3/6/24,H9:21HP HESIHRNHEXITHEXAMH-
M HHESIHRNHEXITHEXAM
HESIHRNHexamHQuestionsHwithHAnswersHActualHExam
sH2021HRatedHA+
• AHclientHisHadmittedHwithHlowHT3HandHT4HlevelsHandHanHelevatedHTSHHlevel.
HOnH initialHassessment,H the H nurseH wouldH anticipate H whichH ofH the H followingH assess
mentH findings?
A) Lethargy
B) HeatH intolerance
C) Diarrhea
D) SkinHeruptions
• WhatHisHtheH mostHimportantHconsiderationHwhenHteachingH parentsHhowHtoHreduceHris
ksH inHtheHhome?
A) AgeHandHknowledge HlevelHofHtheH parents
B) ProximityH toH emergencyH services
C) NumberHofHchildrenHinH theH home
D) AgeHofHchildrenH inHtheH home
• AH35Hyear-
oldHclientHwithHsickleHcellHcrisisHisHtalkingHonHtheHtelephoneHbutHstopsHasHtheHnur
seHentersHtheHroomHtoHrequestHsomethingHforHpain.HTheHnurseH should
A) AdministerHaHplacebo
B) EncourageHincreasedHfluidH intake
C) AdministerH theHprescribedH analgesia
D) RecommendH relaxationHexercisesH forHpainH control
• WhileHcaringHforHaHtoddlerHwithHcroup,HwhichHinitialHsignHofHcroupHreq
uiresHtheHnurse'sHimmediateHattention?
A) RespiratoryHrateHofH42
about:blank 1/33
,3/6/24,H9:21HP HESIHRNHEXITHEXAMH-
M HHESIHRNHEXITHEXAM
HESIHRNHexamHQuestionsHwithHAnswersHActualHExam
sH2021HRatedHA+
B) LethargyHforHtheHpastHhour
C) ApicalHpulseHofH54
D) CoughingH upHcopiousHsecretions
• InHplanningHcareH forHaH6H month-
oldHinfant,HwhatH mustHtheHnurseHprovideHtoHassistHinHtheHdevelopmentHofHtrust?
A) Food
B) Warmth
C) Security
D) Comfort
• TheHemergencyHroomHnurseHadmitsHaHchildHwhoHexperiencedHaHseizureHatHsch
ool.HTheHfatherHcomments HthatHthisHisHtheHfirstHoccurrence,HandHdeniesHanyHfamily
HhistoryHofHepilepsy. HWhatHis Hthe HbestHresponse HbyHthe H nurse?
A) "DoHnotHworry.HEpilepsyHcanHbeHtreatedHwithH medications."
B) "TheHseizureHmayHorHmayHnotHmeanHyourHchildHhasH epilepsy."
C) "SinceHthisHwasHtheHfirstHconvulsion,HitHmayHnotHhappenH again."
D) "LongHtermH treatmentHwillHpreventH futureH seizures."
• AlcoholHandHdrugHabuseHimpairsHjudgmentHandHincreasesHriskHtakingHbe
havior.HWhatHnursingHdiagnosisHbestHapplies?
A) RiskHforHinjury
B) RiskHforHknowledge Hdeficit
C) AlteredHthoughtH process
D) DisturbanceH inHself-esteem
• WhichHtheseHfindingsHwouldHtheHnurseHmoreHcloselyHassociateHwithHanemiaH inH aH1
0H month-HoldHinfant?
A) HemoglobinHlevelHofH12Hg/dI
B) PaleH mucosaHofHtheHeyelidsHandHlips
C) Hypoactivity
D) AHheartHrateHbetweenH140HtoH160
about:blank 2/33
,3/6/24,H9:21HP HESIHRNHEXITHEXAMH-
M HHESIHRNHEXITHEXAM
about:blank 3/33
, 3/6/24,H9:21HP HESIHRNHEXITHEXAMH-
M HHESIHRNHEXITHEXAM
HESIHRNHexamHQuestionsHwithHAnswersHActualHExam
sH2021HRatedHA+
C) SendHblood,HurineHandHsputumH forHculture
D) IncreaseHtheHclient's H fluidH intake
• AHclientHisHadmittedHforHfirstHandHsecondHdegreeHburnsHonHtheHface,Hneck,Hanterior
HchestHandHhands. HThe Hnurse's HpriorityHshouldHbe
A) CoverHtheHareasHwithHdryHsterileHdressings
B) AssessHforHdyspneaHorHstridor
C) InitiateH intravenous H therapy
D) AdministerH painH medication
• WhichHofHtheseHclientsHwhoHcallHtheHcommunityHhealthHclinicHwouldHtheHnurseHaskHt
oHcomeHinHthatHdayHtoHbeHseenHbyHtheHhealthHcareHprovider?
