ASSESSMENT LEVEL 1 VERSION B
NEWEST EXAM QUESTIONS AND
DETAILED CORRECT ANSWERS | A+
GRADE
A nurse is teaching a client about carbon monoxide and
home safety. The nurse should instruct the client that
which of the following is a manifestation of carbon
monoxide exposure?
A. Rotten-egg odor
B. Metallic taste
C. Paresthesia
D. Blurred vision Correct Answer D. Blurred vision
A nurse is providing change-of-shift report on a client
using Situation Background Assessment
Recommendation (SBAR) communication tool. The nurse
should identify which of the following information is
included in the background step?
A. Admission diagnosis
B. Current problem
C. Recent vital signs
D. Suggested nursing interventions Correct Answer A.
Admission diagnosis
,A nurse is using the SOAP format to document in the
electronic medical record of a client who is 2 days
postoperative following an open cholecystectomy. Which
of the following entries should the nurse practice in the "A"
portion of the SOAP progress note?
A. "Respiratory rate 22. Temperature 99.8º F. O2 sat 92%.
Lung sounds diminished in bases bilaterally. Has not
ambulated or used incentive spirometer since last
evening."
B. "Client states, 'I've been coughing up some thick mucus
this morning.'"
C. "Set up ambulation schedule and offer incentive
spirometer hourly during the day and when awake at
night."
D. "Ineffective airway clearance due to inadequate use of
spirometer. Correct Answer D. "Ineffective airway
clearance due to inadequate use of spirometer.
A nurse is performing a health screening assessment on a
client. Which of the following findings should the nurse
identify as a risk factor for developing colorectal cancer?
A. History of polyps
B. History of GERD
C. History of a high-fiber diet
D. History of an inguinal hernia Correct Answer A. History
of polyps
,A nurse is discussing a wellness approach to preventing
excessive nutrition intake with a group of clients. Which of
the following statements should the nurse make?
A. "Keep a record of cues that trigger a desire to eat."
B. "Use distractions to decrease the pleasure associated
with eating."
C. "Eat on a regular schedule, even if you are not hungry."
D. "Consume most of your calories in the evening."
Correct Answer A. "Keep a record of cues that trigger a
desire to eat."
A nurse is preparing to administer enoxaparin to a client
via subcutaneous injection. Which of the following actions
should the nurse take?
A. Expel the air from the syringe before administering the
medication to the client.
B. Administer the medication in the client's abdomen.
C. Inject the needle at a 30° angle into the client's skin.
D. Rub the injection site after administering the medication
to the client. Correct Answer B. Administer the medication
in the client's abdomen.
A nurse is applying a bed safety monitoring device for a
client. Which of the following actions should the nurse
take?
A. Position the sensor pad below the client's calves.
B. Place the sensor pad under the bottom sheet.
C. Set the time delay for 20 seconds.
, D. Connect the sensor pad to the call system. Correct
Answer D. Connect the sensor pad to the call system.
A public health nurse is preparing to care for a community
that has a large population of clients who practice the
Islamic faith. Which of the following practices should the
nurse anticipate when care for clients in this community?
A. Requesting to face skyward when dying
B. Moving to the floor to pray
C. Gathering for group worship on Sundays
D. Observing prayer times twice each day Correct Answer
B. Moving to the floor to pray
A home health nurse is planning care for an older adult
who lives alone and reports having difficulty adhering to
their medication regimen. The nurse should include with of
the following interventions in the plan?
A. Provide medications in childproof containers.
B. Recommend using divided daily medication doses.
C. Organize daily medications in a divided pill box.
D. Place different medications in the same bottle. Correct
Answer C. Organize daily medications in a divided pill box.
A nurse is providing teaching about negative pressure
wound therapy (NPWT) to a client who has a chronic
pressure ulcer. Which of the following information should
the nurse include?