2025-2026 A Questions and Answers.
A nurse and a provider Office is assisting with the care of a client who has a new diagnosis of
type two diabetes mellitus. The client is at risk for developing _____ during to _____. - Answer
-delayed wound healing
-glucose levels
A nurse is assisting in the care of a client who is one day postoperative following a total
thyroidectomy. The client is the greatest risk for developing _____ as evidenced by _____. -
Answer -hypocalcemia
-muscle spasms
A nurse in the emergency department is assisting in the care of a client. The nurse should
suspect the client is experiencing _____ as evidenced by the client's _____. - Answer -
serotonin syndrome
-altered mental status
A nurse is caring for a client in an outpatient setting. The client is exhibiting manifestations of
_____ as evidenced by the client's drop _____. - Answer -Heart failure
-BNP level
A nurse is assisting with the care of an adolescent client in the emergency department. For each
finding click to specify if the finding is consistent with bacterial meningitis or encephalitis. Each
finding may support more than one disease process. - Answer -Bacterial Meningitis: fever,
photophobia, pain, mental status, and rash
-Encephalitis: fever, pain, and mental status
A nurse is assisting in the care of a client who is postoperative following an appendectomy.
Which of the following client findings should the nurse report to the charge nurse? - Answer
-pain
-nausea
-heart rate
-oxygen saturation
A nurse is assisting with the care of a client who is pregnant in the acute care setting. The nurse
should first address the client's _____, followed by the _____. - Answer -Respirations
-LOC
,A nurse in an urgent care setting is assisting with the care of a client. For each finding click to
specify if the finding requires follow-up or does not require follow up. - Answer -Requires
follow-up: BP, Heart rate, HbA1c, and BMI
-Does not require follow-up: Sodium and BUN
A nurse is assisting with the admission of an older adult client. Which of the following actions
should the nurse take first? - Answer complete a fall risk assessment on the client
A nurse is reinforcing teaching about puberty with a group of prepubescent female clients.
Which of the following information should the nurse include in the teaching? - Answer you
will likely gain weight before you start to get taller
A nurse is assisting with planning palliative care for a client who has stage IV cancer and is in the
active stage of dying. Which of the following interventions should the nurse include in the plan
of care? - Answer administer atropine to reduce the clients respiratory secretions
A nurse is collecting a urine specimen for a female client who has diabetes insipidus. Which of
the following findings should the nurse expect? - Answer Urine specific gravity of 1.002
A nurse is contributing to the plan of care for a client who has viral meningitis. Which of the
following interventions should the nurse include? - Answer Place the client in a private room.
A nurse is assisting with the care of a client who is postoperative following coronary artery
bypass surgery (CABG). The client is at greatest risk for developing _____ as evidenced by
_____. - Answer -dysrhythmia
-Laboratory reports and muscle cramps
A nurse is assisting with the care of a client who is 24 hours postoperative following a cesarean
birth. The client is a risk for developing _____ as evidenced by _____. - Answer -seizures
-severe features of preeclampsia
A nurse is assisting with the care of a client. Complete the diagram by dragging from the choices
below to specify what condition the client is most likely experiencing, 2 actions the nurse should
take to address the condition, and 2 parameters the nurse should monitor to assess the client's
progress. - Answer Action 1:?
Action 2:?
Potential Condition: Somatic symptom disorder
Parameter to Monitor 1: Secondary gains from their illness
Parameter to Monitor 2: Physical manifestations
, Upon recognizing and analyzing the client's assessment findings, such as joint pain and physical
inactivity, the nurse's priority hypothesis is that the client is most likely experiencing somatic
symptom disorder. It is essential to generate solutions and take actions by monitoring for both
the presence of secondary gains from their illness and the client's physical manifestations.
Somatic symptom disorders are characterized by the presence of many physical manifestations
like dizziness, nausea, back pain, joint pain, etc. The nurse should evaluate and monitor the
client's vital signs and pain level.
A nurse is assisting in the care of a client who is one hour postpartum. Select the 6 actions the
nurse should take. - Answer -Firmly massage the uterine fundus
-Administer methylergonovine
-Weigh the perineal pads
-Provide emotional support
-Insert indwelling urinary catheter
-administer oxygen at 12 L/min via non rebreather face mask
A nurse is assisting in the care of a client who experienced a spinal cord injury (SCI). Complete
the diagram by dragging from the choices below, to specify what condition the client is most
likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters
the nurse should monitor to assess the client's progress. - Answer -Autonomic dysreflexia
-blood pressure
-noxious stimuli
-administer nifedipine or a nitrate
Upon collecting data, the nurse should recognize the client cues of high blood pressure,
headache, face and neck warm to the touch, and constipation. The nurse should recognize that
the client is likely experiencing autonomic dysreflexia, and that it is important to generate
solutions and take actions that will decrease the client's blood pressure and noxious stimuli.
Therefore, the nurse should prepare to administer nifedipine or a nitrate to decrease the client's
blood pressure and check for bladder distention, which may be contributing to visceral stimuli.
The nurse should monitor the client's blood pressure every 10 to 15 min and monitor vision for
changes caused by autonomic dysreflexia, such as blurred vision.
A nurse in an outpatient setting is assisting with the care of a client. Complete the diagram by
dragging from the choices below to specify what condition the client is most likely experiencing,
2 actions the nurse should take to address that condition, and 2 parameters the nurse should
monitor to assess the client's progress. - Answer -Pyelonephritis
-administer antibiotics
-encourage fluid intake
-Monitor fever
-Monitor BUN levels