EXAM| SCORED A+|CORRECT ANSWERS AND RATIONALE| VERIFIED|
ASSURED PASS SCORE GUIDE (180 Q&A)
A nurse is teaching a newly licensed nurse about ergonomic principles.
Which of the following actions by a newly licensed nurse indicates an
understanding of the teaching?
A. Stands with feet together when lifting a client up in bed.
B. Raises the client's head of bed before pulling the cline up.
C. Uses a mechanical lift to move client from bed to chair.
D. Places a gait belt around the client's upper chest before assisting a
client to stand. - CORRECT ANSWERS-C. Uses a mechanical lift to move client from bed to
chair.
A client is requesting information from a nurse about a nitrazine test.
Which of the following statements should the nurse make?
A. "Your bladder should be full prior to me performing this test
B. "If this test is positive you will be required to have a non-stress test.
C. "This test will determine if there is leaking amniotic fluid"
D. "I will be taking a blood sample to test for changes in your hormones
levels" - CORRECT ANSWERS-C. "This test will determine if there is leaking amniotic fluid"
A Nurse is assessing a client who has hyponatremia and is receiving IV
fluid therapy. Which of the following findings indicate the client is developing
a complication of therapy?
A. Peripheral edema
B. Increased thirst.
C. Flattened neck veins.
D. Hypotension - CORRECT ANSWERS-A. Peripheral edema
,A nurse is conducting a home visit for a family who has two young
children. The nurse notes several welts across the backs of the legs of one of
the children. Which of the following actions should the nurse take first?
A. Document clinical findings.
B. Contact child protective services.
C. Refer the parents to a self-help group.
D. Instruct the parents about methods of discipline. - CORRECT ANSWERS-B. Contact child
protective services.
A nurse is planning care for a client who has thrombocytopenia. Which
of the following actions should the nurse include?
A. Encourage the client to floss daily.
B. Remove fresh flowers from the client's room.
C. Provide the client what a stool softener.
D. Avoid serving the client raw vegetable. - CORRECT ANSWERS-C. Provide the client what a
stool softener
A nurse is assessing a client who is 30 min postoperative following an
arterial thrombectomy. Which of the following findings should the nurse to
report?
A. Chest pain
B. Muscle spasms.
C. Cool, moist skin.
D. Incisional pain. - CORRECT ANSWERS-A. Chest pain
6. A nurse is caring for a client who is in active labor and requests pain
management. Which of the following actions should the nurse take?
A. Administer ondansetron.
,B. Place the client in a warm shower.
C. Apply fundal pressure during contractions.
D. Assist the client to a supine position. - CORRECT ANSWERS-B. Place the client in a warm
shower.
7. a nurse in an emergency department is performing triage for multiple
clients following a disaster in the community. To which of the following types
of injuries should the nurse assign the highest priority?
A. Below-the knee amputation
B. Fractured tibia
C. 95% full-thickness body burn
D. 10cm (4in) laceration to the forearm - CORRECT ANSWERS-A. Below-the knee amputation
8. a nurse manager is updating protocols for the use of belt restraints. Which
of the following guidelines should the nurse include?
A. Remove the client's restraint every 4hr
B. Document the client's condition every 15 min
C. Attach the restrain to the bed's side rails
D. Request a PRN restrain prescription for clients who are aggressive - CORRECT ANSWERS-B.
Document the client's condition every 15 min
9. A nurse is teaching an in-service about nursing leadership. Which of the
following information should the nurse include about an effective leader?
A. Acts as an advocate for the nursing unit.
B. (Unable to read) for the unit
C. Priorities staff request over client needs.
D. Provides routine client care and documentation. - CORRECT ANSWERS-A. Acts as an
advocate for the nursing unit.
10. A nurse is reviewing the laboratory findings of a client who has diabetes
, mellitus and reports that she has been following her (unable to read) care.
The nurse should identify which of the following findings indicates a need to
revise the client's plan of care.
A. Serum sodium 144 mEq/
B. (Unable to read)
C. Hba1c 10 %
D. Random serum glucose 190 mg/dl. - CORRECT ANSWERS-C. Hba1c 10 %
11. A nurse in a provider's office is reviewing the laboratory results of a
group of clients. The nurse should identify that which of the following
sexually transmitted infections is a nationally notifiable infectious disease
that should be reported to the state health department?
A. Chlamydia
B. Human papillomavirus
C. Candidiasis
D. Herps simplex virus - CORRECT ANSWERS-A. Chlamydia
12. A nurse is teaching a newly licensed nurse about therapeutic techniques
to use when leading a group on a mental health unit. Which of the following
group facilitation techniques should the nurse include in the teaching?
A. Share personal opinions to help influence the group's values
B. Measure the accomplishments of the group against a previous group
C. Yield in situations of conflicts to maintain group harmony
D. Use modeling to help the clients improve their interpersonal skills - CORRECT ANSWERS-D.
Use modeling to help the clients improve their interpersonal skills
13. A nurse is planning for a client who practices Orthodox Judaism. The
client tells the nurse that (Unable to read) Passover holiday. Which of the
following action should the nurse include in the plan of care?