243 FINAL EXAM | 2026 UPDATE STUDY
GUIDE WITH PRACTICE QUESTIONS,
ANSWERS, AND RATIONALES | GRADED
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Updated 2026 Questions and Answers
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Rationales Included
, The nurse is assessing a patient status post Interpreting
hemicolectomy and notes the patient's calf
is red and slightly edematous. The nurse precedes to do a
pain assessment. The patient
states the pain is an 8 out of 10. The patient's vitals are as
follows HR 92, BP 140/89, RR
224, T 98.7. The health care provider has ordered
Morphine 4-6 mg IBP q 4 hours.
Which stage Tanners is this?
The nurse is providing care to a patient with a large Review previous documentation to identify specific supplies needed, Survey the
surgical wound that requires and room for supplies before starting the dressing change
extensive amount of dressing and supplies. What cost-
effective action would the nurse
take when performing dressing changes? (SATA)
A patient with bleeding esophageal varices from "Charlie is here, my tax dollars going to good use once again"
alcoholic cirrhosis is admitted to the
emergency department. Which comment overhead by
the charge nurse from a staff
nurse requires immediate intervention?
The nurse is caring for a patient admitted to the Noticing
emergency room with complaints of
chest pain. Which step in tanners does the nurse need to
do first when caring for this
patient?
A patient with AKI has been admitted to the hospital for Administer IV fluids
24-hour observation. The patient c/o 8/10 flank pain and
N/V and has a urine output of 81 mL over the past three
hours. The pt. T is 99, HR 100, R 22, BP 90/50. What is the
nursing priority
A patient is admitted to the ED after an MVA. The patient Assess for loose teeth
was conscious at the scene but is now confused and
lethargic with a T 98.4, HR 105, RR 25, BP 110/58. What is
the nurses first action?
The nurse is caring for a patient with alcoholic cirrhosis. Possible bias related to the client's diagnosis
The patient is about to have a paracentesis in one hour.
The patient has undergone this procedure several times
in the past 2 years. The nurse says to the patient "Your dr
will be here for the procedure in 1 hour, I know you don't
have any questions since you've been here so many
times?" What is this an example of
The nurse is providing discharge instructions to patient Restrict sodium intake
diagnosed with cirrhosis and experiencing severe ascites. Abstain from alcohol consumption
What info would be the most important for the nurse to Report weight gain and SOB
include (SATA) Avoid acetaminophen in high doses
Report extreme swelling in the legs and feet