Read each question carefully. There is only one correct answer unless the stem of the question includes directions that state otherwise. There are 50 items on the exam. You have 75 minutes to complete the exam. There is no backtracking to complete a skipped question or to change an answer. When you finish the test, click submit.

This is a check-in. How are you doing so far this semester? How are you doing in this exact moment?

The last Korotkoff sound heard during auscultation is the systolic blood pressure.

What is the RPE?

An older adult resident of the long-term care facility who has been diagnosed with dementia has been pacing and holding his right arm up against his chest. What should the nurse do first to help this client?

A new client wants to add more structure to her exercise program. She is currently running 40 minutes, 3 days a week but would like to add more. She had a heart attack five years ago. She was cleared by her doctor 6 months ago. Is a medical clearance necessary?

The nurse is caring for an older adult who has just been scheduled for urgent surgery. The client suffers from Alzheimer’s and is currently confused. What is the nurse’s first action?

Which of the following BMI categories classifies an individual as “overweight”?

The nurse is caring for a client with heart failure on a 1500 mL fluid restriction per 24 hours. At the end of the day shift, the nurse reviews the intake record:08:00: Coffee – 8 oz09:00: Orange juice – 4 oz12:00: Soup – 12 oz14:00: Water – 6 oz16:00: Gelatin – 4 oz17:00: Tea – 4 ozAt 20:00 the client asks for a cup of hot tea (8 oz).  The client has not had any additional fluid since dayshift.Can the nurse give the tea without exceeding the fluid restriction?  Put 1 for yes or put 2 for no.

An client has a diagnosis of Diabetes Type II. The client follows a diabetic diet plan, exercises regularly, and is compliant with medications. The client has a past history of a left foot pressure ulcer, wears glasses, and has bilateral hearing aids. There has been some lost teeth leading to difficulty eating meat and raw vegetables. The nurse is teaching the client about the importance of regular physical examinations. Which examination should the nurse emphasize as a priority for the client to obtain?