Exam (2026) comprehensive
questions and verified answers (
detailed & elaborated) ACTUAL
EXAM 2025 TEST!!
A pt presses the call bell and requests pain medication for a severe
headache. To assess the quality of the pt. Pain, which approach should the
nurse use? - 🧠 ANSWER ✔✔Ask the patient to describe the pain
,The nurse is wearing personal protective equipment while caring for a pt.
When exiting the room, which PPE should be removed first? - 🧠 ANSWER
✔✔Gloves
An older pt is brought to the ED with a sudden onset of confusion that
occurred after experiencing a fall at home. The daughter, who has power of
attorney, has brought the client's prescriptions. Which information should
the nurse provide first when reporting to the healthcare provider using
SBAR communication? - 🧠 ANSWER ✔✔Increasing confusion of the pt.
A pt tells the nurse about working out with a personal trainer and swimming
three times a week in an effort to lose weight and sleep better. The pt
states that it still is taking hours to fall asleep at night. Which action should
the nurse implement? - 🧠 ANSWER ✔✔Ask the pt for a description of the
exercise schedule that is being followed
2 days prior to discharge from the rehab facility, the nurse is teaching a pt
who is recovering from Guillain-Barre syndrome about home. Which
actions should the nurse include when providing discharge teaching to the
pt and spouse? SATA - 🧠 ANSWER ✔✔-review safe transfer strategies
-develop a nutritional plan
,-help identify community support
The nurse implements a tertiary prevention program for type 2 diabetes in a
rural health clinic. Which outcome indicates that the program was effective?
- 🧠 ANSWER ✔✔pt who develop disease complications promptly received
rehabilitation
The nurse has received funding to design a health promotion project for
African American women who are at risk for developing breast cancer.
Which resource is most important in designing this program? - 🧠 ANSWER
✔✔participation of community leaders in planning the program
A pt with multiple injuries is being treated in the burn trauma unit just hours
after the injuries occurred. The healthcare provider instructs the nurse to
avoid auto contamination when performing dressing changes. Which
intervention is most important for the nurse to implement? - 🧠 ANSWER
✔✔use gown, mask, and gloves with dressing changes
A pt is recovering in the critical care unit following a cardiac cath. IV nitro
and heparin are infusing. The pt is sedated but responds to instructions.
After changing positions, the pt complains of pain at the right groin insertion
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, site. What action should the nurse implement? - 🧠 ANSWER ✔✔Stimulate
the pt to take deep breaths
Prior to obtaining a trapeze bar for a pt with limited mobility, which pt
assessment is most important for the nurse to obtain? - 🧠 ANSWER
✔✔upper body muscle strength
While the nurse is assessing an older pt fall risk, the pt reports living at
home alone and never falling. Which action should the nurse take? - 🧠
ANSWER ✔✔Continue to obtain pt data needed to complete the fall risk
survey
The nurse is feeding an older adult who was admitted with aspiration
pneumonia. The pt is weak and begins coughing while attempting to drink
through a straw. Which intervention should the nurse implement? - 🧠
ANSWER ✔✔Teach coughing and deep breathing exercises
The nurse is teaching the pt about home care after surgery for an ileal
conduit placement. When reviewing the information, which statement
should the nurse recognize as needing additional education? - 🧠 ANSWER
✔✔Empty the pouch when it is half full.