Latest Update 2025-2026 Exam 185 Questions
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A+
A child's immunization may cause discomfort during administration, but the benefits of
protection from disease, both for the individual and society, outweigh the temporary
discomforts. Which principle is involved in this situation?
A) Fidelity
B) Beneficence
C) Nonmaleficence
D) Respect for autonomy - CORRECT ANSWER: B) Beneficence
A faculty member is reviewing a nursing student's plan of care, including the
interventions the student provided for a patient with dementia. The student reviewed
clinical guidelines on a professional website to identify interventions successful in
reducing wandering in patients with dementia. The faculty member should evaluate
which of the following?
Select all that apply.
A) Number of interventions
B) Appropriateness of the intervention for the patient
C) The prior use of interventions by other nursing staff
D) Correct application of the intervention for the patient care setting
,E) The time it takes to provide interventions - CORRECT ANSWER: Appropriateness of
the intervention for the patient
Correct application of the intervention for the patient care setting
A home health nurse notices significant bruising on a 2-year-old patient's head, arms,
abdomen, and legs. The patient's mother describes the patient's frequent falls. What is
the best nursing action for the home health nurse to take?
A) Document her findings and treat the patient
B) Instruct the mother on safe handling of a 2-year-old child
C) Contact a child abuse hotline
D) Discuss this story with a colleague - CORRECT ANSWER: Contact a child abuse
hotline
A homeless man enters the emergency department seeking health care. The health
care provider indicates that the patient needs to be transferred to the City Hospital for
care. This action is most likely a violation of which of the following laws?
A) Health Insurance Portability and Accountability Act (HIPAA)
B) Americans with Disabilities Act (ADA)
C) Patient Self-Determination Act (PSDA)
,D) Emergency Medical Treatment and Active Labor Act (EMTALA) without triage
completed - CORRECT ANSWER: Emergency Medical Treatment and Active Labor Act
(EMTALA) without triage completed
A nurse caring for a patient with heart failure instructs the patient on foods to eat for a
low-sodium diet. The nurse will perform which of the following evaluation measures to
determine success of her instruction?
A) Patient weight
B) Asking patient to identify three low-sodium foods to eat for lunch
C) A calorie count of food
D) Patient description of how food selections are made - CORRECT ANSWER: Asking
patient to identify three low-sodium foods to eat for lunch
A nurse checks an intravenous (IV) solution container for clarity of the solution, noting
that it is infusing into the patient's left arm. The IV solution of 9% NS is infusing freely at
100 mL/hr as ordered. The nurse reviews the nurses' notes from the previous shift to
determine if the dressing over the site was changed as scheduled per standard of care.
While in the room the nurse inspects the condition of the dressing and notes the date on
the dressing label. In which ways did the nurse evaluate the condition of the IV site?
Select all that apply.
A) Checked the IV infusion rate
B) Checked the type of IV solution
C) Confirmed from nurses' notes the time of dressing change
D) Inspected the condition of the IV dressing at the site
E) Checked clarity of IV solution - CORRECT ANSWER: Checked the IV infusion rate
, Inspected the condition of the IV dressing at the site
A nurse enters a patient's room and begins a conversation. During this time the nurse
evaluates how a patient is tolerating a new diet plan. The nurse decides to also evaluate
the patient's expectations of care. Which statement is appropriate for evaluating a
patient's expectations of care?
A) On a scale of 0 to 10 rate your level of nausea.
B) The nurse weighs the patient.
C) The nurse asks, "Did you believe that you received the information you needed to
follow your diet?"
D) The nurse states, "Tell me four different foods included in your diet." - CORRECT
ANSWER: The nurse asks, "Did you believe that you received the information you
needed to follow your diet?"
A nurse has been caring for a patient over 2 consecutive days. During that time the
patient has had an intravenous (IV) catheter in the right forearm. At the end of shift on
the second day the nurse inspects the catheter site, observes for redness, and asks if
the patient feels tenderness when the site is palpated. This is an example of which
indicator reflecting the nurse's ability to perform evaluation:
A) Examining results of clinical data
B) Comparing achieved effects with outcomes
C) Recognizing error