2026 UPDATED 180 QUESTIONS AND VERIFIED
ANSWERS GUARANTEED PASS EXAM
1. A nurse is caring for a client who is at 33 weeks of gestation following an amniocentesis. The
nurse should monitor the client for which of the following complications?
A. Vomiting
B. Hypertension
C. Epigastric pain
D. Contractions
Answer: D. Contractions
2. A nurse is providing teaching to an older adult client about methods to promote nighttime
sleep. Which of the following instructions should the nurse include?
A. Stay in bed at least 1 hr if unable to fall asleep
B. Take a 1 hr nap during the day
C. Perform exercises prior to bedtime
D. Eat a light snack before bedtime
Answer: D. Eat a light snack before bedtime
3. A nurse on a telemetry unit is caring for a client who becomes unconscious and whose monitor
displays ventricular tachycardia. Which of the following actions should the nurse take first after
determining the client does not have a palpable pulse?
A. Assess heart sounds
,B. Defibrillate
C. Establish IV access
D. Administer epinephrine
Answer: B. Defibrillate
4. A nurse is admitting a client who is 1 week postpartum and reports excessive vaginal bleeding.
The nurse does not speak the same language as the client. The client's partner and 10-year-old
child are accompanying her. Which of the following actions should the nurse take to gather the
client's admission data?
A. Have the client's child translate
B. Allow the client's partner to translate
C. Request a female interpreter through the facility
D. Ask a nursing student who speaks the same language as the client to translate
Answer: C. Request a female interpreter through the facility
5. A nurse is caring for a client who is febrile. To reduce the client's fever, the nurse applies a
cooling blanket. Which of the following findings indicates the client is having an adverse
reaction to the cooling?
A. Flushing
B. Tachycardia
C. Restlessness
D. Shivering
Answer: D. Shivering
6. A nurse is caring for a client who has deep-vein thrombosis of the left lower extremity. Which
of the following actions should the nurse take?
,A. Position the client with the affected extremity lower than the heart
B. Withhold heparin IV infusion PTT 30-40 seconds; x2 if on heparin
C. Administer acetaminophen
D. Massage the affected extremity every 4 hr
Answer: B. Withhold heparin IV infusion PTT 30-40 seconds; x2 if on heparin
7. A nurse is reviewing assessment data from several clients. For which of the following clients
should the nurse recommend referral to a dietitian?
A. An older adult client who has a BMI of 24
B. A client who has a nonhealing leg ulcer
C. An older adult client who has presbyopia
D. A client who has an albumin level of 3.7 g/dL (normal 3.4-5.4)
Answer: B. A client who has a nonhealing leg ulcer
8. A nurse is providing discharge teaching to a client who has chronic kidney disease and is
receiving hemodialysis. Which of the following instructions should the nurse include in the
teaching?
A. Eat 1 g/kg of protein per day
B. Take magnesium hydroxide for indigestion
C. Drink at least 3 L of fluid daily
D. Consume foods high in potassium
Answer: A. Eat 1 g/kg of protein per day
9. A nurse is caring for a client who is receiving intermittent enteral tube feedings. Which of the
following places the client at risk for aspiration?
A. Sitting in a high-Fowler's position during the feeding
, B. A history of gastroesophageal reflux disease
C. Receiving a high osmolarity formula
D. A residual of 65 mL 1 hr postprandial
Answer: B. A history of gastroesophageal reflux disease
10. A nurse is providing prenatal teaching to a client who is at 12 weeks of gestation. The nurse
should tell the client that she will undergo which of the following screening tests at 16 weeks of
gestation?
A. Chorionic villus sampling
B. Cervical cultures for chlamydia
C. Nonstress test
D. Maternal serum alpha-fetoprotein
Answer: D. Maternal serum alpha-fetoprotein
11. A nurse is caring for a client who is on bed rest. The nurse should recognize that which of the
following findings is a complication of immobility?
A. Decreased serum calcium levels
B. Increased blood pressure
C. Swollen area on calf
D. Urinary frequency
Answer: C. Swollen area on calf
12. A nurse in an acute care mental health facility is participating in a medication-education
group. The leader of the group uses a laissez-faire leadership style. Which of the following
actions should the nurse expect from the leader during the session?
A. The leader encourages group members to remain silent until questions are called for