EXAM 2025| BRAND NEW ACTUAL EXAM WITH
100% VERIFIED QUESTIONS AND CORRECT
SOLUTIONS| GUARANTEED VALUE PACK| ACE
YOUR GRADES.
1. While in a supine position your patient states, "I'm tired and cannot catch
my breath." Physical assessment reveals jugular vein distention and a
third heart sound (S3). These symptoms are indicative of what
condition? - Correct Answer-Heart failure
2. Your new admission presents with a cough, unintentional weight loss,
frequent night sweats, and bloody sputum. What type of isolation
precautions should you initiate, if any? - Correct Answer-Airborne
precautions
3. Patients with diabetes are at high risk for complications from damage to
what body areas? - Correct Answer-Nerve and kidney damage
4. If your patient with a known history of diabetes is displaying symptoms
of diaphoresis, cool skin, lethargy, and shakiness. What is your first
action? - Correct Answer-Check the patient's blood glucose level.
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,5. Your patient tells you, "I hope I don't die, but if I do I don't want to be
brought back.? You notice on her chart and wrist band that she is a full
code. What would be the MOST appropriate action? - Correct Answer-
Discuss code status with the patient and follow up with provider to
ensure the medical record reflects her wishes.
6. Your coworker posted photos on social media from a birthday party they
had for her in the unit breakroom. What should be your NEXT course of
action? - Correct Answer-No action is necessary because no PHI was
displayed.
7. Your new patient understands very limited English. How should you
communicate with them when completing the admission assessment? -
Correct Answer-Use the organization's interpreter services.
8. You are caring for a patient with a history of diabetes mellitus. You walk
into the room and find the patient lethargic and diaphoretic. What is your
first action? - Correct Answer-Obtain capillary blood glucose level.
9. Your patient is 4 hours post open appendectomy and has not voided yet.
You note his lower abdomen is distended. What should you do NEXT? -
Correct Answer-Perform a bladder scan
10. A patient with peritonitis presents with tachycardia, hypotension, and
dehydration. What other assessment finding would you anticipate as
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, part of your physical assessment? - Correct Answer-Severe abdominal
pain or rebound tenderness
11. What is the EARLIEST sign indicating increased intracranial pressure
(ICP)? - Correct Answer-Level of consciousness
12. In addition to pain, pallor, and pulselessness, a neurovascular
assessment also includes checking for: - Correct Answer-Paresthesia
and paralysis
13. You received a report on a patient that sustained a right hemisphere
CVA 48 hours ago. What do you expect the patient to exhibit? - Correct
Answer-Left sided weakness of the leg, arm, and face.
14. You are ordered to give digoxin (Lanoxin). Your patients vital signs
are: BP 130/70, Temp 97.9F, HR 52, RR 16, O2 Sat 100% on room air.
What should you do NEXT? - Correct Answer-Hold digoxin (Lanoxin)
and call the provider
15. Upon entry to your patient's room, you find her sitting in High Fowler's
position and complaining of shortness of breath. Her respiratory rate is
34 breaths/min and O2 sat is 84%. Which mode of oxygen delivery
would MOST likely reverse these symptoms? - Correct Answer-Non-
rebreather mask
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