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Complete Nursing Exam Crack
Pack: Latest Questions, Verified
Answers & Clinical Insights
**1. A nurse is caring for a patient post-operative day 1. Which finding
requires immediate intervention?**
A) Pain rated 4/10
B) Temperature 99.1°F (37.3°C)
C) Oxygen saturation 88% on room air
D) Heart rate 88 bpm
✅ **Answer:** C (Oxygen saturation 88% indicates hypoxemia)
💡 **Clinical Insight:** Normal SpO2 is ≥95%; 88% requires
supplemental oxygen and assessment.
**2. Which nursing action best promotes patient safety in a client at
risk for falls?**
A) Keep bed rails fully raised
B) Place call light within reach
,C) Apply wrist restraints
D) Dim lights for comfort
✅ **Answer:** B
💡 **Clinical Insight:** Call light access empowers patient to ask for
help; restraints are last resort.
**3. A patient with an indwelling urinary catheter develops cloudy,
foul-smelling urine. What should the nurse do first?**
A) Irrigate the catheter
B) Notify the provider
C) Increase oral fluids
D) Obtain a urine culture
✅ **Answer:** D (Obtain culture before antibiotics)
💡 **Clinical Insight:** Cloudy/foul urine suggests CAUTI; culture
identifies pathogen.
**4. The nurse is teaching a patient about a low-sodium diet. Which
food choice indicates understanding?**
A) Canned vegetable soup
B) Fresh grilled chicken breast
C) Pickles
,D) Salted pretzels
✅ **Answer:** B
💡 **Clinical Insight:** Fresh foods are low sodium; processed/pickled
foods are high in salt.
**5. What is the correct order for donning PPE?**
A) Gown, mask, goggles, gloves
B) Mask, gown, gloves, goggles
C) Gown, mask, gloves, goggles
D) Gloves, gown, mask, goggles
✅ **Answer:** A
💡 **Clinical Insight:** Gown first, then mask, eye protection, gloves
last.
**6. A nurse observes a coworker administer a medication without
checking the patient’s ID band. What action is most appropriate?**
A) Ignore it this once
B) Report to charge nurse
C) Confront coworker privately
D) Document the error
, ✅ **Answer:** B
💡 **Clinical Insight:** Patient safety requires reporting near-misses
and breaches in protocol.
**7. A patient reports pain 7/10. The nurse administers morphine 2 mg
IV. Reassessment should occur within:**
A) 5–10 minutes
B) 30–60 minutes
C) 2 hours
D) 4 hours
✅ **Answer:** A (IV opioid peak effect 5–10 min)
💡 **Clinical Insight:** Reassess after IV opioids in 5–15 min; oral in 60
min.
**8. Which finding in a patient receiving a blood transfusion requires
immediate stopping of the transfusion?**
A) Mild itching
B) Temperature 100.2°F
C) Low back pain and hypotension
D) Flushing
✅ **Answer:** C (Signs of acute hemolytic reaction)
Complete Nursing Exam Crack
Pack: Latest Questions, Verified
Answers & Clinical Insights
**1. A nurse is caring for a patient post-operative day 1. Which finding
requires immediate intervention?**
A) Pain rated 4/10
B) Temperature 99.1°F (37.3°C)
C) Oxygen saturation 88% on room air
D) Heart rate 88 bpm
✅ **Answer:** C (Oxygen saturation 88% indicates hypoxemia)
💡 **Clinical Insight:** Normal SpO2 is ≥95%; 88% requires
supplemental oxygen and assessment.
**2. Which nursing action best promotes patient safety in a client at
risk for falls?**
A) Keep bed rails fully raised
B) Place call light within reach
,C) Apply wrist restraints
D) Dim lights for comfort
✅ **Answer:** B
💡 **Clinical Insight:** Call light access empowers patient to ask for
help; restraints are last resort.
**3. A patient with an indwelling urinary catheter develops cloudy,
foul-smelling urine. What should the nurse do first?**
A) Irrigate the catheter
B) Notify the provider
C) Increase oral fluids
D) Obtain a urine culture
✅ **Answer:** D (Obtain culture before antibiotics)
💡 **Clinical Insight:** Cloudy/foul urine suggests CAUTI; culture
identifies pathogen.
**4. The nurse is teaching a patient about a low-sodium diet. Which
food choice indicates understanding?**
A) Canned vegetable soup
B) Fresh grilled chicken breast
C) Pickles
,D) Salted pretzels
✅ **Answer:** B
💡 **Clinical Insight:** Fresh foods are low sodium; processed/pickled
foods are high in salt.
**5. What is the correct order for donning PPE?**
A) Gown, mask, goggles, gloves
B) Mask, gown, gloves, goggles
C) Gown, mask, gloves, goggles
D) Gloves, gown, mask, goggles
✅ **Answer:** A
💡 **Clinical Insight:** Gown first, then mask, eye protection, gloves
last.
**6. A nurse observes a coworker administer a medication without
checking the patient’s ID band. What action is most appropriate?**
A) Ignore it this once
B) Report to charge nurse
C) Confront coworker privately
D) Document the error
, ✅ **Answer:** B
💡 **Clinical Insight:** Patient safety requires reporting near-misses
and breaches in protocol.
**7. A patient reports pain 7/10. The nurse administers morphine 2 mg
IV. Reassessment should occur within:**
A) 5–10 minutes
B) 30–60 minutes
C) 2 hours
D) 4 hours
✅ **Answer:** A (IV opioid peak effect 5–10 min)
💡 **Clinical Insight:** Reassess after IV opioids in 5–15 min; oral in 60
min.
**8. Which finding in a patient receiving a blood transfusion requires
immediate stopping of the transfusion?**
A) Mild itching
B) Temperature 100.2°F
C) Low back pain and hypotension
D) Flushing
✅ **Answer:** C (Signs of acute hemolytic reaction)
