2026-2027 Exams Includes Frequently Tested Questions
With ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
Instant Download Pdf
1. The nurse is assessing a client who is receiving warfarin (Coumadin).
Assessment findings include increased drowsiness, blood pressure 90/57 mmHg,
pulse 108 beats/minute, and respirations 22 breaths/min. What medication
should the nurse prepare to administer?
1. Vitamin K.
2. Metoprolol.
3. Protamine sulfate.
4. Amiodarone. - Correct Answer: Vitamin K.
2. The nurse is preparing to teach a client on preventing the spread of methicillin-
resistant staph areus (MRSA). Which statement by the client causes concern?
1. "I need to tell my spouse to sleep in the guest bedroom until my wound heals."
2. "I should wash my hands before and after changing the bandage."
3. "I will stop by the store to buy some bleach before I go home."
4. "I should bathe daily with antibacterial soap." - Correct Answer: "I should
bathe daily with antibacterial soap."
3. "I need to tell my spouse to sleep in the guest bedroom until my wound heals."
Client should sleep in separate bed from others until infection has cleared
,"I should wash my hands before and after changing the bandage." Client should
wash hands before and after wound care
"I will stop by the store to buy some bleach before I go home." Surfaces that come
in contact with infection should be cleaned with bleach water
"I should bathe daily with antibacterial soap." Correct - Showering rather than
bathing is recommended
3. Review the chart below. After completing the admission assessment, which
prescription does the nurse identify as a priority?
1. Oxygen
2. NG tube
3. Morphine
4. Normal saline - Correct Answer: Oxygen - Indicated to improve oxygen
saturation
NG tube - Required to decompress abdomen, which helps to relieve pain
Morphine - Correct - Pain control is a priority to prevent hemodynamic instability
Normal saline - Indicated to prevent fluid volume deficit because client will be
NPO
4. The nurse is caring for a client who is being treated for diabetes insipidus (DI).
Which statements by the client indicate treatment has been effective? Select all
that apply
1. "My skin is so dry."
2. "I feel like I'm drooling."
3. "My heart is beating so fast."
,4. "I urinated yellow urine 3 hours ago."
5. "I don't have to drink as much water anymore." - Correct Answer: "I
urinated yellow urine 3 hours ago."
"I don't have to drink as much water anymore."
5. The nurse is caring for a client with lung cancer who had a right
pneumonectomy 2 days ago. After lunch, the nurse finds the client lying in
bed on the left side. What is an appropriate action by the nurse?
1. Reposition the client on the right side and inform client to avoid lying on the
left side.
2. Raise the head of the bed and continue to monitor client.
3. Apply oxygen and suction the client.
4. Perform chest physiotherapy and apply oxygen. - Correct Answer:
Reposition the client on the right side and inform client to avoid lying on the
left side.
Reposition the client on the right side and inform client to avoid lying on the left
side. Correct - Client should be positioned on the operative side to facilitate
expansion of remaining lung
6. The nurse is assessing a client in the emergency department who was
involved in a motor vehicle accident. Assessment findings include
periorbital ecchymosis, bruising behind the ears, and leakage of clear fluid
from the nose. What is an appropriate action by the nurse?
1. Instruct the client to apply firm pressure to the nose.
2. Obtain a specimen of the fluid for culture and sensitivity.
3. Obtain a specimen of the fluid for presence of glucose.
, 4. Prepare to administer a broad-spectrum antibiotic. - Correct Answer:
Obtain a specimen of the fluid for presence of glucose.
7. The nurse is providing discharge instructions for a client who has been
prescribed prednisone for pneumonia. Which response by the client
indicates the need for further teaching?
1. "I may eat more food than usual."
2. "I need to take the medication on an empty stomach."
3. "I need to gradually decrease the dose."
4. "I should notify my doctor is my urine has a foul odor." - Correct
Answer: "I need to take the medication on an empty stomach."
"I need to take the medication on an empty stomach." Correct - Should be taken
with meals to minimize gastric irritation
8. The nurse is caring for a client who is scheduled to have a paracentesis.
Which assessment is most important for the nurse to perform before the
procedure?
1. Presences of pain
2. Suctioning sputum
3. Palpating the bladder
4. Auscultating bowel sounds - Correct Answer: Palpating the bladder
Palpating the bladder - Correct - The bladder should be emptied before the
procedure to prevent injury