2025-2026 | ACTUAL EXAM WITH A STUDY GUIDE AND PRACTICE EXAM |
ACCURATE REAL EXAM QUESTIONS AND ANSWERS | GUARANTEED PASS |
LATEST UPDATE
Which of the following should we consider? - CORRECT ANSWER
Code status, ABG values, and last dose of bronchodilator
medication
Mr. Gomez's respiratory status. Which of the following actions
should nurse Allyson take? - CORRECT ANSWER It's not
encourage mr. Gomez to cough and deep breathe frequently
Review the 5 videos for piggyback ceftriaxone. Put them in order.
- CORRECT ANSWER B, D, A, C, E
The nurse should set the IV pump to deliver how many mL/hr? -
CORRECT ANSWER 200 mL/hr
Fathers skin irritation and itching. Which of the following is a
correct response by nurse Allyson? - CORRECT ANSWER I'll be
right there
Nurse Allyson assesses his airway. What is the next appropriate
nursing intervention? - CORRECT ANSWER Assess mr. Gomez's
breathing pattern
Which of the following nursing interventions is appropriate to
meet the needs of mr. Gomez and his daughter at this time? -
CORRECT ANSWER Encourage mr. Gomez and his daughter to
further express their emotions.
,Pleural effusion. Which of the following images depicts a pleural
effusion? - CORRECT ANSWER A (the one with the yellow fluid
by the left lung)
Report from the AP about mr. Gomez's difficulty breathing and
increased anxiety. Activities included in plan of care? - CORRECT
ANSWER Assess all tube connections between the chest and
the drainage system
Acute protein deficiency. Which of the following laboratory test
results is useful in determining a clients protein nutrition status?
- CORRECT ANSWER Albumin
Risk factors for skin breakdown. Which of the following are risk
factors that mr. Gomez exhibit? (SATA) - CORRECT ANSWER
Alc intake, history of corticosteroid use, limited mobility, chronic
illness (COPD)
Planning discharge teaching for mr Gomez. Which of the
following should be included in discharge instructions? -
CORRECT ANSWER Not use a peak flow meter
Using the SBAR format, identify the info. Nurse Allyson received
from report that will enable her to provide safe care to Mr.
Jones. - CORRECT ANSWER S- Situation
The ED admitted Mr. Jones at 4:30 AM for SOB and weakness.
After treatment, he is transferring to the telemetry unit.
B - Background
60 year old African-American male with a history of peripheral
vascular disease, type 2 diabetes, chronic kidney disease,
coronary artery disease, and atrial fibrillation. A provider
recently discharged him from the facility after he treated Mr.
Jones for atrial fibrillation and a type 2 diabetic ulcer of the right
foot. Mr. Jones did not complete prescribed antibiotics after his
,discharge. He is non compliant in managing his diabetes. He
smokes one pack of cigarettes a day and uses alcohol 3 to 5
times a week.
A - Assessment
Mr. Jones is awake, alert, and orientated x3. Current vitals are:
BP 112/70, P: 158, R: 34, T: 99.1, and O2 sat 91% on 2 L via nasal
cannula. ECG indicates atrial fibrillation; placed on telemetry.
Chest x-ray: opacities greater in the right lung than left lung.
Altered lab values include: sodium 128, potassium 5.1, BUN 44,
creatinine 3.0, and glomerular filtration rate 25. His total bilirubin
was 2.8, calcium 8.7, WBCs 16.1, hemoglobin 9.3, hematocrit 28.2,
and blood glucose 71. We did a digoxin level, which was 0.6. He
has a soiled dressing on his right foot and is a stage III ulcer. A
#20 gauge IV catheter was inserted peripherally in his left
forearm and a nurse gave him 1,000 mL of 0.9% sodium chloride.
Intake: 1,000 mL Output: None. No family present.
Nurse Allyson is preparing to perform a sterile dressing change
to Mr. Jones's foot. After removing the exam gloves, performing
hand hygiene, and gathering the needed supplies, what are the
next steps Nurse Allyson should take for the dressing change? -
CORRECT ANSWER 1. Apply clean gloves.
2. Remove dressing and place in moisture-proof bag.
3. Remove clean gloves.
4. Wash hands.
5. Apply sterile gloves.
6. Cover with sterile gauze.
7. Secure dressing.
Nurse Allyson is preparing to call the provider about Mr. Jones's
difficulty breathing. Which of the following orders should she
recommend to the provider? - CORRECT ANSWER Furosemide
(Lasix) 20 mg IV
, Mr. Jones's total urinary output is 50 mL. His total IV fluid intake
since admission is 1550 mL. Which of the following is an
appropriate nursing intervention at this time? - CORRECT
ANSWER Obtain a bladder scan.
Nurse Allyson is going to perform a bladder scan on Mr. Jones.
Where should the transducer be placed on his abdomen? -
CORRECT ANSWER Central abdomen, below the umbilicus.
Nurse Allyson is planning care for a set of clients. Which of the
following should be her priority action? - CORRECT ANSWER
Check on the client who is reporting chest pain.
The telemetry technician notified Nurse Allyson that Mr. Jones is
having arrhythmia. Which of the following is the priority nursing
intervention at this time? - CORRECT ANSWER Perform a
focused assessment.
Mr. Jones's heart monitor displays this rhythm strip. Which of the
following is an appropriate nursing action? - CORRECT ANSWER
Call the rapid response team.
The provider gave Nurse Allyson new prescriptions to
implement. Based on Mr. Jones's current symptoms, which of the
following medications should she give him at this time? -
CORRECT ANSWER Sodium polystyrene sulfonate (Kayexalate)
30 g PO once now
Nurse Allyson is preparing to administer furosemide (Lasix) 40
mg IV. Available is furosemide 80 mg/5 mL. How many mL
should she administer? - CORRECT ANSWER 2.5 mL