and verified answers (detailed & elaborated)
ACTUAL EXAM 2025 TESTS!!
A nurse is assisting with the plan of care for a client following a
Transurethral resection of the prostate. Which of the following interventions should the nurse include in
the plan of care?
Ans: The nurse should irrigate the bladder using strict sterile technique and maintain closed catheter
drainage system to minimize the rick of infection.
Quiz A nurse is reviewing a client's electronic medical record and finds that an assistive per sonnel
recorder the client's temperature as 35.3 degrees Celsius (95.5 degrees F) 2 hrs earlier. Which of the
following actions should the nurse take firsT?
Ans: check the clients temp
Quiz A nurse is receiving change-of-
shift report for four clients. Which of the following clients should the nurse see first?
Ans: A client whose urinary output was 100mL for the past 12 hrs
Quiz A nurse in reinforcing teaching about weight loss with a female older adult client who is
overweight. Which of the following statements should the nurse include in teaching?
,Ans: keep fat intake to no more that 30% of daily caloric intake.
Quiz A nurse is collecting data from a client who has iron deficiency anemia. Which of the following
findings should the nurse expect?
Ans: difficulty concentrating
Quiz A Nurse is collecting data from an older adult client who is 48 hr postoperative following abdominal
surgery. The provider writes a prescription to advance the client to a re gular Diet. For which of the
following findings should the nurse notify the provider?
Ans: The client has absent bowel sounds
Quiz A parent brings her adolescent son to an urgent care center and states. "He is high on something
and needs help" The client is
exhibiting agitation and paranoia and reports visual hallucinations. The nurse should suspect
intoxication with which of the following substances?
Ans: Methamphetamines
Quiz A nurse notices an assistive personnel taking a nap in the break room during he meal t ime. The AP
appears drowsy while performing routine tasks. Which of the following a ctions should the nurse take?
Ans: Report the observations about the ap to the unit's nurse manager.
,Quiz A nurse is reinforcing teaching with a client who has a fluid volume deficit about selec ting foods
that have a high water content. The nurse should include that which of the following raw foods contains
the highest amount of water per 1 cup serving?
Ans: cherry tomatoes
Quiz The nurse is position a client who is scheduled for a lumbar puncture. The nurse should assist the
client into which of the following positions?
Ans: lateral recumbent
Quiz A nurse is talking with a client whose son died in a motor- vehicle crash 2 weeks ago. The client
states "I really thought I'd be back to my usual routines by now, but I can't think of anythingelse except
my son is gone" Which of the following responses should the nurse make?
Ans: Grieving for your son is hard work. It will take as much time as you need to come to terms with
your loss.
Quiz A nurse is assisting with monitoring a client who is at 40 weeks of gestation and is in active labor.
The nurse recognizes late deceleration on the fetal monitor tracing. Whichof the following actions
should the nurse take?
Ans: Place the client in the lateral position.
Quiz A nurse manager is providing an in-
service on hand hygiene to assistive personnel. which of the following information should the nurse
manager include in the in-service?
Ans: Remove rings when washing hands with soap and water
, Quiz A nurse is reinforcing home safety instructions with the parent of a newborn. Which of the
following statements should the nurse include in the instructions?
Ans: Place your baby's crib away from heat vents.
Quiz A nurse is preparing to administer a client's morning medications.
Which of the follow ing actions should the nurse take to verify the client's identity?
Ans: Scan the facility identification board.
Quiz A nurse is caring for a client following a bronchoscopy procedure. Which of the following actions
should the nurse perform first?
Ans: check for a gag reflex
Quiz While administering a medication to a client, a nurse notices a trayed electrical cord connecting the
client's continuous passive motion machine to the electrical outlet. Which of the following actions
should the nurse take?
Ans: Remove the device from the client's room.
Quiz A nurse is caring for a client who is 4 hr postoperative following a total thyroidectomy. Which of
the following manifestations should the nurse report to the provider as indicating possible
hypocalcemia?
Ans: Tingling of fingers