Docsity
Log inSign up
Docsity
Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity

Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan

Guidelines and tips
Guidelines and tips
Sell on Docsity
Sell on Docsity
Log inSign up

Prepare for your exams

Study with the several resources on Docsity

Find documents

Prepare for your exams with the study notes shared by other students like you on Docsity

Search Store documents

The best documents sold by students who completed their studies

Search through all study resources
Docsity AINEW

Summarize your documents, ask them questions, convert them into quizzes and concept maps

Explore questions

Clear up your doubts by reading the answers to questions asked by your fellow students

Earn points to download

Earn points by helping other students or get them with a premium plan

Share documents
download point icon20 Points

For each uploaded document

Answer questions
download point icon5 Points

For each given answer (max 1 per day)

All the ways to get free points
Get points immediately

Choose a premium plan with all the points you need

Study Opportunities

Choose your next study program

Get in touch with the best universities in the world. Search through thousands of universities and official partners

Community

Ask the community

Ask the community for help and clear up your study doubts

University Rankings

Discover the best universities in your country according to Docsity users

Free resources

Our save-the-student-ebooks!

Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors

From our blog

Exams and Study
Go to the blog

CCRN CRITICAL CARE UPDATED 2025-2026 EXAM WITH 150 CORRECTLY ANSWERED QUESTIONS VERIFIED, Exams of Nursing

University of Massachusetts - LowellNursing

CCRN CRITICAL CARE UPDATED 2025-2026 EXAM WITH 150 CORRECTLY ANSWERED QUESTIONS VERIFIED WITH AN ASSURED PASS GRADE ALSO WITH KAPLAN CCRN QUESTIONS (SCORE A)

Typology: Exams

2024/2025

Available from 05/24/2025

CESSLYN
CESSLYN 🇺🇸

5

(5)

419 documents

1 / 30

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
CCRN CRITICAL CARE UPDATED 2025-2026 EXAM
WITH 150 CORRECTLY ANSWERED QUESTIONS
VERIFIED WITH AN ASSURED PASS GRADE ALSO
WITH KAPLAN CCRN QUESTIONS (SCORE A)
1. The nurse cares for a client diagnosed with superficial partial thickness burn.
The nurse should assign the client to a room with which client?
A. A client diagnosed with Cushing’s Syndrome.
B. A client Diagnosed with cellulitis of the left leg.
C. A Client diagnosed with acute peritonsillar abscess.
D. A client diagnosed with acute pelvic inflammatory
disease. Answer: A
2. The nurse observes client care on a geriatric unit. The nurse should
intervene in which situation?
a. A student nurse assist the client out of bed toward the clients strong side.
b. A student nurse assist the client to sit on the side of the bed by lifting the
client’s shoulders and swinging the client’s legs over the edge of the bed.
c. A student nurse assists the client to stand from a sitting position by
grasping the client’s elbows.
d. Two student nurses use a draw sheet to turn a client in the
bed. Answer: C
3. The nurse evaluates the results of the client’s purified protein derivative (PPD)
2 ½ days after the injection. The nurse noted the induration is 4 mm. which action by
the nurse is most appropriate?
a. Inform the client the results are negative
b. Obtain the names of the client’s closest contacts.
c. Determine the HIV status of the client.
d. Wait and additional 24 hours to read the
results. Answer: A
4. The nurse cores for the client with a history of schizophrenia. The nurse
expects to note which speech pattern?
a. Repetition of the words used by the nurse.
b. Rapid, coherent conversation about unrelated topics.
c. Immediately answering questions appropriately.
d. Slow, purposeful answers to the nurses
questions. Answer: A
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff
pf12
pf13
pf14
pf15
pf16
pf17
pf18
pf19
pf1a
pf1b
pf1c
pf1d
pf1e

Partial preview of the text

Download CCRN CRITICAL CARE UPDATED 2025-2026 EXAM WITH 150 CORRECTLY ANSWERED QUESTIONS VERIFIED and more Exams Nursing in PDF only on Docsity!

