FINAL TEST 2026 QUESTIONS WITH
CORRECT ANSWERS GRADED A+
◍ Respiratory Depression.
Answer: Potential adverse effect of morphine overdose.
◍ Tracheostomy ties.
Answer: Use a quick-release knot to secure the ties.
◍ Stroke client referral.
Answer: Request a referral to a Speech-language pathologist.
◍ Advance directives understanding.
Answer: "I know that I can change my advance directives if I need to in the
future."
◍ Edema documentation.
Answer: Document as 3+ pitting edema.
◍ Medication Error Assessment.
Answer: Necessary action to prevent harm post-error.
◍ Fall risk client safety.
Answer: Provide the client with a night light.
◍ Diphenhydramine Dosage.
Answer: Calculation for a child using oral syrup.
◍ Motivation to learn.
Answer: The client's belief that his needs will be met through education.
◍ Cefoxitin Dosage.
Answer: Calculation based on weight and frequency.
,◍ Home safety understanding.
Answer: "I will use the grab bars when getting in and out of the bathtub."
◍ IV Pump Sparks.
Answer: Immediate action to prevent fire hazard.
◍ Nonpharmacological intervention for pain.
Answer: offer to play music in the client's room
◍ Terminal illness response.
Answer: I will contact your provider to discuss your options.
◍ Anaphylactic reaction indication.
Answer: A sharp decrease in blood pressure.
◍ Low Albumin.
Answer: Lab value indicating risk for poor wound healing.
◍ Blood Pressure Check.
Answer: Proper technique for accurate reading.
◍ Intravenous pyelogram preparation.
Answer: Assist the client with a bowel cleansing.
◍ Nasal Tracheal Suctioning.
Answer: Correct procedure for airway management.
◍ Abbreviation Use.
Answer: Appropriate documentation shorthand.
◍ BP Cuff Width.
Answer: Correct percentage of arm circumference for cuff.
◍ Postural Drainage Position.
Answer: Position for left lower atelectasis.
◍ Eye assessment finding.
Answer: Eyelashes that curl slightly outward.
◍ Postoperative pressure injury prevention.
, Answer: Ensure the client's heels are not touching the mattress.
◍ Dysphagia Prescription.
Answer: Clarification needed for safe intake.
◍ Medication administration.
Answer: Administer 240 mL (8 oz) of oral contrast before the procedure.
◍ Injection site reaction.
Answer: Pain at the injection site.
◍ Enema Administration.
Answer: Sequence of steps for large volume enema.
◍ NG Tube Placement.
Answer: Verification method for gastric decompression.
◍ Braden Scale.
Answer: Measurement tool for pressure ulcer risk.
◍ Tracheostomy Care.
Answer: Proper maintenance of a tracheostomy.
◍ Medical Record Documentation.
Answer: Essential entries for accurate record-keeping.
◍ Client education.
Answer: The nurse's empathy about the client having to self-inject.
◍ Reposition the client.
Answer: Reposition the client every 4 hr.
◍ Dysphagia intervention.
Answer: The client drinks their thickened juice with a straw.
◍ Seizure first action.
Answer: Help the client lie on the floor.
◍ Restraint Alternatives.
Answer: Strategies for managing confused clients.
, ◍ Postural drainage position.
Answer: Right lateral in Trendelenburg position.
◍ Tracheostomy ties action.
Answer: Allow space for three fingers under the ties when securing.
◍ Referral for swallowing issues.
Answer: Speech-language pathologist.
◍ Assessing abdominal pain.
Answer: Auscultate bowel sounds.
◍ Appendicitis Assessment.
Answer: Priority actions for suspected appendicitis.
◍ Extraocular Eye Movements.
Answer: Assessment technique for eye movement.
◍ Packed RBCs administration.
Answer: Check the blood product's compatibility with the client's blood
type.
◍ Nurse torts.
Answer: Assault.
◍ Therapeutic response to concern.
Answer: You're concerned about what will happen when you leave the
hospital?
◍ Response to suicidal ideation.
Answer: Have you thought about harming yourself?
◍ Total laryngectomy priority.
Answer: Explain the techniques of esophageal speech.
◍ Snellen chart.
Answer: Used for cranial nerve 2 assessment at 6.1 m (20 feet)
◍ Fire response action.