2026 QUESTIONS SOLUTIONS GRADED
PLUS SCRIPT FINAL
◉ A nurse is sent to triage victims at a mass casualty incident site
following a disaster and correctly identifies which client as the
priority for transport to a hospital?
1.
Client who has no respirations or palpable pulses and is receiving
CPR by bystanders
2.
Client who is cool and clammy with a glass shard penetrating the
chest wall
3.
Client with an open tibial fracture and palpable distal extremity
pulses
4.
Client with superficial burns and minor lacerations on the forearms
bilaterally
Answer: 2
◉ The nurse in a psychiatric unit is approached by an aggressive
client who grabs the nurse's stethoscope and attempts to strangle
,the nurse with it. The nurse is able to escape the client's grasp
unharmed. Which action should the nurse take first?
1.
Begin escorting other clients out of the room
2.
Calmly ask the client to verbally express feelings
3.
Escort the client into a secluded room
4.
Place the client in restraints until calm
Answer: 1
◉ The clinic nurse is listening to voicemail messages in the office.
Which client should the nurse call back first?
1.
Client started on capsaicin cream 2 days ago reports sudden burning
in the eyes
2.
Client started on carbidopa-levodopa a day ago reports dizziness on
standing
3.
Client started on hydroxyzine 3 days ago reports urinary difficulty
and hesitancy
,4.
Client started on phenytoin a week ago reports blistered lesions on
the face and trunk
Answer: 4
◉ The nurse responds to a neighbor's calls for help and finds the
neighbor's infant is choking but still responsive. Which intervention
is most appropriate at this time?
1.
Call 911 and begin cardiopulmonary resuscitation
2.
Perform 5 back slaps followed by 5 downward chest thrusts
3.
Perform a finger sweep of the mouth to assess for foreign objects
4.
Place the infant on the nurse's lap and perform abdominal thrusts
Answer: 2
◉ The nurse is teaching a client about newly prescribed
cyclosporine. Which client statement indicates a need for further
teaching?
1.
"I am going to a concert with my friends this weekend."
, 2.
"I can use a hair removal cream for excess hair growth."
3.
"I will need to check my blood pressure regularly at home."
4.
"I will stop drinking grapefruit juice every morning."
Answer: 1
◉ The clinic nurse is caring for a 76-year-old client who has heart
failure and is experiencing sudden weight gain and orthopnea.
Which question would be the most beneficial for the nurse to ask at
this time? Click the exhibit button for additional information.
Exhibit
Daily Medications
Digoxin: 0.125 mg by mouth, once daily
Furosemide: 40 mg by mouth, once daily
Sucralfate: 1 g by mouth, 4 times daily as needed for heartburn
1.
"Are you continuing to exercise regularly?"
2.