EXAM 2026-2027 NEWEST UPDATE
A nurse is admitting a client who has antisocial personality disorder. Which of the following client
behaviors should the nurse identify as consistent with this disorder?
A. Compulsive attention to details
B. Avoids interacting with others
C. Uses others for personal gain
D. Socially awkward in group situations
C. Uses others for personal gain
A nurse is interpreting the cardiac rhythm strip of a client who was admitted with syncope. Which of
the following images indicates that the client has atrial fibrillation?
A client who has a diagnosis of complete placenta previa is admitted to the labor and delivery suite
at 36 weeks gestation with contractions 5 min in frequency and 1 min in duration. Which of the
following actions should the nurse take?
A. Rupture the amniotic sac
B. Medicate the client for pain
C. Prepare the client for a cesarean section
D. Perform a vaginal exam
C. Prepare the client for a cesarean section
A charge nurse on a pediatric unit is making assignments for a float nurse from the medical unit.
Which of the following clients is appropriate to assign to the float nurse?
A. A 10-year-old client who has pneumonia and is receiving respiratory treatments
B. A 4-year-old client who has a Wilms tumor and is receiving chemotherapy
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C. An 8-month-old client who is scheduled for a surgical repair of a ventricular septal defect
tomorrow
D. A 14-year-old client who is scheduled for discharge today following placement of a Harrington rod
A. A 10-year-old client who has pneumonia and is receiving respiratory treatments
A nurse notices smoke coming from a client's room and discovers a fire in the wastebasket. After
moving the client to safety, which of the following is the priority action?
A. Notify the facility operator.
B. Close the fire doors on the unit.
C. Turn off oxygen sources.
D. Put out the fire with the appropriate extinguisher.
A. Notify the facility operator.
A nurse is assessing an infant who has water intoxication. Which of the following findings should the
nurse expect?
A. Generalized edema
B. Elevated urine specific gravity
C. Thready pulse
D. Increased hematocrit
A. Generalized edema
A nurse is discussing the z-track administration of hydroxyzine with a newly licensed nurse. Which of
the following statements indicates the newly licensed nurse understands the purpose of the
technique?
A. This technique prevents injury to the sciatic nerve
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B. This technique decreases the risk of subcutaneous infiltration
C. This technique allows a larger amount of medication to be injected
D. This technique increases the absorption rate of the drug
This technique decreases the risk of subcutaneous infiltration
A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the following
interventions should the nurse include in the plan?
A. Encourage the client to gain 2.3 kg per week
B. Weigh the client once per week throughout hospitalization
C. Monitor the client for 1 hr after meals
D. Allow the client to choose mealtimes
C. Monitor the client for 1 hr after meals
A nurse is planning care for a child who has increased intracranial pressure with a decrease in level
of consciousness. Which of the following interventions should the nurse include in the plan of care?
A. Perform active range-of-motion exercises
B. Maintain the head at a midline position
C. Suction the airway frequently
D. Perform neurological checks every 4 hrs
B. Maintain the head at a midline position
10. A nurse is assessing a client who has delirium due to a febrile illness. Which of the following
findings should the nurse expect?
A. Hallucinations
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B. Agnosia
C. Bradycardia
D. Aphasia
A. Hallucinations
A nurse is assessing a client who is receiving enteral feedings via a gastrostomy tube. The nurse
should identify that which of the following findings indicates fluid overload?
A. Diminished bowel sounds
B. Bradycardia
C. Hypotension
D. Bounding pulses
D. Bounding pulses
A nurse is caring for a client following an open colectomy. Which of the following findings places the
client at risk for delayed wound healing?
A. INR 1.1
B. Hyperemesis
C. HbA1c 5.6%
D. Uncontrolled pain
B. Hyperemesis
A home health nurse is reviewing treatment goals with a client who has diabetes mellitus. The nurse
should evaluate which of the following laboratory tests to determine effective long-term
management of blood glucose levels?
A. 3-hr oral glucose tolerance test