2026 EXAM SCRIPT SOLVED
QUESTIONS SET
◉ A client with chronic renal disease is admitted to the hospital for
evaluation prior to a surgical procedure. Which laboratory test indicated
the client's protein status for the longest length of time.
A. Urine urea
B. transferrin
C. prealbumin
D. serum albumin.
Answer: D. serum albumin
◉ What client statement indicates to the nurse that the client requires
assistance with bathing?
A. "I only bathe every other day"
B. "I left my eyeglasses at home"
C. "I don't understand why I'm so weak and tired"
D. "I wasn't able to pack a bag before I left for the hospital".
Answer: C. "I don't understand why I'm so weak and tired"
◉ How should a nurse handle linens that are soiled with incontinent
feces?
A. Place the soiled linens in a pillow case and deposit them in the dirty
linen hamper
,B. put the soiled linens in an isolation bag, then place it in the dirty linen
hamper
C. Ask the housekeeping staff to pick up the soiled linen from the dirty
utility room
D. place an isolation hamper in the client's room and discard the linens
in it.
Answer: D. place an isolation hamper in the client's room and discard
the linens in it
◉ When caring for an immobile client, what nursing diagnosis has the
highest priority?
A. altered tissue perfusion
B. impaired gas exchange
C. risk for fluid volume deficit
D. risk for impaired skin integrity.
Answer: B. impaired gas exchange
◉ The nurse assess an immobile, elderly male client and determines that
his blood pressure is 138/60, his temperature is 95.8F, and his output is
100 mL of concentrated urine during the last hour. He has wet-sounding
lung sounds, and increased respiratory secretions. Based on these
assessment findings, what nursing action is the most important for the
nurse to implement?
A. encourage additional additional fluid intake
B. provide the client with an additional blanket
C. turn the patient Q2
, D. administer a PRN anti hypertensive prescription.
Answer: C. turn the patient Q2
◉ The home health nurse visits an elderly female client who had a brain
attack three months ago and is now able to ambulate with the assistance
of a quad cane. Which assessment finding has the greatest implications
for this client's case?
A. The client's pulse rate is 10 beats higher than it was at the last visit
one week ago
B. the client tells the nurse that she does not have much of an appetite
today
C. the husband, who is the caregiver, begins to weep when you ask how
he is doing
D. the nurse notes that there are numerous scatter rubs throughout the
house.
Answer: D. the nurse notes that there are numerous scatter rubs
throughout the house
◉ The nurse removes the dressing on a client's heel that is covering a
pressure sore one-inch in diameter and finds that there is straw-colored
drainage seeping from the wound. What description of this finding
should the nurse include in the client's record?
A. stage 1 pressure sore draining sero-anguineous drainage
B. one-inch pressure sore draining serous fluid
C. pressure sore draining serous fluid
D. pressure sore on heel with a small amount of purulent drainage.