PN VATI ComPreheNsIVe PredICTor GreeN LIGhT exAm ACTuAL exAm
2026/2027 – ComPLeTe exAm-sTyLe QuesTIoNs wITh deTAILed rATIoNALes |
100% VerIfIed | PAss GuArANTeed – A+ GrAded
1. A nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus. Which of the
following statements by the client indicates a need for further teaching?
A. "I will rotate my insulin injection sites to prevent lipohypertrophy."
B. "I will keep my insulin in the freezer to maintain potency."
C. "I will check my blood glucose before meals and at bedtime."
D. "I will carry a source of fast-acting carbohydrate with me at all times."
Answer: B
Rationale: Insulin should never be frozen. It should be stored in the refrigerator (not freezer) or
at room temperature per manufacturer guidelines. Freezing destroys insulin potency. Options A,
C, and D are correct statements.
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2. A nurse is providing discharge teaching to a client with heart failure. Which of the following
statements by the client indicates understanding?
A. "I will weigh myself daily at the same time each morning."
B. "I will increase my intake of foods high in sodium."
C. "I will limit my fluid intake to 4 liters per day."
D. "I will stop taking my diuretic if I feel short of breath."
Answer: A
Rationale: Daily weights at the same time each morning are essential to monitor fluid retention.
Sodium should be restricted, not increased. Fluid is often restricted (2 liters or less). Diuretics
should not be stopped without provider order.
, ---
3. A nurse is caring for a client who has a prescription for furosemide. Which of the following
laboratory values should the nurse monitor most closely?
A. Serum sodium
B. Serum potassium
C. Serum calcium
D. Serum glucose
Answer: B
Rationale: Furosemide is a loop diuretic that causes potassium wasting. Hypokalemia is a
common adverse effect and can lead to cardiac arrhythmias. Monitoring potassium is essential.
---
4. A nurse is preparing to administer a blood transfusion to a client. Which of the following
actions is most important?
A. Verify the client's blood type and crossmatch with another nurse.
B. Warm the blood to room temperature before infusion.
C. Administer the blood through a small-bore needle.
D. Infuse the blood over 6 hours.
Answer: A
Rationale: Verifying blood type and crossmatch with another nurse is critical to prevent
transfusion reactions. Blood is not routinely warmed. A large-bore needle (18-20 gauge) is
preferred. Blood should infuse within 4 hours to prevent bacterial growth.
---
2026/2027 – ComPLeTe exAm-sTyLe QuesTIoNs wITh deTAILed rATIoNALes |
100% VerIfIed | PAss GuArANTeed – A+ GrAded
1. A nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus. Which of the
following statements by the client indicates a need for further teaching?
A. "I will rotate my insulin injection sites to prevent lipohypertrophy."
B. "I will keep my insulin in the freezer to maintain potency."
C. "I will check my blood glucose before meals and at bedtime."
D. "I will carry a source of fast-acting carbohydrate with me at all times."
Answer: B
Rationale: Insulin should never be frozen. It should be stored in the refrigerator (not freezer) or
at room temperature per manufacturer guidelines. Freezing destroys insulin potency. Options A,
C, and D are correct statements.
---
2. A nurse is providing discharge teaching to a client with heart failure. Which of the following
statements by the client indicates understanding?
A. "I will weigh myself daily at the same time each morning."
B. "I will increase my intake of foods high in sodium."
C. "I will limit my fluid intake to 4 liters per day."
D. "I will stop taking my diuretic if I feel short of breath."
Answer: A
Rationale: Daily weights at the same time each morning are essential to monitor fluid retention.
Sodium should be restricted, not increased. Fluid is often restricted (2 liters or less). Diuretics
should not be stopped without provider order.
, ---
3. A nurse is caring for a client who has a prescription for furosemide. Which of the following
laboratory values should the nurse monitor most closely?
A. Serum sodium
B. Serum potassium
C. Serum calcium
D. Serum glucose
Answer: B
Rationale: Furosemide is a loop diuretic that causes potassium wasting. Hypokalemia is a
common adverse effect and can lead to cardiac arrhythmias. Monitoring potassium is essential.
---
4. A nurse is preparing to administer a blood transfusion to a client. Which of the following
actions is most important?
A. Verify the client's blood type and crossmatch with another nurse.
B. Warm the blood to room temperature before infusion.
C. Administer the blood through a small-bore needle.
D. Infuse the blood over 6 hours.
Answer: A
Rationale: Verifying blood type and crossmatch with another nurse is critical to prevent
transfusion reactions. Blood is not routinely warmed. A large-bore needle (18-20 gauge) is
preferred. Blood should infuse within 4 hours to prevent bacterial growth.
---
