2026-2027 ACTUAL EXAM COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS)
1. What QSEN standard is the nurse employing when basing care on respect for
the client's preferences, values, and needs?
Teamwork and collaboration
Patient-centered care
Safety
Evidence-based practice
2. Why is it important for the nurse to prioritize reducing the client's pain in
hospice care?
It is important to prevent addiction in all patients regardless of their
condition.
Alternative comfort measures should always be prioritized over
medication.
Determining why the medication is needed is more important than
addressing pain.
Reducing the client's pain is essential for improving their quality of
life and comfort during end-of-life care.
3. You are conducting discharge teaching for the patient with Addison's disease.
Which statement indicates that teaching has been effective?
I will start doing high-intensity exercises most days of the week
I can stop taking my steroids when symptoms resolve
, I will call my provider to schedule removal of my adrenal tumor
I will need to take steroids for the rest of my life
4. The nurse concludes that a client with Crohn disease and general
malnutrition who has anemia, a low serum albumin level, and signs of
negative nitrogen balance is lacking which major substance?
Protein
Linoleic acid
Iron
Vitamin C
5. What is the term used to describe the phenomenon where a patient requires
increasing doses of a drug to achieve the same effect?
Physical addiction
Psychological dependence
Tolerance
Habituation
6. If a nurse is assessing a patient suspected of cocaine addiction, which
symptoms should they prioritize during their evaluation?
Sleep disturbances, Social withdrawal
Increased energy, Euphoria
Anxiety, Palpitations, Weight loss
Sedentary habits, Difficulties with speech
7. Which client situation will the nurse address first on priority basis of Maslow's
hierarchy of needs?
, Feels like is leading a worthless life.
Shows signs of lack of interest in carrying out social interaction.
Has multiple fainting episodes due to lack of proper nutrition.
8. Describe the significance of programming the IV infusion device correctly for
a patient with suspected sepsis receiving vancomycin.
Correct programming is only important for medication safety.
Correct programming ensures the patient receives the medication
at the right rate to effectively treat the infection.
Correct programming is irrelevant for patients with sepsis.
Correct programming is only necessary for oral medications.
9. The nurse prepares the patient diagnosed with chronic obstructive
pulmonary disorder (COPD) for which diagnostic test to monitor acid-base
balance?
Arterial blood gases
Bronchoscopy
Pulse oximetry
Sputum studies
10. After 2 hours on the cardiac drip, the patient converts back to normal sinus
rhythm (NSR). The nurse practitioner prescribes diltiazem hydrochloride
(Cardizem) 240 mg by mouth daily with the first dose to be given now. The
diltiazem is available in 120 mg doses. How many tablets should the nurse
give?
1.5
1
, 0.5
2
11. What is the primary responsibility of a hospice practical nurse (PN) when
caring for a client with terminal lung cancer?
Clarify family members' feelings about the meaning of client
behaviors and symptoms.
Teach the family to recognize restlessness and grimacing as signs of
client discomfort.
Administer medications for pain relief, shortness of breath, and
nausea.
Develop a plan of care after assessing the needs of the client and
family.
12. What is the medical term for an erection lasting longer than 4 hours?
Hypotension
Priapism
Erectile dysfunction
Hyperemia
13. Arterial blood gas values of a client are documented by the nurse. Blood
pH: 7.37 Partial pressure of carbon dioxide: 47 mm Hg Partial pressure of
oxygen: 85 mm Hg Bicarbonate concentration: 26 mEq/L Oxygen saturation:
87% Which condition has the client developed?
Compensated respiratory acidosis
Uncompensated metabolic alkalosis
Uncompensated respiratory acidosis
Compensated metabolic acidosis