[QUESTIONS AND ANSWERS] DETAILED AND VERIFIED
FOR GUARANTEED PASS- LATEST UPDATE 2025
GRADED A (BRAND NEW!!) WITH RATINALE
What are potential side effects of radiation to the head and neck? - CORRECT
ANSWER ✔✔✔✔✔ Dry mouth, stiffness, nausea, lymphedema and inflammation of
mucous membranes
If a person wakes up from a dream, what stage of dream were they probably in? -
CORRECT ANSWER ✔✔✔✔✔ REM sleep
What is an important note after appendectomy surgery? - CORRECT ANSWER
✔✔✔✔✔ First bowel movement has occurred
What is an adverse effect of vancomycin that should be reported to the provider
immediately? - CORRECT ANSWER ✔✔✔✔✔ Tinnitus (ringing ear)
What are fat soluble vitamins? - CORRECT ANSWER ✔✔✔✔✔ A, D, E, K
What are the water soluble vitamins? - CORRECT ANSWER ✔✔✔✔✔ B and C
When a client is receiving TPN, what are nursing interventions for them? - CORRECT
ANSWER ✔✔✔✔✔ Assess skin turgor, monitor blood glucose, and asses
insertion/dressing
What is primary intention wound closure? - CORRECT ANSWER ✔✔✔✔✔ closure
where edges are closed intentionally and are well approximated (stitches or staples)
What can a nurse expect for a patient who has a peripheral bypass graft on the leg? -
CORRECT ANSWER ✔✔✔✔✔ intermittent claudication, numbness/burning that
ceases with rest, rubor when in a dependent positon
Where is the most likely spot a nurse should draw a urine specimen on a patient that
has an indwelling catheter? - CORRECT ANSWER ✔✔✔✔✔ Port that is between the
client and collection bag
What are signs of digoxin toxicity? - CORRECT ANSWER ✔✔✔✔✔ Seeing yellow
spots, nausea, vomiting, abdominal pain, tachycardia
,What is a potential life threatening adverse event of chronic cirrhosis of the liver? -
CORRECT ANSWER ✔✔✔✔✔ Varices
How often should a nurse monitor vital signs in the PACU? - CORRECT ANSWER
✔✔✔✔✔ every 15 minutes
What is bronchiectasis? - CORRECT ANSWER ✔✔✔✔✔ Condition in which airways
develop scar tissue, resulting in pooling of mucous
What does C-reactive protein indicate? - CORRECT ANSWER ✔✔✔✔✔ inflammation
and risk for some types of cancer
What is the lithotomy position? - CORRECT ANSWER ✔✔✔✔✔ A supine position of
the body with the legs separated, flexed, and supported in raised stirrups
Within what period should blood be initiated after being obtained from the blood bank? -
CORRECT ANSWER ✔✔✔✔✔ 30 minutes
What is the most appropriate equipment to use when delivering precise oxygen
concentration? - CORRECT ANSWER ✔✔✔✔✔ Venturi mask
Breast exams are best performed when? - CORRECT ANSWER ✔✔✔✔✔ The week
after menstruation
What is common in diabetes insipidus? - CORRECT ANSWER ✔✔✔✔✔ Decreased
urine specific gravity and osmolarity
What STD causes paralysis, blindness, and dementia if left untreated? - CORRECT
ANSWER ✔✔✔✔✔ Syphilis
What is included in the psychosocial component of a comprehensive assessment? -
CORRECT ANSWER ✔✔✔✔✔ amount of sleep, personal habits, and recreational
activities
What is the purpose of a fenestrated trach tube? - CORRECT ANSWER ✔✔✔✔✔ it
allows air to pass over the vocal cords to enable the client to talk with the trach in place
What is a Katz ADL index? - CORRECT ANSWER ✔✔✔✔✔ Tool that ranks a client's
abilities to perform ADLs
How long can troponin levels remain elevated? - CORRECT ANSWER ✔✔✔✔✔ 10-
14 days
How long can CKMB remain elevated? - CORRECT ANSWER ✔✔✔✔✔ 3-6 hours
, What should a patient do when a physician is removing a central line? - CORRECT
ANSWER ✔✔✔✔✔ Take a deep breath and hold it (decreases the chances of an air
embolism)
Why are Montgomery straps used? - CORRECT ANSWER ✔✔✔✔✔ When dressing
must be changed frequently therefore protecting the skin because it is necessary to
remove the tape for each dressing change.
What cardiac arrhythmia is a complete AV dissociation? - CORRECT ANSWER
✔✔✔✔✔ Third-degree heart block
What is the first step when a patient complains of pain from a DVT? - CORRECT
ANSWER ✔✔✔✔✔ elevate the foot of the bed to prevent stasis
What test is best used to determine the presence of Hep C? - CORRECT ANSWER
✔✔✔✔✔ HCV RNA testing
How does myasthenia gravis increase the risk for respiratory infection? - CORRECT
ANSWER ✔✔✔✔✔ Ineffective coughing
What can cause U waves? - CORRECT ANSWER ✔✔✔✔✔ hypokalemia
What is contraindicated with the varicella immunization? - CORRECT ANSWER
✔✔✔✔✔ Pregnancy
What is intractable pain? - CORRECT ANSWER ✔✔✔✔✔ When the cause of the
pain cannot be Tx or relieved
Who is most at risk for developing hypo parathyroidism? - CORRECT ANSWER
✔✔✔✔✔ Females and those over the age of sixty
What is a prescription commonly used with chronic pancreatitis? - CORRECT ANSWER
✔✔✔✔✔ Enzymatic therapy
What is a common risk factor for A-fib? - CORRECT ANSWER ✔✔✔✔✔
hyperthyroidism
What can commonly occur with diarrhea? - CORRECT ANSWER ✔✔✔✔✔ Metabolic
alkalosis due to the wasting of bicarbonate
What is a sign of organ system failure with sepsis? - CORRECT ANSWER ✔✔✔✔✔
Increased creatine