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MEAGHAN PIRETTI-STYLE STUDY GUIDE
## NURSING EXAM PREPARATION 2026/2027
##200+ QUESTIONS AND CORRECT ANSWERS |
100% VERIFIED | GUARANTEED SUCCESS
## SECTION 1: SAFE & EFFECTIVE CARE ENVIRONMENT (Questions 1–30)
**1. The nurse receives shift report on four clients. Which client should be
assessed FIRST?**
A. Client with heart failure, crackles in mid-lung fields, oxygen saturation 92% on
2L nasal cannula
B. Client with diabetes mellitus, blood glucose 180 mg/dL, scheduled for discharge
teaching
C. Client with pneumonia, temperature 100.4°F (38°C), coughing green sputum
D. Client with a chest tube, continuous bubbling in the water seal chamber
**Correct Answer: D**
**Rationale:** Continuous bubbling in the water seal chamber indicates an air
leak, which could lead to a tension pneumothorax. This is a life-threatening
complication requiring immediate assessment. Client A has expected findings in
heart failure; B and C are stable. Airway, breathing, and circulation (ABC)
prioritization places chest tube complication at the top .
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---
**2. A licensed practical nurse (LPN) is caring for a stable client with a
gastrostomy tube. Which task should the registered nurse (RN) delegate to the
LPN?**
A. Assessing the stoma for signs of infection
B. Developing the initial tube feeding plan
C. Evaluating the client's tolerance to feedings
D. Administering a bolus tube feeding according to the established plan
**Correct Answer: D**
**Rationale:** LPNs can perform stable, routine procedures such as administering
tube feedings according to an established plan. Assessment (A), planning (B), and
evaluation (C) are within the RN scope of practice. Delegation should follow the
five rights: right task, right circumstance, right person, right
direction/communication, and right supervision .
---
**3. A client refuses a blood transfusion due to religious beliefs. The client is
competent and understands the risks. What is the nurse's BEST response?**
A. "You will die without this transfusion."
B. "Let me call your family to convince you."
C. "I respect your decision. I will notify your healthcare provider."
D. "We will give it anyway because it is an emergency."
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**Correct Answer: C**
**Rationale:** Competent adults have the legal and ethical right to refuse
treatment, even life-saving treatment, based on personal or religious beliefs. The
nurse must respect autonomy, notify the provider, and document the refusal.
Coercion (A), involving family against the patient's wishes (B), or forcing
treatment (D) constitutes battery .
---
**4. The nurse is caring for a client with a new tracheostomy. Which finding
requires IMMEDIATE intervention?**
A. Small amount of blood-tinged secretions
B. Hoarse voice
C. Slight redness around the stoma
D. Tracheostomy tube dislodgement
**Correct Answer: D**
**Rationale:** Dislodgement of a new tracheostomy tube is a life-threatening
emergency that can lead to complete airway obstruction. The nurse must attempt to
replace the tube or ventilate via the stoma while calling for help. Blood-tinged
secretions (A) and hoarseness (B) are common post-procedure; redness (C) may
indicate early infection but is not immediately life-threatening .
---
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**5. A nurse is preparing a client for surgery. The client signs the informed consent
form, but the nurse notes the client seems sedated and confused. What should the
nurse do?**
A. Proceed with the surgery as planned
B. Ask the family to sign the consent
C. Notify the surgeon and anesthesiologist immediately; consent may not be valid
if the client is not competent at the time of signing
D. Witness the signature anyway
**Correct Answer: C**
**Rationale:** Informed consent requires that the client is competent and
understands the risks, benefits, and alternatives at the time of signing. Sedation or
confusion invalidates consent. The nurse must notify the provider and
anesthesiologist so they can re-consent the client when fully alert. Witnessing an
invalid consent (A,D) is unethical and illegal .
