ESTUDYR
NURSE LOGIC TESTING AND REMEDIATION ADVANCED 2025 UPDATED EXAM
WITH MOST TESTED QUESTIONS AND ANSWERS | GRADED A+ | ASSURED
SUCCESS WITH DETAILED RATIONALES
1. A nurse is caring for a client who has been off the unit for physical therapy for the past
hour and notes that the infusion pump for the client’s TPN is turned off. The client tells the
nurse that the battery went dead while she was in physical therapy. The nurse should
monitor the client for which of the following manifestations?
A. Shakiness and diaphoresis
B. Vomiting and dizziness
C. Dehydration and thirst
D. Headache and blurred vision
Answer: A. Shakiness and diaphoresis
Rationale: Shakiness and diaphoresis are manifestations of hypoglycemia, which can occur if
there is a sudden interruption in the delivery of TPN, leading to a lack of glucose supply to the
client.
2. A nurse is reinforcing teaching to parents of a child who is admitted with rheumatic fever.
Which of the following statements by the parent indicates a need for further teaching?
A. "The illness is caused by a bacterial infection."
B. "This illness will not recur because my child has now had it."
C. "My child will need prophylactic antibiotics to prevent recurrence."
D. "Rheumatic fever can damage my child’s heart."
Answer: B. "This illness will not recur because my child has now had it."
Rationale: Rheumatic fever can recur, so prophylactic treatment with monthly IM injections of
benzathine penicillin G or daily oral doses of penicillin or sulfadiazine will be needed for
prevention.
,ESTUDYR
3. A nurse is assisting with the care of a client who is in labor. Following spontaneous rupture
of membranes, the nurse visualizes the umbilical cord protruding from the vagina and the
fetal heart rate is 50/min. After calling for assistance and notifying the provider, which of the
following is the priority action by the nurse?
A. Administer oxygen to the mother
B. Wrap the umbilical cord in a sterile saline solution
C. Place the client in a knee-chest position
D. Perform vaginal exams to check for prolapse
Answer: C. Place the client in a knee-chest position
Rationale: Placing the client in a knee-chest position will help relieve pressure from the
umbilical cord, improving blood flow to the fetus. This is the priority action to prevent fetal
distress from umbilical cord prolapse.
4. A nurse is reinforcing teaching to a client who is newly diagnosed with hypertension and
has been prescribed captopril (Capoten). The nurse should reinforce that which of the
following medications has the potential to reduce the antihypertensive effect of captopril?
A. Acetaminophen (Tylenol)
B. Aspirin (Bayer)
C. Ibuprofen (Advil)
D. Hydrocodone (Vicodin)
Answer: B. Aspirin (Bayer)
Rationale: Aspirin and other NSAIDs can reduce the antihypertensive effects of captopril (an
ACE inhibitor). The nurse should advise the client to avoid taking aspirin unless directed by a
provider.
5. A nurse is caring for a client who is prescribed lithium (Eskalith). Which of the following
clinical findings should be immediately reported to the provider?
A. Slurred speech
B. Increased thirst
, ESTUDYR
C. Dry mouth
D. Tremors in hands
Answer: A. Slurred speech
Rationale: Slurred speech is an early clinical finding of lithium toxicity, which can lead to severe
complications like seizures or coma. Immediate reporting is necessary to prevent further
toxicity.
6. A nurse is reviewing the electronic fetal heart rate tracing of a client who is in labor. Which
of the following images exhibits variable decelerations?
A. Variable decelerations are caused by cord compression.
B. Late decelerations are associated with uteroplacental insufficiency.
C. Early decelerations indicate head compression.
D. Accelerations are a sign of fetal well-being.
Answer: A. Variable decelerations are caused by cord compression.
Rationale: Variable decelerations on the fetal heart rate tracing are often due to umbilical cord
compression. This is marked by sudden, abrupt drops in fetal heart rate.
