FUNDS PROCTORED EXAM LATEST 2023-2024 ACTUAL
EXAM TEST BANK 200 QUESTIONS AND CORRECT
ANSWERS|ALREADY GRADED A+(WEST COAST
UNIVERSITY)
A nurse is preparing to check a client’s blood pressure. Which of the following
actions should the nurse take?
a. Apply the cuff above the clients antecubital fossa.
b. Use a cuff with a width that is about 60% of the client’s arm circumference.
c. Have the clients sit with his arm resting above the level of his heart.
d. Release the pressure on the client’s arm 5 to 6 mm per second.- – ANSWER- a.
Apply the cuff above the clients antecubital fossa.
Rationale: width of the cuff should be 40% of the arm circumference; arms should
rest that the level of the heart; release the pressure no faster than 2-3 mmHg per
second; apply cuff 2.5cm (1in) above the antecubital space with the brachial artery
in line with the marking on the cuff.
A nurse is preparing to perform nasal tracheal suctioning for a client. Which of the
following is an appropriate action for the nurse to take?
a. Hold the suction catheter with the clean non-dominant hand.
b. Apply suctioning for 20 to 30 seconds.
c. Place the catheter in a location that is clean and dry for later use new line.
d. Use surgical asepsis when performing the procedure. – ANSWER- d. Use
surgical asepsis when performing the procedure.
Rationale: suction should be no more than 10-15 seconds to avoid hypoxemia;
catheter should never be re-used; use surgical asepsis for all types of suctioning
A nurse is documenting client care. Which of the following abbreviations should
the nurse use?
a. “SS” for sliding scale
b. “BRP” for bathroom privileges
c. “OJ” for orange juice
d. “SQ” for subcutaneous – ANSWER- b. “BRP” for bathroom privileges
A nurse is caring for a client who has left lower atelectasis. in which of the
following positions should the nurse place the client for postural drainage?
a. Supine and low-Fowler’s position
b. Right lateral in Trendelenburg position
c. Side lying with the right side of the chest elevated
d. Prone with pillows under the extremities – ANSWER- b. Right lateral in
Trendelenburg position
A nurse is receiving the prescription for a client who is experiencing dysphagia
following a stroke. Which of the following prescriptions should the nurse clarify?
a. Dietitian consult
b. Speech therapy referral
c. Oral suction at the bedside
d. Clear liquids – ANSWER- d. Clear liquids
food levels for dysphagia include pureed, mechanically altered,
advanced/mechanically soft,
and regular. Liquids must be THICK.. Clear liquids can cause aspiration
A nurse is administering a large volume enema to a client. Identify the sequence of
steps the nurse should follow after preparation and lubricating the enema set.(ati
funds video enema)
- Administer the enema solution.
- Remove the enema tube from the clients rectum.
- Wrap the end of the enema tube with a disposable tissue.
- Insert the enema tube into the client’s rectum.
- Clamp the enema tube. – ANSWER- 4, 1, 5, 2, 3
A nurse is teaching a group of newly licensed nurses about the Braden Scale.
Which of the following responses by the newly licensed nurse indicates an
understanding of the teaching?
a. “The client’s age is part of the measurement.”
b. “The scale measures six elements.”
c. “The higher the score, the higher the pressure ulcer risk.”
d. “Each element has a range from 1 to 5 points.” – ANSWER- b. “The scale
measures six elements.”
Rationale: It measures the six elements: Sensory perception, moisture, activity,
mobility, nutrition, friction & shear.
The higher the score the less risk.
Each element is ranged from 1-4 points
A nurse is documenting in a client’s medical record . Which of the following
entries should the nurse record?
a. “Incision without redness or drainage.”
b. “Drink adequate amounts of fluid with meals.”
c. “Oral temperature slightly elevated at 0800.”
d. “Administered pain medication.” – ANSWER- d. “Administered pain
medication.”
any action and change to the client’s condition should be recorded
A nurse is caring for a client who refuses to follow the providers prescription for
bed rest. The nurse over hears the AP tell the client that if she does not remain in
bed he will place her in restraints. The nurse should identify that the AP is
committing which of the following torts?
-Libel
-Defamation of character
-Assault
-Battery – ANSWER- -Assault
A nurse is preparing to insert an IV catheter for a client following a r. mastectomy.
Which of the following veins should the nurse select when initiating an IV
therapy?
-the radial vein on the left wrist
-the cephalic vein in the left distal forearm
-the basilic vein in the right antecubital fossa
-the cephalic vein on the back of the right hand – ANSWER- -the cephalic vein on
the back of the right hand
A nurse is teaching an older adult client who has type 2 diabetes mellitus about
how to care for corns and calluses toes. Which of the following statements by the
client indicates an understanding of the teaching?
a. I can apply lotion to soften the calluses as long as I don’t put lotion between my
toes
b. I can place an oval corn pad over toes that have corns as longs as remove the pad
weekly
c. I should soak my feet in warm water daily to soften corns and calluses
d. I should use an over the counter liquid medication to remove corns – ANSWERa. I can apply lotion to soften the calluses as long as I don’t put lotion between my
toes
A nurse is caring for a client who has wrists restraints after an episode of violent
behavior. Which of the following actions should the nurse take?
-Tie the restraints to the side rail
-Secure restraints with a square knot
-Remove one restraint at a time
-Remove the restraints every 3 hours – ANSWER- -Remove one restraint at a time
A nurse is planning care for a client who has a latex allergy and is scheduled for
surgery. Which of the following actions is appropriate to include in the client’s plan
of care?
-Schedule the client as the first surgical procedure of the day
-Cleanse the stoppers with primidone iodine for withdrawing medication
-Remove the stop stocks from iv tubing
-Ensure the gloves in the surgical suite are powdered gloves – ANSWER- –
Schedule the client as the first surgical procedure of the day
A nurse is providing discharge teaching to a client who does not speak the same
language as the nurse. Which of the following action should the nurse take?
-Offer written instructions in the client language
-Request that an AP interpret instructions for the client -Use proper medical terms
giving instructions to the client
-Direct verbal discharge instructions to the interpreter – ANSWER- -Direct verbal
discharge instructions to the interpreter