CCRN CRITICAL CARE UPDATED 2025- 2026 EXAM

WITH 150 CORRECTLY ANSWERED QUESTIONS

VERIFIED WITH AN ASSURED PASS GRADE ALSO

WITH KAPLAN CCRN QUESTIONS (SCORE A)

  1. The nurse cares for a client diagnosed with superficial partial thickness burn. The nurse should assign the client to a room with which client? A. A client diagnosed with Cushing’s Syndrome. B. A client Diagnosed with cellulitis of the left leg. C. A Client diagnosed with acute peritonsillar abscess. D. A client diagnosed with acute pelvic inflammatory disease. Answer: A
  2. The nurse observes client care on a geriatric unit. The nurse should intervene in which situation? a. A student nurse assist the client out of bed toward the clients strong side. b. A student nurse assist the client to sit on the side of the bed by lifting the client’s shoulders and swinging the client’s legs over the edge of the bed. c. A student nurse assists the client to stand from a sitting position by grasping the client’s elbows. d. Two student nurses use a draw sheet to turn a client in the bed. Answer: C
  3. The nurse evaluates the results of the client’s purified protein derivative (PPD) 2 ½ days after the injection. The nurse noted the induration is 4 mm. which action by the nurse is most appropriate? a. Inform the client the results are negative b. Obtain the names of the client’s closest contacts. c. Determine the HIV status of the client. d. Wait and additional 24 hours to read the results. Answer: A
  4. The nurse cores for the client with a history of schizophrenia. The nurse expects to note which speech pattern? a. Repetition of the words used by the nurse. b. Rapid, coherent conversation about unrelated topics. c. Immediately answering questions appropriately. d. Slow, purposeful answers to the nurses questions. Answer: A
  1. The nurse cares for a 6 - month-old infant. The parents report that the infant had severe diarrhea for twelve hours. The nurse anticipates which finding? a. Normal skin elasticity. b. Depresses anterior fontanel. c. Pale yellow urine. d. Absent bowel sounds. Answer: B
  2. The nurse cares for a client receiving hydrocodone every 6 hours prn for pain. The client reports pain at 1600. The nurse notes that the hydrocodone was last administered at
  1. The nurses care for the client diagnosed with tuberculosis. Before discontinuing airborne precautions, the nurse must confirm which? a. The tuberculin skin test is negative b. No acid-fast bacteria are in the sputum. c. The client has received anti-tuberculin medication for three days. d. The client’s temperature has returned to normal. Answer: B
  2. The nurse cares for the client at 28 weeks gestation diagnosed with a complete placenta previa. The nurse determines discharge teaching is effective if the client makes which statement to her husband? a. I can go back to work tomorrow on a part-time basis b. I’m sorry to tell you we can’t have sexual relations c. I will still be able to have a vaginal birth d. I have to come back in 48 hours for a vaginal exam Answer: B
  3. The nurse prepares the client diagnosed with myxedema for discharge. Which action should the nurse teach related to body temperature? a. “Alternate acetaminophen with ibuprophen every four hours for fever” b. “Take your temperature and record the results three times a day.” c. “Put on multiple layers of clothes until you fell comfortably warm.” d. “Use a heating pad during the day and electric blanket at night.” Answer: C
  4. The nurse cares for clients in the labor and delivery unit. The nurse anticipates which client is a candidate for induction of labor? a. The client with the fetal face as the presenting part. b. The client diagnosed with preeclampsia. c. The client diagnosed with active herpes infection. d. The client experiencing late decelerations. Answer: B
  5. The nurse cares for the client diagnosed with HIV. The nurse determines which goal is MOST important? a. Prevent Kaposi’s sarcoma. b. Prevent depression c. Prevent infections. d. Prevent social isolation. Answer: C
  6. The nurse educator presents an in-service on acyanotic heart disease. Which is the most common symptom of this disorder that the nurse educator should include? a. Severe retarded growth. b. Clubbing of the fingers and toes. c. Presence of an audible heart murmur.

