2026 FULL REVISION PACK QUESTIONS AND
SOLUTIONS
◉ A nurse is observing a newly licensed nurse irrigate a client's
wound. Which of the following
actions should the nurse identify as an indication that the newly
licensed nurse understands wound
irrigation?
A. Cleanses the wound with povidone-iodine with cotton balls
B. Administers PO analgesia 20 min prior to irrigation
C. Warms the irrigation solution in the microwave oven prior to
application
D. Irrigates the wound from the top to the bottom. Answer: Irrigates
the wound from the top to the bottom
◉ A nurse is planning care for a child who has increased intracranial
pressure with a decrease in level of consciousness. Which of the
following interventions should the nurse include in the plan of care?
A. Perform active range-of-motion exercises
B. Maintain the head at a midline position
,C. Suction the airway frequently
D. Perform neurological checks every 4 hrs. Answer: Maintain the
head at a midline position
◉ A nurse notices smoke coming from a client's room and discovers
a fire in the wastebasket. After moving the client to safety, which of
the followings is the priority action?
A. Notify the facility operator
B. Close the fire doors on the unit
C. Turn off oxygen sources
D. Put out the fire with the appropriate extinguisher. Answer: Close
the fire doors on the unit
◉ A nurse is talking with an adult child of a client who was
involuntarily admitted to an inpatient mental health facility. Which
of the following statements should the nurse make?
A. The provider will notify your patient's employer about admission
to the facility
B. Your parent will have to take the medication that the doctor
prescribes
C. Your parent might have electroconvulsive therapy without
providing consent
,D. The provider can prescribe restraints if your parent tries to harm
others. Answer: The provider can prescribe restraints if your parent
tries to harm others
◉ A nurse is assessing a client who has delirium due to a febrile
illness. Which of the following findings should the nurse expect?
A. Hallucinations
B. Agnosia
C. Bradycardia
D. Aphasia. Answer: Hallucinations
◉ A nurse is assessing a client who is receiving enteral feedings via a
gastrostomy tube. The nurse
should identify that which of the following findings indicates fluid
overload?
A. Diminished bowel sounds
B. Bradycardia
C. Hypotension
D. Bounding pulses. Answer: Bounding pulses
, ◉ A nurse is caring for a client following an open colectomy. Which
of the following findings places the client at risk for delayed wound
healing?
A. INR 1.1
B. Hyperemesis
C. HbA1c 5.6%
D. Uncontrolled pai. Answer: Hyperemesis
◉ A nurse is assessing a client who has a complete heart block and is
receiving transcutaneous pacing. Which of the following findings
indicates to the nurse that the treatment is effective?
A. Heart rate greater than 60/min
B. Pedal pulses 2+
C. Pacer spikes after the QRS complex
D. Distended jugular vein. Answer: Heart rate greater than 60/min
◉ A nurse is caring for a client who is taking levothyroxine. Which of
the following findings should
indicate to the nurse that the medication is effective?
A. Decreased blood pressure