PRACTICE
TEST WITH CORRECT ANSWERS, LATEST
UPDATE, AND COMPREHENSIVE STUDY GUIDE
2026/2027
A diagnosis of hepatitis C is confirmed by a male client's physician. The nurse
should be knowledgeable of the differences between hepatitis A, B, and C. Which
of the following are characteristics of hepatitis C?
A. The potential for chronic liver disease is minimal.
B. The onset of symptoms is abrupt.
C. The incubation period is 2-26 weeks.
D. There is an effective vaccine for hepatitis B, but not for hepatitis C. -
answ✔️✔️-Answer: C Explanation:
(A) Hepatitis C and B may result in chronic liver disease. Hepatitis A has a low
potential for chronic liver disease. (B) Hepatitis C and B have insidious onsets.
Hepatitis A has an abrupt onset. (C) Incubation periods are as follows: hepatitis C
is 2-26 weeks, hepatitis B is 6-20 weeks, and hepatitis A is 2-6 weeks.
(D) Only hepatitis B has an effective vaccine.
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,Hypoxia is the primary problem related to near-drowning victims. The first organ
that sustains irreversible damage after submersion in water is the:
A. Kidney (urinary system)
B. Brain (nervous system)
C. Heart (circulatory system)
D. Lungs (respiratory system) - answ✔️✔️-Answer: B Explanation:
(A) The kidney can survive after 30 minutes of water submersion. (B) The cerebral
neurons sustain irreversible damage after 4-6 minutes of water submersion. (C)
The heart can survive up to 30 minutes of water submersion.
(D) The lungs can survive up to 30 minutes of water submersion.
Which of the following activities would be most appropriate during occupational
therapy for a client with bipolar disorder?
A. Playing cards with other clients
B. Working crossword puzzles
C. Playing tennis with a staff member
D. Sewing beads on a leather belt - answ✔️✔️-Answer: C Explanation:
(A) This activity is too competitive, and the manic client might become abusive
toward the other clients. (B) During mania, the client's attention span is too short to
accomplish this task. (C) This activity uses gross motor skills, eases tension, and
expands excess energy. A staff member is better equipped to interact
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,therapeutically with clients. (D) This activity requires the use of fine motor skills
and is very tedious.
A 30-year-old male client is admitted to the psychiatric unit with a diagnosis of
bipolar disorder. For the last 2 months, his family describes him as being "on the
move," sleeping 3-4 hours nightly, spending lots of money, and losing
approximately 10 lb. During the initial assessment with the client, the nurse would
expect him to exhibit which of the following?
A. Short, polite responses to interview questions
B. Introspection related to his present situation
C. Exaggerated self-importance
D. Feelings of helplessness and hopelessness - answ✔️✔️-Answer: C Explanation:
(A) During the manic phase of bipolar disorder, clients have short attention spans
and may be abusive toward authority figures. (B) Introspection requires focusing
and concentration; clients with mania experience flight of ideas, which prevents
concentration.
(C) Grandiosity and an inflated sense of self-worth are characteristic of this
disorder. (D) Feelings of helplessness and hopelessness are symptoms of the
depressive stage of bipolar disorder.
Diabetes during pregnancy requires tight metabolic control of glucose levels to
prevent perinatal mortality. When evaluating the pregnant client, the nurse knows
the recommended serum glucose range during pregnancy is:
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, A. 70 mg/dL and 120 mg/dL
B. 100 mg/dL and 200 mg/dL
C. 40 mg/dL and 130 mg/dL
D. 90 mg/dL and 200 mg/dL - answ✔️✔️-Answer: A Explanation:
(A) The recommended range is 70-120 mg/dL to reduce the risk of perinatal
mortality. (B, C, D) These levels are not recommended. The higher the blood
glucose, the worse the prognosis for the fetus. Hypoglycemia can also have
detrimental effects on the fetus.
A 55-year-old man is admitted to the hospital with complaints of fatigue, jaundice,
anorexia, and claycolored stools. His admitting diagnosis is "rule out hepatitis."
Laboratory studies reveal elevated liver enzymes and bilirubin. In obtaining his
health history, the nurse should assess his potential for exposure to hepatitis.
Which of the following represents a high-risk group for contracting this disease?
NCLEX PN
A. Heterosexual males
B. Oncology nurses
C. American Indians
D. Jehovah's Witnesses - answ✔️✔️-Answer: B Explanation:
(A) Homosexual males, not heterosexual males, are at high risk for contracting
hepatitis.
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