Practice Questions with
Verified Answers. GRADED A+.
Latest 2026/2027 Update.
A client with a 10 yr. history of emphysema is admitted in acute respiratory
distress. During the assessment, what does the nurse expect?
a. S/S of respiratory alkalosis
b. Decreased RR
c. Prolonged expiration with use of accessory muscles
d. Chest pain on inspiration - Answer✔✔-c. Prolonged expiration with use of
accessory muscles
The nurse is providing pre-op education regarding transplant rejection & GVHD
to a client who is scheduled to have a kidney transplant. The nurse states "the
most common problem with GVHD is"?
a. Immune response/infection
b. Hypokalemia
c. Constipation
d. Shingles - Answer✔✔-a. Immune response/infection
,When caring for a preoperative patient on the day of surgery, which actions
include in the plan of care can the nurse delegate to UAP? SATA
a. Teach incentive spirometer use
b. Explain routine pre-op care
c. Obtain & document baseline vitals
d. Remove nail polish & apply pulse Ox
e. Transport the patient to the operating room by stretcher - Answer✔✔-c.
Obtain & document baseline vitals
d. Remove nail polish & apply pulse Ox
e. Transport the patient to the operating room by stretcher
The nurse is educating the client who has been diagnosed with Hep C about
the disease. Which statements made by the client indicated that the client
understood the teaching?
a. I should avoid sharing drinking cups & eating utensils with my family
b. I should not drink any wine, beer, or other alcoholic beverages
c. I will plan to do all my activities in the morning when I am most rested
d. It is important for me to not use barrier protection when I have sex -
Answer✔✔-b. I should not drink any wine, beer, or other alcoholic beverages
A nurse is making initial rounds on assigned clients at the beginning of the shift.
One client is receiving a heparin infusion at 5 mL/hr. The nurse notes that
25,000 units of heparin are mixed in 250 mL of solution. How many units/hr is
the client receiving? - Answer✔✔-a. 500 units/hr
The client is diagnosed with an ischemic stroke & being evaluated for
thrombolytic therapy. Which assessment finding should prompt the nurse to
withhold thrombolytic therapy?
,a. History of T1 DM
b. Neurologic deficits started 2 hr ago
c. History of serious head injury 4 weeks ago
d. Brain CT scan results show no bleeding - Answer✔✔-c. History of serious
head injury 4 weeks ago
The nurse is caring for a client status post bone marrow transplant. The client's
current vital signs are: temp 38.1, HR 84, BP 120/80, RR 18. The nurse
recognizes the following as signs of GVHD. SATA
a. Rash & itching
b. Yellowing of sclera
c. Rectal pain
d. 40mL/hr output of clear amber urine
e. WBC of 22,000 - Answer✔✔-a. Rash & itching
b. Yellowing of sclera
What is an expected client nursing diagnosis when admitted to the hospital
with symptoms of DI?
a. Impaired gas exchange r/t fluid retention in lungs
b. Risk for impaired skin integrity r/t generalized edema
c. Excess fluid vol. r/t intake greater than output
d. Sleep pattern disturbance r/t frequent waking to void - Answer✔✔-d. Sleep
pattern disturbance r/t frequent waking to void
The nurse is caring for the client with problems of anxiety & confusion in the
acute phase of burn management. Which intervention should the nurse
implement? SATA
, a. Repeat orientation statements of person, place, & time
b. Turn & reposition the client at least every hour
c. Place familiar objects from home near the client
d. Implement a schedule for regular sleep-wake cycles
e. Reduce distractions by keeping the television in the room off - Answer✔✔-a.
Repeat orientation statements of person, place, & time
c. Place familiar objects from home near the client
d. Implement a schedule for regular sleep-wake cycles
During change of shift report, the nurse is informed that the client has a high
bilirubin level. Which assessment finding would the nurse expect with the
client with an elevated bilirubin level?
a. Erythema of the sclera
b. Dark brown stool
c. Dark brown urine
d. Foamy light-colored urine - Answer✔✔-c. Dark brown urine
The nurse is determining the IV fluid needs for the 110 lbs client with partial
thickness burns to 40% TBSA. Using the parkland formula, how many mL of IV
fluids are needed during the 1st 8 hrs after injury? - Answer✔✔-4000mL
Which of the following side effects might be expected for a client taking iron
supplements? SATA
a. Constipation
b. Dysphagia
c. Decreased appetite
d. Black stool