EXAM LATEST 2026 COMPLETE STUDY QUESTIONS
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An adult male client with a history of hypertension tells the nurse that he is tired of taking
antihypertensive medications and is going to try spiritual meditation instead. What should be the
nurse's first response?
A. It is important that you continue your medication while learning to meditate.
B. Spiritual meditation requires a time commitment of 15 to 20 minutes daily.
C. Obtain your healthcare provider's permission before starting meditation.
D. Complementary therapy and western medicine can be effective for you. - Answer>>> A. "It is
important that you continue your medication while learning to meditate."
(The prolonged practice of meditation may lead to reduced need for antihypertensive
medications. However, the medications must be continued (A) while the physiologic response to
meditation is monitored. (B) is not as important as continuing the medication. The HCP should
be informed, but permission is not required to mediate (C). Although, it is true that the
complimentary therapy might be effective (D), it is essential that the client continue with
antihypertensive mediations until the effect of mediation can be measured.)
The nurse is caring for a client who is receiving 24-hour total parenteral nutrition (TPN) via a
central line at 54 mL/hr. When initially assessing the client, the nurse notes that the TPN solution
has run out and the next TPN solution is not available. What immediate action should the nurse
take?
A. Infuse normal saline at a keep vein open rate.
B. Discontinue the IV and flush the port with heparin.
C. Infuse 10% dextrose and water at 54 mL/hour.
,D. Obtain a stat blood glucose level and notify the HCP. - Answer>>> C. Infuse 10% dextrose
and water at 54 mL/hour.
(TPN is discontinued gradually to allow the client to adjust decreased levels of glucose.
Administering 10% dextrose in water at the prescribed rate (C) will keep the client from
experiencing hypoglycemia until the next TPN solution is available. The client could experience
a hypoglycemic reaction if the current level of glucose (A) is not maintained or if the TPN is
discontinued abruptly (B). There is no reason to obtain a stat blood-glucose level (D) and the
HCP cannot do anything about this situation.)
The nurse is instructing a client with high cholesterol about diet and life style modification. What
comment from the client indicates that the teaching has been effective?
A. "If I exercise at least two times weekly for one hour, I will lower my cholesterol."
B. "I need to avoid eating proteins, including red meat."
C. "I will limit my intake of beef to 4 ounces per week."
D. "My blood level of low density lipoproteins needs to increase." - Answer>>> C. "I will limit
my intake of beef to 4 ounces per week."
(Limiting saturated fat from animal food sources to no more than 4 ounces per week (C) is an
important diet modification for lowering cholesterol. To be effective in reducing cholesterol, the
client should exercise 30 minutes per day, or at least 4 to 6 times per week (A). Red meat and all
proteins do not need to be eliminated (B) to lower cholesterol, but should be restricted to lean
cuts of red meat and smaller portions (2-ounce servings). The low density lipoproteins (D) need
to decrease rather than increase.)
An obese male client discusses with the nurse his plans to begin long-term weight loss regimen.
In addition to dietary changes, he plans to begin an intensive aerobic exercise program 3 to 4
times a week and to take stress management classes. After praising the client for his decision,
which instruction is most important for the nurse to provide?
A. "Be sure to have a complete physical examination before beginning your planned exercise
program."
, B. "Be careful that the exercise program doesn't simply add to your stress level, making you
want to eat more."
C. "Increased exercise helps to reduce stress, so you may not need to spend money on a stress
management class."
D. "Make sure to monitor your weight loss regularly to provide a sense of accomplishment and
motivation." - Answer>>> A. "Be sure to have a complete physical examination before your
planned exercise program."
(The most important teaching is (A), so that the client will not begin a dangerous level of
exercise when he is not sufficiently fit. This might result in chest pain, a heart attack, or stroke.
(B, C, and D) are important instructions, but are of less priority than (A). )
A male client tells the nurse that he does not know where he is or what year it is. What data
should the nurse document that is most accurate?
A. demonstrates loss of remote memory
B. exhibits expressive dysphasia
C. has a diminished attention span
D. is disoriented to place and time - Answer>>> D. is disoriented to place and time (The client is
exhibiting disorientation (D). (A) refers to memory of the distant past. The client is able to
express himself without difficulty (B), and does not demonstrate diminished attention span. (C).
A 73-year-old female client had a hemiarthroplasty of the left hip yesterday due to a fracture
resulting from a fall. In reviewing hip precautions with the client, which instruction should the
nurse include in this client's teaching plan?
A. "In 8 weeks you will be able to bend at the waist to reach items on the floor."
B. "Place a pillow between your knees while lying in bed to prevent hip dislocation."
C. "It is safe to use a walker to get out of bed, but you need assistance when walking."
D. "Take pain medication 30 minutes after your physical therapy sessions." - Answer>>> B.
"Place a pillow between your knees while lying in bed to prevent hip dislocation."