EXAM QUESTION AND ANSWERS 2025
UPDATED
A nurse is reinforcing teaching with a client who is scheduled for a
bladder scan. Which of the following instructions should the nurse
include in the teaching?
"You will need to sign a consent form before we begin the procedure."
"I will place a gel pad directly above your pubic area before I place the
probe."
"You will need to hold your urine for 1 hour prior to the procedure."
"You will receive a contrast dye through an IV catheter prior to the scan."
- CORRECT ANSWER -"I will place a gel pad directly above your
pubic area before I place the probe."
A charge nurse is reinforcing teaching with a newly licensed nurse who
is setting up a sterile field. Which of the following actions by the newly
licensed nurse indicates an understanding of the teaching?
opening the first flap of a sterile package toward herself
dropping sterile gauze onto the field from a height of 7.5 cm (3 in)
removing and inverting a lid before placing it onto a nonsterile surface
maintaining the sterile field below waist level. - CORRECT ANSWER
-removing and inverting a lid before placing it onto a nonsterile surface
A nurse is caring for a client who has been vomiting excessively and has
diarrhea. Which of the following findings should the nurse identify as an
indication of fluid
,volume deficit?
BUN 18 mg/dL
a bounding pulse
urine specific gravity 1.045
prominent neck veins - CORRECT ANSWER -urine specific gravity
1.045
A nurse is providing care to four clients in an acute care setting. The
nurse should identify that which of the following client statements
presents and ethical dilemma?
"I might file a lawsuit because of how my surgery went."
"Please don't tell my doctor, but I am taking my partner's oxycodone."
"Please don't get me out of bed this morning. It hurts too much."
"I don't want to take my medicine. It makes me sick to my stomach." -
CORRECT ANSWER -"Please don't tell my doctor, but I am taking
my partner's oxycodone."
A nurse is preparing to document information about a client's lower legs,
which are swollen with 6 mm edema. Which of the following information
should the nurse
document?
1+ pitting edema
2+ pitting edema
3+ pitting edema
4+ pitting edema - CORRECT ANSWER -3+ pitting edema
A nurse manager is reinforcing teaching with a group of newly licensed
nurses about the disclosure of client health information. The nurse can
, disclose health information without the client's written permission to
which of the following
entities?
an insurance agency offering a life insurance policy
a family member who requests the client's diagnosis
a physical therapist who is involved in the client's care
an employer completing a pre-employment screening - CORRECT
ANSWER -a physical therapist who is involved in the client's care
A nurse is preparing to remove staples from a client's incision. Which of
the following actions should the nurse take?
lift the staple remover when squeezing the handle
avoid completely closing the handle after squeezing
expect the staple to bed at each outer side of the staple
remove the staple from the skin after both sides are visible -
CORRECT ANSWER -remove the staple from the skin after both
sides are visible
A nurse is reinforcing teaching with a client who has hypertension and a
prescription to measure her blood pressure daily. Which of the following
client
statements indicates an understanding of the teaching?
a. "I will wait 15 minutes after drinking coffee to measure my blood
pressure."
b. "I will measure my blood pressure while my arm is elevated above my
heart."
c. "I should remove constrictive clothing prior to measuring my blood
pressure."