“Nursing Success Predictor
Exam with questions and
answers with rational
### 1. A nurse is assessing a client who is 2 hours post-cardiac
catheterization via the femoral artery. Which finding requires immediate
intervention?
**A.** Bruising at the insertion site
**B.** Pallor and coolness of the affected foot
**C.** Heart rate of 88 bpm
**D.** Report of mild discomfort at the site
**Answer:** B – Pallor and coolness indicate arterial insufficiency or
thrombus, a limb-threatening emergency.
---
### 2. Which lab value is most critical to report before administering
digoxin?
**A.** Potassium 3.2 mEq/L
,**B.** Sodium 138 mEq/L
**C.** Creatinine 0.8 mg/dL
**D.** Hemoglobin 12 g/dL
**Answer:** A – Hypokalemia increases the risk of digoxin toxicity and
dysrhythmias.
---
### 3. A client with major depressive disorder begins taking phenelzine
(an MAOI). Which food should the nurse instruct the client to avoid?
**A.** Apples
**B.** Broccoli
**C.** Aged cheese
**D.** White rice
**Answer:** C – Aged cheese is high in tyramine, which can cause
hypertensive crisis with MAOIs.
---
### 4. A nurse is caring for a client with tuberculosis. Which type of
isolation is required?
,**A.** Contact
**B.** Droplet
**C.** Airborne
**D.** Standard
**Answer:** C – Airborne (negative pressure room, N95 respirator).
---
### 5. A client has an order for furosemide (Lasix). Which finding
indicates the medication is effective?
**A.** Blood pressure 160/90 mmHg
**B.** Urine output 30 mL/hr
**C.** Absence of crackles in lung bases
**D.** Weight gain of 2 kg in 24 hours
**Answer:** C – Reduced pulmonary congestion indicates effective
diuresis.
---
### 6. Which client is at highest risk for developing a pressure injury?
**A.** A 45-year-old with a broken arm
, **B.** A 70-year-old with fecal incontinence and immobility
**C.** A 30-year-old post-appendectomy ambulating with assistance
**D.** A 60-year-old with hypertension
**Answer:** B – Incontinence + immobility = high risk for skin
breakdown.
---
### 7. A nurse is administering insulin lispro (Humalog). When should
the client eat?
**A.** Immediately after injection
**B.** 30 minutes after injection
**C.** 1 hour after injection
**D.** 2 hours after injection
**Answer:** A – Lispro is rapid-acting (onset 15 min); eat within 5–15
minutes.
---
### 8. A postpartum client reports a gush of blood and a firm fundus.
What is the priority action?
Exam with questions and
answers with rational
### 1. A nurse is assessing a client who is 2 hours post-cardiac
catheterization via the femoral artery. Which finding requires immediate
intervention?
**A.** Bruising at the insertion site
**B.** Pallor and coolness of the affected foot
**C.** Heart rate of 88 bpm
**D.** Report of mild discomfort at the site
**Answer:** B – Pallor and coolness indicate arterial insufficiency or
thrombus, a limb-threatening emergency.
---
### 2. Which lab value is most critical to report before administering
digoxin?
**A.** Potassium 3.2 mEq/L
,**B.** Sodium 138 mEq/L
**C.** Creatinine 0.8 mg/dL
**D.** Hemoglobin 12 g/dL
**Answer:** A – Hypokalemia increases the risk of digoxin toxicity and
dysrhythmias.
---
### 3. A client with major depressive disorder begins taking phenelzine
(an MAOI). Which food should the nurse instruct the client to avoid?
**A.** Apples
**B.** Broccoli
**C.** Aged cheese
**D.** White rice
**Answer:** C – Aged cheese is high in tyramine, which can cause
hypertensive crisis with MAOIs.
---
### 4. A nurse is caring for a client with tuberculosis. Which type of
isolation is required?
,**A.** Contact
**B.** Droplet
**C.** Airborne
**D.** Standard
**Answer:** C – Airborne (negative pressure room, N95 respirator).
---
### 5. A client has an order for furosemide (Lasix). Which finding
indicates the medication is effective?
**A.** Blood pressure 160/90 mmHg
**B.** Urine output 30 mL/hr
**C.** Absence of crackles in lung bases
**D.** Weight gain of 2 kg in 24 hours
**Answer:** C – Reduced pulmonary congestion indicates effective
diuresis.
---
### 6. Which client is at highest risk for developing a pressure injury?
**A.** A 45-year-old with a broken arm
, **B.** A 70-year-old with fecal incontinence and immobility
**C.** A 30-year-old post-appendectomy ambulating with assistance
**D.** A 60-year-old with hypertension
**Answer:** B – Incontinence + immobility = high risk for skin
breakdown.
---
### 7. A nurse is administering insulin lispro (Humalog). When should
the client eat?
**A.** Immediately after injection
**B.** 30 minutes after injection
**C.** 1 hour after injection
**D.** 2 hours after injection
**Answer:** A – Lispro is rapid-acting (onset 15 min); eat within 5–15
minutes.
---
### 8. A postpartum client reports a gush of blood and a firm fundus.
What is the priority action?
