NURS 4526 ACTUAL EXAM PAPER 2026
QUESTIONS WITH SOLUTIONS GRADED A+
●● A client is diagnosed with metabolic alkalosis as a result of excessive
antacid use. Which assessment finding would the nurse expect in this
client?
a. Drowsiness, headache, and tachypnea
b. Decreased respiratory rate and depth
c. Disorientation and decrease blood pressure
d. Tachycardia, dizziness and paresthesias.
Answer: B
●● A client has had an elevated temperature of 38.2C for 3 days since
experiencing a myocardial infarction. What does the nurse understand
that this fever indicates?
a. A normal response to the necrotic tissue of infarction
b. A need for concern only if a leukocytosis is also present
c. Developing pericarditis as a complication of myocardial necrosis
d. Beginning congestive heart failure from increased myocardial oxygen
demand.
Answer: A
,●● What is the most appropriate nursing intervention to assess for the
presence of infection in a client with neutropenia?
a. Monitor temperature q4h.
b. Monitor the mouth and perianal area every shift for signs of redness
and swelling.
c. Monitor WBCs daily.
d. Monitor the skin for temperature and diaphoresis..
Answer: A
●● The nurse recognizes that which one of the following clients is at the
greatest risk for developing post-operative hypothermia?
a. A 68-year-old female client with diabetes undergoing a great toe
amputation under local anaesthesia
b. A 58-year-old male client undergoing repair of a knee cartilage under
general anaesthesia
c. A 78-year-old female client undergoing a vaginal hysterectomy under
general anaesthesia
d. A 72-year-old male client undergoing bowel resection for colon
cancer under general anaesthesia.
Answer: D
●● A client is treated in the emergency department for shock following
an automobile accident. The nurse knows that shock is a clinical
syndrome in which cellular dysfunction and organ failure occur
primarily as a result of which of the following conditions?
, a. Hypotension
b. Loss of blood
c. Severe infection
d. Impaired tissue perfusion.
Answer: D
●● The nurse is caring for a client in cariogenic shock who has been
diagnosed with right-sided heart failure. When assessing the client, the
nurse recognizes which as corresponding to right-sided heart failure?
Select all that apply.
a. Cough
b. Distended neck veins
c. Pitting dependent edema
d. Crackles on auscultation
e. Abdominal pain and bloating.
Answer: B, C, E
●● A hospice nurse who has become very close to a terminally ill client
and her family is present in the home when the client dies. The family
members are crying softly, and the nurse also feels like crying. What
does the nurse recognize about her feelings?
a. It would be unprofessional to cry at this time when the family's
feelings need to be addressed.
QUESTIONS WITH SOLUTIONS GRADED A+
●● A client is diagnosed with metabolic alkalosis as a result of excessive
antacid use. Which assessment finding would the nurse expect in this
client?
a. Drowsiness, headache, and tachypnea
b. Decreased respiratory rate and depth
c. Disorientation and decrease blood pressure
d. Tachycardia, dizziness and paresthesias.
Answer: B
●● A client has had an elevated temperature of 38.2C for 3 days since
experiencing a myocardial infarction. What does the nurse understand
that this fever indicates?
a. A normal response to the necrotic tissue of infarction
b. A need for concern only if a leukocytosis is also present
c. Developing pericarditis as a complication of myocardial necrosis
d. Beginning congestive heart failure from increased myocardial oxygen
demand.
Answer: A
,●● What is the most appropriate nursing intervention to assess for the
presence of infection in a client with neutropenia?
a. Monitor temperature q4h.
b. Monitor the mouth and perianal area every shift for signs of redness
and swelling.
c. Monitor WBCs daily.
d. Monitor the skin for temperature and diaphoresis..
Answer: A
●● The nurse recognizes that which one of the following clients is at the
greatest risk for developing post-operative hypothermia?
a. A 68-year-old female client with diabetes undergoing a great toe
amputation under local anaesthesia
b. A 58-year-old male client undergoing repair of a knee cartilage under
general anaesthesia
c. A 78-year-old female client undergoing a vaginal hysterectomy under
general anaesthesia
d. A 72-year-old male client undergoing bowel resection for colon
cancer under general anaesthesia.
Answer: D
●● A client is treated in the emergency department for shock following
an automobile accident. The nurse knows that shock is a clinical
syndrome in which cellular dysfunction and organ failure occur
primarily as a result of which of the following conditions?
, a. Hypotension
b. Loss of blood
c. Severe infection
d. Impaired tissue perfusion.
Answer: D
●● The nurse is caring for a client in cariogenic shock who has been
diagnosed with right-sided heart failure. When assessing the client, the
nurse recognizes which as corresponding to right-sided heart failure?
Select all that apply.
a. Cough
b. Distended neck veins
c. Pitting dependent edema
d. Crackles on auscultation
e. Abdominal pain and bloating.
Answer: B, C, E
●● A hospice nurse who has become very close to a terminally ill client
and her family is present in the home when the client dies. The family
members are crying softly, and the nurse also feels like crying. What
does the nurse recognize about her feelings?
a. It would be unprofessional to cry at this time when the family's
feelings need to be addressed.
