Recent Exam 2026-2027 Actual Complete Real Exam
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A nurse is assessing a client who has pericarditis. Which
of the following
findings is the
priority?
A. Dependent edema
B. Pericardial friction rub
C. Paradoxical pulse
D. Substernal chest pain - ANSWER -Paradoxical pulse
A nurse is assessing a client 1 week after a successful bone
marrow transplant.
The client
reports
peeling of skin on her hands and feet. The nurse should
recognize this
desquamation as an
indication of
,which of the following
complications?
A. Failure to
engraft
B. Veno-occlusive
disease
C. Graft-versus-host
disease
D. Pancytopenia - ANSWER -Graft-versus-
host disease
A client has just returned to the nursing unit following cardiac
catheterization. In
the
immediate
postprocedure period, which of the following is the priority
nursing action?
A. Monitoring the insertion site for infection
B. Checking for orthostatic hypotension
C. Forcing fluids
D. Immobilizing the affect extremity - ANSWER -Immobilizing
the affect extremity
A nurse is providing dietary teaching for a client who
has a history of
,nephrolithiasis. Which
of the
following is appropriate to include in the
teaching?
A. Restrict dietary calcium intake
B. Limit fluid intake to 40 oz/day
C. Decrease complex carbohydrates in the diet
D. Avoid foods that have high levels of oxalates - ANSWER -
Avoid foods that have high levels of oxalates
A charge nurse is creating assignments for the next shift for
several nurses and
one of the
nurses is
pregnant. Which of the following clients should the charge
nurse assign to a
nurse who is not
pregnant?
A. A 60 year old client who is recovering from shingles
B. A 20 year old client who is HIV positive
C. A 40 year old client who is suspected of having tuberculosis
D. An 80 year old client who has alcoholic pancreatitis and is
being treated for impetigo - ANSWER -A 60 year old client
who is recovering from shingles
, A nurse is teaching a newly licensed nurse about informed
consent. Which of
the
following
statements should the nurse include in the
teaching?
(Select all that
apply)
A. By witnessing the signing of the informed consent
form, the nurse is indicating that the client voluntarily gave
consent
B. A client who signs an informed consent form should
understand the treatment plan
C. A client who signs an informed consent form should
be competent D. The nurse should disclose the purpose of
the treatment before the client signs the consent form
E. Signing the informed consent form indicates that the family
agrees to the treatment options - ANSWER -- By witnessing the
signing of the informed
consent form, the nurse is indicating that the
client voluntarily gave consent
- A client who signs an informed consent form should
understand the treatment plan
- A client who signs an informed consent form should be
competent
A nurse is preparing to insert an indwelling catheter for a
female client. Identify