EXAM 2023-2024 A+ GUIDE
1.a nurse is completing a nutritional assessment on a patient and measures BMI,
which of the following readings correlates with a BMI of an overweight patient?
25
(25-29.9)
• a nurse is verifying ng tube placement by the pH of aspirated gastric fluid.
whichof the following pH values provides a good indication of correct tube
placement?
2
(pH between 0-4)
• a nurse is caring for a patient with a closed head injury. when pressure is
appliedto the patient's nail beds, the patients eyes open and adduction of the
arms with flexion of the elbows and wrists is noted. the patient also moans with
stimulation, what is the GCS?
7
,eye opening 1-4
verbal 1-5
motor 1-6
• a nurse should teach which of the following patients requiring crutches about
howto use a three point gait?
a patient who has a R femur fracture with no weight bearing on the affected leg
(bears all weight on one foot, then both shoulders on crutches, and uninvolved leg,
the affected leg does not touch the ground)
• a nurse is providing teaching about the Mediterranean diet to a patient newly
who has a new diagnosis of hypertension. what statement indicates need for
further teaching?
i will limit my intake of red meat to 2x weekly
(should be limited to 2x monthly)
• a nurse is providing dietary education to a patient with cholecystitis who has
beenprescribed a low-fat diet. which of the following meal selections by the
patient indicates understanding of education?
roast turkey, rice pilaf, green beans
, • a patient with cystocele is encouraged to exercise to strengthen pelvic floor
muscles and prevent pelvic organ prolapse. What exercise will the patient
need toperform
Kegals
(reduce pelvic prolapse and stress urinary incontinence)
• a nurse is caring for an older adult patient with delirium. which intervention
will most likely reduce the patient's risk for falls?
hourly rounding by the nurse
• a nurse is caring for a patient who has been prescribed furosemide. which of
the following foods should the nurse encourage this to include in his diet?
oranges
(along with dried fruits, tomatoes, avocados, dried peas, meats, broccoli, bananas
are good for a potassium wasting diuretic)
• a menopausal patient is having difficulty getting to sleep and asks what
actions she should incorporate in her daily routine to promote sleep. the nurse
would encourage, which of the below measures to promote sleep?