(QUESTION BANK) | NEWEST ACTUAL
EXAM COMPREHENSIVE QUESTIONS
AND VERIFIED ANSWERS GRADED A+ |
100% PASS | 2025 UPDATE!
A nurse is reviewing psychosocial stages of development for a school-
age child. What would be an expected behavioral finding for this child?
A. Personalize values and beliefs and base reasoning on ethical fairness
principles. Establish close relationships. Have influences that help with
formation of healthy self-concept, such as family and friends. (Young
adults 20-35 years)
B. Develop sense of personal identity that family expectations
influence. Peer relationships develop as a support system. Concerned
with body images that media portray. (Adolescents 12-20 years)
C. Develop a sense of industry through advances in learning. Strive to
develop healthy self-respect by finding out in what areas they excel.
Peer groups play important role in social development.
D. Take on new experiences and when unable to accomplish task may
feel guilty or misbehave. Generally do not exhibit stranger anxiety.
Understand behavior in - ✔✔✔ Correct Answer > C. Develop a sense
of industry through advances in learning. Strive to develop healthy self-
respect by finding out in what areas they excel. Peer groups play
important role in social development.
,Rationale: This behavior is an expected finding of School-age children 6-
12 years.
A nurse manager is providing staff education on the correct use of
restraints. Which of the following should be included in this education?
Select all that apply.
A. Restraints should not interfere with treatment.
B. Restraints should not be used because of short staffing.
C. It is not necessary to document the behaviors making restraint
necessary.
D. Staff must document type and location of the restraint and time
applied.
E. Assess neurovascular and nerosensory status every 2 hours. - ✔✔✔
Correct Answer > A, B, D, and E.
Rationale: Restraints should be applied as a last resort after other
measures have been used. Thorough and timely documentation needs
to be completed when restraints are applied, following protocol and
policy. Neurovascular and neurosensory status should be assessed
every 2 hours, along with frequent check ins to ensure the safety and
comfort of the client. Restraints should not be used as a way to contain
the client when a unit is short staffed. The type or technique of
restraint used must be the least restrictive intervention possible and
should never interfere with treatment.
,A nurse is caring for a client with encephalopathy secondary to liver
failure. The client has been prescribed a high calorie, low protein diet.
Which of the following meal selections is appropriate for this client?
A. Scrambled eggs, bacon and pancakes.
B. Grilled cheese sandwich, potato chips, chocolate pudding.
C. Steak, french fried, corn.
D. Chicken breast, mashed potatoes, spinach. - ✔✔✔ Correct Answer
> D. Chicken breast, mashed potatoes, spinach.
Rationale: This option meets the prescribed diet. It is high in calories
and while chicken does provide protein it is a low-fat source and can be
eaten in moderation on a low-protein diet. Spinach will provide
additional vitamin K for this client at risk for bleeding due to liver
failure.
A nurse is caring for a client receiving chemotherapy that is
experiencing neutropenia. Which of the following should the nurse
include in this client's education?
A. Track oral temperature weekly.
B. Gardening is a good form of mild exercise.
C. Avoid crowded events.
D. Eat plenty of fresh fruits and vegetables. - ✔✔✔ Correct Answer >
C. Avoid crowded events.
Rationale: Clients with neutropenia do not have enough circulating
neutrophils to fight off infections. This client should avoid crowds to
prevent exposure to colds/viruses. The client should monitor their
temperature daily to track trends that could indicate infection.
, Gardening would expose the client to microbes in the soil that could
cause illness. Fruits and vegetables are covered with microbes that
while not normally harmful to non-immunocompromised clients can
cause infection in clients with myleosuppression. These foods should be
cooked before the client ingests them.
A nurse is assisting a client with his meal that is at risk for aspiration
due to a stroke. What interventions should the nurse take to prevent
aspiration? Select all that apply.
A. Position the client in Fowler's position.
B. Instruct the client to tuck his chin when swallowing.
C. Provide oral hygiene before meals.
D. Position the client in Trendelenburg position.
E. Support the client's upper back, neck and head during feedings. -
✔✔✔ Correct Answer > A, B, and E.
Rationale: To decrease the risk of aspiration for a stroke client, ensure
the clients position is upright, that the upper back and head are
supported during meals. Remind the client to tuck their chin while
swallowing, to guide the food's path. Avoid lowering the head of bed
during feedings. Oral care can improve the client's well-being and
increase the interest for eating, but does not help prevent the potential
for aspiration.
a nurse is completing a nutritional assessment on a client and measures
BMI, which of the following readings correlates with a BMI of an
overweight client? - ✔✔✔ Correct Answer > 25