PAPER 2026 QUESTIONS WITH FULL ANSWERS
◉ Nutritional teaching for an adult client who has seizure disorder
and a new prescription for phenytoin. Which of the following
instructions by the nurse is appropriate?
a. "You should expect a change in the color of your stool while taking
this medication."
b. "Increase your intake of vitamin D while taking this medication."
c. "Plan to take this medication with antacids."
d. "Limit foods that contain folic acid while taking this medication."
Answer: b. "Increase your intake of vitamin D while taking this
medication."
◉ A nurse is assessing a client who presents to the L&D unit
reporting the onset of contractions. Which of the following findings
should the nurse identify as a manifestation of false labor?
a. Presence of bloody show
b. Contraction intensity increased by ambulation
c. Slow change in dilation and effacement
d. Intermittent, painless contractions Answer: d. Intermittent,
painless contractions
,◉ A nurse is caring for a client who has Cdif. Which of the following
actions should the nurse take? (SATA)
a. Wash hands with alcohol based
b. Wear N95
c. Remove thermometer from client's room for use on another client
d. Change gloves after contact with infectious material
e. Wear a gown when providing care Answer: d. Change gloves after
contact with infectious material
e. Wear a gown when providing care
◉ A nurse is receiving change of shift report for a group of clients.
Which of the following clients should the nurse plan to assess first?
a. DM and HbA1C of 6.8%
b. Hip fracture and a new onset of tachypnea
c. Epidural analgesia and weakness in lower extremities
d. Sinus arrhythmia and is receiving cardiac monitoring Answer: b.
Hip fracture and a new onset of tachypnea
◉ Nurse accidently punctures IV bag causing the medication to leak
on the counter. Which of the following medications requires the
nurse to follow facility procedures in the safe handling of a bio
hazardous material spill?
a. Phenytoin
b. Doxorubicin hydrochloride
,c. Metronidazole
d. Ampicillin sodium Answer: b. Doxorubicin hydrochloride
◉ Postoperative client following appendectomy and receiving
gentamicin. Which is an adverse effect of this medication?
a. Respiratory rate 22/min
b. Hgb 8.7 g/dL
c. 2+ pitting edema of the ankles
d. Creatinine 2.3 mg/dL Answer: d. Creatinine 2.3 mg/dL
◉ Which of the following clients should the nurse recommend
referral to a dietitian?
a. Older adult who has BMI of 24
b. Client with albumin of 3.7 g/dL
c. Older adult who has presbyopia
d. Client who has a nonhealing leg ulcer Answer: d. Client who has a
nonhealing leg ulcer
◉ Support group for clients whose family have committed suicide.
Which of the following should the nurse plan to use during the
group session?
a. Encourage clients to establish a timeline for their grieving process
, b. Assist clients in identifying ways suicide could have been
prevented
c. Discourage clients from sharing negative aspects of their
relationship with the deceased persons
d. Initiate a discussion with clients about ways to cope with changes
in family dynamics Answer: d. Initiate a discussion with clients
about ways to cope with changes in family dynamics
◉ Which of the following risk factors should the nurse include as the
best predictor of future violence?
a. Experiencing delusions
b. A history of being in prison
c. Male gender
d. Previous violent behavior Answer: d. Previous violent behavior
◉ Arial fibrillation places the client at risk for which of the following
conditions?
a. Pulmonary emboli
b. Cardiac tamponade
c. Widened pulse pressure
d. Hemothorax Answer: a. Pulmonary emboli
◉ Client with schizophrenia and experiences auditory
hallucinations. Which actions should the nurse include in the plan?