Comprehensive Online Practice 2023 A
Exam Questions and Answers (2026)
Updated.
A nurse is caring for a client who has a terminal illness and requests no lifesaving measures if a
cardiac arrest occurs. Which of the following statements should the nurse make?
A. " You will need to draft a health care surrogate so a designee can make these decisions for
you."
B. " I will make sure that no one performs any lifesaving measures if your heart stops."
C. " Your providers determines if you should have lifesaving measures if your heart stops
D. " I will provide you with information about medical tx to include in your living will. " - Answer
D. " I will provide you with information about medical tx to include in your living will. "
R: The nurse's responsibility is to provide the client with information about specific instructions
for addressing medical tx in a living will. The nurse should assist the client while they are able to
make decisions for themselves by providing information about what end-of-life preferences to
document.
A client who is 24 hr post op following abdominal sx refuses to ambulate. Which of the
following actions should the nurse take first.
A. Ask the client to rate their pain level
B. Assist the client in changing positions
C. Administer a PRN analgesic
D. Explain the importance of early ambulation - Answer A. Ask the client to rate their pain
level
R: Using the nursing process, the first action the nurse should take is to assess the client's level
of pain. If indicated, the nurse should administer an analgesic, then wait 30-45 min to allow the
analgesic to take effect before encouraging the client to ambulate. MNGT of the client's pain is a
priority for post op activity.
,A nurse is assessing a preschooler who has cystic fibrosis and has been receving oxygen therapy
for the past 36 hr. Which of the following findings should the nurse identify is an indication that
the client has developed oxygen toxicity ?
A. Wheezes
B. Tachycardia
C. Restlessness
D. Substernal pain - Answer D. Substernal pain
R: Due to the increased work of breathing, such as in a preschool who has cystic fibrosis.
A nurse is caring for a client who has type 1 DM and reports severe ankle pain after falling off a
stepstool at home. Which of the following prescriptions should the nurse clarify with the
provider?
A. Obtain capillary blood glucose level q2h
B. Check the neurovascular status of the client's lower extremities qh
C. Apply a cold pack to the client's ankle for 30 min qh
D. Maintain the affected ankle elevated and immobilized - Answer C. Apply a cold pack to the
client's ankle for 30 min qh
R: Type 1 DM is a C/I for receiving cold therapy. A client who has T1DM can have impaired
circulation due to artiosclerosis and a loss of sensory perception due to neuropathy.
---> Ice can further impair circulation.
A nurse is caring for a client who is receiving PEEP via mechanical ventilation. The nurse should
monitor the client for which of the following adverse effects?
A. Hypoxemia
, B. Tension PTX
C. Malignant HTN
D. Atelectasis - Answer B. Tension PTX
R: The nurse should identify the tension PTX is a possible adverse effect of PEEP. The nurse
should monitor the client's lung sounds hrly for indications of a tension PTX, such as tracheal
deviation, breath sounds, and distended neck veins.
An RN is planning care for a group for clients and is working with a LPN and a AP. Which of the
following tasks should the RN delegate to the LPN?
A. Collection of a stool specimen
B. Preparation of a client's postop bed
C. Preparation of a teaching plan about pneumonia
D. Insertion of a NG tube - Answer D. Insertion of a NG tube
A nurse is caring for a client who is postop after receiving moderate (conscious) sedation. The
client suddenly becomes restless and reports feeling lightheaded. Which of the following
actions should the nurse take?
A. Check the client's temp
B. Prepare to administer acetylcysteine to the client
C. Place the client in the Trendelenburg position
D. Check the client's oxygen saturation level - Answer D. Check the client's oxygen saturation
level
R: Restlessness and lightheadedness are indications of hypoxia. Therefore, the nurse should
check the client's oxygen saturation level.
Exam Questions and Answers (2026)
Updated.
A nurse is caring for a client who has a terminal illness and requests no lifesaving measures if a
cardiac arrest occurs. Which of the following statements should the nurse make?
A. " You will need to draft a health care surrogate so a designee can make these decisions for
you."
B. " I will make sure that no one performs any lifesaving measures if your heart stops."
C. " Your providers determines if you should have lifesaving measures if your heart stops
D. " I will provide you with information about medical tx to include in your living will. " - Answer
D. " I will provide you with information about medical tx to include in your living will. "
R: The nurse's responsibility is to provide the client with information about specific instructions
for addressing medical tx in a living will. The nurse should assist the client while they are able to
make decisions for themselves by providing information about what end-of-life preferences to
document.
A client who is 24 hr post op following abdominal sx refuses to ambulate. Which of the
following actions should the nurse take first.
A. Ask the client to rate their pain level
B. Assist the client in changing positions
C. Administer a PRN analgesic
D. Explain the importance of early ambulation - Answer A. Ask the client to rate their pain
level
R: Using the nursing process, the first action the nurse should take is to assess the client's level
of pain. If indicated, the nurse should administer an analgesic, then wait 30-45 min to allow the
analgesic to take effect before encouraging the client to ambulate. MNGT of the client's pain is a
priority for post op activity.
,A nurse is assessing a preschooler who has cystic fibrosis and has been receving oxygen therapy
for the past 36 hr. Which of the following findings should the nurse identify is an indication that
the client has developed oxygen toxicity ?
A. Wheezes
B. Tachycardia
C. Restlessness
D. Substernal pain - Answer D. Substernal pain
R: Due to the increased work of breathing, such as in a preschool who has cystic fibrosis.
A nurse is caring for a client who has type 1 DM and reports severe ankle pain after falling off a
stepstool at home. Which of the following prescriptions should the nurse clarify with the
provider?
A. Obtain capillary blood glucose level q2h
B. Check the neurovascular status of the client's lower extremities qh
C. Apply a cold pack to the client's ankle for 30 min qh
D. Maintain the affected ankle elevated and immobilized - Answer C. Apply a cold pack to the
client's ankle for 30 min qh
R: Type 1 DM is a C/I for receiving cold therapy. A client who has T1DM can have impaired
circulation due to artiosclerosis and a loss of sensory perception due to neuropathy.
---> Ice can further impair circulation.
A nurse is caring for a client who is receiving PEEP via mechanical ventilation. The nurse should
monitor the client for which of the following adverse effects?
A. Hypoxemia
, B. Tension PTX
C. Malignant HTN
D. Atelectasis - Answer B. Tension PTX
R: The nurse should identify the tension PTX is a possible adverse effect of PEEP. The nurse
should monitor the client's lung sounds hrly for indications of a tension PTX, such as tracheal
deviation, breath sounds, and distended neck veins.
An RN is planning care for a group for clients and is working with a LPN and a AP. Which of the
following tasks should the RN delegate to the LPN?
A. Collection of a stool specimen
B. Preparation of a client's postop bed
C. Preparation of a teaching plan about pneumonia
D. Insertion of a NG tube - Answer D. Insertion of a NG tube
A nurse is caring for a client who is postop after receiving moderate (conscious) sedation. The
client suddenly becomes restless and reports feeling lightheaded. Which of the following
actions should the nurse take?
A. Check the client's temp
B. Prepare to administer acetylcysteine to the client
C. Place the client in the Trendelenburg position
D. Check the client's oxygen saturation level - Answer D. Check the client's oxygen saturation
level
R: Restlessness and lightheadedness are indications of hypoxia. Therefore, the nurse should
check the client's oxygen saturation level.
