings should indicate that the medication is effective?
• Weight loss (this drug acts as T4 and will normalize the effects
of hypothyroidism)
• Decreased blood pressure
• Absence of seizures
,• Decrease inflammation
(ANS- a) Weight loss (this drug acts as T4 and will normalize the effects of
A nurse is planning discharge teaching for cord care for the parent of a newborn.
Which instructions would you include in the teaching?
• Contact provider if the cord still turns black (it's going to turn black)
• Clean the base of the cord with hydrogen peroxide daily (clean with neutral
pH cleanser)
• Keep the cord dry until it falls off (cord should be kept clean and dry to
prevent infection)
• The cord stump will fall off in five days (cord falls off in 10-14 days)
(ANS- c) Keep the cord dry until it falls off (cord should be kept clean and dry to
prevent infection)
A nurse is assessing a patient in the PACU. Which of the following findings
indicates decreased cardiac output?
• Shivering
• Oliguria
• Bradypnea
• Constricted
pupils (ANS- b)
Oliguria
A nurse is assisting with mass casualty triage: explosion at a local factory. Which
of the following patient should the nurse identify as the priority?
• A patient that has massive head trauma b) A patient has full thickness burns to
face and trunk
• A patient with indications of hypovolemic shock
• A patient with open fracture of the lower extremity
(ANS- c) A patient with indications of hypovolemic
shock
,A nurse is a receiving report on four patients. Which of the following patients
should the nurse assess first?
• A patient who has illeal conduit and mucus in the pouch
• patient pleasant arteriovenous additional vibration palpated
• A patient whose chronic kidney disease with cloudy diasylate outflow
• A patient was transurethral resection of the prostate with a red tinged urine in
the bag
(ANS- c) A patient whose chronic kidney disease with cloudy diasylate outflow
A nurse is caring for a patient just received the first dose of lisinopril. The
following is an appropriate nursing intervention?
• Place's cardiac monitoring
• Monitor the patients oxygen saturation level
• Provide standby assist with the patient from bed
• Encourage foods high in potassium
(ANS- c) Provide standby assist with the patient from bed
A nurse is caring for a patient who is in labor and his seat is receiving electronic
fetal monitoring. The nurse is reviewing the monitor tracing and notes early
decelerations. Which the following should the nurse expect?
• Feta hypoxia
• Abrupto placentae
• Post maturity
• Head Compression
(ANS- d) Head Compression
A nurse is caring for a patient who has chronic kidney disease. The nurse should
identify which of the following laboratory values as in an indication for
hemodialysis?
, • glomerular filtration rate of 14 mL/ minute
• BUN 16 mg/DL
• serum magnesium 1.8 mg mg/dl
• Serum phosphorus 4.0 mg/dL
(ANS- a) glomerular filtration rate of 14 mL/ minute
A nurse is caring for an infant who has a prescription for continuous pulse
oximetry. The following is an appropriate action for the nurse to take?
• Placed infant under radiant warmer
• Move the probe site every 3 hours
• Heat the skin one minute prior to placing the program
• Placed a sensor on the index finger
(ANS- c) Heat the skin one minute prior to placing the program
A nurse in a mental health facility receives a change of shift report on for patients.
Which of the following patients should the nurse plan to assess first?
• patient placed in restraints to the aggressive behavior
• A new limited patient pleasures history of 4.5 kg weight loss in the past
two months
• patient is receiving a PRN dose of health heard all two hours ago for
increased anxiety
• Applied he'll be receiving his first ECT treatment today
(ANS- a) patient placed in restraints to the aggressive
behavior
A nurse working at the clinic is teaching a group of patients who are pregnant on
the use of nonpharmacological pain management. Which of the following
statements by the nurse is an appropriate description of the use of hypnosis
during labor?
• Hypnosis focuses on the biofeedback as a relaxation technique
• Hypnosis promotes increased control of her pain perception during contractions