Download Nursing Exam Questions with Complete Solutions: Guaranteed Success and more Exams Nursing in PDF only on Docsity!
NURSING Exam Questions with Complete Solutions Guaranteed Success 2025
A nurse is planning care for a client who has a new diagnosis of HIV. I can’t seem to gain any weight Disaster triage following a natural disaster A client who has agonal respirations Client reports chest pain. Which of the following laboratory findings indicates myocardial damage Troponin I 1.8 ng/mL Child who has pediculosis capitis Store nonwashable items in plastic bags for 14 days Child who is unresponsive and has increased intracranial pressure Pad the side rails of the bed Client who is 8 hr postoperative following a right-modified radical mastectomy Coughing, frothy, pink secretions Newborn nursery is performing assessments on four neonates that are all less than 24 hr old pinna below the outer canthus of the eye Several client measurements were obtained with morning vital signs A 4-year old who has closed head injury and heart rate of 60 Tetralogy of fallot Pulse oximeter Medical unit received change-of-shift report 68 year old Recovering from an acute myocardial infarction. left sided heart failure Bilateral lung crackles Nutritional assessment on a client who has a calcium deficiency Osteogenesis Involuntarily admitted to the psychiatric unit following a failed suicide attempt experimental treatment Witness consent before medication administration Education to the mother of a toddler who has pertussis ...Answer missing……check it? Offer small amounts of fluid, frequently; monitor for airway obstruction
School nurse scabies Red itchy papules on child’s groin area Diabetes insipidus DI severe head injury Urine output 250 ml 2 hr postoperative following an ileal conduit procedure bladder cancer Dusky colored stoma Mastitis of left breast does this mean that I must stop nursing my baby No, you can continue to nurse from both your breasts Orthopedic floor is completing the morning assessments on several clients 24-year old male who has a casted femur fracture Morning laboratory values to several clients Client who is prescribed digoxin and furosemide Education about electroconvulsive therapy ECT major depressive disorder General anesthetic administered prior to ECT treatments Charge nurse creating assignments for next shift for several nurses and one of the nurses is pregnant 60 year old who is recovering from shingles Nurse is teaching a client who has left-leg weakness how to use a standard walker Moves the left leg and walker ahead together Diagnosis of antisocial personality disorder Poor impulse control Home health nurse is reviewing treatment goals with a client who has diabetes mellitus evaluate laboratory tests to determine effective long-term management of blood glucose levels HbA1c Haloperidol for the treatment of schizophrenia Screen the client for tardive dyskinesia Urinalysis done for a preschool age child Pyelonephritis
Adolescent who has cystic fibrosis and has a prescription for pancrealipase Take w meals A nurse is planning to provide community education about viral hepatitis Clients who have a history of viral hepatitis are unable to donate blood Ap reports to the nurse that another Ap has spent the entire morning on the phone and has not completed the morning assignment Redirect the AP to discuss the issue with the other AP A nurse is caring for a client who is receiving enteral nutrition A poor skin turgor Adolescent client who is in her third trimester of pregnancy Postpartum depression Client recovering from a closed head injury assumes a decerebate posture in reponse to stimuli D lying flat, not curved backwards little bastard Referral for a speech language pathologist Client who has difficulty swallowing Prescribed furosemide Rales in lower lobes of lungs OR increasing oliguria A nurse is admitting an infant who has bacterial meningitis Minimize environmental stimuli Laboratory data on a client who has dehydration Elevated blood urea nitrogen A nurse is caring for a client who has cirrhosis of the liver Monitor for abdominal ascites Difficulty falling asleep at night Eat a bedtime snack containing carbohydrates Perform wound irrigation for a client who has an open secondary wound when creating a sterile field Place the lid of a bottle of sterile solution within the sterile field Laboratory values on a client who has taken an overdose of acetaminophen organ damage
Alanine aminotransferase ALT Nulliparous and in the first stage of labor the last internal assessment revealed 100% cervical effacement with 5 cm of dilatation. at the end of the last contraction, the nurse observes a large gush of fluid coming out of the client's perineal area. Check the FHR Health nurse is performing a vision screening on a 4-month-old infant. When shining a light source into the infant's visual field. IDK – Pupillary constriction – Fixate and follow a bright light or toy Providing discharge teaching to a client who is postpartum and plans to breastfeed. Which of the following should the nurse recommend the client increase in her diet during lactation Iron Nurse volunteers to assist after witnessing a mass casualty incident involving a train derailment. Which of the following clients should the nurse immediately and completely immobilize A client who reports substernal chest pain A nurse is writing a plan of care for a client who is homebound and has stage 2 alzheimer's disease. Which of the following should the nurse include in the plan of care? Assist with money management Nurse is caring for a client with fractured ribs, has developed thrombophlebitis, and is being treated with a heparin drip. The client develops hematuria and has an activated partial thromboplastin time aPTT of 100 seconds Turn off the heparin drip A nurse is teaching a client who has a new prescription for digoxin. Which of the following should the nurse include in the teaching? Notify your provider if you experience muscle weakness A nurse is planning care for a newborn who has hyperbilirubinemia and is to receive phototherapy Place the newborn 45cm or 18 in from the light source A nurse is providing teaching for a client who has a new prescription for lithium carbonate You should take this medication on an empty stomach