A) IHstartedH myHperiodHandHnowHmyHurineHhasHturnedHbrightHred.
B) IHamHanHdiabeticHandHtodayHIHhaveHbeenHgoingHtoHtheHbathroomHeveryHhour.
C) IHwasHstartedHonH medicineHyesterdayHforHaHurineHinfection. HNowH myHlowerHbellyHhur
tsHwhenHIHgoHtoHtheHbathroom.
D) IHwentHtoHtheHbathroomHandHmyHurineHlookedHveryHredHandHitHdidn’tHhurtHwhenHIHwent.
• WhichHofHtheseHparents’ HcommentHforHaHnewbornHwouldHmostHlikelyHrevealHanHinitia
lHfindingHofHaHsuspectedHpyloricHstenosis?
A) IHnoticedHaHlittleHlumpHaHlittleHaboveHtheHbellyH button.
B) TheHbabyHseemsHhungryHallHtheH time.
C) MildHvomitingHthatHprogressedHtoH vomitingHshootingHacrossHtheH room.
D) IrritationHandHspittingH upH immediatelyHafterH feedings.
• TheHnurseHisHassessingHaHchildHforHclinicalH manifestations HofHironHdef
iciencyHanemia.HWhichHfactorHwouldHtheHnurseHrecognizeHasHcauseHforHthe
H findings?
A) DecreasedHcardiac Houtput
B) TissueHhypoxia
C) CerebralHedema
D) ReducedHoxygenHsaturation
• TheHnurseHwouldHexpectHtheHcysticHfibrosisHclientHtoHreceiveHsupplementalHpa
ncreaticHenzymesHalongHwithHaHdiet
A) HighHinH carbohydrates HandH proteins
B) LowH inHcarbohydrates HandHproteins
C) HighHinHcarbohydrates,HlowHinH proteins
about:blank 4/33
M HHESIHRNHEXITHEXAM
HESIHRNHexamHQuestionsHwithHAnswersHActualHExam
sH2021HRatedHA+
• AHclientHisHadmittedHwithHlowHT3HandHT4HlevelsHandHanHelevatedHTSHHlevel.
HOnH initialHassessment,H the H nurseH wouldH anticipate H whichH ofH the H followingH assess
mentH findings?
A) Lethargy
B) HeatH intolerance
C) Diarrhea
D) SkinHeruptions
• WhatHisHtheH mostHimportantHconsiderationHwhenHteachingH parentsHhowHtoHreduceHris
ksH inHtheHhome?
A) AgeHandHknowledge HlevelHofHtheH parents
B) ProximityH toH emergencyH services
C) NumberHofHchildrenHinH theH home
D) AgeHofHchildrenH inHtheH home
• AH35Hyear-
oldHclientHwithHsickleHcellHcrisisHisHtalkingHonHtheHtelephoneHbutHstopsHasHtheHnur
seHentersHtheHroomHtoHrequestHsomethingHforHpain.HTheHnurseH should
A) AdministerHaHplacebo
B) EncourageHincreasedHfluidH intake
C) AdministerH theHprescribedH analgesia
D) RecommendH relaxationHexercisesH forHpainH control
• WhileHcaringHforHaHtoddlerHwithHcroup,HwhichHinitialHsignHofHcroupHreq
uiresHtheHnurse'sHimmediateHattention?
A) RespiratoryHrateHofH42
about:blank 1/33
,3/6/24,H9:21HP HESIHRNHEXITHEXAMH-
M HHESIHRNHEXITHEXAM
HESIHRNHexamHQuestionsHwithHAnswersHActualHExam
sH2021HRatedHA+
B) LethargyHforHtheHpastHhour
C) ApicalHpulseHofH54
D) CoughingH upHcopiousHsecretions
• InHplanningHcareH forHaH6H month-
oldHinfant,HwhatH mustHtheHnurseHprovideHtoHassistHinHtheHdevelopmentHofHtrust?