---
**6. The charge nurse is making client assignments for a medical-surgical unit.
Which client should be assigned to a new graduate RN who has completed
orientation?**
A. Client with unstable ventricular tachycardia
B. Client with pneumonia requiring IV antibiotics every 8 hours
C. Client with an epidural infusion for postoperative pain
D. Client requiring continuous renal replacement therapy (CRRT)
MEAGHAN PIRETTI-STYLE STUDY GUIDE
## NURSING EXAM PREPARATION 2026/2027
##200+ QUESTIONS AND CORRECT ANSWERS |
100% VERIFIED | GUARANTEED SUCCESS
## SECTION 1: SAFE & EFFECTIVE CARE ENVIRONMENT (Questions 1–30)
**1. The nurse receives shift report on four clients. Which client should be
assessed FIRST?**
A. Client with heart failure, crackles in mid-lung fields, oxygen saturation 92% on
2L nasal cannula
B. Client with diabetes mellitus, blood glucose 180 mg/dL, scheduled for discharge
teaching
C. Client with pneumonia, temperature 100.4°F (38°C), coughing green sputum
D. Client with a chest tube, continuous bubbling in the water seal chamber
**Correct Answer: D**
**Rationale:** Continuous bubbling in the water seal chamber indicates an air
leak, which could lead to a tension pneumothorax. This is a life-threatening
complication requiring immediate assessment. Client A has expected findings in
heart failure; B and C are stable. Airway, breathing, and circulation (ABC)
prioritization places chest tube complication at the top .
,2|Page
---
**2. A licensed practical nurse (LPN) is caring for a stable client with a
gastrostomy tube. Which task should the registered nurse (RN) delegate to the
LPN?**
A. Assessing the stoma for signs of infection
B. Developing the initial tube feeding plan
C. Evaluating the client's tolerance to feedings
D. Administering a bolus tube feeding according to the established plan
**Correct Answer: D**
**Rationale:** LPNs can perform stable, routine procedures such as administering
tube feedings according to an established plan. Assessment (A), planning (B), and
evaluation (C) are within the RN scope of practice. Delegation should follow the
five rights: right task, right circumstance, right person, right
direction/communication, and right supervision .
---
**3. A client refuses a blood transfusion due to religious beliefs. The client is
competent and understands the risks. What is the nurse's BEST response?**
A. "You will die without this transfusion."
B. "Let me call your family to convince you."
C. "I respect your decision. I will notify your healthcare provider."
D. "We will give it anyway because it is an emergency."
,3|Page
**Correct Answer: C**
**Rationale:** Competent adults have the legal and ethical right to refuse
treatment, even life-saving treatment, based on personal or religious beliefs. The
nurse must respect autonomy, notify the provider, and document the refusal.
Coercion (A), involving family against the patient's wishes (B), or forcing
treatment (D) constitutes battery .
---
**4. The nurse is caring for a client with a new tracheostomy. Which finding
requires IMMEDIATE intervention?**
A. Small amount of blood-tinged secretions
B. Hoarse voice
C. Slight redness around the stoma
D. Tracheostomy tube dislodgement
**Correct Answer: D**
**Rationale:** Dislodgement of a new tracheostomy tube is a life-threatening
emergency that can lead to complete airway obstruction. The nurse must attempt to
replace the tube or ventilate via the stoma while calling for help. Blood-tinged
secretions (A) and hoarseness (B) are common post-procedure; redness (C) may
indicate early infection but is not immediately life-threatening .
---
, 4|Page
**5. A nurse is preparing a client for surgery. The client signs the informed consent
form, but the nurse notes the client seems sedated and confused. What should the
nurse do?**
A. Proceed with the surgery as planned
B. Ask the family to sign the consent
C. Notify the surgeon and anesthesiologist immediately; consent may not be valid
if the client is not competent at the time of signing
D. Witness the signature anyway
**Correct Answer: C**
**Rationale:** Informed consent requires that the client is competent and
understands the risks, benefits, and alternatives at the time of signing. Sedation or
confusion invalidates consent. The nurse must notify the provider and
anesthesiologist so they can re-consent the client when fully alert. Witnessing an
invalid consent (A,D) is unethical and illegal .
---
**6. The charge nurse is making client assignments for a medical-surgical unit.
Which client should be assigned to a new graduate RN who has completed
orientation?**
A. Client with unstable ventricular tachycardia
B. Client with pneumonia requiring IV antibiotics every 8 hours
C. Client with an epidural infusion for postoperative pain
D. Client requiring continuous renal replacement therapy (CRRT)