A nurse is assessing a client who has an IV infusing per gravity at 125ml/hr Blood is backing up in the IV tubing A nurse manager is presenting an in service for newly licensed nurses about advance directives Advanced directives must be notarized to be legally implemented A nurse at the family planning clinic triages several clients over the phone A client who uses diaphragm for contraception and has lost 30lb in the past 6 months dieting A nurse is teaching a family about home hospice care Hospice care improves the quality of life through palliative care Client who has a left femur fracture and is in skeletal traction. The client reports pain due to muscle spasms in the affected leg Realign the extremity in traction At the start of an evening shift on a cardiac unit, a licensed practical nurse brings the nurse a list of client reports Indigestion A nurse is planning to change the dressings on a school-age child who has sustained multiple burns Apply the dressings in a proximal to distal pattern Correct way is to wrap distal to proximal Adolescent client who has no previous history of a seizure disorder and is admitted after having a 3-min tonic-clonic seizure 2 weeks after sustaining a mild concussion. EEG Explain that the client may not have coffee prior to the EEG A nurse is caring for a mother who was prescribed methadone during pregnancy Tachypnea Irritability tremors A nurse is assessing a client who is postoperative following abdominal surgery. I feel like my incision ripped open Place the client in low-fowlers position A nurse is caring for a postoperative client. Which of the following interventions will reduce the risk of deep-vein thrombosis Apply venous plexus foot pumps
Preparing to administer eye drops to a client Use aseptic technique and drop the medication into the conjunctival sac Client who is receiving a controlled epidural analgesia infusion Covering the insertion site with a transparent dressing Diagnosis of complete placenta previa is admitted to the labor and delivery suite at 36 weeks gestation with contractions 5 min in frequency and 1 min in duration Prepare the client for a caesarian section A nurse who typically works on the postpartum unit is assigned to float to the maternal newborn unit. The nurse is very anxious about floating and uncomfortable with the assignment the charge nurse has selected. Ask the charge nurse to assign an experienced nurse to act as a resource A community health nurse is planning to make home visits to several clients who all live within a few miles radius of the office An infant who has failure-to-thrive and was discharged from a facility yesterday to a foster home on daily weights Caring for a client who was involved in a motor-vehicle crash. The client reports shortness of breath and chest pain and asks the nurse, "am I dying"? Administer pain medication A nurse notices smoke coming from a client’s room and discovers a fire in the wastebasket. After moving the client to safety Notify the facility operator Providing postoperative teaching to a client who has a newly inserted pacemaker I will use my cellphone on the ear opposite of my pacemaker Reviewing data of four young children who are receiving treatment. Which of the following should alert the charge nurse to the possibility of child abuse A 3-month old infant who has a skull fracture from reportedly rolling off the changing table Preparing to obtain informed consent for a colonoscopy from a client who does not speak English. Provide a consent form in the client's spoken language
Discharge teaching about disease prevention to a client who has active tuberculosis Educating the client how to cover nose and mouth with tissues when coughing Gravida 2, para 1. The client is at 41 weeks of gestation and is receiving oxytocin for the augmentation of labor Contractions occur every 90 seconds Postpartum unit is caring for several clients A client who is 4 days postpartum and has lochia serosa Infection control nurse is reviewing care procedures for four clients A client who has varicella zoster is placed in a negative pressure room Creating an activity plan for a home-bound older adult client. in the planning, the nurse considers the physiologic changes that may affect pulmonary function related to the normal aging process Decreased blood oxygenation Immediate postoperative period following thoracic surgery, a nurse medicates a client for pain on a schedule Reduces the respiratory rate Administer an injection to a client when the client states "I don't want that injection. The last time I got that I was sore for a week Battery A nurse suspects another nurse is chemically impaired during their shift. Which of the following is an appropriate action for the nurse to take? Report to the nurse manager Nurse is teaching a client who has a new diagnosis of gastroesophageal reflux disease GERD Sleep with the head of the bed elevated A nurse supervisor receives notification of a disaster in the community and the possibility for multiple admissions to the facility A client who has an abdominal wound and is receiving negative-pressure wound therapy Preparing a client for surgery and has just administered the preoperative injection Raise the side rails on the bed
