2026 TEST BANK| COMPLETE REAL EXAM
QUESTIONS AND ANSWERS
The nurse is assessing clients for their risk of developing
osteoarthritis. Which of these clients should the nurse
consider at greatest risk?
1
50-year-old female who smokes
2
55-year-old female who is overweight
3
40-year-old male who never had children
4
65-year-old female with a family history - ANSWER✔✔65-year-
old female with a family history
65-year-old female with a family history - Correct - Client is at
greatest risk because of increasing age and genetic
predisposition
The nurse is caring for a client with bacterial meningitis.
Assessment findings include restlessness, agitation, and
increased photosensitivity. What non-pharmacological
intervention is the most appropriate?
,1
Turn off lights in the room.
2
Ask spouse to bring a game.
3
Turn television to favorite station.
4
Encourage family members to visit more. - ANSWER✔✔Turn off
lights in the room.
The nurse received hands-off report on each of these clients.
Which client should the nurse see first?
1
52-year-old admitted with chronic kidney injury with a serum
potassium level of 7.1 mEq/L.
2
35-year-old who is sleeping after a tonic-clonic seizure lasting
1 minute.
3
63-year-old who is post-operative right knee replacement and
is requesting bedpan.
4
22-year old admitted with sickle cell crisis complaining of
abdominal pain. - ANSWER✔✔52-year-old admitted with
,chronic kidney injury with a serum potassium level of 7.1
mEq/L.
The nurse cares for a client 12 hours following a thoracotomy
who has a chest tube connected to a drainage system. The
nurse notices that fluid is not draining through the chest tube,
but the tubing is not kinked or occluded in any way. What is
an appropriate action by the nurse?
1
Strip the chest tube.
2
Notify the Rapid Response Team.
3
Continue to monitor.
4
Assess for bubbling in the water-seal chamber. -
ANSWER✔✔Notify the Rapid Response Team.
Strip the chest tube. Avoid stripping the chest tube because
of the risk for damage to lung tissue
Notify the Rapid Response Team. Correct - Health care
provider or Rapid Response Team should be notified if
drainage in tube stops in the first 24 hours.
Continue to monitor. Chest tube should drain less than 100 ml
within the first 24 hours
Assess for bubbling in the water-seal chamber. Bubbling in
, the water-seal chamber is normal. However, excessive or no
bubbling in the water-seal chamber indicates a problem with
the chest tube.
The nurse is caring for a client with tuberculosis who is
receiving isoniazid and rifampin for tuberculosis. Which
adverse effect should the nurse be most concerned with?
1
Blurred vision.
2
Yellowish sclera.
3
Nausea and vomiting.
4
Decreased urine output. - ANSWER✔✔Yellowish sclera.
Possible side effect related to liver damage
What would the nurse expect to find in the care of an 80-year-
old client who is experiencing a complication after a right
knee replacement? The patient is post-op day 1.
1
Dry cough
2