Comprehensive Nursing Mastery Exam: Critical
Thinking, Clinical Judgment, Evidence-Based
Practice, Pharmacology Management,
Pathophysiology Integration, Fluid and Electrolyte
Balance, Acid-Base Regulation, Nutrition
Optimization, Diabetes Management, Enteral and
Parenteral Nutrition, Aspiration Risk Reduction,
Dysphagia Diet Implementation, Cardiovascular
Assessment, Respiratory Support, Infection
Control, Wound Healing, Pain Management, Sleep
Hygiene, Stress and Coping Strategies, Patient
Education, Psychosocial Support, End-of-Life Care,
Pediatric and Geriatric Considerations, Clinical
Prioritization, Patient Safety and Advocacy Exam
Questions Provided with A+ Graded Rationales
Latest Updated 2026
A nurse is caring for a client who is a high risk for aspiration. Which of the following actions
should the nurse take?
A. Give the client thin liquids
B. Instruct the client to tuck her chin when swallowing
C. Have the client use a straw
D. Encourage the client to lie down and rest after meals
B. Instruct the client to tuck her chin when swallowing
A nurse is preparing a presentation about basic nutrients for a group of high school athletes.
She should explain that which of the following nutrients provides the body with the most
energy?
A. Fat
B. Protein
C. Glycogen
D. Carbohydrates
1|Page
,D. Carbohydrates
A nurse is caring for a client who requires a low-residue diet. The nurse should expect to see
which of the following foods on the client's meal tray?
A. Cooked barley
B. Pureed broccoli
C. Vanilla custard
D. Lentil soup
C. Vanilla custard
A nurse is caring for a client who weighs 80 kg (176 lb) and is 1.6 m (5'3") tall. Calculate her
body mass index (BMI) and determine whether this client's BMI indicates that she is of a healthy
weight, overweight, or obese.
BMI is 31.25
Obese
(BMI 30 or greater is obese)
A nurse in a senior center is counseling a group of older adults about their nutritional needs and
considerations. Which of the following information should the nurse include? (select all that
apply)
A. Older adults are more prone to dehydration than younger adults are
B. Older adults need the same amount of most vitamins and minerals as younger adults do
C. Many older men and women need calcium supplementation
D. Older adults need more calories than they did when they were younger.
E. Older adults should consume a diet low in carbohydrates
A. Older adults are more prone to dehydration than younger adults are
B. Older adults need the same amount of most vitamins and minerals as younger adults do
C. Many older men and women need calcium supplementation
A nurse is determining a client's ability to learn self-monitoring of blood glucose using a
glucometer. Which of the following abilities should the nurse confirm that the client has before
proceeding with instruction? (select all that apply)
A. Finger dexterity
B. Visual acuity
C. Color vision
2|Page
,D. Basic literacy
E. Demonstration ability
A. Finger dexterity
B. Visual acuity
E. Demonstration ability
A nurse is reviewing a client's medication history. The client has an admission blood glucose of
260 mg/dL and no documented history of diabetes mellitus.
Which of the following types of medications should alert the nurse to the possibility that the
client has developed an adverse effect of pharmacological therapy? (select all that apply)
A. Diuretics
B. Corticosteroids
C. Oral anticoagulants
D. Opioid analgesics
E. Antipsychotics
A. Diuretics
B. Corticosteroids
E. Antipsychotics
A nurse is providing educations on how to check blood glucose levels to a client who has a new
diagnosis of type 1 diabetes mellitus. The nurse should include which of the following
instructions about transferring blood onto the reagent portion of the test strip?
A. Smear the blood onto the strip
B. Squeeze the blood onto the strip
C. Touch the puncture to stimulate bleeding
D. Hold the test strip next to the blood on the fingertip
D. Hold the test strip next to the blood on the fingertip
A nurse attempts to collect a capillary blood specimen via finger stick for a blood glucose
monitoring from a client who has diabetes mellitus. The nurse is unable to obtain an adequate
drop of blood for the reagent strip. Which of the following actions should the nurse take first?
A. Puncture another finger to obtain a capillary specimen
B. Test the urine with a urine reagent strip
C. Wrap the hand in a warm, moist cloth
D. Perform a venipuncture to obtain a venous sample
3|Page
, C. Wrap the hand in a warm, most cloth
A nurse is teaching self-monitoring of blood glucose (SMBG) to a client who has diabetes
mellitus. Which of the following instructions should the nurse include? (select all that apply)
A. Perform SMBG once daily at bedtime
B. Wipe the hand with an alcohol swab
C. Hold the hand in a dependent position prior to the puncture
D. Place the puncturing device perpendicular to the site
E. Prick the outer edge of the fingertip for the blood sample
C. Hold the hand in a dependent position prior to the puncture
D. Place the puncturing device perpendicular to the site
E. Prick the outer edge of the fingertip for the blood sample
A nurse is educating a client who is taking iron supplements about foods which aid in iron
absorption. Which of the following foods is the best choice for the client to make?
A. 1 baked potato
B. 1/2 cup orange juice
C. 1/2 cup low-fat milk
D. 2 cups boiled green beans
B. 1/2 cup orange juice
A nurse is discussing foods that are high in Vitamin D with a client who is unable to be out in the
sunlight. Which of the following should be included in the teaching?
A. 1 cup steamed long-grain brown rice
B. 6 medium raw strawberries
C. 1/2 cup boiled Brussels sprouts
D. 2 large, poached eggs
D. 2 large, poached eggs
A nurse is caring for a client who is prescribed warfarin. The nurse should teach the client that
which of the following vitamins can interfere with this medication?