d. Polycythemia

. Answer: C

  1. The nurse provides care for the client diagnosed with pneumonia who has postural drainage twice a day. Which client response indicates to the nurse that treatment is effective? a. “My upset stomach is better.” b. “I am coughing up more sputum.” c. “My cough is better.” d. “I don’t feel feverish anymore.” Answer: B
  2. The risk management department plans a program to reduce errors. Which is the most common cause of errors in medication administration? a. Failure to follow routine policy and procedures. b. Caring for too many clients. c. Responsible for administering numerous medications. d. Unfamiliar with monk of the new pharmaceuticals ordered. Answer: A
  3. The nurse cares for the school-aged child newly diagnosed with type 1 diabetes. The nurse instructs the family that the child’s insulin needs will decrease during which situation? a. Active exercise b. Infection c. Emotional stress. d. Puberty . Answer: A
  4. The nurse cares for the client receiving lactulose. The nurse determines the medication is effective if which is observed? a. The client’s weight increases by 5 pounds. b. The client denies shortness of breath. c. The client’s urinary output is 2000 ml daily. d. The client is alert and oriented to person, place and time. Answer: D
  5. The nurse cares for the three-year-old prior to a surgical procedure. Which behavior indicates that the child is coping with preoperative preparation? a. The child hops around the room pretending to be a bunny while the nurse attempts to obtain a blood pressure reading. b. The child talks about the picture of a nurse and client while coloring the picture using a number of bright colored crayons. c. The child sits quietly reading a story about a boy who is going to have surgery while the nurse reviews the consent from the parents.

d. There are no pictures hung on the walls. Answer: D

  1. The nurse cares for infants in the newborn nursery. Which observation requires the nurse to contact the physician? a. The Asian female, 12 hours old, has a large bluish area noted across the sacrum and left hip. b. An African-American make, 2 hours old, has fine bi-basilar crackles. c. Uneven skin folds are noted on a the upper legs of a Mexican-American female born 6 hours ago. d. The anterior fontanel of a Caucasian male born 28 hours ago is moderately firm and flat. Answer: C
  2. The nurse cares for the client diagnosed with partial thickness burns to the entirety of both arms. Using the Rule-of-Nines, the nurse estimates the injury is which percentage? a. 18% b. 29% c. 36% d. 9% Answer: A 4.5% front and 4.5 % back, whole arm 9%
  3. The home care nurse visits the client diagnosed with late stage Parkinson’s disease. The client sits in a wheelchair. Which statement, if made by the caretaker, indicates to the home care nurse teaching is effective? a. “My Client should push the hips up from the wheelchair for about 10 seconds every hour or so.” b. “My client should elevate the knees with a pillow when lying in bed.” c. “I will limit my client’s time in the wheelchair to 30 minutes each day.” d. “I will encourage my client to change position every six hours.” Answer: A
  4. The home care nurse makes a visit to the client diagnosed with heart failure. The client reports having difficulty sleeping at times. The nurse should take which action FIRST? a. Recommend taking over-the-counter diphenhydramine (Benadryl) b. Encourage a half hour of moderate exercise prior to going to bed. c. Obtain a thorough sleep assessment history. d. Instruct the client to nap during the day. Answer: C
  5. The nurse cares for the client admitted to the critical care unit. The nurse observes splinter hemorrhages in the nails, painful nodules on the fingertips and splenomegaly. It is MOST important for the nurse to take which action? a. Determine if client can comply with home IV therapy.

b. Auscultate the precordium for murmurs. (ENDOCARDITIS) c. Instruct the client about the importance of balancing rest and activity. d. Encourage the client to perform oral hygiene twice a day. Answer: B

