Actual Comprehensive Real Exam Questions And Verified
Answers (Correct Answers) Graded A+ / 2025/2026 Newest
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A nurse is reviewing the laboratory findings of a client who
developed chest pain 6 hr ago. The nurse should identify which
of the following findings as an indication of a myocardial
infarction (MI)? - ANSWER-Troponin I 8 ng/mL
Rationale: Troponins are proteins present in skeletal and
cardiac muscle that are involved with muscle contraction. The
elevation of either troponin T or troponin I is an indication of
cardiac injury. The client's laboratory value is above the
expected reference range for troponin I, indicating an MI has
occurred.
A nurse is preparing to administer a blood transfusion to a
client who has anemia. Which of the following actions should
the nurse take first? – ANSWER-Check for the type and number
of units of blood to administer
,Rationale: According to evidence-based practice, the nurse
should first confirm
that the type and number of units of blood to administer
matches what is
indicated in the client's medication
administration record.
A nurse is reviewing the laboratory results of a client who has
aplastic anemia.
Which of the following findings indicates a potential
complication? - ANSWER-
WBC count
2,000
Rationale: A WBC count of 2,000/mm3 is below the expected
reference range
and indicates a risk for severe
immunosuppression.
A nurse is providing discharge teaching to a client who is
postoperative following a modified radical mastectomy. Which
of the following instructions should the nurse include? -
ANSWER-Numbness can occur along the inside of the affected
arm.
,Rationale: The nurse should instruct the client that numbness
can occur near
the incision and along the inside of the affected arm due
to nerve injury.
A nurse is preparing to present a program about prevention of
atherosclerosis at a health fair. Which of the following
recommendations should the nurse plan to include? (Select all
that apply.) - ANSWER-Follow a smoking cessation program is
correct. Smoking cessation is an important lifestyle
modification to prevent atherosclerosis.
Maintain an appropriate weight is correct. Preventing obesity
through diet and exercise can help to prevent atherosclerosis.
Eat a low-fat diet is correct. Eating a low-fat diet decreases LDL
cholesterol and can prevent atherosclerosis.
Increase fluid intake is incorrect. Increasing intake of fruits,
vegetables, and
grains can prevent
atherosclerosis.
Decrease intake of complex carbohydrates is incorrect.
Decreasing intake of
simple sugars and sweetened foods and increasing complex
carbohydrates,
, such as fiber, can reduce the risk of
heart disease.
A nurse is caring for a client who has homonymous hemianopsia
as a result of a
stroke. To reduce the risk of falls when ambulating, the nurse
should provide
which of the following instructions to the client? -
ANSWER-Scan the
environment by turning your head from
side to side."
Rationale: Homonymous hemianopsia is the loss of the same
visual field in both
eyes. Turning their head from side to side helps enlarge a
client's visual field.
This technique is also useful for the client
during mealtimes.
A nurse is assessing for compartment syndrome in a client who
has a short leg cast. Which of the following findings should the
nurse identify as a manifestation of this condition? - ANSWER-
Pain that increases with passive movement