2025 \ACCURATE ACTUAL EXAM WITH
FREQUENTLY TESTED QUESTIONS
AND STUDY GUIDE \EXPERT VERIFIED
FOR GUARANTEED PASS\ALREADY
GRADED A+
A nurse is reviewing a client's medical record. Which of the following findings is the priority for the
nurse to report?
a) Urine output 200 mL/8 hr
b) A client's rating of ear pain as 5 on a scale
from 0 to 10
c) Potassium level 6.2 mEq/L
d) Abnormal hepatoiminodiacetic acid (HIDA)
scan
C. Potassium level 6.2 mEq/L
A nurse is reinforcing teaching about decreasing the risk of osteoporosis to a client who is
postmenopausal. Which of the following instructions should the nurse include?
a) Limit vitamin D intake.
b) Increase daily intake of vitamin E.
c) Add a weight-bearing exercise regimen.
d) Take calcium carbonate supplements once a
day with breakfast.
C. Add a weight-bearing exercise regimen.
A nurse is reinforcing teaching about decreasing the risk of osteoporosis to a client who is
postmenopausal. Which of the following instructions should the nurse include?
a) Limit vitamin D intake.
b) Increase daily intake of vitamin E.
c) Add a weight-bearing exercise regimen.
d) Take calcium carbonate supplements once a
day with breakfast.
,C. Add a weight-bearing exercise regimen.
A nurse is caring for a client who has COPD with copious secretions. Which of the following actions
should the nurse take?
a) Place the client in prone position.
b) Administer high-flow oxygen.
c) Limit fluid intake.
d) Perform postural drainage.
D. Perform postural drainage.
A nurse is caring for a client who has COPD with copious secretions. Which of the following actions
should the nurse take?
a) Place the client in prone position.
b) Administer high-flow oxygen.
c) Limit fluid intake.
d) Perform postural drainage.
D. Perform postural drainage.
A nurse is collecting data from a client who had a long arm cast applied 2 hr ago. Which of the
following findings of the affected extremity should the nurse report to the provider immediately?
a) The client reports increased pain at the area
of the fracture.
b) The client reports severe itching under the
cast.
c) The client's capillary refill is 3 seconds.
d) The client's fingers are cool to the touch.
D. The client's fingers are cool to the touch.
A nurse is collecting data from a client who had a long arm cast applied 2 hr ago. Which of the
following findings of the affected extremity should the nurse report to the provider immediately?
a) The client reports increased pain at the area
of the fracture.
b) The client reports severe itching under the
cast.
c) The client's capillary refill is 3 seconds.
d) The client's fingers are cool to the touch.
D. The client's fingers are cool to the touch.
A nurse is caring for a client who is taking lithium
and reports persistent nausea and vomiting for 2
days. Which of the following laboratory values should
the nurse report to the provider?
a) Potassium 4.0 mEq/L
,b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L
D. Sodium 132 mEq/L
A nurse is caring for a client who is taking lithium
and reports persistent nausea and vomiting for 2
days. Which of the following laboratory values should
the nurse report to the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L
D. Sodium 132 mEq/L
A nurse is caring for a client who has cancer and has
a WBC count of 4,000/mm3. Which of the following
actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen
peroxide.
b) Instruct the client to use a disposable razor to
shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized
dairy products.
A. Cleanse the client's toothbrush with hydrogen
peroxide.
A nurse is caring for a client who has cancer and has
a WBC count of 4,000/mm3. Which of the following
actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen
peroxide.
b) Instruct the client to use a disposable razor to
shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized
dairy products.
A. Cleanse the client's toothbrush with hydrogen
peroxide.
A nurse enters a client's room and sees smoke coming from the bathroom. Which of the following
actions should the nurse take first?
a) Activate the fire alarm system.
, b) Use a fire extinguisher at the source of the
smoke.
c) Assist the client to a nearby common area.
d) Close the doors to the room and to the
bathroom.
C. Assist the client to a nearby common area.
A nurse enters a client's room and sees smoke coming from the bathroom. Which of the following
actions should the nurse take first?
a) Activate the fire alarm system.
b) Use a fire extinguisher at the source of the
smoke.
c) Assist the client to a nearby common area.
d) Close the doors to the room and to the
bathroom.
C. Assist the client to a nearby common area.
A nurse is contributing to the plan of care for a client who reports difficulty eating due to chronic
arthritis.
Which of the following interventions should the nurse include in the plan?
a) Apply foam handles to the client's eating
utensils.
b) Obtain a referral for physical therapy.
c) Have an assistive personnel feed the client.
d) Ask the provider for a prescription for a
pureed diet.
A. Apply foam handles to the client's eating utensils.
A nurse is contributing to the plan of care for a client who reports difficulty eating due to chronic
arthritis.
Which of the following interventions should the nurse include in the plan?
a) Apply foam handles to the client's eating
utensils.
b) Obtain a referral for physical therapy.
c) Have an assistive personnel feed the client.
d) Ask the provider for a prescription for a
pureed diet.
A. Apply foam handles to the client's eating utensils.
A nurse is obtaining a medication history from a client who is to start taking nitroglycerin for chest
discomfort with activity. Which of the following medications should the nurse instruct the client to
avoid taking within 24 hr of using nitroglycerin?
a) Atorvastatin
b) Metformin