Updated 2026 Actual Exam Complete 1004
Questions And Correct Detailed Answers
(Each question is listed in bold, along with its
corresponding answer(s).)
1. Diet for chronic renal failure — low protein & potassium
2. DM patient teaching — change shoes, wash feet w/soap & water
3. Pulse pressure — subtract systolic value from diastolic value
4. Lantus — never mix, long lasting, no peak
5. Rhogam — given @ 28 weeks & 72 hours post delivery when mom is Rh- &
baby is Rh+
6. Indication of baby dehydration improving — smooth fontanel
7. Patient with orthostatic hypotension — put near nursing station
8. Cleaning a wound — clean to dirty, use bulb syringe
9. Peripheral arterial disease — cramp in leg while walking (intermittent
claudication)
10. Seizure precautions — supine position
11. 20 weeks gestation, having urinary frequency — UA & C/S
12. Report to new nurse at shift change — patient at X-ray
13. S/S of hemolytic blood transfusion — flank pain
14. ER rape victim priority — assess anxiety
15. Nutrition — carbs 45%, protein 10–15%
16. Latex allergy — tape up cords
17. First ingredient on a food label — most content
18. Thoracentesis & painful with breathing — put patient on unaffected side for
1+ hour
19. Patient with IV sedation — check LOC if not responsive
20. Help older brother get used to baby — get a gift for big brother
21. Early decelerations — head compressions
,22. Methergine contraindication — HTN
23. Delegate to AP — I&O
24. HF monitoring — weights
25. Location for peripheral line — radial
26. Prioritizing care for multiple patients — low flank pain
27. Ativan — for seizures
28. Med for diabetes insipidus — desmopressin
29. Radiation tattoo — use mild soap & water
30. Uric acid stones — eat low-fat yogurt
31. Antigout med decreases uric acid level — allopurinol
32. Non-pharm relaxation technique for pain management in labor — hypnosis
33. Psychotic disorder assessment finding — flat affect
34. Newborn withdrawal from heroin (opioids) — hypertonicity
35. Mitral valve location — 5th intercostal
36. Amniocentesis — go pee before procedure
37. Total gastrectomy — lack B12, takes 30–60 min to eat a meal
38. Stoma color — pink or red is normal
39. MAOI’s diet — no pepperoni, no tyramine, cottage cheese OK
40. Give iron with? — orange juice
41. Statins contraindication — grapefruit juice
42. Haldol — lip smacking
43. Mag sulfate — decreased urine output, decreased respirations, decreased
pulmonary edema
44. Antidote for mag sulfate — calcium gluconate
45. Clozaril interventions — monitor WBC
46. Valproic acid — monitor liver function
47. Thyroid med effectiveness — weight loss
48. Diuretics — don’t skip doses
49. Dig adverse effects — N/V & headache
50. Prednisone — take with milk
,51. Hemo/peritoneal dialysis patient teaching — medical asepsis
52. Cranial nerve 11 — shoulder
53. Peripheral catheter insertion — advance catheter when you see flashback of
blood return
54. Dispose of insulin needles at home — in coffee container
55. Confirmation of NG placement — X-ray
56. Swallowing difficulty referral — speech therapy
57. Acrabose (acarbose) — skip a meal, skip dose, give with 1st bite of food
58. Sprains & strains — RICE
59. Pt DNR-CC & family asking questions; therapeutic response — “What did the
doctor tell you?”
60. Delegating to AP about skeletal traction: needs more teaching — AP places
weight on bed
61. Daughter feeling guilty about admitting parent into long-term facility;
therapeutic response — rephrase what daughter is feeling
62. How a good nurse plans her day — rechecks her priorities halfway through her
shift
63. Good nurse sets these when she works — goals
64. Patient gets bad Dx, asks you not to tell spouse; your response — “You have
a right to privacy”
65. Delegate to AP — CPR
66. Baby in contact precautions in private room; how to save hospital $ — bring
formula PRN
67. How a nurse properly manages time mid-shift — reevaluates goals
68. Which psych patient would you see first? — hallucinations
69. Dementia patient at ER with marks on coccyx & wrist, suspected abuse —
ask patient, interview him
70. Psych patient yelling in front of group, very agitated — isolate patient
71. Charge nurse scheduling resolution between nurses — nurse listens to both
sides
, 72. Respite care — gives family a break
73. Patient in seclusion documentation — what happened prior to seclusion that
caused it
74. Parkinson’s patient teaching — nutrition: thicken liquids
75. Patient receiving radiation, what should you wear? — lead apron
76. Patient suffering from hyperthermia — seizure precautions
77. Patient refuses last minute for a procedure he already consented for — okay
to stop procedure
78. S/S of smallpox — rash on tongue
79. Xerostoma — humidifier
80. Vagina procedure, cervical cancer — place catheter
81. Lyme disease — report it
82. Lice (pediculosis capitis) — can survive on surfaces for up to 48 hours
83. RSV — keep stethoscope in room (droplet)
84. 16 weeks gestation — can get AFP test done
85. Bacterial meningitis — droplet precautions
86. When can kid return to school for chicken pox — when lesions are crusted
over
87. Kicks a ball: developmental stage — 24 months
88. Baby with cleft lip — untie arms & perform ROM
89. Wrong ostomy care — changing everyday may lead to skin irritation
90. After male circumcision — apply petroleum jelly with every diaper change
91. Breastfeeding with Hep C — don’t breastfeed if you have cracked nipples
92. Contraindication with oral contraceptives — HTN
93. Combination contraceptives contraindications — patient with migraines
94. When percussing RUQ, what should we feel? — dullness
95. Dementia patient — offer finger foods
96. Black males at great risk for — CVA
97. Med for alcohol withdrawal — disulfiram (Antabuse)
98. Better nutrition — canola oil