ACTUAL EXAM 2026 QUESTIONS WITH
VERIFIED ANSWERS
◉ The nurse is assessing a patient's pain. What should the nurse
know is the most reliable indicator of pain?
A Patient's vital signs
B Subjective report
C Results of a computerized axial tomographic scan
D Physical examination Answer: B Subjective report
◉ A patient states that the pain medication is "not working" and
rates his postoperative pain at a 10 on a 1-to-10 scale. Which of
these assessment findings indicates an acute pain response to poorly
controlled pain?
A Hyperventilation
B Increased blood pressure and pulse
C Depression
D Confusion Answer: B Increased blood pressure and pulse
,◉ During an assessment, the nurse asks a female patient, "How
many alcoholic drinks do you have a week?" Which answer by the
patient would indicate at-risk drinking?
A "I usually have three or four drinks a week."
B "I'll have a glass or two of wine every now and then."
C "I have eight to ten drinks a week, but I never get drunk."
D "I may have one or two drinks a week." Answer: C "I have eight to
ten drinks a week, but I never get drunk."
◉ When reviewing the use of alcohol by older adults, the nurse
notes that older adults have several characteristics that can increase
the risk for alcohol use. Which would increase the bioavailability of
alcohol in the blood for longer periods in the older adult? (Select all
that apply.)
Increased muscle mass
Increased cardiac output
Decreased kidney functioning
Decreased blood pressure
Decreased liver metabolism Answer: Decreased kidney functioning
& Decreased liver metabolism
,◉ The nurse is assessing a 75-year-old man. What should the nurse
expect when performing the mental status portion of the
assessment?
A Will have difficulty on tests of remote memory because this ability
typically decreases with age.
B Will have no decrease in any of his abilities, including response
time.
C Will exhibit a decrease in his response time because of the loss of
language and a decrease in general knowledge.
D May take a little longer to respond, but his general knowledge and
abilities should not have declined. Answer: D May take a little longer
to respond, but his general knowledge and abilities should not have
declined.
◉ During change of shift report, the nurse hears that a patient is
experiencing hallucinations. Which is an example of a hallucination?
A Man believes that his dead wife is talking to him.
, B Man believes that the dog has curled up on the bed, but when he
gets closer he sees that it is a blanket.
C Woman hears the doorbell ring and goes to answer it, but no one is
there.
D Child sees a man standing in his closet. When the lights are turned
on, it is only a dry cleaning bag. Answer: A Man believes that his
dead wife is talking to him.
◉ A 70-year-old woman tells the nurse that every time she gets up
in the morning or after she's been sitting for a while, she gets "really
dizzy" and feels like she is going to fall over. What is the best
response by the nurse?
A "You need to get up slowly when you've been lying down or
sitting."
B "Have you been extremely tired lately?"
C "You probably just need to drink more liquids."
D "I'll refer you for a complete neurologic examination." Answer: A
"You need to get up slowly when you've been lying down or sitting."
◉ The nurse is assessing the neurologic status of a patient who has a
late-stage brain tumor. With the reflex hammer, the nurse draws a
light stroke up the lateral side of the sole of the foot and inward,