CACI FINAL EXAM WITH 200+ QUESTIONS
AND WELL VERIFIED ANSWERS|| ALREADY
GRADED A+ || GUARANTEED PASS || LATEST
VERSION 2025
The nurse is caring for a client who is two days postoperative. Which
observation should alert the nurse to call the Rapid Response Team (RRT)?
A) Fresh bleeding noted on abdominal surgical wound dressing.
B) Pulse change from 85 to160 beats/minute lasting more than 10 minutes.
C) Temperature of 103.1° F and white blood cell (WBC) count of 16,000 mm3.
D) Weakness, diaphoresis, complaints of feeling faint. BP 100/56 mm Hg -
ANSWER-Correct Answer(s): B The RRT should be called to intervene for a
client with an acute life-threatening change, such as (B). (A) indicates possible
hemorrhage and needs further investigation and monitoring. (B) indicates an
infection and (D) may indicate post-operative diuresis with corresponding
hypotension. Although these symptoms need prompt collaborative attention,
they can be dealt with through normal channels such providing supportive care
and calling the healthcare provider.
A client with Ménière's disease is incapacitated by vertigo and is lying in bed
grasping the side rails and staring at the television. Which nursing intervention
should the nurse implement?
A) Encourage fluids to 3000 ml per day.
B) Change the client's position every two hours.
C) Keep the head of the bed elevated 30 degrees.
D) Turn off the television and darken the room. - ANSWER-Correct Answer(s):
D To decrease the client's vertigo during an acute attack of Ménière's disease,
any visual stimuli or rotational movement, such as sudden head movements or
position changes, should be minimized. Turning off the television and
,darkening the room (D) minimize fluorescent lights, flickering television lights,
and distracting sound. (A, B, and C) are ineffective in managing the client's
symptoms.
Which preexisting diagnosis places a client at greatest risk of developing
superior vena cava syndrome?
A) Carotid stenosis.
B) Steatosis hepatitis.
C) Metastatic cancer.
D) Clavicular fracture. - ANSWER-Correct Answer(s): C Superior vena cava
syndrome occurs when the superior vena cava (SVC) is compressed by outside
structures, such as a growing tumor that impedes the return blood flow to the
heart. Superior vena cava syndrome is likely to occur with metastatic cancer (C)
from a primary tumor in the upper lobe of the right lung that compresses the
superior vena cava. (A, B, and D) do not result in SVC syndrome.
A client with osteoarthritis receives a prescription for Naproxen (Naprosyn).
Which potential side effect should the nurse provide to the client about this
medication?
A) Sensitivity to sunlight.
B) Muscle fasciculations.
C) Increased urinary frequency.
D) Gastrointestinal disturbance. - ANSWER-Correct Answer(s): D
Prostaglandin synthesis inhibitors such as naproxen can have gastrointestinal
side effects such as nausea and gastric burning (D). It is recommended that this
drug be taken with food to avoid gastrointestinal upset. Naproxen (Naprosyn)
does not cause sensitivity to sunlight (A), muscle fasciculations (B), or urinary
frequency (C).
What information should the nurse include in a teaching plan about the onset of
menopause? (Select all that apply).
A) Smoking.
,B) Oophorectomy with hysterectomy.
C) Early menarche. D) Cardiac disease.
E) Genetic influence.
F) Chemotherapy exposure. - ANSWER-Correct Answer(s): A, B, C, E, F
Correct responses are (A, B, C, E, and F). Menopausal symptoms are related to
the cessation of ovarian function. Factors influencing the onset of menopause
include smoking (A), genetic influences (E), early menarche (C), surgical
removal (B), and exposure to chemotherapy agents and radiation (F).
Cardiovascular disease (D) is unrelated.
The nurse is caring for a client with a small bowel obstruction. The client is
vomiting foul smelling fecallike material. What action should the nurse
implement?
A) Administer antiemetics every 2 to 3 hours.
B) Position on the left side with knees drawn up.
C) Encourage ice chips sparingly.
D) Give IV fluids with electrolytes. - ANSWER-Correct Answer(s): D When
the bowel is obstructed, electrolytes and fluids are not absorbed, so parenteral
fluids with sodium chloride, bicarbonate, and potassium should be administered
(D). (A and C) are contraindicated. (B) may or may not be a position of comfort
for the client. The nurse should implement (D).
What is the priority nursing action while caring for a client on a ventilator when
an electrical fire occurs in the intensive care unit?
