Actual Exam (2025-2026 Version) |
Complete Questions and Correct Answers |
Newest Exam
A nurse is supportive of a child receiving long-term rehabilitation in the home
rather than in a health care facility. Why is living with the family so important to a
child's emotional development? ---------CORRECT ANSWER-----------------It is where
child's identity and roles are learned
A nurse is taking care of a client who has severe back pain as a result of a work
injury. What nursing considerations should be made when determining the
client's plan of care? ---------CORRECT ANSWER-----------------Ask the client what is
the client's acceptable level of pain & administer the pain medications regularly
around the clock
The nurse is teaching a client about adequate hand hygiene. What component of
hand washing should the nurse include that is most important for removing
microorganisms? ---------CORRECT ANSWER-----------------Friction
A nurse is teaching staff members about the legal terminology used in child
abuse. What definition of battery should the nurse include in the teaching? --------
-CORRECT ANSWER-----------------The application of force to another person
without lawful justification.
,A nurse must establish and maintain an airway in a client who has experienced a
near-drowning in the ocean. For which potential danger should the nurse assess
the client? ---------CORRECT ANSWER-----------------Pulmonary edema
The nurse recognizes that what is the reason the faucets on the sinks in a client's
room are considered contaminated? ---------CORRECT ANSWER-----------------They
are touched by dirty hands when turning the water on.
The nurse recognizes that which are important components of a neurovascular
assessment are: ---------CORRECT ANSWER-----------------Orientation, Respiratory
rate, Pulse and skin temperature
A nurse reinforces teaching a client about Coumadin (warfarin) and concludes
that the teaching is effective when the client states, "I must not drink: ---------
CORRECT ANSWER-----------------Cranberry juice
A nurse reviews a medical record of a client with ascites. What does the nurse
identify that may be causing the ascites? ---------CORRECT ANSWER-----------------
Decreased liver function
,A nurse suspects that a client has poison ivy. Assessment findings reveal vesicles
on the arms and legs. A vesicle can be described as: ---------CORRECT ANSWER------
-----------A lesion filled with serous fluid
A nurse teaches a client about wearing thigh-high anti-embolism elastic stockings.
What would be appropriate to include in the instructions? ---------CORRECT
ANSWER-----------------"You will need to apply them in the morning before you
lower your legs from the bed to the floor."
A nurse who is working on a medical-surgical unit receives a phone call requesting
information about a client who has undergone surgery. The nurse observes that
the client requested a do not publish ("DNP") order on any information regarding
condition or presence in the hospital. What is the best response by the nurse? ----
-----CORRECT ANSWER-----------------"We have no record of that client on our unit.
Thank you for calling."
What are the best ways for a nurse to be protected legally? ---------CORRECT
ANSWER-----------------Provide care within the parameters of the state's nurse
practice act, document consistently and objectively, Clearly document a client's
non-adherence to the medical regimen
A client with arthritis increases the dose of ibuprofen (Motrin, Advil) to abate
joint discomfort. After several weeks the client becomes increasingly weak. The
client is admitted to the hospital and is diagnosed with severe anemia. What
clinical indicators does the nurse expect to identify when performing an
, admission assessment? ---------CORRECT ANSWER-----------------Melena,
Tachycardia
A client with hemiplegia is staring blankly at the wall and reports feeling like half a
person. What is the most appropriate initial nursing action? ---------CORRECT
ANSWER-----------------Offer to spend more time with the client.
A client with rheumatoid arthritis does not want the prescribed cortisone and
informs the nurse. Later, the nurse attempts to administer cortisone. When the
client asks what the medication is, the nurse gives an evasive answer. The client
takes the medication and later discovers that it was cortisone. The client states an
intent to sue. What factors in this situation must be considered in a legal action? -
--------CORRECT ANSWER-----------------Clients have a right to refuse treatment,
nurses are required to answer clients truthfully, the health care provider should
have been notified
During history taking, a client reports experiencing black, tarry stools. The nurse
recognizes that this may be an indication of ---------CORRECT ANSWER----------------
-Upper gastrointestinal bleeding
The family of an older adult who is aphasic reports to the nurse manager that the
primary nurse failed to obtain a signed consent before inserting an indwelling
catheter to measure hourly output. What should the nurse manager consider
before responding? ---------CORRECT ANSWER-----------------A separate signed
informed consent for routine treatments is unnecessary