Version A Questions With Correct Answers
(Verified Answers) Plus Rationales 2026 Q&A |
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1. A nurse is caring for a client with suspected pulmonary embolism.
Which assessment finding is most concerning?
A. Bradycardia
B. Sudden onset dyspnea
C. Increased appetite
D. Hypertension
Correct answer: B
Rationale: Sudden onset dyspnea is a classic sign of pulmonary
embolism due to abrupt blockage of pulmonary circulation, leading to
impaired gas exchange. Bradycardia is uncommon, and hypertension
or increased appetite are not associated with PE.
2. A client is receiving heparin therapy. Which laboratory value
should the nurse monitor?
, A. INR
B. aPTT
C. Hemoglobin A1c
D. Serum creatinine
Correct answer: B
Rationale: Heparin therapy is monitored using aPTT to evaluate
therapeutic anticoagulation. INR is used for warfarin monitoring.
Hemoglobin A1c reflects long-term glucose control, and creatinine
assesses renal function.
3. A nurse is teaching a client about potassium-rich foods. Which
food should be included?
A. Apples
B. Bananas
C. White rice
D. Lettuce
Correct answer: B
Rationale: Bananas are high in potassium. Apples, white rice, and
lettuce are low in potassium.
, 4. A postoperative client suddenly develops chest pain and
tachycardia. What is the nurse’s priority action?
A. Encourage deep breathing
B. Obtain vital signs in 1 hour
C. Administer oxygen
D. Document findings
Correct answer: C
Rationale: Chest pain and tachycardia postoperatively may indicate
pulmonary embolism or cardiac event. Oxygen is the priority to
support oxygenation.
5. A nurse is assessing a client with left-sided heart failure. Which
finding is expected?
A. Peripheral edema
B. Jugular vein distention
C. Crackles in lungs
D. Hepatomegaly
Correct answer: C
Rationale: Left-sided heart failure causes pulmonary congestion
leading to crackles. Right-sided failure causes systemic symptoms such
as JVD and hepatomegaly.
, 6. A client with diabetes has a blood glucose of 60 mg/dL. What is
the priority action?
A. Administer insulin
B. Give 15 g of fast-acting carbohydrate
C. Recheck in 2 hours
D. Restrict fluids
Correct answer: B
Rationale: A blood glucose of 60 mg/dL indicates hypoglycemia and
requires immediate carbohydrate intake.
7. A nurse is caring for a client with tuberculosis. Which isolation
precaution is required?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only
Correct answer: C
Rationale: Tuberculosis is transmitted via airborne droplets, requiring
airborne precautions such as N95 respirator use.