Passpoint Exam 1 Actual Exam Questions | 100%
Correct Answers | Verified 2024 Version
A 19-year-old client comes to the emergency department with acute asthma. His respiratory rate is 44
breaths/min, and he is in acute respiratory distress. What is the nurse's priority action? - ✔✔Give a
bronchodilator by nebulizer
A nurse is attempting to resuscitate a neonate. Thirty seconds of chest compressions have been
completed. The neonate's heart rate remains less than 60 bpm. Epinephrine is given. What is the
expected outcome for a neonate who has received epinephrine during resuscitation? - ✔✔A normal
heart rate
The team leader has noticed a sharp increase in medication errors associated with IV antibiotic
administration over the last 2 months. The group that could offer resources for tracking medication
errors and improving care outcomes is the: - ✔✔Quality Improvement and Risk Management
Department
The nurse evaluates the client's ability to instill eyedrops correctly. The client correctly demonstrates the
procedure when the client: - ✔✔instills the eyedrops into the conjunctival sac.
A client is entering the alcohol treatment program for the fourth time in 5 years. Which statement by the
nurse will be most helpful to the client? - ✔✔"I'm a nurse in the program. The staff and I will help you
through the program."
A client who is being treated for pneumonia reports sudden shortness of breath. An arterial blood gas
(ABG) is drawn, yielding the following values: pH 7.21, PaCO2 64 mm Hg, HCO3 = 24 mm Hg. What does
the ABG reflect? - ✔✔Respiratory acidosis
A nurse is talking with a client who recently attempted suicide. The client asks the nurse not to tell
anyone about their conversation. How should the nurse respond? - ✔✔"If information is important to
your care, I'll need to share it with the rest of your health care team."
, A multigravid client at 34 weeks' gestation visits the hospital because she suspects that her water has
broken. After testing the leaking fluid with nitrazine paper, the nurse confirms that the client's
membranes have ruptured when the paper turns which color? - ✔✔Blue
The nurse teaches the parent of a child with sickle cell anemia about managing the disease and
preventing complication. What statement by the parent indicates the need for further education about
sickle cell anemia? - ✔✔"I know she doesn't have as much pain as she acts like she has."
A nurse is to give a client a 325-mg aspirin suppository. The client has diarrhea and is in the bathroom.
The best nursing approach at this time would be to - ✔✔withhold the suppository and notify the client's
physician
A 4-year-old child is ordered to receive 25 mL/hour of intravenous solution. The nurse is using a pediatric
microdrip (60 gtt/mL) chamber to administer the medication. For how many drops per minute would the
microdrip chamber be set? Record your answer using a whole number. - ✔✔25
The nurse is caring for a client with functional neurologic symptom disorder who has experienced
pseudoseizures. What intervention is appropriate for the nurse to perform? - ✔✔Encourage the client to
discuss feelings about the pseudoseizures
A nurse is caring for a client who had a three-vessel coronary bypass graft 4 days earlier. The client's
cholesterol profile is as follows: total cholesterol 265 mg/dl (6.845 mmol/L), low-density lipoprotein
(LDL) 139 mg/dl (3.603 mmol/L), and high-density lipoprotein (HDL) 32 mg/dl (0.829 mmol/L). The client
asks the nurse how to lower their cholesterol. The nurse should tell the client that - ✔✔the nurse will ask
the dietitian to talk with the client about modifying their diet
A 67-year-old client will be discharged to home with imipramine. Which information would be most
important for the nurse to include when instructing the client and spouse about the medication? -
✔✔Avoid alcohol
Which factor is most important for the nurse to consider when determining the angle at which to insert
the needle for a subcutaneous injection? - ✔✔Amount of subcutaneous tissue
Correct Answers | Verified 2024 Version
A 19-year-old client comes to the emergency department with acute asthma. His respiratory rate is 44
breaths/min, and he is in acute respiratory distress. What is the nurse's priority action? - ✔✔Give a
bronchodilator by nebulizer
A nurse is attempting to resuscitate a neonate. Thirty seconds of chest compressions have been
completed. The neonate's heart rate remains less than 60 bpm. Epinephrine is given. What is the
expected outcome for a neonate who has received epinephrine during resuscitation? - ✔✔A normal
heart rate
The team leader has noticed a sharp increase in medication errors associated with IV antibiotic
administration over the last 2 months. The group that could offer resources for tracking medication
errors and improving care outcomes is the: - ✔✔Quality Improvement and Risk Management
Department
The nurse evaluates the client's ability to instill eyedrops correctly. The client correctly demonstrates the
procedure when the client: - ✔✔instills the eyedrops into the conjunctival sac.
A client is entering the alcohol treatment program for the fourth time in 5 years. Which statement by the
nurse will be most helpful to the client? - ✔✔"I'm a nurse in the program. The staff and I will help you
through the program."
A client who is being treated for pneumonia reports sudden shortness of breath. An arterial blood gas
(ABG) is drawn, yielding the following values: pH 7.21, PaCO2 64 mm Hg, HCO3 = 24 mm Hg. What does
the ABG reflect? - ✔✔Respiratory acidosis
A nurse is talking with a client who recently attempted suicide. The client asks the nurse not to tell
anyone about their conversation. How should the nurse respond? - ✔✔"If information is important to
your care, I'll need to share it with the rest of your health care team."
, A multigravid client at 34 weeks' gestation visits the hospital because she suspects that her water has
broken. After testing the leaking fluid with nitrazine paper, the nurse confirms that the client's
membranes have ruptured when the paper turns which color? - ✔✔Blue
The nurse teaches the parent of a child with sickle cell anemia about managing the disease and
preventing complication. What statement by the parent indicates the need for further education about
sickle cell anemia? - ✔✔"I know she doesn't have as much pain as she acts like she has."
A nurse is to give a client a 325-mg aspirin suppository. The client has diarrhea and is in the bathroom.
The best nursing approach at this time would be to - ✔✔withhold the suppository and notify the client's
physician
A 4-year-old child is ordered to receive 25 mL/hour of intravenous solution. The nurse is using a pediatric
microdrip (60 gtt/mL) chamber to administer the medication. For how many drops per minute would the
microdrip chamber be set? Record your answer using a whole number. - ✔✔25
The nurse is caring for a client with functional neurologic symptom disorder who has experienced
pseudoseizures. What intervention is appropriate for the nurse to perform? - ✔✔Encourage the client to
discuss feelings about the pseudoseizures
A nurse is caring for a client who had a three-vessel coronary bypass graft 4 days earlier. The client's
cholesterol profile is as follows: total cholesterol 265 mg/dl (6.845 mmol/L), low-density lipoprotein
(LDL) 139 mg/dl (3.603 mmol/L), and high-density lipoprotein (HDL) 32 mg/dl (0.829 mmol/L). The client
asks the nurse how to lower their cholesterol. The nurse should tell the client that - ✔✔the nurse will ask
the dietitian to talk with the client about modifying their diet
A 67-year-old client will be discharged to home with imipramine. Which information would be most
important for the nurse to include when instructing the client and spouse about the medication? -
✔✔Avoid alcohol
Which factor is most important for the nurse to consider when determining the angle at which to insert
the needle for a subcutaneous injection? - ✔✔Amount of subcutaneous tissue
