ACTUAL EXAM COMPLETE 100 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
1. A nurse is teaching a client about using a continuous positive airway pressure
( CPAP ) device to treat obstructive sleep apnea . Which of the following information
should the nurse include in the teaching ? - ANSWER: -It delivers a present amount
of airway pressure throughout the breathing Cycle
2. A nurse is providing discharge teaching to a client following a heart transplant .
Which of the following information should the nurse include in the teaching ? -
ANSWER: -Shortness of breath might be an indication of transplant rejection .
3. A nurse is caring for a client who syndrome of inappropriate antidiuretic hormone
( SIADH ) and is receiving 3 % sodium chloride via continuous IV . Which of the
following laboratory finding should the nurse identify as an indication that the SIADH
is resolving - ANSWER: -Urine specific gravity 1.020
4. A nurse is teaching a client about fecal occult blood testing ( FOBT ) for the
screening of colorectal cancer . Which of the following statements should the nurse
include in the teaching ? - ANSWER: -You should avoid taking corticosteroids prior to
testing
5. A nurse is preparing a client for a colonoscopy . Which of the following
medications should the nurse anticipate the provider prescribe as an anesthetic for
the procedure ? - ANSWER: -Propofol
6. A nurse is planning care for a client who has acute pancreatitis . Which of the
following interventions should the nurse include in the clients plan ? Select all that
apply . - ANSWER: -Monitor blood glucose levels
-Maintain NPO status until pain - free
-Manage acute pain
7. A nurse is teaching client who has hypertension about dietary modifications to
help control blood pressure . Which of the following food choices should the nurse
recommend as the client to include in their diet ? - ANSWER: -3 oz of chicken breast
8. A nurse is reviewing the medical record of a client who has unstable angina .
Which of the findings should the nurse report to the provider ? - ANSWER: -Breath
Sounds
9. A nurse is providing discharge instructions to a client who has GERD . Which of the
following statements by the client demonstrates an understanding of the teaching ?
- ANSWER: -I will limit activities that require bending at the waist .
, 10. A nurse at a provide office is interviewing a client who has multiple sclerosis and
has been taking dantrolone for several months . Which of the following client
statements should the nurse identify as an indication that the medication is
effective ? - ANSWER: -I don't have muscle spasms as frequently
11.A nurse is assessing a client who reports a possible exposure to HIV . Which of the
following finding should the nurse identify as an early manifestation of HIV
infection ? - ANSWER: -Fatigue
12.A nurse is teaching a client who has type 1 diabetes mellitus about hypoglycemia .
Which of the following statements by the client indicates an understanding of the
teaching ? - ANSWER: -I can drink 4 ounces of soda if my blood sugar is low
13.A nurse is providing discharge teaching to a client who has heart failure and a
prescription for furosemide 20 mg PO two times daily . Which of the following
instructions should the nurse include in the teaching ? - ANSWER: -Increase intake of
high - potassium foods
14.A nurse is caring for a client who has burn injuries covering their upper body and
is concerned about their altered appearance . Which of the following statements
should the nurse make ? - ANSWER: -It could be helpful for you to attend a support
group for people who have burn injuries .
15.A nurse is developing a plan of care for a client who will be placed in halo traction
following surgical repair of the cervical spine .Which of the following interventions
should the nurse include in the plan ? - ANSWER: -Monitor the client skin under the
halo vest .
16.A nurse is caring for a client who has a traumatic brain injury . Which of the
following finding should indicate to the nurse the need for immediate intervention ?
- ANSWER: -Respiratory rate 30 / min
17.A nurse is assessing a client who has meningitis . The nurse should identify which
of the following finding as a positive Kerning s sign ? - ANSWER: -After hip flexion ,
the client is unable to extend their leg completely without pain
18.A nurse is teaching a group of assistive personnel ( AP ) about caring for client
who have Alzheimer's disease . Which of the following information should the nurse
include in the teaching ? - ANSWER: -Provide supervision to prevent a client from
becoming injured or lost .
19.A home health nurse is providing teaching to the family of a client who has a
seizure disorder . Which of the following interventions should the nurse include the
teaching ? - ANSWER: -Position the client on their side during a seizure