A. Vitamin A
B. Vitamin D
C. Vitamin E
D. Vitamin K
4|Page
Thinking, Clinical Judgment, Evidence-Based
Practice, Pharmacology Management,
Pathophysiology Integration, Fluid and Electrolyte
Balance, Acid-Base Regulation, Nutrition
Optimization, Diabetes Management, Enteral and
Parenteral Nutrition, Aspiration Risk Reduction,
Dysphagia Diet Implementation, Cardiovascular
Assessment, Respiratory Support, Infection
Control, Wound Healing, Pain Management, Sleep
Hygiene, Stress and Coping Strategies, Patient
Education, Psychosocial Support, End-of-Life Care,
Pediatric and Geriatric Considerations, Clinical
Prioritization, Patient Safety and Advocacy Exam
Questions Provided with A+ Graded Rationales
Latest Updated 2026
A nurse is caring for a client who is a high risk for aspiration. Which of the following actions
should the nurse take?
A. Give the client thin liquids
B. Instruct the client to tuck her chin when swallowing
C. Have the client use a straw
D. Encourage the client to lie down and rest after meals
B. Instruct the client to tuck her chin when swallowing
A nurse is preparing a presentation about basic nutrients for a group of high school athletes.
She should explain that which of the following nutrients provides the body with the most
energy?
A. Fat
B. Protein
C. Glycogen
D. Carbohydrates
1|Page
,D. Carbohydrates
A nurse is caring for a client who requires a low-residue diet. The nurse should expect to see
which of the following foods on the client's meal tray?
A. Cooked barley
B. Pureed broccoli
C. Vanilla custard
D. Lentil soup
C. Vanilla custard
A nurse is caring for a client who weighs 80 kg (176 lb) and is 1.6 m (5'3") tall. Calculate her
body mass index (BMI) and determine whether this client's BMI indicates that she is of a healthy
weight, overweight, or obese.
BMI is 31.25
Obese
(BMI 30 or greater is obese)
A nurse in a senior center is counseling a group of older adults about their nutritional needs and
considerations. Which of the following information should the nurse include? (select all that
apply)
A. Older adults are more prone to dehydration than younger adults are
B. Older adults need the same amount of most vitamins and minerals as younger adults do
C. Many older men and women need calcium supplementation
D. Older adults need more calories than they did when they were younger.
E. Older adults should consume a diet low in carbohydrates
A. Older adults are more prone to dehydration than younger adults are
B. Older adults need the same amount of most vitamins and minerals as younger adults do
C. Many older men and women need calcium supplementation
A nurse is determining a client's ability to learn self-monitoring of blood glucose using a
glucometer. Which of the following abilities should the nurse confirm that the client has before
proceeding with instruction? (select all that apply)
A. Finger dexterity
B. Visual acuity
C. Color vision
2|Page
,D. Basic literacy
E. Demonstration ability
A. Finger dexterity
B. Visual acuity
E. Demonstration ability
A nurse is reviewing a client's medication history. The client has an admission blood glucose of
260 mg/dL and no documented history of diabetes mellitus.
Which of the following types of medications should alert the nurse to the possibility that the
client has developed an adverse effect of pharmacological therapy? (select all that apply)
A. Diuretics
B. Corticosteroids
C. Oral anticoagulants
D. Opioid analgesics
E. Antipsychotics
A. Diuretics
B. Corticosteroids
E. Antipsychotics
A nurse is providing educations on how to check blood glucose levels to a client who has a new
diagnosis of type 1 diabetes mellitus. The nurse should include which of the following
instructions about transferring blood onto the reagent portion of the test strip?
A. Smear the blood onto the strip
B. Squeeze the blood onto the strip
C. Touch the puncture to stimulate bleeding
D. Hold the test strip next to the blood on the fingertip
D. Hold the test strip next to the blood on the fingertip
A nurse attempts to collect a capillary blood specimen via finger stick for a blood glucose
monitoring from a client who has diabetes mellitus. The nurse is unable to obtain an adequate
drop of blood for the reagent strip. Which of the following actions should the nurse take first?
A. Puncture another finger to obtain a capillary specimen
B. Test the urine with a urine reagent strip
C. Wrap the hand in a warm, moist cloth
D. Perform a venipuncture to obtain a venous sample
3|Page
, C. Wrap the hand in a warm, most cloth
A nurse is teaching self-monitoring of blood glucose (SMBG) to a client who has diabetes
mellitus. Which of the following instructions should the nurse include? (select all that apply)
A. Perform SMBG once daily at bedtime
B. Wipe the hand with an alcohol swab
C. Hold the hand in a dependent position prior to the puncture
D. Place the puncturing device perpendicular to the site
E. Prick the outer edge of the fingertip for the blood sample
C. Hold the hand in a dependent position prior to the puncture
D. Place the puncturing device perpendicular to the site
E. Prick the outer edge of the fingertip for the blood sample
A nurse is educating a client who is taking iron supplements about foods which aid in iron
absorption. Which of the following foods is the best choice for the client to make?
A. 1 baked potato
B. 1/2 cup orange juice
C. 1/2 cup low-fat milk
D. 2 cups boiled green beans
B. 1/2 cup orange juice
A nurse is discussing foods that are high in Vitamin D with a client who is unable to be out in the
sunlight. Which of the following should be included in the teaching?
A. 1 cup steamed long-grain brown rice
B. 6 medium raw strawberries
C. 1/2 cup boiled Brussels sprouts
D. 2 large, poached eggs
D. 2 large, poached eggs
A nurse is caring for a client who is prescribed warfarin. The nurse should teach the client that
which of the following vitamins can interfere with this medication?
A. Vitamin A
B. Vitamin D
C. Vitamin E
D. Vitamin K
4|Page
