Nursing practice exam updated 2025
Exam 4
1. The nurse working in the emergency department is triaging a client with chest pains, shortness
of breath, produc>ve cough and reports night sweats and has a history of aids and a recent lab
result reveals a low CD4 count. Airborne precau>ons have been ini>ated. Which of the following
ac>ons should the nurse take?
A. Check the clients temp.
B. Obtain a throat culture.
C. Assess for shingles.
D. Prepare for chest tube.
2. The newly hired nurse is developing a plan of care for a client who has aids and was just
diagnosed with PJP and pain. Which of the following interven>ons should the nurse ques>on?
A. Placing the client on a pressure relieving maLress.
B. Instruct the client to drink 2-3 liters a day.
C. Tell the client to keep the door closed.
D. OPer the client foods high in calorie and protein.
3. The nurse is caring for a client who has aids and has just been diagnosed with meningi>s. Which
of the following ac>ons should the nurse take?
A. Ini>ate Seizure Precau>ons.
B. Ini>ate airborne precau>ons.
C. Thicken the client’s liquids.
D. Administer IV.
4. The nurse is providing med instruc>ons to a client who has HIV and has been prescribed CART.
Which one of the following client statements indicates a correct understanding of the teaching?
A. I understand that this combina>on of drugs will kill the virus.
B. I should discon>nue my meds.
C. I can avoid developing drug resistance if I take 90% of the >me.
5. The nurse working in a community health center has instructed a group of clients who have aids
about ways to prevent infec>on, which of the following statements by a client indicates a
correct understanding of the teaching?
A. I will use mild soap when bathing.
B. I will clean my toothbrush by running it through the dishwasher once a week.
C. I will wear a surgical mask.
D. I will no>fy if my temp is greater than 99.
, 6. The nurse is precep>ng a newly hired nurse who is caring for a client who has aids and has
developed Kaposi’s. It requires addi>onal teaching by the preceptor if the nurse? A.
Instructs the client that they can put makeup on lesions that are not open.
B. Inspects mouth every 8 hrs.
C. Keeps open, weeping lesions clean and covered with prescribed dressing.
D. Applies a surgical mask before entering the room.
7. The nurse is caring for a client who had a heart transplant 24hrs ago. Which of the following
_ndings indicate the client is developing a complica>on? A. Facial aushing
B. Pt of 11.
C. Atresia.
D. Hypotension.
8. The nurse is caring for a client who had a lung transplant 10 days ago. It is a priority for the
nurse to no>fy if the client has? A. Pain ra>ng of 7.
B. Develops sputum yellow >nged.
C. Only used spirometer once last evening.
D. Refused to get out of bed 24hrs.
9. The nurse is caring for a client who had a liver transplant 48 hours ago. Which _ndings from the
box is a priority for the nurse to report to the php? *2, 4, 5, 6* A. Decrease in urine output from
50 to 30.
B. Increase in AST from 28 to 32.
C. Pulse decreased from 88 to 72.
D. A PT of 20 seconds.
E. INR of 2.5.
F. Increase in bilirubin.
G. Decrease in alkali.
10. The nurse is caring for a client who had a kidney transplant 2 weeks ago. Which of the fowling
_ndings should the nurse correlate to possible organ rejec>on? A. BUN of 15.
B. Crea>nine of 0.9.
C. Blood pressure is 172/96.
D. Urine analysis is posi>ve for proteins.
11. The nurse is working in the phcp ogce and is administering rou>ne immuniza>ons. The client is
asked to wait 15 minutes aher. 5 minutes later the client develops swelling of the eyes, and
reports being anxious and short of breath, and dyspnea. Which of the following ac>on do you
take _rst?
A. Prepare to administer diphenhydramine.
B. Assess vitals.
C. Elevate feet and legs.
D. Preform a respiratory assessment.
12. The nurse working in the emergency department is admiing a client who presents with stridor,
dyspnea, and bronchi spasms aher being stung by a bee. Aher no>fying the emergency
department, which ac>on should the nurse take next? A. Give albuterol.
