PRIORITIZATION, DELEGATION AND
ASSIGNMENT FINAL PAPER 2026 EXAM
Q&A STUDY GUIDE COMPLETE SOLUTION
◉At 10:00 am, a hospitalized client receives a new order for
transesophageal echocardiography as soon as possible. Which action
will the nurse take *first*?
•Put the client on "nothing by mouth" (NPO) status
•Teach the client about the procedure
•Insert an IV catheter in the client's forearm
•Attach the client to a cardiac monitor. Answer: •Put the client on
"nothing by mouth" (NPO) status
•Because transesophageal echocardiography is performed after the
throat is numbed using a topical anesthetic and with the use of IV
sedation, it is important that the client be placed on NPO status for
several hours before the test. The other actions also will need to be
accomplished before the echocardiogram but do not need to be
implemented immediately.
, ◉A client with stable angina has a prescription for ranolazine 500
mg twice a day. Which client finding is *most* important for the
nurse to discuss with the health care provider?
•Heart rate is 52 beats/min
•Client is also taking carvedilol for angina
•Client reports having chronic constipation
•Blood pressure is 106/56 mm Hg. Answer: •Client reports having
chronic constipation
•Chronic constipation is a common adverse effect of ranolazine.
Ranolazine does not impact heart rate or blood pressure and can be
taken with beta-blockers or nitrates. The other information may also
be reported to the HCP but does not require a change in the client
plan of care.
◉The nurse assesses a client who has just returned to the recovery
area after undergoing coronary arteriography. Which information is
of *most* concern?
•Blood pressure is 154/78 mm Hg
•Pedal pulses are palpable at + 1
•Left groin has a 3-cm bruised area
ASSIGNMENT FINAL PAPER 2026 EXAM
Q&A STUDY GUIDE COMPLETE SOLUTION
◉At 10:00 am, a hospitalized client receives a new order for
transesophageal echocardiography as soon as possible. Which action
will the nurse take *first*?
•Put the client on "nothing by mouth" (NPO) status
•Teach the client about the procedure
•Insert an IV catheter in the client's forearm
•Attach the client to a cardiac monitor. Answer: •Put the client on
"nothing by mouth" (NPO) status
•Because transesophageal echocardiography is performed after the
throat is numbed using a topical anesthetic and with the use of IV
sedation, it is important that the client be placed on NPO status for
several hours before the test. The other actions also will need to be
accomplished before the echocardiogram but do not need to be
implemented immediately.
, ◉A client with stable angina has a prescription for ranolazine 500
mg twice a day. Which client finding is *most* important for the
nurse to discuss with the health care provider?
•Heart rate is 52 beats/min
•Client is also taking carvedilol for angina
•Client reports having chronic constipation
•Blood pressure is 106/56 mm Hg. Answer: •Client reports having
chronic constipation
•Chronic constipation is a common adverse effect of ranolazine.
Ranolazine does not impact heart rate or blood pressure and can be
taken with beta-blockers or nitrates. The other information may also
be reported to the HCP but does not require a change in the client
plan of care.
◉The nurse assesses a client who has just returned to the recovery
area after undergoing coronary arteriography. Which information is
of *most* concern?
•Blood pressure is 154/78 mm Hg
•Pedal pulses are palpable at + 1
•Left groin has a 3-cm bruised area