  1. The nurse instructs the client about stable angina. The nurse determines teaching is effective if the client makes which statement? a. Angina pain usually feels like being stabbed with a knife b. Each time I have angina, my heart is damaged. c. My chest pain can occur if I overexert myself. d. If I have chest pain, then I’m probably having another heart attack. Answer: C
  2. The nurse cares for the client in pain. Which factor is MOST important to determine if the client is a candidate for patient controlled analgesia? a. The client has a surgical procedure of 30 minutes. b. Body mass index does not exceed 30 kg/m c. The clients has a history of chronic pain. d. The client is mentally alert. Answer: D
  3. The nurse received report from the previous shift. Which client should the nurse see FIRST? a. The client recently admitted from the operating room who is drowsy and requesting something for pain. b. The client recently diagnosed with asthma with an O2 saturation of 97% c. The client scheduled for discharge later in the day and is reporting increased shortness of breath. d. The client who had an open cholecystectomy 24 hours ago with a temperature of 100 degrees Answer: C
  4. The nurse reviews the arterial blood gas (ABG) report. The PH is 7.50; CO2 is 40mm; HCO3 is 30 mm. Which is the MOST important question to ask the client? Pg 234 a. Do you smoke? b. Do you have a history of emphysema? c. How long have you been vomiting? d. Do you take insulin for your diabetes? Answer: C
  5. The nurse prepares a list of delegated tasks for the nursing assistive personnel (NAP). Which task would be APPROPRIATE? a. Feed the client diagnosed with dysphagia related to a stroke b. Assist the client one day postoperatively to ambulate following knee replacement. c. Turn and reposition the client diagnosed with quadriplegia. d. Obtain vital signs for the client whose last B/P was 188/

a. Cephalexin to the postoperative client with a white blood cell count (WBC of 9.5/mm b. Morphine to the postoperative client reporting pain at a 5 on a 0 - 10 scale. c. Ipratropium to the newly-admitted client diagnosed with chronic obstructive pulmonary disease. d. Warfarin tot eh client with a prothrombin (PT) time of 16 seconds and an international normalized ratio (INR) of 3.5. Answer: C

  1. The nurse provides discharge instructions to the client with a tube after traditional cholecystectomy. The nurse determines teaching is effective if the client makes which statement? a. The tune can be used to administer stone dissolving medications. b. This tube will stay in for 1 - 2 weeks and drainage will decrease. c. If it is this with mucus or blood, I an irrigate the t-tube. d. I should milk the tube every 4 hours and record the drainage. Answer: B
  2. The nurse prepares to administer digoxin for the 5 - year-old child. The nurse should withhold the drug and contact the physician for which finding? a. The one-time dose of furosemide is also due. b. Child has not eaten in several hours. c. The nurse notes pallor of the child’s skin. d. A apical heart rate of 88 assessed. (60 or less adult, 90 or less children) Answer: D
  3. The nurse cares for the client with a chest tube. Immediately after the tube is removed, it is MOST important for the nurse to take which action? a. Cover the section site with a moist saline dressing. b. Secure the insertion site with several steri-strips. c. Assist the health care provider to close the insertion site with sutures. d. Request a STAT portable chest X- ray. Answer: D
  4. The home care nurse cares for the client diagnosed with benign prostatic hyperplasia. The client reports not voiding since the previous evening. Assessment reveals a distended bladder. Which action should the nurse take NEXT? a. Apply gentle pressure over the client’s pubic area. b. Encourage the client to increase oral intake of fluids. c. Obtain an order for a straight catheter. d. Assist the client into a warm shower. Answer: C
  5. The nurse assigns the nursing assistive personnel (NAP) to the mother who is first day postpartum following a vaginal birth. Which tasks are appropriate for the nurse to delegate to the NAP?

a. Check the location of the fundus twice a shift. b. Help the mother to ambulate shortly after delivery. c. Assist the mother with changing the perineal pad. d. Inform the mother about appropriate cord cake. e. Assist the mother with breast-feeding. f. Instruct the mother about cleansing the perineum. Answer: B,C

