REAL EXAM QUESTIONS AND CORRECT
ANSWERS(VERIFIED ANSWERS)|AGRADE
A client asks the nurse the differences between traditional therapies and alternative therapies.
What is the best response? - ANSWER>>. Alternative therapies can be as effective as traditional
therapies for some conditions.
Before meeting with a client with a terminal illness, a new graduate nurse reviews information
on spirituality. Which is the best explanation of spirituality? - ANSWER>>. That which gives
people purpose and meaning in their lives
Which nursing action is most likely to create a healing environment? - ANSWER>>. Empower
clients to make healthy decisions for themselves.
From the perspective of traditional Chinese medicine (TCM), which is the best definition of
disease? - ANSWER>>. Imbalance or interruption in the flow of qi
What should a nurse instruct a client who identifies "the family" as two college roommates, a
dog, and a cat when completing a family health history form? - ANSWER>>. Include only
information about genetic/hereditary and environmental illnesses of blood relatives.
An adult child brings a parent to an agency with signs and symptoms of potential fluid retention
(e.g., high blood pressure, swollen feet) possibly related to excessive sodium intake. Further
nursing assessment indicates inadequate food storage and preparation techniques in the home.
Which would be the most appropriate nursing diagnosis? - ANSWER>>. Readiness for enhanced
family coping
Prior to finalizing a family-oriented nursing care plan and implementing interventions, it is
essential for the nurse to perform which of the following? - ANSWER>>. Establish a trusting
relationship with the family as a group.
In initiating care for a client from a different culture than the nurse, which of the following
would be an appropriate statement? - ANSWER>>. "Please let me know if I do anything that is
not acceptable in your culture."
, Which behavior is most representative of a culturally competent nurse? - ANSWER>>.
Interprets and validates beliefs of a client with African-American heritage
A client tells the nurse, "This pill is a different color than the one that I usually take at home."
Which is the best response by the nurse? - ANSWER>>. "I will recheck your medication orders."
The following medications are listed on a client's medication administration record (MAR).
Which medication order should the nurse question? - ANSWER>>. Codeine q 4-6 hr, po, prn for
pain
Which of the following nursing diagnoses is most appropriate for a client with a body mass
index (BMI) of 35? - ANSWER>>. Imbalanced Nutrition: More Than Body Requirements
An adult reports eating, on average, the following each day: 3 cups dairy, 2 cups fruit, 2 cups
vegetables, 5 ounces grains, and 5 ounces meat. The nurse would counsel the client to: -
ANSWER>>. Increase the number of servings of grains
Which of the following is the best indication of proper placement of a nasogastric tube in the
stomach? - ANSWER>>. pH of the aspirate is less than 5. (gastric secretions are acidic by pH less
than 6)
What is the proper technique with gravity tube feeding? - ANSWER>>. Feeding bag is hung 1
foot higher than the tube's insertion point into the client.
A 55-year-old female is about 20 lb over her desired weight. She has been on a "low calorie"
diet with no improvement. Which of the following statements reflects a healthy approach to
the desired weight loss? "I need to: - ANSWER>>. Increase my exercise to at least 30 minutes
every day."
While hospitalized a client is very worried about business activities. The client spends a great
deal of time on the phone and with colleagues instead of resting. Which principle of need
therapy applies to this client? - ANSWER>>. His lower level physiologic needs are being deferred
while higher needs are addressed.
A client is admitted for heart failure. The nurse assess that the client's blood pressure is below
normal range and the apical pulse is 110. The nurse knows that the increase in the client's pulse
illustrates which aspect of the client's homeostatic mechanism? - ANSWER>>. Compensation