ACTUAL VATI RN LEADERSHIP AND MANAGEMENT test
2023/2024 A+ GRADED CORRECT ANSWERS
A nurse is collecting data about immunizations for a 65-year-old client who has no
identified risk factors for disease. The nurse should identify the client's need for which of
the following immunizations?
a) Inactivated polio virus
b) Herpes zoster
c) Human papilloma virus
d) Measles, mumps, and rubella - CORRECT ANSWERB. Herpes zoster
A nurse is reinforcing teaching with a client about colorectal cancer. Which of the
following risk factors should the nurse include?
a) Biliary colic
b) Duodenal ulcer
c) Chronic constipation
d) Ulcerative colitis - CORRECT ANSWERD. Ulcerative colitis
A nurse is assisting with the transfer of a client from
a medical-surgical unit to an intensive care unit following a change in status. Which of
the following information should the nurse include in the transfer
documentation? (Select all that apply.)
a) Primary health problem
b) Scheduled times for dressing changes
c) Current medication prescriptions
d) Number of family members who have visited
e) Admission vital signs from 1 week ago - CORRECT ANSWERA. Primary health
problem
B. Scheduled times for dressing changes
C. Current medication prescriptions
A nurse is collecting data from a client prior to administering hydrochlorothiazide for mild
hypertension. Which of the following findings should the nurse identify as a
contraindication to administering the medication?
a) 2+ pedal edema
b) Potassium 2.8 mEq/L
c) Allergy to shellfish
d) History of GERD - CORRECT ANSWERB. Potassium 2.8 mEq/L
A nurse is caring for a client who has a terminal illness and is in the active phase of
dying. The client
refuses further hydration and nourishment. Which of the following actions should the
nurse take?
,a) Request a prescription for IV fluids.
b) Ask the client's health care surrogate for permission to withhold nourishment.
c) Provide regular oral care for the client with a moist swab.
d) Explain the importance of oral hydration to the chest. - CORRECT ANSWERC.
Provide regular oral care for the client with a
moist swab.
A nurse is caring for a client who has a terminal illness and is in the active phase of
dying. The client
refuses further hydration and nourishment. Which of the following actions should the
nurse take?
a) Request a prescription for IV fluids.
b) Ask the client's health care surrogate for permission to withhold nourishment.
c) Provide regular oral care for the client with a moist swab.
d) Explain the importance of oral hydration to the chest. - CORRECT ANSWERc)
Provide regular oral care for the client with a moist swab.
A nurse is caring for a client who has returned to the unit following a cardiac
catheterization using a femoral approach. Which of the following methods should the
nurse use to monitor for complications?
a) Check the client's blood pressure while the
client lies supine, sits, and stands.
b) Palpate the client's brachial pulses and
compare bilaterally.
c) Check for jugular vein distention while the
client is supine.
d) Palpate the client's pedal pulses and
compare bilaterally. - CORRECT ANSWERD. Palpate the client's pedal pulses and
compare
bilaterally.
A nurse is reinforcing teaching about food care with a client who has diabetes mellitus.
Which of the following client statements indicates understanding of the teaching?
a) "I should put lotion between my toes every
day to prevent dryness and cracking."
b) "I should apply a heating pad to my feet every
night to help with circulation."
c) "I should use my wrist to test the temperature
of the water before bathing."
d) "I should round the corners of my toenails
with a nail file to prevent ingrown nails." - CORRECT ANSWERC. "I should use my wrist
to test the temperature of
the water before bathing."
A nurse is contributing to the plan of care for a client who has disuse syndrome
following cast removal
, from a lower extremity. Which of the following referrals should the nurse include in the
plan of care?
a) Dietitian
b) Herbalist
c) Occupational therapist
d) Social worker - CORRECT ANSWERC. Occupational Therapist
A nurse is caring for a client who is taking lithium
and reports persistent nausea and vomiting for 2
days. Which of the following laboratory values should
the nurse report to the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L - CORRECT ANSWERD. Sodium 132 mEq/L
A nurse is caring for a client who has cancer and has
a WBC count of 4,000/mm3. Which of the following
actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen
peroxide.
b) Instruct the client to use a disposable razor to
shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized
dairy products. - CORRECT ANSWERA. Cleanse the client's toothbrush with hydrogen
peroxide.
A nurse enters a client's room and sees smoke coming from the bathroom. Which of the
following
actions should the nurse take first?
a) Activate the fire alarm system.
b) Use a fire extinguisher at the source of the
smoke.
c) Assist the client to a nearby common area.
d) Close the doors to the room and to the
bathroom. - CORRECT ANSWERC. Assist the client to a nearby common area.
A nurse is contributing to the plan of care for a client who reports difficulty eating due to
chronic arthritis.
Which of the following interventions should the nurse include in the plan?
a) Apply foam handles to the client's eating
utensils.
b) Obtain a referral for physical therapy.
c) Have an assistive personnel feed the client.
d) Ask the provider for a prescription for a
pureed diet. - CORRECT ANSWERA. Apply foam handles to the client's eating utensils.