  1. Two days after a short leg cast was applied for a fractured tibia, the client reports new, severe pain over the calf area. Which action should the nurse take FIRST? a. Instruct the client to elevate the leg above the heart. b. Obtain a cast cutter and elastic compression bandages c. Contact the health care provider. d. Assess bilateral deep tendon reflexes. Answer: C
  2. The nurse counsels the client diagnosed with herpes simplex virus (HSV) infection. Which suggestion by the nurse BEST meet the client’s needs to cope with this diagnosis? a. Pamphlets about the disease and treatment. b. Web sites containing sexual transmitted disease (STD) information. c. Contact information for a local support group. d. Information about promising drug research. Answer: C
  3. The nurse prepares the 3 year old for discharge after a tonsillectomy. The nurse recommends the parents offer the child which food during the first 24 hours? a. Cherry popsicle b. Vanilla milkshake c. Lemon-lime soft drink d. Cream of tomato soup. Answer: C
  4. The client receives enteral nutrition at 50 ml/hour due to dysphagia. Which nursing action diagnosis would be the priority? a. Risk for fluid volume excess. b. Risk for electrolyte imbalance. c. Risk for imbalanced nutrition. Less than body requirements. d. Risk for aspiration. Answer: D
  5. The charge nurse has received change-of-shift report on a medical-surgical unit. Which activity can be delegated to an LPN/LVN? a. Transfuse platelets for a client. b. Change a dressing on a client with a stage IV pressure ulcer. c. Initiate discharge teaching for the client whose B/P was 88/64 an hour ago. d. Obtain vital signs on a client whose BP was 88/64 an hour ago.

c. Supine lying on the operative side d. Elevated 30 degrees Answer: B

  1. The nurse cares for the teenager recovering from mononucleosis. The teenager is upset and reports feeling too weak to resume normal home and social activates. The friends no longer come visit, and the parent is tired of “doing everything.” Which response by the nurse is MOST appropriate? a. Medications exist that can boost strength and endurance after mononucleosis. b. Further diagnostic testing may be necessary to determine the cause of the fatigue. c. Convalescence is lengthy and people often report fatigue for several months. d. You need to make more of an effort to participate in normal activities. Answer: C
  2. The nurse cares for a client after an involuntary admission to a mental health facility due to threatening to harm self. The family asks the nurse if they can take the client home. Which response by the nurse is MOST appropriate? a. I will speak to the health care provider about your request. b. The client is lucky to have a loving family like you. c. The courts determine how long the client is hospitalized. d. Why do you want to take the client home? Answer: C
  3. The nurse cares for the adolescent diagnosed with Hodgkin’s lymphoma. The adolescent receives nitrogen mustard, vincristine, procarbazine and prednisone. Which adverse effect of the drugs requires early preparation of the adolescent? a. Constipation b. Retarded growth in height c. Alopecia d. Nause a Answer: C
  4. The home care nurse instructs the client receiving long-term prednisone therapy. Which information should the nurse include? a. There is an increased risk for developing infections. b. There is a resistance to developing infections. c. The client should follow a high-protein diet. d. There are changes in fat distribution over several areas of the body. Answer: D
  5. The nurse witnesses a co-worker put one of two narcotic tablets in the co- workers purse twice during the shift. Which action should the nurse take? a. Confront the co-worker b. Consult other staff about observation c. Inform the nursing supervisor d. Write an incident report

Answer: C

  1. The nurse cares for the client with a pacemaker. When monitoring pacemaker functions, which should the nurse assess FIRST? a. Incision site b. Apical pulse c. Blood pressure d. Electrocardiogram (ECG) Answer: D
  2. The adolescent diagnosed with acute mania is started on lithium. Which behavior indicates to the nurse the medication is effective? a. Decreased euphoria and slower rate of speech noted. b. Increased interest in sexual activity. c. Improved appetite and stable weight. d. Increased social interaction noted during meal times. Answer: A
  3. The nurse suspects that the client with severe uterine bleeding is in the early stages of shock. Which is the PRIORITY nursing action? a. Apply super absorbent perineal pads. b. Establish intravenous access. c. Administer oxygen per nasal cannula. d. Place the client in Trendelenburg position. Answer: C
  4. When providing respiratory care for the client with a tracheostomy, it is MOST important for the nurse to take which action? a. Keep the trach cuff inflated during suctioning. b. Apply suction as the catheter is being inserted. c. Instill acetylcysteine just prior to suctioning. d. Preoxygenate the client prior to suctioning. Answer: D
  5. The nurse provides care to a client diagnosed with cirrhosis. Which is the BEST explanation for the development of edema? a. Decreased concentration of plasma albumin. b. Decreased production of aldosterone causing sodium and water retention. c. Shunting of the blood from the portal vessels into the lower pressure vessels. d. Inadequate formation, use and storage of vitamin K. Answer: A With cirrhosis there is malnutrition, with malnutrition there is decreased albumin, with decreased albumin there is edema.

