PRACTICE EXAM 2026/2027 WITH ACTUAL
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A nurse is caring for a client following a below-the-knee amputation. The client states "my
life is over." Which of the following responses should the nurse make?
a. you are upset. we can talk about this later.
b. would you like to meet with another client who is an amputee?
c. why do you think your life is over?
d. most people can adjust followin surgery
b. would you like to meet with another client who is an amputee?
A nurse in a clinic is providing preventative teaching to an older adult client during a well
visit. The nurse should instruct the client that which of the following immunizations are
recommended for healthy adults after the age of 60? Select all that apply?
a. herpes zoster
b. influenza
c. meningococcal
d. human papillomavirus
e. pneumococcal polysaccharide
a. herpes zoster
b. influenza
e. pneumococcal polysaccharide
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,A nurse is planning care for a client who has dementia. Which of the following interventions
should the nurse plan to include?
a. turn off all the lights in the client's room at night
b. place the client's bed at the lowest height
c. request a prescription for a nightly sedative
d. assist the client with toileting at least once every 4 hour
b. place the client's bed at the lowest height
A nurse is assessing a client who has a new diagnosis of type 1 diabetes mellitus. Which of
the following findings indicates that the client is experiencing hypoglycemia?
a. abdominal cramping
b. increased perspiration
c. dehydration
d. fruity odor to breath
b. increased perspiration
A nurse in the PACU is assessing a client who is postoperative following general anesthesia.
Which of the following findings is the priority to address?
a. vomiting upon arousal
b. decreased body temperature
c. indistinct, rambling speech
d. piloerection of the skin
a. vomiting upon arousal
A nurse is caring for a client who has hypervolemia. Which of the following is an expected
assessment finding?
a. bradycardia
b. hypotension
c. loss of skin turgor
d. weight gain
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,d. weight gain
A nurse is teaching about measures to prevent recurring urinary tract infections with a
female client. Which of the following information should the nurse include in the teaching?
Select all that apply
a. take a warm bubble bath daily
b. void every 6 hours during the day
c. drink low-fructose cranberry juice
d. wipe the perineal area from front to back after urinating
e. drink 3L of fluids daily
c. drink low-fructose cranberry juice
d. wipe the perineal area from front to back after urinating
e. drink 3L of fluids daily
A nurse is caring for a client following a cardiac catheterization who has hives and urticaria
following administration of IV contrast dye. Which of the following medications should the
nurse plan to administer?
a. spironolactone
b. desmopressin
c. metoclopramide
d. diphenhydramine
d. diphenhydramine
A home care nurse is planning to use nonpharmacological pain relief measures for an older
adult client who has severe chronic back pain. Which of the following guidelines should the
nurse use?
a. discontinue opioids before trying nonpharmacological methods of pain relief.
b. use imagery with clients who have difficulty with focus and concentration
c. distraction changes the client's perception of pain, but does not affect the cause.
d. pain relief from the use of heat and cold continues for several hours after removal of the
stimulus
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, c. distraction changes the client's perception of pain, but does not affect the cause.
A nurse is caring for a female client who is receiving TPN without fat emulsion. Which of the
following findings should the nurse report?
a. crackles in the bilateral lung bases
b. weight gain of 1.3 kg (3lb) over the past 7 days
c. triglyceride 110 mg/dl
d. bowel sounds absent in lower quadrants
a. crackles in the bilateral lung bases
A nurse is caring for a client who has cervical cancer and is receiving brachytherapy. Which
of the following actions should the nurse take?
a. keep the soiled bed linens in the client's room
b. instruct visitors to remain 3 feet from the client
c. discard the radioactive device in the client's trash can
d. limit time for visitors to 2 hour per day
a. keep the soiled bed linens in the client's room
A nurse in an emergency department is preparing to perform ocular irrigation for a client.
Which of the following actions should the nurse plan to take?
a. Assess the client's visual acuity prior to irrigation
b. Have the client turn their head toward the unaffected eye
c. Hold the irrigator syringe 3.81 cm (1.5in) above the eye
d. Perform the irrigation with sterile water for irrigation
d. perform the irrigation with sterile water for irrigation
A nurse is preparing to administer lactated ringer's via continuous IV infusion at 200 ml/hr.
The IV tubing has a drop factor of 10 drops / mL. How many gtt/min should the nurse set the
IV pump to administer? Round to the nearest whole number
33 gtt/min
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