Version C Questions With Correct Answers
(Verified Answers) Plus Rationales 2026 Q&A |
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1. A nurse is assessing a client with left-sided heart failure. Which
finding is most expected?
A. Ascites
B. Peripheral edema
C. Crackles in lungs
D. Hepatomegaly
Correct answer: C. Crackles in lungs
Rationale: Left-sided heart failure leads to pulmonary congestion
due to fluid backing up into the lungs. Crackles are a hallmark
sign. Peripheral edema, ascites, and hepatomegaly are more
associated with right-sided heart failure.
2. A client is receiving heparin therapy. Which laboratory value
should the nurse monitor?
, A. INR
B. aPTT
C. Platelet count only
D. Hemoglobin A1C
Correct answer: B. aPTT
Rationale: aPTT monitors the therapeutic effect of heparin. INR is
used for warfarin therapy.
3. A nurse is teaching a client about potassium-rich foods. Which
food should be included?
A. Apples
B. Bananas
C. White rice
D. Bread
Correct answer: B. Bananas
Rationale: Bananas are high in potassium. Apples, rice, and
bread are low in potassium.
4. A postoperative client suddenly develops chest pain, dyspnea, and
tachycardia. What is the priority action?
A. Administer oxygen
, B. Encourage coughing
C. Obtain blood pressure
D. Raise the head of bed
Correct answer: A. Administer oxygen
Rationale: These symptoms suggest pulmonary embolism.
Oxygen is the priority to improve oxygenation and prevent
hypoxia.
5. Which sign is an early indicator of hypoglycemia?
A. Fruity breath
B. Tremors
C. Slow pulse
D. Hypertension
Correct answer: B. Tremors
Rationale: Tremors, sweating, and anxiety are early signs of
hypoglycemia due to sympathetic nervous system activation.
6. A nurse is caring for a client with tuberculosis. Which isolation
precaution is required?
A. Contact precautions
B. Droplet precautions
, C. Airborne precautions
D. Protective isolation
Correct answer: C. Airborne precautions
Rationale: TB is transmitted via airborne particles, requiring N95
respirator use and negative pressure room.
7. Which electrolyte imbalance is associated with peaked T waves on
ECG?
A. Hypocalcemia
B. Hyperkalemia
C. Hypokalemia
D. Hypernatremia
Correct answer: B. Hyperkalemia
Rationale: Hyperkalemia causes cardiac conduction changes
including peaked T waves and widened QRS.
8. A client with asthma is experiencing an acute attack. Which
medication is priority?
A. Montelukast
B. Albuterol
C. Fluticasone