A) Food
B) Warmth
C) Security
D) Comfort
• TheHemergencyHroomHnurseHadmitsHaHchildHwhoHexperiencedHaHseizureHatHsch
ool.HTheHfatherHcomments HthatHthisHisHtheHfirstHoccurrence,HandHdeniesHanyHfamily
HhistoryHofHepilepsy. HWhatHis Hthe HbestHresponse HbyHthe H nurse?
A) "DoHnotHworry.HEpilepsyHcanHbeHtreatedHwithH medications."
B) "TheHseizureHmayHorHmayHnotHmeanHyourHchildHhasH epilepsy."
C) "SinceHthisHwasHtheHfirstHconvulsion,HitHmayHnotHhappenH again."
D) "LongHtermH treatmentHwillHpreventH futureH seizures."
• AlcoholHandHdrugHabuseHimpairsHjudgmentHandHincreasesHriskHtakingHbe
havior.HWhatHnursingHdiagnosisHbestHapplies?
A) RiskHforHinjury
B) RiskHforHknowledge Hdeficit
C) AlteredHthoughtH process
D) DisturbanceH inHself-esteem
• WhichHtheseHfindingsHwouldHtheHnurseHmoreHcloselyHassociateHwithHanemiaH inH aH1
0H month-HoldHinfant?
A) HemoglobinHlevelHofH12Hg/dI
B) PaleH mucosaHofHtheHeyelidsHandHlips
C) Hypoactivity
D) AHheartHrateHbetweenH140HtoH160
about:blank 2/33
,3/6/24,H9:21HP HESIHRNHEXITHEXAMH-
M HHESIHRNHEXITHEXAM
about:blank 3/33
, 3/6/24,H9:21HP HESIHRNHEXITHEXAMH-
M HHESIHRNHEXITHEXAM
HESIHRNHexamHQuestionsHwithHAnswersHActualHExam
sH2021HRatedHA+
C) SendHblood,HurineHandHsputumH forHculture
D) IncreaseHtheHclient's H fluidH intake
• AHclientHisHadmittedHforHfirstHandHsecondHdegreeHburnsHonHtheHface,Hneck,Hanterior
HchestHandHhands. HThe Hnurse's HpriorityHshouldHbe
A) CoverHtheHareasHwithHdryHsterileHdressings
B) AssessHforHdyspneaHorHstridor
C) InitiateH intravenous H therapy
D) AdministerH painH medication
• WhichHofHtheseHclientsHwhoHcallHtheHcommunityHhealthHclinicHwouldHtheHnurseHaskHt
oHcomeHinHthatHdayHtoHbeHseenHbyHtheHhealthHcareHprovider?
A) IHstartedH myHperiodHandHnowHmyHurineHhasHturnedHbrightHred.
B) IHamHanHdiabeticHandHtodayHIHhaveHbeenHgoingHtoHtheHbathroomHeveryHhour.
C) IHwasHstartedHonH medicineHyesterdayHforHaHurineHinfection. HNowH myHlowerHbellyHhur
tsHwhenHIHgoHtoHtheHbathroom.
D) IHwentHtoHtheHbathroomHandHmyHurineHlookedHveryHredHandHitHdidn’tHhurtHwhenHIHwent.
• WhichHofHtheseHparents’ HcommentHforHaHnewbornHwouldHmostHlikelyHrevealHanHinitia
lHfindingHofHaHsuspectedHpyloricHstenosis?
A) IHnoticedHaHlittleHlumpHaHlittleHaboveHtheHbellyH button.
B) TheHbabyHseemsHhungryHallHtheH time.
C) MildHvomitingHthatHprogressedHtoH vomitingHshootingHacrossHtheH room.
D) IrritationHandHspittingH upH immediatelyHafterH feedings.
• TheHnurseHisHassessingHaHchildHforHclinicalH manifestations HofHironHdef
iciencyHanemia.HWhichHfactorHwouldHtheHnurseHrecognizeHasHcauseHforHthe
H findings?
A) DecreasedHcardiac Houtput
B) TissueHhypoxia
C) CerebralHedema
D) ReducedHoxygenHsaturation
• TheHnurseHwouldHexpectHtheHcysticHfibrosisHclientHtoHreceiveHsupplementalHpa
ncreaticHenzymesHalongHwithHaHdiet
A) HighHinH carbohydrates HandH proteins
B) LowH inHcarbohydrates HandHproteins
C) HighHinHcarbohydrates,HlowHinH proteins
about:blank 4/33