Home health nurse is admitting a client who is prescribed peritoneal dialysis. Clarify the clients actual and perceived health needs A nurse is teaching a prenatal class about evidence of effective breastfeeding to a group of parents Swallowing sounds are audible stools are yellow and seedy after 7 days maternal breasts become soft following feedings Caring for a client who has a new prescription for chlorpromazine by IM injection Check orthostatic pressure 1 hour after administration Nurse educator is discussing modes of transmission with nursing students. Which of the following should the nurse educator include as an example of vector-borne transmission West nile virus from a mosquito bite Nurse manager is making staffing assignments for the medical-surgical unit. Which of the following clients is appropriate to assign to a float nurse from the postpartum unit. A client who is 2 days postoperative following a colon resection Inpatient psychiatric unit is setting short-term goals for an adolescent who was admitted for treatment of anorexia nervosa The client will develop a personalized meal plan Nurse is caring for a client who will be receiving a transfusion of platelets Decrease in bleeding from puncture sites Nurse in an emergency department is assessing a client who has a nasal fracture. Clear fluid drainage from the nares Nurse Manager is presenting information to the nursing staff regarding the appropriate use of client restraints. Nurse should pad the bony prominences. Provider’s prescription should include the type of restraint to use Nurse in the emergency department is providing discharge teaching to a client who has a sprained ankle. For the first 24 hr following surgery, the nurse should instruct the client to do which of the following. Intermittently place ice on the ankle
A nurse is planning care for a client who is prescribed a cane for ambulation. Which of the following nursing actions should the nurse include in the plan of care? Remind the client to place the cane on the unaffected side A nurse is caring for a group of clients. Which of the following tasks is appropriate for the nurse to delegate to the assistive personnel AP Transfer a client from bed to chair with mechanical lift Provide postmortem care on a client who experienced cardiac arrest Discussing care with a newly licensed nurse for a client who practices orthodox Judaism Roast beef and ice cream Community health nurse is completing a newborn home visit and observes family members smoking cigarettes in the house Review the effects of secondhand smoke with family members A community health nurse is evaluating eligibility for home assistance for a client who is quadriplegic Determine the clients living situation A nurse is preparing the auscultate a client's apical pulse at the point of maximal impulse PMI Fifth intercostal space at the left midclavicular line A nurse is caring for a client who had a partial laryngectomy and is receiving continuous enteral feedings at 65ml/hr through a gastrostomy tube The client is lying in a supine position A nurse is caring for a client who is receiving IV antibiotics and tests positive for clostridium difficile C. difficile c diff Place the client on contact precautions An older adult client tells the nurse, "I thought immunizations were for kids." the nurse informs the client that older adults should receive which of the following immunizations Herpes zoster vaccine
A following actions should the nurse nurse is preparing to administer potassium plan to take? chloride intravenously to a client who has hypokalemia. The client is receiving a current infusion of 0.9% sodium chloride at 125ml/hr. Which of the Dilute the solution prior to the infusion A nurse in the emergency department is caring for a client following a motor- vehicle crash. Stabilize the cervical spine Charge nurse on a pediatric unit is making assignments for a float nurse from the medical unit. A 10-year old who has pneumonia and is receiving respiratory treatments. A nurse is giving change-of-shift report about a client who is 36-hr postoperative to another nurse Flushed IV w 0.9% sodium chloride or pain relieved by position change Nurse plans to ambulate a client on the third day after cardiac surgery. Pre-medicate the client with the prescribed analgesic A nurse is reviewing the history and physical of a client who has right ventricular heart failure Confusion Primagravida client in the emergency department at 12 weeks of gestation hyperemesis gravidarum 1000ml/hr A nurse is electronically documenting assessment findings for a client. The client reports a pain level of 6 on a scale from 0- Nurse is caring for a client who has end stage liver disease. The daughter of the client asks about her father’s do-not-resuscitate request. Tell me your feelings about your father’s prognosis A home-health nurse is providing teaching about self administration of insulin to a client who is newly diagnosed with diabetes mellitus I can use the same area as long as I rotate injection sites
A nurse is caring for a client who has heart failure and has started taking a loop diuretic Decreased reflexes A nurse is caring for a client who is postoperative and at risk for development of deep-vein-thrombosis DVT Prolonged bed rest A nurse is caring for a client who has a new prescription for lithium carbonate. Prior to administering the first dose, which of the following laboratory values should the nurse evaluate? Idk – Kidney fxn (BUN/Cr) or Na+ level or Thyroid level or CBC, or Calcium A nurse delegates tasks to a licensed practical nurse LPN and an assistive personnel AP. when admitting a client who is experiencing acute liver failure and who has ascites and an NG tube, which of the following tasks is most appropriate to delegate to the LPN Insert an indwelling catheter if the client has not voided in 3 hr. A nurse is caring for a client who has just returned to the unit following a bronchoscopy Offers oral fluids to the client A nurse is reviewing the employee health program for new employees. Which of the following diagnostic assessments should the nurse recommend for all the new employees to screen for the presence of tuberculosis? Mantoux test A nurse is interviewing a client who presents with multiple injuries that are consistent with intimate partner abuse. After establishing trust and rapport, which of the following should the nurse say? Let's talk about what happened to you A nurse is caring for an infant who is being treated for dehydration Flat anterior fontanel A nurse in the emergency department is caring for a client who has abdominal pain. Which of the following actions by the nurse demonstrates veracity The nurse explains the potential risks of treatment
A nurse is assessing a client 1 week after a successful bone marrow indication of which of the following complications transplant. The client reports peeling of skin on her hands and feet. The nurse should recognize this desquamation as an Graft-versus-host disease