retractions are pronounced, and the child is restless. Which action should the nurse take FIRST? a. Suction the child’s airway. b. Contact the health care provider. c. Percuss the child on the back. d. Increase the oxygen flow rate. Answer: B

  1. The client reports dyspnea, sever chest pain, nausea, and increased anxiety. Which lab value would cause the nurse to contact the physician? a. Creatinine kinase (CK) 155 units/L. b. Troponin T 0.9 ng/mL. c. Low-density-lipoproteins (LDL) 175 mg/dL. d. Total serum lipids 850 mg/dL. Answer: B
  2. An adolescent undergoing hemodialysis tells the nurse, “My friends are all going on a big trip over spring break and I can’t go. I don’t think they’ll miss me much anyway.” Which is the BEST response by the nurse? a. I would not worry about that. You can communicate with them while they are gone. b. You must be disappointed. Describe what you are feeling right now. c. I’ve been left out of things before; you’ll feel better when the break is over. d. Why do you think they won’t miss you? Answer: B
  3. The nurse cared for clients diagnosed with AIDS. The nurse recognizes which statement is true regarding therapy?
  4. Pneumonia and influenza vaccines are contraindicated.
  5. Protease inhibitors affect cell replication and have been successful.
  6. Clients respond best when using single antiviral-type of medication.
  7. Most of the medications used are administered by the IV route. Answer # Termination *vir
  8. The nurse instructs the client about a lumbar puncture. In which position will the client be placed?
  9. Lateral recumbent position.
  10. Tredelenburg position.
  11. Prone with the head turned to the left side.
  12. High Fowler’s position. Answer#
  13. The nurse assists the client to obtain a sputum specimen. Which action should the nurse take first?
  14. The nurse labels the container and places the specimen in a biohazards bag.
  15. The nurse assists the client to perform mouth care.
  1. The nurse instructs the client to expectorate into a sterile container.
  2. The nurse performs hand hygiene and dons clean gloves. Answer#
  3. The nurse cares for a three-year-old child diagnosed with severe anemia. The nurse observes weakness and fatigue. Which will the nurse expect to observe?
  4. Cool, clammy skin.
  5. Elevated blood pressure.
  6. Cyanosis of the nailbeds.
  7. Increased heart rate. Answer#
  8. The nurse cares for a child following corrective surgery for tetralogy of Fallot. The nurse should include which in the child’s plan of care?
  9. Place the child in a private room near the nursing station.
  10. Restrict visitors with exception of the child’s parents.
  11. Limit the child’s physical activity to sitting in a chair at bedside.
  12. Instruct the child’s parent about food allowed on a 2 gram sodium diet. Answer# (low in sodium high in potassium because they will be on cardiac meds)
  13. The nurse cares for a client diagnosed with pneumonia. The client receives intravenous antibiotic therapy twice daily. The client reports three liquid stools the past six hours. Which action should the nurse take FIRST?
  14. Obtain an order for loperamide.
  15. Encourage increased consumption of fruit juices.
  16. Collect a stool sample for Clostridium Difficile.
  17. Complete a diet history of the past 3 days. Answer#
  18. A nurse in the pediatric clinic receives a call from a parent stating, “it looks like my 10 - year-old has chickenpox, but my child had the immunization”. Which response by the nurse is BEST
  19. “You should keep the child home for the next week”.
  20. The child will need a booster vaccine once the vesicles have disappeared”.
  21. “If your child had the vaccination, it can’t be chickenpox”.
  22. Give aspirin every 4 hours for fever or discomfort”. Answer#
  23. After receiving report from the evening shift charge nurse, which client should the nurse see FIRST?
  24. A 69 - year – old diagnosed with chronic obstructive pulmonary disease requesting a sleeping pill.
  25. A 52 - year old client diagnosed with pancreatitis reporting abdominal pain.
  26. A 67 - year old client diagnosed with pneumonia with a pulse oximeter reading of 88%
  1. “I snack on fresh fruit and raw vegetables”. Answer#
  2. The nurse cares for the client just admitted to the surgical unit from recovery after a total hip replacement. It is MOST important for the nurse to take which action?
  3. Elevate the affected extremity on pillows.
  4. Position the client in high Fowler’s position.
  5. Place the client in Buck’s traction.
  6. Position the client with the legs abducted. Answer# ABDUCTION SPLINTER OR TWO PILLOWS BETWEEN LEGS
  7. The nurse cares for the school-age child receiving phenytoin. The nurse should observe for which known adverse effect?
  8. Hyperactivity several hours after ingestion.
  9. Gingival hyperplasia.
  10. Flushed face within an hour of ingestion.
  11. Pinpoint pupils. Answer#2 (phenytoin =Dilantin=anticonvulstant)
  12. The nurse cares for the child diagnosed with cystic fibrosis. The nurse should intervene if the child is eating which food?
  13. Chili.
  14. Roasted chicken tenders.
  15. A vanilla milkshake.
  16. Slice of watermelon. Answer# LOW FAT, HIGH PROTEIN, HIGH CARB AND CALORIES
  17. The client diagnosed with type 1 diabetes reports to the nurse, “I feel really nervous and jittery all over”. The nurse notes regular insulin was administered two hours ago. Which action should the nurse take FIRST?
  18. Review all medications the client has received.
  19. Determine the client’s recent dietary intake.
  20. Administer a simple carbohydrate.
  21. Request laboratory draw serum blood glucose. Answer#

