ACTUAL COMPLETE REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+(2025/2026)
Hypoglycemia: - CORRECT ANSWERS-blood glucose < 70
what is hypoglycemia usually caused by - CORRECT ANSWERS-insufficient food intake
Priority nursing intervention for hypoglycemia - CORRECT ANSWERS-make sure patient eats
ASAP
Pre-albumin: - CORRECT ANSWERS-shows signs of malnutrition (before albumin may)
· Nursing interventions to promote adequate nutrition, independence, and safety with visual
impairments - CORRECT ANSWERS-use clock pattern to help patient locate different food on
tray
Which muscle/sight should the nurse administer a 4ml IM injection?
A. Vastus Lateralis (on the lateral side of the thigh)
B. Deltoid (The arm)
C. Gluteus Maximus (The buttocks)
D. Nurses don't administer IM injections, get the doctor to do it. - CORRECT ANSWERS-A.
Vastus Lateralis
A nurse can administer medication that was prepared by another nurse?
True or False - CORRECT ANSWERS-False
What is the appropriate way to apply a transdermal patch?
A. Apply gloves, Rotate the sites
,B. Over the previous site.
C. Over a hairy area
D. Applying gloves when handling medication patches is not necessary - CORRECT ANSWERS-
A. Apply gloves, rotate the sites
Can medications be left at the bedside unattended by the nurse?
A. No, the nurse should waste the medication and return with the medication at a later time.
B. Yes, just as long as the patient is a/o x 4 and responsible.
C. Yes, just as long as a responsible family member is there to ensure that the patient takes the meds.
D. Yes, just delegate the task to the UAP - CORRECT ANSWERS-A. No, the nurse should waste
the medication and return with the medication at a later time.
What is the gold standard for NGT placement verification?
A. Auscultation with stethoscope
B. CT of the abdomen
C. Abd flat plate (abd xray)
D. No verification is needed just as long as it is inserted to the right mark (at least 60 cm). -
CORRECT ANSWERS-C. Abd flat plate (abd xray)
What is a marker for cardiovascular disease and obesity?
A. Elevated A1C
B. Elevated Sodium.
C. Elevated BP
D. High LDL - CORRECT ANSWERS-D. High LDL
Before initiating tube feeding, what is the initial action of the nurse?
A. Check for residuals
B. Put the patient on their left side
C. Make sure the patient is flat on their back.
, D. Flush the tube with 700 ml's of H2O to ensure patency. - CORRECT ANSWERS-A. Check for
residuals
What is the highest priority for a patient with dysphagia that the nurse communicates to the UAP?
A. Make sure that the patient is at a 90 degree angle when eating.
B. Make sure that the food is pureed.
C. Make sure that the patient has food brought from home.
D. Send the UAP out to get the patient something that they will like. - CORRECT ANSWERS-A.
make sure that the patient is at a 90 degree angle when eating
How often should tube feeding be changed?
A. Every 72 hours
B. Every 24 hours
C. It varies from facility to facility
D. It depends on what type of tube feeding it is - CORRECT ANSWERS-B. Every 24 hours
A name-brand ice cream contains the following nutrition information for each serving: 30 g
carbohydrates, 19 g fat, 5 g protein. The total number of calories in a serving would be:
A. 366
B. 311
C. 435
D. 176 - CORRECT ANSWERS-B
CHO= 4 cal per gram = 120 cal
fat= 9 cal per gram= 171 cal
protein= 4 cal per gram= 20 cal
total 311 cal
Identify the client with the greatest risk for developing protein-calorie malnutrition.
A.A client who has multiple sclerosis and is in a wheelchair
B.A client weighing 300 lb who has entered the hospital for cardiac bypass surgery