A) Tell another staff member to bring extinguishing equipment to the bedside.
B) Close the doors to the client's area when attempting to extinguish the fire.
C) Use a bag-valve-mask resuscitator while removing the client from the area.
D) Implement an emergency protocol to remove the client from the ventilator. -
ANSWER-Correct Answer(s): C A client on a ventilator should have
respirations maintained with a manual bag-valve-mask resuscitator while being
moved away from the oxygen wall outlet and fire source (C). (A, B, and D) are
not the priority in maintaining client safety during a fire in the client care area.
, When caring for a client with a percutaneous endoscopic gastrostomy (PEG)
tube, what protocols should the nurse implement for intermittent feedings?
(Select all that apply.)
A) Assessing residual amounts once a day.
B) Keeping the head of the bed elevated 30 degrees.
C) Changing the enteral-feeding bag every 24 hours.
D) Checking the placement of the tube by means of gastric aspiration.
E) Flushing the tube with 50 ml of normal saline solution after each feeding. -
ANSWER-Correct Answer(s): B, C, D, E (B, C, D, and E) are correct. Keeping
the head of the bed elevated 30 degrees (B), changing the enteral-feeding bag
every 24 hours (C), checking the placement of the tube by means of gastric
aspiration (D), and flushing the tube with 50 ml of normal saline solution after
each feeding (E) are interventions used to provide care of the client with a PEG
tube. Residual amounts should be assessed prior to each feeding, not once daily
(A).
While the nurse obtains a male client's history, review of systems, and physical
examination, the client tells the nurse that his breast drains fluid secretions from
the nipple. The nurse should seek further evaluation of which endocrine gland
function?
A) Posterior pituitary and testes.
B) Adrenal medulla and adrenal cortex.
C) Hypothalamus and anterior pituitary.
D) Parathyroid and islets of Langerhans. - ANSWER-Correct Answer: C
CoBreast fluid and milk production are induced by the presence of prolactin
secreted from the anterior pituitary gland, which is regulated by the
hypothalamus' secretion of prolactin-inhibiting hormone in both men and
women. Further evaluation of the hypothalamus and the anterior pituitary gland
(C) should provide additional information about the secretions or lactation.
Evaluation of (A, B, or D) do not support a physiologic mechanism or
pathology related to mammary discharge
AND WELL VERIFIED ANSWERS|| ALREADY
GRADED A+ || GUARANTEED PASS || LATEST
VERSION 2025
The nurse is caring for a client who is two days postoperative. Which
observation should alert the nurse to call the Rapid Response Team (RRT)?
A) Fresh bleeding noted on abdominal surgical wound dressing.
B) Pulse change from 85 to160 beats/minute lasting more than 10 minutes.
C) Temperature of 103.1° F and white blood cell (WBC) count of 16,000 mm3.
D) Weakness, diaphoresis, complaints of feeling faint. BP 100/56 mm Hg -
ANSWER-Correct Answer(s): B The RRT should be called to intervene for a
client with an acute life-threatening change, such as (B). (A) indicates possible
hemorrhage and needs further investigation and monitoring. (B) indicates an
infection and (D) may indicate post-operative diuresis with corresponding
hypotension. Although these symptoms need prompt collaborative attention,
they can be dealt with through normal channels such providing supportive care
and calling the healthcare provider.
A client with Ménière's disease is incapacitated by vertigo and is lying in bed
grasping the side rails and staring at the television. Which nursing intervention
should the nurse implement?
A) Encourage fluids to 3000 ml per day.
B) Change the client's position every two hours.
C) Keep the head of the bed elevated 30 degrees.
D) Turn off the television and darken the room. - ANSWER-Correct Answer(s):
D To decrease the client's vertigo during an acute attack of Ménière's disease,
any visual stimuli or rotational movement, such as sudden head movements or
position changes, should be minimized. Turning off the television and
,darkening the room (D) minimize fluorescent lights, flickering television lights,
and distracting sound. (A, B, and C) are ineffective in managing the client's
symptoms.
Which preexisting diagnosis places a client at greatest risk of developing
superior vena cava syndrome?
A) Carotid stenosis.
B) Steatosis hepatitis.
C) Metastatic cancer.
D) Clavicular fracture. - ANSWER-Correct Answer(s): C Superior vena cava
syndrome occurs when the superior vena cava (SVC) is compressed by outside
structures, such as a growing tumor that impedes the return blood flow to the
heart. Superior vena cava syndrome is likely to occur with metastatic cancer (C)
from a primary tumor in the upper lobe of the right lung that compresses the
superior vena cava. (A, B, and D) do not result in SVC syndrome.
