EXAM 2026-2027 ACTUAL COMPLETE REAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
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The nurse discovers that an older adult client with no history of
cardiac or renal
disease has an elevated serum magnesium level. To further
investigate the
cause of this electrolyte imbalance, which information is most
important for the
nurse to obtain from the clients
medical history?
A) length and frequency of the clients tobacco use.
B) Genetically inherited disorders of family members.
C) Frequency of laxative use for chronic constipation.
D) Ingestion of shellfish or fish oil capsules daily. - ANSWER -D)
Ingestion of shellfish or fish oil capsules daily.
Client who underwent an uncomplicated gastric bypass surgery
is having difficulty with diet management. Which dietary
instruction is most important for the nurse to explain to the
client?
A) To food slowly and thoroughly before attempting to swallow.
,B) Plan volume controlled, evenly space meals throughout the
day.
C) Sip fluids Chloe with each meal and between meals.
D) Eliminate or reduce intake a fatty and gas forming foods. -
ANSWER -B) Plan volume controlled, evenly space meals
throughout the day.
A client with an acute myocardial infarction is given a
thrombolytic medication, aspirin, and IV heparin in the
emergency department. Which finding indicates the client is
having a satisfactory response?
A) Activated partial thromboplastin (aPTT) time is two times the
control value.
B) Cardiac tracing shows 1.2 MM wide Q waves half the height
of the complex.
C) Guiac test of the stools is positive.
D) S3 heart sounds are present with auscultation - ANSWER -A)
Activated partial thromboplastin (aPTT) time is two times the
control value.
An adolescent client who has been treated in the past for a
seizure disorder is admitted to the hospital immediately after
admission the client begins to have a grand mal seizure. Which
action should the nurse implement?
A) Place a padded tongue blade between the.
clients teeth
,B) Observe the client
carefully.
C) Obtain assistance in holding the client to
prevent injury.
D) Call a rapid response team. - ANSWER -B) Observe the
client carefully.
Client with leukemia who is receiving a myelosuppressive
chemotherapy has a platelet count of 25,000. Which
intervention is most important for the nurse to include in the
clients plan of care?
A) Obtain a clients temperature every four hours.
B) Assess urine and stool for occult blood.
C) Require visitors to wear respiratory masks.
D) Monitor for signs of activity intolerance. - ANSWER -B)
Assess urine and stool for occult blood.
A client with diabetes insipidus has an average urinary output
of 500 ML of dilute urine every hour for the past four hours.
Which laboratory test is most important for the nurse to
monitor?
A) Urine
specific
gravity.
B)
Capillary
glucose.
, C) Serum
sodium.
D) White blood
count. - ANSWER -
C) Serum sodium.
The nurse is managing the care of a client with Cushing
syndrome. Which intervention should the nurse delegate to be
unlicensed assistive personnel? SATA.
A) Weigh the client and report any weight gain.
B) Note and report the clients food and liquid intake during
meals and snacks.
C) Assess the client for weakness and fatigue.
D) Evaluate the client for sleep disturbances.
E) Report any client mention of pain or discomfort. - ANSWER -
A) Weigh the client and report any weight gain.
B) Note and report the clients food and liquid intake during
meals and snacks.
E) Report any client mention of pain or discomfort.
A client with persistent low back pain has received a
prescription for an electronic stimulator tens unit. After the
nurse applies the electrodes and turns on the power, the client
reports feeling a tingling sensation. How should the nurse
respond?
A) Check the amount of gel coating on the electrodes.
B) Decrease the strength of the electrical signals.