WITH CORRECT ANSWERS 2026-2027
Acute pancreatitis - CORRECT ANSWER -The highest priority finding is absentBbowel sounds
Nontunneled percutaneous central venous catheter (CVC) - CORRECT ANSWERB-
Nurse should place pt in Trendelenburg position
Conscious sedation - CORRECT ANSWER -
Nurse should intervene if pt's O2 is 90% because respiratory depression is a side effect of the meds use
d during conscious sedation
Increased ICP -BCORRECT ANSWER -
Indicated by sleepiness, widening pulse pressure and decerebrate/decorticate posturing
Diabetes and illness - CORRECT ANSWER -
Patient should continue medication regimen (insulin) when ill to prevent hyperglycemia
Tracheostomy suctioning - CORRECT ANSWER -
Nurse should pre oxygenate the pt with 100% oxygen for 30 seconds to 3 minutes to prevent hypoxemia
Cholecystitis - CORRECT ANSWER -Indicated by pain that radiates to the right shoulder
Hepatitis A - CORRECT ANSWER -Eating contaminated food increases the risk of contracting Hep A
SBO and NG tube - CORRECT ANSWER -
Nurse should assess for the passage of flatus because that indicates that the intestines are resuming ap
propriate function
IV with discomfort and coolness - CORRECT ANSWER -
First action the nurse should take is to compare the site to the opposite extremity
, Hormone replacement - CORRECT ANSWER -
Pt should notify provider of calf pain (indication of DVT), numbness in the arms (indication of a CVA) an
d intense headache (indication of CVA)
Left sided heart failure - CORRECT ANSWER -
Nurse should expect to see oliguria during the day because of decreased blood flow to the kidneys
Peritoneal dialysis - CORRECT ANSWER -
If the fluid is sluggish in draining, nurse should turn the pt onto their side to reposition the catheter (if it
's against the peritoneal wall) or move the catheter (if it's kinked)
Diabetic ketoacidosis - CORRECT ANSWER -
Improvement in condition would be a glucose of under 300mg/dL
COPD - CORRECT ANSWER -
If pt hasBSOB, cough and fatigue along with thick mucus secretions, nurse should administer guaifenesin
(mucolytic med that thins secretions and promotes airway clearance) as prescribed
Pt should be drinking 2-3L/day to thin mucus secretions
Hypoglycemia - CORRECT ANSWER -Cool, clammy skin is an indication of hypoglycemia
Pericardial friction rub - CORRECT ANSWER -Scratchy, high-
pitched sound associated with acute pericarditis
Tension pneumothorax - CORRECT ANSWER -
Indicated by chest asymmetry. The air that is forced into the chest cavity causes the affected lung to coll
apse, and the air that enters the pleural space during inspiration does not exitBduring expiration.
HIV treatment - CORRECT ANSWER -
ABdecreased viral load indicates a positive response to prescribed HIV treatment, because viral load testi
ng measures the presence of HIV viral genetic material