2023/2024 A+ GRADED CORRECT ANSWERS
A nurse is collecting data about immunizations for a 65-year-old client who has no
identified risk factors for disease. The nurse should identify the client's need for which of
the following immunizations?
a) Inactivated polio virus
b) Herpes zoster
c) Human papilloma virus
d) Measles, mumps, and rubella - CORRECT ANSWERB. Herpes zoster
A nurse is reinforcing teaching with a client about colorectal cancer. Which of the
following risk factors should the nurse include?
a) Biliary colic
b) Duodenal ulcer
c) Chronic constipation
d) Ulcerative colitis - CORRECT ANSWERD. Ulcerative colitis
A nurse is assisting with the transfer of a client from
a medical-surgical unit to an intensive care unit following a change in status. Which of
the following information should the nurse include in the transfer
documentation? (Select all that apply.)
a) Primary health problem
b) Scheduled times for dressing changes
c) Current medication prescriptions
d) Number of family members who have visited
e) Admission vital signs from 1 week ago - CORRECT ANSWERA. Primary health
problem
B. Scheduled times for dressing changes
C. Current medication prescriptions
A nurse is collecting data from a client prior to administering hydrochlorothiazide for mild
hypertension. Which of the following findings should the nurse identify as a
contraindication to administering the medication?
a) 2+ pedal edema
b) Potassium 2.8 mEq/L
c) Allergy to shellfish
d) History of GERD - CORRECT ANSWERB. Potassium 2.8 mEq/L
A nurse is caring for a client who has a terminal illness and is in the active phase of
dying. The client
refuses further hydration and nourishment. Which of the following actions should the
nurse take?
,a) Request a prescription for IV fluids.
b) Ask the client's health care surrogate for permission to withhold nourishment.
c) Provide regular oral care for the client with a moist swab.
d) Explain the importance of oral hydration to the chest. - CORRECT ANSWERC.
Provide regular oral care for the client with a
moist swab.
A nurse is caring for a client who has a terminal illness and is in the active phase of
dying. The client
refuses further hydration and nourishment. Which of the following actions should the
nurse take?
a) Request a prescription for IV fluids.
b) Ask the client's health care surrogate for permission to withhold nourishment.
c) Provide regular oral care for the client with a moist swab.
d) Explain the importance of oral hydration to the chest. - CORRECT ANSWERc)
Provide regular oral care for the client with a moist swab.
A nurse is caring for a client who has returned to the unit following a cardiac
catheterization using a femoral approach. Which of the following methods should the
nurse use to monitor for complications?
a) Check the client's blood pressure while the
client lies supine, sits, and stands.
b) Palpate the client's brachial pulses and
compare bilaterally.
c) Check for jugular vein distention while the
client is supine.
d) Palpate the client's pedal pulses and
compare bilaterally. - CORRECT ANSWERD. Palpate the client's pedal pulses and
compare
bilaterally.
A nurse is reinforcing teaching about food care with a client who has diabetes mellitus.
Which of the following client statements indicates understanding of the teaching?
a) "I should put lotion between my toes every
day to prevent dryness and cracking."
b) "I should apply a heating pad to my feet every
night to help with circulation."
c) "I should use my wrist to test the temperature
of the water before bathing."
d) "I should round the corners of my toenails
with a nail file to prevent ingrown nails." - CORRECT ANSWERC. "I should use my wrist
to test the temperature of
the water before bathing."
A nurse is contributing to the plan of care for a client who has disuse syndrome
following cast removal
, from a lower extremity. Which of the following referrals should the nurse include in the
plan of care?
a) Dietitian
b) Herbalist
c) Occupational therapist
d) Social worker - CORRECT ANSWERC. Occupational Therapist
A nurse is caring for a client who is taking lithium
and reports persistent nausea and vomiting for 2
days. Which of the following laboratory values should
the nurse report to the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L - CORRECT ANSWERD. Sodium 132 mEq/L
A nurse is caring for a client who has cancer and has
a WBC count of 4,000/mm3. Which of the following
actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen
peroxide.
b) Instruct the client to use a disposable razor to
shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized
dairy products. - CORRECT ANSWERA. Cleanse the client's toothbrush with hydrogen
peroxide.
A nurse enters a client's room and sees smoke coming from the bathroom. Which of the
following
actions should the nurse take first?
a) Activate the fire alarm system.
b) Use a fire extinguisher at the source of the
smoke.
c) Assist the client to a nearby common area.
d) Close the doors to the room and to the
bathroom. - CORRECT ANSWERC. Assist the client to a nearby common area.
A nurse is contributing to the plan of care for a client who reports difficulty eating due to
chronic arthritis.
Which of the following interventions should the nurse include in the plan?
a) Apply foam handles to the client's eating
utensils.
b) Obtain a referral for physical therapy.
c) Have an assistive personnel feed the client.
d) Ask the provider for a prescription for a
pureed diet. - CORRECT ANSWERA. Apply foam handles to the client's eating utensils.
