2026 Exam Questions and
Correct Answers | New Update
A 38-year-old female client is admitted to the mental health unit after a
recent manic episode of spending large amounts of money on new
furniture, making excessive long-distance phone calls, and not sleeping for
three days. During the admission process, the client is wearing a green
bathing suit. What intervention should the nurse implement? - 🧠 ANSWER
✔✔Assess the client's needs for food, liquids, and rest.
,During a group therapy session, a client with hypomania threatens to strike
another client. What intervention is best for the nurse to implement? - 🧠
ANSWER ✔✔Firmly inform the client that acting out anger is not
acceptable.
A client who is a laboratory technician and has a history of allergic rhinitis,
asthma, and multiple food allergies is scheduled for surgery. Which action
should the nurse implement? - 🧠 ANSWER ✔✔Document a possible Type I
latex allergy.
In reviewing the medical record, the nurse notes that a client's last eye
examination revealed an IOP of 28 mmHg. What information should the
nurse ask the client? - 🧠 ANSWER ✔✔Use of prescribed eye drops since
last exam by ophthalmologist.
Which action should the nurse implement to assess for JVD in a client with
HF? - 🧠 ANSWER ✔✔Observe the vertical distention of the veins as the
client is gradually elevated to an upright position.
The nurse identifies a client's laboratory results and identifies an elevated
serum ammonia level. Which pathophysiological process contributes to this
, finding? - 🧠 ANSWER ✔✔Failure of the liver to convert ammonia absorbed
from the bowel to urea.
A client with GERD is unconscious and unresponsive to stimuli. The nurse
places the client in a side-lying position. The nurse should monitor for the
risk of which complication? - 🧠 ANSWER ✔✔Aspiration pneumonia.
A client returns to the unit after abdominal Nissen fundoplication for
treatment of GERD. After 4 hours, the nurse determines the client has no
drainage from the NGT and has absent bowel sounds. What action should
the nurse implement? - 🧠 ANSWER ✔✔Irrigate the NGT with normal saline.
A male client who is admitted with a bleeding peptic ulcer develops sudden,
severe upper abdominal pain. The client becomes diaphoretic and draws
his knees over his abdomen. Which finding should the nurse report to the
healthcare provider? - 🧠 ANSWER ✔✔A rigid, boardlike abdomen.
A client returns to the postoperative unit after a gastroduodenostomy
(Billroth I) for treatment of a perforated ulcer. The healthcare provider's
prescriptions include morphine with a patient-controlled analgesia (PCA),
nasogastric tube (NGT) to low intermittent nasogastric suction, and IV fluids
and antibiotics. The client complains of increasing abdominal pain 12 hours
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