  24. The nurse cares for the client diagnosed with bipolar disorder. The nurse determines which activity is appropriate for the client during a period of mania? Select all that apply.
  25. Relaxation exercises.
  26. Playing board games with other clients.
  27. Watching the television.
  28. Scheduled rest periods.
  1. Aerobic exercises.
  2. Listening to soft music. Answers#1,4,5,
  3. The health department nurse cares for the client diagnosed with tuberculosis and positive HIV status, sharing concerns over financial and childcare issues and life expectancy. Which referral is MOST appropriate for this client?
  4. A non-denominational chaplain.
  5. Financial counselor at a non-profit agency.
  6. Social worker from social services department.
  7. The director of the local homeless shelter. Answer#
  8. The adolescent tells the school nurse she is planning to start sexual relations with her boyfriend. Which is the BEST response by the nurse?
  9. “I can make a referral to a gynecologist for you”.
  10. “Have you discussed this decision with your parents?”
  11. “Surely you understand I’ll have to let your parents know”.
  12. “How do you plan on paying for contraceptives? Answer#
  13. The nurse cares for the client after colostomy surgery. Eight hours after surgery, what observation would the nurse expect?
  14. A dusky-red appearance of the stoma.
  15. Absence of any output from the colostomy.
  16. Bright bloody drainage from the nasogastric tube.
  17. Presence of hyperactive bowel sounds. Answer#
  18. The nurse care for the clients in the Sleep Study Unit. The nurse recognizes which client is at GREATEST risk for developing obstructive sleep apnea?
  19. 30 year old male, works nightshift as a security guard.
  20. 50 year old female, smokes two packs/day.
  21. 60 year old male, 55 pounds over ideal weight.
  22. 40 year old female, active alcoholic. Answer#
  23. The client after radical prostatectomy expresses concern related to ongoing urinary incontinence. Which response by the nurse is BEST?
  24. Have you been doing Kegel exercises?
  25. It is important to anticipate leakage and stay close to a bathroom at all times.
  26. Drinking more fluids with your meals will decrease the need to void.
  27. Avoiding caffeine and alcohol may reduce bladder irritation. Answer#