ANSWERS -2026 PREP –UPDATED STUDYGUIDE
A nurse in an emergency department completes an assessment on an
adolescent client that has conduct
disorder. The client threatened suicide to teacher at school. Which of
the following statements should the nurse include in the
assessment?
a) Tell me about your siblings
b) Tell me what kind of music you like
c) Tell me how often do you drink alcohol
d) Tell me about your school schedule - Correct Answer✓✓ c) Tell me
how often do you drink alcohol
*A nurse is observing bonding to the client her newborn. Which
of following actions by the client requires the nurse to
intervene?
a) Holding the newborn in an en face position
b) Asking the father to change the newborn's diaper
c) Requesting the nurse take the newborn nursery so she can rest
d) Viewing the newborn's actions to be uncooperative - Correct
Answer✓✓ d) Viewing the newborn's actions to be uncooperative
A nurse is caring for client who is taking levothyroxine. Which of
the following findings should indicate that the medication is
effective?
a) Weight loss
,b) Decreased blood pressure
c) Absence of seizures
d) Decrease inflammation - Correct Answer✓✓ a) Weight loss (this
drug acts as T4 and will normalize the effects of hypothyroidism)
A nurse is planning discharge teaching for cord care for the parent of
a newborn. Which instructions would you include in the teaching?
a) Contact provider if the cord still turns black
b) Clean the base of the cord with hydrogen peroxide daily
c) Keep the cord dry until it falls off
d) The cord stump will fall off in five days - Correct Answer✓✓ c) Keep
the cord dry until it falls off
a) Contact provider if the cord still turns black (it's going to turn
black)
b) Clean the base of the cord with hydrogen peroxide daily (clean with
neutral pH cleanser)
c) Keep the cord dry until it falls off (cord should be kept clean and
dry to prevent infection)
d) The cord stump will fall off in five days (cord falls off in 10-14 days
A nurse is assessing a client in the PACU. Which of the
following findings indicates decreased cardiac output?
a) Shivering
b) Oliguria
c) Bradypnea
d) Constricted pupil - Correct Answer✓✓ b) Oliguria
,A nurse is assisting with mass casualty triage: explosion at a
local factory. Which of the following client should the nurse
identify as the priority?
a) A client that has massive head trauma
b) A client has full thickness burns to face and trunk
c) A client with indications of hypovolemic shock
d) A client with open fracture of the lower extremity - Correct
Answer✓✓ c) A client with indications of hypovolemic shock
A nurse is a receiving report on four clients. Which of the following
clients should the nurse assess first?
a) A client who has illeal conduit and mucus in the pouch
b) Client pleasant arteriovenous additional vibration palpated
c) A client whose chronic kidney disease with cloudy dialysate
outflow
d) A client was transurethral resection of the prostate with a red
tinged urine in the bag - Correct Answer✓✓ c) A client whose
chronic kidney disease with cloudy dialysate outflow
A nurse is caring for a client just received the first dose of lisinopril.
The following is an appropriate nursing intervention?
a) Place's cardiac monitoring
b) Monitor the clients oxygen saturation level
c) Provide standby assist with the client from bed
d) Encourage foods high in potassium - Correct Answer✓✓ c) Provide
standby assist with the client from bed
, A nurse is caring for a client who is in labor and his seat is receiving
electronic fetal monitoring. The
nurse is reviewing the monitor tracing and notes early
decelerations. Which the following should the nurse expect?
a) Feta hypoxia
b) Abrupto placentae
c) Post maturity
d) Head Compression - Correct Answer✓✓ d) Head Compression
A nurse is caring for a client who has chronic kidney disease. The
nurse should identify which of the
following laboratory values as in an indication for hemodialysis?
a) glomerular filtration rate of 14 mL/ minute
b) BUN 16 mg/DL
c) serum magnesium 1.8 mg mg/dl
d) Serum phosphorus 4.0 mg/dL - Correct Answer✓✓ a) glomerular
filtration rate of 14 mL/ minute
A nurse is caring for an infant who has a prescription for
continuous pulse oximetry. The following is an appropriate action
for the nurse to take?
a) Placed infant under radiant warmer
b) Move the probe site every 3 hours
c) Heat the skin one minute prior to placing the program
d) Placed a sensor on the index finger - Correct Answer✓✓ c) Heat the
skin one minute prior to placing the program