A client with osteoarthritis receives a prescription for Naproxen (Naprosyn).
Which potential side effect should the nurse provide to the client about this
medication?
A) Sensitivity to sunlight.
B) Muscle fasciculations.
C) Increased urinary frequency.
D) Gastrointestinal disturbance. - ANSWER-Correct Answer(s): D
Prostaglandin synthesis inhibitors such as naproxen can have gastrointestinal
side effects such as nausea and gastric burning (D). It is recommended that this
drug be taken with food to avoid gastrointestinal upset. Naproxen (Naprosyn)
does not cause sensitivity to sunlight (A), muscle fasciculations (B), or urinary
frequency (C).
What information should the nurse include in a teaching plan about the onset of
menopause? (Select all that apply).
A) Smoking.
,B) Oophorectomy with hysterectomy.
C) Early menarche. D) Cardiac disease.
E) Genetic influence.
F) Chemotherapy exposure. - ANSWER-Correct Answer(s): A, B, C, E, F
Correct responses are (A, B, C, E, and F). Menopausal symptoms are related to
the cessation of ovarian function. Factors influencing the onset of menopause
include smoking (A), genetic influences (E), early menarche (C), surgical
removal (B), and exposure to chemotherapy agents and radiation (F).
Cardiovascular disease (D) is unrelated.
The nurse is caring for a client with a small bowel obstruction. The client is
vomiting foul smelling fecallike material. What action should the nurse
implement?
A) Administer antiemetics every 2 to 3 hours.
B) Position on the left side with knees drawn up.
C) Encourage ice chips sparingly.
D) Give IV fluids with electrolytes. - ANSWER-Correct Answer(s): D When
the bowel is obstructed, electrolytes and fluids are not absorbed, so parenteral
fluids with sodium chloride, bicarbonate, and potassium should be administered
(D). (A and C) are contraindicated. (B) may or may not be a position of comfort
for the client. The nurse should implement (D).
What is the priority nursing action while caring for a client on a ventilator when
an electrical fire occurs in the intensive care unit?
A) Tell another staff member to bring extinguishing equipment to the bedside.
B) Close the doors to the client's area when attempting to extinguish the fire.
C) Use a bag-valve-mask resuscitator while removing the client from the area.
D) Implement an emergency protocol to remove the client from the ventilator. -
ANSWER-Correct Answer(s): C A client on a ventilator should have
respirations maintained with a manual bag-valve-mask resuscitator while being
moved away from the oxygen wall outlet and fire source (C). (A, B, and D) are
not the priority in maintaining client safety during a fire in the client care area.
, When caring for a client with a percutaneous endoscopic gastrostomy (PEG)
tube, what protocols should the nurse implement for intermittent feedings?
(Select all that apply.)
A) Assessing residual amounts once a day.
B) Keeping the head of the bed elevated 30 degrees.
C) Changing the enteral-feeding bag every 24 hours.
D) Checking the placement of the tube by means of gastric aspiration.
E) Flushing the tube with 50 ml of normal saline solution after each feeding. -
ANSWER-Correct Answer(s): B, C, D, E (B, C, D, and E) are correct. Keeping
the head of the bed elevated 30 degrees (B), changing the enteral-feeding bag
every 24 hours (C), checking the placement of the tube by means of gastric
aspiration (D), and flushing the tube with 50 ml of normal saline solution after
each feeding (E) are interventions used to provide care of the client with a PEG
tube. Residual amounts should be assessed prior to each feeding, not once daily
(A).
While the nurse obtains a male client's history, review of systems, and physical
examination, the client tells the nurse that his breast drains fluid secretions from
the nipple. The nurse should seek further evaluation of which endocrine gland
function?
A) Posterior pituitary and testes.
B) Adrenal medulla and adrenal cortex.
C) Hypothalamus and anterior pituitary.
D) Parathyroid and islets of Langerhans. - ANSWER-Correct Answer: C
CoBreast fluid and milk production are induced by the presence of prolactin
secreted from the anterior pituitary gland, which is regulated by the
hypothalamus' secretion of prolactin-inhibiting hormone in both men and
women. Further evaluation of the hypothalamus and the anterior pituitary gland
(C) should provide additional information about the secretions or lactation.
Evaluation of (A, B, or D) do not support a physiologic mechanism or
pathology related to mammary discharge
