Adult Health NEWEST 2025 ACTUAL EXAM
ADULT HEALTH NEWEST 2025 ACTUAL EXAM WITH COMPLETE
200 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+|BRAND NEW!!
1. A nurse is caring for clients in a busy emergency department. Which actions
should the nurse take to ensure
client and staff safety? (Select all that apply.)
a. Leave the stretcher in the lowest position with rails down so that the client can
access the bathroom.
b. Use two identifiers before each intervention and before mediation
administration.
c. Attempt de-escalation strategies for clients who demonstrate aggressive
behaviors.
d. Search the belongings of clients with altered mental status to gain essential
medical information.
e. Isolate clients who have immune suppression disorders to prevent hospital-
acquired infections. ANS: B, C, D
To ensure client and staff safety, nurses should use two identifiers per The Joint
Commissions National Patient
Safety Goals
follow the hospitals security plan, including de-escalation strategies for people
who demonstrate
aggressive or violent tendencies
and search belongings to identify essential medical information. Nurses
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, Adult Health NEWEST 2025 ACTUAL EXAM
should also use standard fall prevention interventions, including leaving stretchers
in the lowest position with
rails up, and isolating clients who present with signs and symptoms of contagious
infectious disorders.
DIF: Applying/Application REF: 120
KEY: Safety| patient safety| staff safety
MSC: Integrated Process: Nursing Process: Implementation
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and
Infection Control
2. An emergency department (ED) nurse is preparing to transfer a client to the
trauma intensive care unit.
Which information should the nurse include in the nurse-to-nurse hand-off
report? (Select all that apply.)
a. Mechanism of injury
b. Diagnostic test results
c. Immunizations
d. List of home medications
e. Isolation precautions ANS: A, B, E
Hand-off communication should be comprehensive so that the receiving nurse can
continue care for the client
fluidly. Communication should be concise and should include only the most
essential information for a safe
transition in care. Hand-off communication should include the clients situation
(reason for being in the ED),
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, Adult Health NEWEST 2025 ACTUAL EXAM
brief medical history, assessment and diagnostic findings, Transmission-Based
Precautions needed,
interventions provided, and response to those interventions.
DIF: Applying/Application REF: 120
KEY: SBAR| hand-off communication
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Safe and Effective Care Environment: Management of
Care
3. An emergency room nurse is caring for a trauma client. Which interventions
should the nurse perform
during the primary survey? (Select all that apply.)
a. Foley catheterization
b. Needle decompression
c. Initiating IV fluids
d. Splinting open fractures
e. Endotracheal intubation
f. Removing wet clothing
g. Laceration repair ANS: B, C, E, F
The primary survey for a trauma client organizes the approach to the client so that
life-threatening injuries are
rapidly identified and managed. The primary survey is based on the standard
mnemonic ABC, with an added D
and E: Airway and cervical spine control Breathing Circulation Disability and
Exposure. After the
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, Adult Health NEWEST 2025 ACTUAL EXAM
completion of primary diagnostic and laboratory studies, and the insertion of
gastric and urinary tubes, the
secondary survey (a complete head-to-toe assessment) can be carried out.
DIF: Applying/Application REF: 127
KEY: Primary survey| emergency nursing
Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative
Care 9e 54
MSC: Integrated Process: Nursing Process: Implementation
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
4. The complex care provided during an emergency requires interdisciplinary
collaboration. Which
interdisciplinary team members are paired with the correct responsibilities?
(Select all that apply.)
a. Psychiatric crisis nurse Interacts with clients and families when sudden illness,
serious injury, or death of a
loved one may cause a crisis
b. Forensic nurse examiner Performs rapid assessments to ensure clients with the
highest acuity receive the
quickest evaluation, treatment, and prioritization of resources
c. Triage nurse Provides basic life support interventions such as oxygen, basic
wound care, splinting, spinal
immobilization, and monitoring of vital signs
d. Emergency medical technician Obtains client histories, collects evidence, and
offers counseling and followup care for victims of rape, child abuse, and domestic
violence
4|Page
ADULT HEALTH NEWEST 2025 ACTUAL EXAM WITH COMPLETE
200 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+|BRAND NEW!!