B. Ini>ate oxygen through a rebreather.
C. ABG’S.
D. Assess the site of the bee s>ng.
Exam 4
1. The nurse working in the emergency department is triaging a client with chest pains, shortness
of breath, produc>ve cough and reports night sweats and has a history of aids and a recent lab
result reveals a low CD4 count. Airborne precau>ons have been ini>ated. Which of the following
ac>ons should the nurse take?
A. Check the clients temp.
B. Obtain a throat culture.
C. Assess for shingles.
D. Prepare for chest tube.
2. The newly hired nurse is developing a plan of care for a client who has aids and was just
diagnosed with PJP and pain. Which of the following interven>ons should the nurse ques>on?
A. Placing the client on a pressure relieving maLress.
B. Instruct the client to drink 2-3 liters a day.
C. Tell the client to keep the door closed.
D. OPer the client foods high in calorie and protein.
3. The nurse is caring for a client who has aids and has just been diagnosed with meningi>s. Which
of the following ac>ons should the nurse take?
A. Ini>ate Seizure Precau>ons.
B. Ini>ate airborne precau>ons.
C. Thicken the client’s liquids.
D. Administer IV.
4. The nurse is providing med instruc>ons to a client who has HIV and has been prescribed CART.
Which one of the following client statements indicates a correct understanding of the teaching?
A. I understand that this combina>on of drugs will kill the virus.
B. I should discon>nue my meds.
C. I can avoid developing drug resistance if I take 90% of the >me.
5. The nurse working in a community health center has instructed a group of clients who have aids
about ways to prevent infec>on, which of the following statements by a client indicates a
correct understanding of the teaching?
A. I will use mild soap when bathing.
B. I will clean my toothbrush by running it through the dishwasher once a week.
C. I will wear a surgical mask.
D. I will no>fy if my temp is greater than 99.
, 6. The nurse is precep>ng a newly hired nurse who is caring for a client who has aids and has
developed Kaposi’s. It requires addi>onal teaching by the preceptor if the nurse? A.
Instructs the client that they can put makeup on lesions that are not open.
B. Inspects mouth every 8 hrs.
C. Keeps open, weeping lesions clean and covered with prescribed dressing.
D. Applies a surgical mask before entering the room.
7. The nurse is caring for a client who had a heart transplant 24hrs ago. Which of the following
_ndings indicate the client is developing a complica>on? A. Facial aushing
B. Pt of 11.
C. Atresia.
D. Hypotension.
8. The nurse is caring for a client who had a lung transplant 10 days ago. It is a priority for the
nurse to no>fy if the client has? A. Pain ra>ng of 7.
B. Develops sputum yellow >nged.
C. Only used spirometer once last evening.
D. Refused to get out of bed 24hrs.
9. The nurse is caring for a client who had a liver transplant 48 hours ago. Which _ndings from the
box is a priority for the nurse to report to the php? *2, 4, 5, 6* A. Decrease in urine output from
50 to 30.
B. Increase in AST from 28 to 32.
C. Pulse decreased from 88 to 72.
D. A PT of 20 seconds.
E. INR of 2.5.
F. Increase in bilirubin.
G. Decrease in alkali.
10. The nurse is caring for a client who had a kidney transplant 2 weeks ago. Which of the fowling
_ndings should the nurse correlate to possible organ rejec>on? A. BUN of 15.
B. Crea>nine of 0.9.
C. Blood pressure is 172/96.
D. Urine analysis is posi>ve for proteins.
11. The nurse is working in the phcp ogce and is administering rou>ne immuniza>ons. The client is
asked to wait 15 minutes aher. 5 minutes later the client develops swelling of the eyes, and
reports being anxious and short of breath, and dyspnea. Which of the following ac>on do you
take _rst?
A. Prepare to administer diphenhydramine.
B. Assess vitals.
C. Elevate feet and legs.
D. Preform a respiratory assessment.
12. The nurse working in the emergency department is admiing a client who presents with stridor,
dyspnea, and bronchi spasms aher being stung by a bee. Aher no>fying the emergency
department, which ac>on should the nurse take next? A. Give albuterol.
B. Ini>ate oxygen through a rebreather.
C. ABG’S.
D. Assess the site of the bee s>ng.
