UPDATED QUESTIONS AND SOLUTIONS
2026
◉ Which cue would lead the nurse to further assess the client for
other symptoms of right sided heart failure in a patient with sinus
tachycardia?
Answer: Signs of FVE- sx/sy of right sided heart failure include
jugular venous distension, liver engorgement (hepatomegaly) with
ascites, and peripheral edema, loss of appetite, and nausea and
vomiting.
◉ Which action should the nurse take next in a patient with right
ulnar fracture and cast who reports increase in arm pain?
Answer: **
◉ Patient reports the nodes are painful in degenerative joint disease
observed Heberden's nodes, large and prominence on patient
fingers that are red?
Answer: Chronic pain management strategies- Patient may require
chronic pain management strategies such as use of analgesic
therapy.
, ◉ The patient has a sever headache, fever, nuchal rigidity, and a
petichia rash on arms and legs. The nurse recognizes the patient is
exhibiting symptoms of which condition?
Answer: **
◉ A patient who has cancer and the nurse is teaching patient about
skin care for site receiving external beam radiation. Which client
action about skincare indicated a need for further teaching?
Answer: **
◉ M patient with chronic myelogenous leukemia (CML) with long-
term corticosteroid therapy develops oral candidiasis and is
experiencing pain when chew or swallow. Which action should the
nurse implement first?
Answer: Administer topical analgesic as prescribed- relief of the
pain associated with oral candidiasis is the highest priority for the
client and the nurse should administer topical analgesic as
prescribed.
◉ Patient is an obese adult, and the nurse is calculating BMI. Which
additional assessment finding place the client at high risk for cardiac
disease?
Answer: Large waist Circumference with central fat.