EVALUATION 2026 DETAILED CLINICAL
REASONING SOLUTIONS PROFESSIONAL
GUIDE
◉ A public health nurse is assisting community leaders to develop a
disaster response plan in the event of an outbreak of a serious
communicable disease. When teaching the community leaders about
infectious disease, the RN should explain that a vector is of which of
the following?
A. A mode of transmission for the disease
B. A microorganism that causes the infection
C. An environment where the pathogen can survive
D. A patient who is susceptible to the infection.
Answer: A. A mode of transmission for the disease
(RAT) Think of a vector as a car the vector is there the
bacteria/microorganism resides to get to the host.
,◉ A RN is caring for a patient who has osteoporosis and a new order
for calcium supplements. Which of the following foods should the
RN recommend to promote calcium absorption?
A. Fortified milk
B. Ripe bananas
C. Steamed broccoli
D. Green leafy vegetables.
Answer: A. Fortified milk
(RAT) Provides nearly 2.5 mcg of Vit D, which promotes calcium
absorption from the GI tract. Adults up to age 70 require 600 IU of
Vit D/per day and 800 IU thereafter. Therefore, fortified milk is a
good source of Vit D.
◉ A RN is preparing a patient for cardiac catheterization Which of
the following pieces of information should the RN give the patient
before the procedure? (SATA)
A. "You'll have to lie flat for several hours after the procedure."
,B. " You'll receive medication to relax you before the procedure."
C. " You'll feel a cool sensation after the injection of the dye."
D. " You'll have to keep your leg straight after the procedure."
E. "You'll have to limit the amount of fluid you drink for the first 24
hr.".
Answer: A. "You'll have to lie flat for several hours after the
procedure."
D. " You'll have to keep your leg straight after the procedure."
E. "You'll have to limit the amount of fluid you drink for the first 24
hr."
◉ A RN is preparing an in-service presentation about the
management of a MI. Death following a MI is often a result of which
of the following complications?
A. Cardiogenic shock
, B. Dysrhythmias
C. HF
D. Pulmonary edema.
Answer: B. Dysrhythmias
(RAT) F-fib is one of the most common causes of death following a
MI. Therefore the nurse should monitor EKG's carefully for these
alterations in the heart rhythm and report and treat them STAT.
(NOTE) Cardiogenic shock, HF and pulmonary edema are
complications of MI, but is not the most common cause of death
following MI. Other complications include emboli and pericarditis.
◉ A RN is planning care for a patient who has deep partial-thickness
and full-thickness thermal burns over 40% of his total body surface
and is in the acute phase f burn injury. Which of the following
interventions should the RN include in the plan?
A. Initiate ROM exercises
B. Use clean technique to provide wound care