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Trad Practice Exam ( Latest 2024 / 2025 ) Actual Questions and Answers 100% Correct
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Trad Practice Exam ( Latest 2024 / 2025 ) Actual Questions and Answers 100% Correct
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Trad Practice Exam1. A nurse is assisting an older adult client who sometimes loses her balancewhile walking.
Which of the following devices should the nurse use when helping the client ambulate?
- Gait belt
- Jacket harness
- Four-wheel walker
- Cane
Answer: Gait belt
2. A nurse is caring for an older adult client. The nurse should recognize theclient is at risk
for which of the following physiological changes? (Select all that apply.)
- Decreased gastric motility
- Decreased skin elasticity
- Increased pain threshold
- Increased metabolic rate
- Increased cardiac output
Answer: Decreased gastric motility,
Decreased skin elasticity,Increased pain threshold
3. A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive
personnel (AP) and the nurses on the next shift report the staff nurse frequently leaves tasks
uncompleted. Which of the following statements should the charge nurse make to resolve this
conflict?
- "I need to talk to you about unit expectations regarding delegating andcompleting tasks."
- "Several staff members have commented that you don't do your fair share ofthe work."
- "If you don't do your share of the work, I will have to inform the nursemanager."
- "You have been very inconsiderate of others by not completing your shareof the work."
Answer: "I need to talk to you about unit expectations regarding delegatingand completing
tasks."
,4. A nurse is documenting the intake for a client who is scheduled for an abdominal
computed axial tomography (CT) scan. Prior to the scan, the clientconsumes 12 oz sodium
diatrizoate and meglumine diatrizoate. The client hasan IV of D5 1/2 NS running at 75 ml per
hour from 0700 until 1200. The IV runs at 30 ml per hour from 1200 to 1500. At 1500, the
client has 6 oz of juice.How many milliliters should the nurse document as the client intake
for the shift?
Answer: 1005 mL
5. A nurse is planning care for a client who has end-stage cirrhosis of the liverwith
encephalopathy. Which of the following interventions should the nurse plan to implement to
decreased the client's ammonia level?
- Administer diuretics.
- Restrict the client's intake of fluids.
- Reduce the client's intake of protein.
- Administer vitamin K.
Answer: Reduce the client's intake of protein.
6. A nurse is teaching the partner of a client who had an acute myocardial infarction (MI)
about the reason blood was drawn from the client. Which of the following statements should
the nurse make regarding cardiac enzymesstudies?
- "These tests help determine the degree of damage to the heart tissues."
- "Cardiac enzymes will identify the location of the MI."
- "These tests will enable the provider to determine the heart structure andmobility of the
heart valves."
- "Cardiac enzymes assist in diagnosing the presence of pulmonary congestion."
Answer: "These tests help determine the degree of damage to the heart tissues."
7. A nurse is preparing to initiate a continuous enteral feeding through an open system to a
client. Which of the following actions should the nurse take?
- Reconstitute the formula with tap water.
- Discard unused formula after 8 hr.
- Administer 200 mL of formula during the initial infusion.
- Give the initial feeding over 15 min.
Answer: Discard unused formula after 8 hr.
, 8. A nurse is providing instruction to a new nurse about caring for clients whoare receiving
diuretic therapy to treat heart failure. The nurse should explainwhich of the following
medications puts clients at risk for both hyperkalemiaand hyponatremia?
- Furosemide
- Hydrochlorothiazide
- Metolazone
- Spironolactone
Answer: Spironolactone
9. A nurse is admitting a client who has acute pancreatitis. Which of thefollowing provider
prescriptions should the nurse anticipate?
- Initiate a low-residue diet.
- Pantoprazole 80 mg IV bolus twice daily
- Ambulate twice daily.
- Pancrelipase 500 units/kg PO three times daily with meals
Answer: Pantoprazole 80mg IV bolus twice daily
10. The family of an older adult brings him to the emergency department after finding him
wandering outside. During the initial assessment, the nursenotes that the client flinches when
she palpates his abdomen yet responds toquestions only by nodding and smiling. Which of the
following factors shouldthe nurse identify as a likely explanation for the client's behavior?
- He is hard of hearing
- Pain
- Confusion
- Language barrier
Answer: Confusion
11. A nurse is caring for a client who is receiving total parenteral nutrition via a peripherally
inserted central catheter (PICC). When assessing the client, the nurse notes swelling of the
client's arm above the PICC insertion site. Which of the following actions should the nurse
take first?
- Measure the circumference of both upper arms.
- Notify the provider who inserted the PICC line.
- Remove the PICC line.
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