PRACTICE A| 100 ACTUAL QUESTIONS & WELL EXPLAINED
SOLUTION LATEST 2025
Q & ANS >>
1. A nurse is assessing a preschooler who has a urinary tract infection (UTI).
Which of the following findings should the nurse expect?
1. Diarrhea
2. Abdominal pain
3. Increased thirst
4. Skin rash ANS >> Abdominal Pain
The nurse should expect a preschooler who has a UTI to experience abdominal pain. Other manifestations
Rat >> ANS >>
include constipation, dysuria, foul-smelling urine, and fever.
2. A nurse is counseling a client who has a family history of colorectal cancer
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, about management of nutrition to help prevent gastrointestinal (GI) cancers.
Which of the following images indicates a food or beverage the nurse should
encourage the client to include liberally in his diet? ANS >> Fruits and Veggies
Rat >> ANS >>To help reduce the risk of cancers of the GI system, the nurse should instruct the client to consume at least
2.5 cups of fruits and vegetables per day.
3. A nurse is preparing to extinguish a small fire in a clients room. Which of the
following actions should the nurse take when using the fire extinguisher?
1. Aim the fire extinguisher at the top of the flames.
2. Pump the handles of the fire extinguisher up and down three times.
3. Sweep the fire extinguisher in a circular motion until the fire is extinguished.
4. Slide the pin on top of the fire extinguisher straight out. ANS >> Slide the pin on top
of the fire extinguisher straight out.
Rat >> ANS >> The nurse should pull the pin on the top of the fire extinguisher to allow for use to extinguish the fire.
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, 4. A nurse is caring for a child who has celiac disease. Which of the following
items should the nurse remove from the child's meal tray?
1. Corn-flake cereal
2. Orange juice
3. Scrambled eggs
4. Oatmeal with raisins ANS >> Oatmeal with raisins
Rat >> ANS >>Celiac disease is the intolerance to dietary gluten, which is a protein in wheat, rye, oats, and barley. This
intolerance causes diarrhea, weight loss, abdominal pain, and fatigue. Therefore, the nurse should remove oatmeal from
the child's meal tray.
5. A nurse at a providers office is counseling a client who reports insomnia.
Which of the following statements should the nurse make to include the clients
preferences into a sleep promotion plan?
1. "If alcoholic beverages are desired, consume them in the early evenings"
2. "Sleep in the location of your home where you feel your rest best"
3. "Turn on a favorite television show just before going to bed"
4. "Allow your sleep and wake times to vary depending on how you feel each
day" ANS >> "Sleep in the location of your home where you feel your rest best"
The nurse should encourage the client to sleep wherever she feels she gets the most rest, whether it be a
Rat >> ANS >>
bed, couch, or chair.
6. A nurse is assessing the spiritual wellbeing and development of a preschooler.
The nurse asks the preschooler, "Why is it wrong to kick our baby sister?" Which
of the following responses should the nurse expect?
1. "It's not wrong because she made me mad."
2. "It's wrong because my dad said I can't kick her."
3. "It's wrong to kick her because the gods won't like it."
4. "It's wrong because she would get hurt and be sad." ANS >> "It's wrong because my
dad said I can't kick her."
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, The nurse should expect the preschooler to be motivated to choose right from wrong because of rules
Rat >> ANS >>
taught to him by his parents. The nurse should understand that, even though the preschooler might know the rules, he
is not yet able to understand the Rat >> ionale for the rules.
7. A nurse in a long term care facility is admitting a new client following a brief
stay in acute care. In adherence with the Joint Commission National Patient
Safety Goals regarding medication administ Rat >> ion, which of the following
ac- tions should the nurse take?
A. Inform the client that he will not be receiving the medications he took prior
to his hospitalization.
B. Compare a list of the client's current medications with the ones he will take
in long-term care.
C. Eliminate any over-the-counter products from the client's current medication
list.
D. Omit the medication indications when listing the client's medication dose
information. ANS >> Compare a list of the client's current medications with the ones he will take in long-term
care.
The Joint Commission National Patient Safety Goals regarding medication reconciliation includes
Rat >> ANS >>
maintaining and communicating accu Rat >> e client medication information. The nurse should complete a medication
reconciliation to identify and resolve any discrepancies by comparing the client's list of current medications with the
medications he will take in the long-term care facility and addressing any duplications, omissions, or interactions.
8. A nurse is caring for a client who is 2 days postope Rat >> ive following an
above-the-knee amputation. The client states he is experiencing a dull, burning
pain in the leg that was amputated. Which of the following actions should the
nurse take to treat the client's neuropathic pain?
A. Inform the client that phantom limb pain is not real.
B. Administer a beta-blocking medication to the client.
C. Place the client on a soft mattress.
D. Loosen the bandage on the client's residual limb. ANS >> Administer a beta-blocking
medication to the client
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