1. A nurse is caring for clients in a busy emergency department. Which actions
should the nurse take to ensure
client and staff safety? (Select all that apply.)
a. Leave the stretcher in the lowest position with rails down so that the client can
access the bathroom.
b. Use two identifiers before each intervention and before mediation
administration.
c. Attempt de-escalation strategies for clients who demonstrate aggressive
behaviors.
d. Search the belongings of clients with altered mental status to gain essential
medical information.
e. Isolate clients who have immune suppression disorders to prevent hospital-
acquired infections. ANS: B, C, D
To ensure client and staff safety, nurses should use two identifiers per The Joint
Commissions National Patient
Safety Goals
follow the hospitals security plan, including de-escalation strategies for people
who demonstrate
aggressive or violent tendencies
and search belongings to identify essential medical information. Nurses
1|Page
, Adult Health NEWEST 2025 ACTUAL EXAM
should also use standard fall prevention interventions, including leaving stretchers
in the lowest position with
rails up, and isolating clients who present with signs and symptoms of contagious
infectious disorders.
DIF: Applying/Application REF: 120
KEY: Safety| patient safety| staff safety
MSC: Integrated Process: Nursing Process: Implementation
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and
Infection Control
2. An emergency department (ED) nurse is preparing to transfer a client to the
trauma intensive care unit.
Which information should the nurse include in the nurse-to-nurse hand-off
report? (Select all that apply.)
a. Mechanism of injury
b. Diagnostic test results
c. Immunizations
d. List of home medications
e. Isolation precautions ANS: A, B, E
Hand-off communication should be comprehensive so that the receiving nurse can
continue care for the client
fluidly. Communication should be concise and should include only the most
essential information for a safe
transition in care. Hand-off communication should include the clients situation
(reason for being in the ED),
2|Page
, Adult Health NEWEST 2025 ACTUAL EXAM
brief medical history, assessment and diagnostic findings, Transmission-Based
Precautions needed,
interventions provided, and response to those interventions.
DIF: Applying/Application REF: 120
KEY: SBAR| hand-off communication
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Safe and Effective Care Environment: Management of
Care
3. An emergency room nurse is caring for a trauma client. Which interventions
should the nurse perform
during the primary survey? (Select all that apply.)
a. Foley catheterization
b. Needle decompression
c. Initiating IV fluids
d. Splinting open fractures
e. Endotracheal intubation
f. Removing wet clothing
g. Laceration repair ANS: B, C, E, F
The primary survey for a trauma client organizes the approach to the client so that
life-threatening injuries are
rapidly identified and managed. The primary survey is based on the standard
mnemonic ABC, with an added D
and E: Airway and cervical spine control Breathing Circulation Disability and
Exposure. After the
3|Page
, Adult Health NEWEST 2025 ACTUAL EXAM
completion of primary diagnostic and laboratory studies, and the insertion of
gastric and urinary tubes, the
secondary survey (a complete head-to-toe assessment) can be carried out.
DIF: Applying/Application REF: 127
KEY: Primary survey| emergency nursing
Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative
Care 9e 54
MSC: Integrated Process: Nursing Process: Implementation
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
4. The complex care provided during an emergency requires interdisciplinary
collaboration. Which
interdisciplinary team members are paired with the correct responsibilities?
(Select all that apply.)
a. Psychiatric crisis nurse Interacts with clients and families when sudden illness,
serious injury, or death of a
loved one may cause a crisis
b. Forensic nurse examiner Performs rapid assessments to ensure clients with the
highest acuity receive the
quickest evaluation, treatment, and prioritization of resources
c. Triage nurse Provides basic life support interventions such as oxygen, basic
wound care, splinting, spinal
immobilization, and monitoring of vital signs
d. Emergency medical technician Obtains client histories, collects evidence, and
offers counseling and followup care for victims of rape, child abuse, and domestic
violence
4|Page