7. A nurse is reviewing the medical record of a client who has diabetes mellitus and has been
prescribed metformin (Glucophage). Which of the following statements by the client
indicates an understanding of the teaching?
A. "I should take this medication on an empty stomach."
B. "I will take this medication with a meal."
C. "This medication should be taken only in the morning."
D. "I can stop this medication if my blood sugar is low."
Answer: B. "I will take this medication with a meal."
Rationale: Metformin should be taken with food to reduce gastrointestinal side effects, such as
nausea and upset stomach. Taking it with meals also helps improve its efficacy.
NURSE LOGIC TESTING AND REMEDIATION ADVANCED 2025 UPDATED EXAM
WITH MOST TESTED QUESTIONS AND ANSWERS | GRADED A+ | ASSURED
SUCCESS WITH DETAILED RATIONALES
1. A nurse is caring for a client who has been off the unit for physical therapy for the past
hour and notes that the infusion pump for the client’s TPN is turned off. The client tells the
nurse that the battery went dead while she was in physical therapy. The nurse should
monitor the client for which of the following manifestations?
A. Shakiness and diaphoresis
B. Vomiting and dizziness
C. Dehydration and thirst
D. Headache and blurred vision
Answer: A. Shakiness and diaphoresis
Rationale: Shakiness and diaphoresis are manifestations of hypoglycemia, which can occur if
there is a sudden interruption in the delivery of TPN, leading to a lack of glucose supply to the
client.
2. A nurse is reinforcing teaching to parents of a child who is admitted with rheumatic fever.
Which of the following statements by the parent indicates a need for further teaching?
A. "The illness is caused by a bacterial infection."
B. "This illness will not recur because my child has now had it."
C. "My child will need prophylactic antibiotics to prevent recurrence."
D. "Rheumatic fever can damage my child’s heart."
Answer: B. "This illness will not recur because my child has now had it."
Rationale: Rheumatic fever can recur, so prophylactic treatment with monthly IM injections of
benzathine penicillin G or daily oral doses of penicillin or sulfadiazine will be needed for
prevention.
,ESTUDYR
3. A nurse is assisting with the care of a client who is in labor. Following spontaneous rupture
of membranes, the nurse visualizes the umbilical cord protruding from the vagina and the
fetal heart rate is 50/min. After calling for assistance and notifying the provider, which of the
following is the priority action by the nurse?
A. Administer oxygen to the mother
B. Wrap the umbilical cord in a sterile saline solution
C. Place the client in a knee-chest position
D. Perform vaginal exams to check for prolapse
Answer: C. Place the client in a knee-chest position
Rationale: Placing the client in a knee-chest position will help relieve pressure from the
umbilical cord, improving blood flow to the fetus. This is the priority action to prevent fetal
distress from umbilical cord prolapse.
4. A nurse is reinforcing teaching to a client who is newly diagnosed with hypertension and
has been prescribed captopril (Capoten). The nurse should reinforce that which of the
following medications has the potential to reduce the antihypertensive effect of captopril?
A. Acetaminophen (Tylenol)
B. Aspirin (Bayer)
C. Ibuprofen (Advil)
D. Hydrocodone (Vicodin)
Answer: B. Aspirin (Bayer)
Rationale: Aspirin and other NSAIDs can reduce the antihypertensive effects of captopril (an
ACE inhibitor). The nurse should advise the client to avoid taking aspirin unless directed by a
provider.
5. A nurse is caring for a client who is prescribed lithium (Eskalith). Which of the following
clinical findings should be immediately reported to the provider?
A. Slurred speech
B. Increased thirst
, ESTUDYR
C. Dry mouth
D. Tremors in hands
Answer: A. Slurred speech
Rationale: Slurred speech is an early clinical finding of lithium toxicity, which can lead to severe
complications like seizures or coma. Immediate reporting is necessary to prevent further
toxicity.
6. A nurse is reviewing the electronic fetal heart rate tracing of a client who is in labor. Which
of the following images exhibits variable decelerations?
A. Variable decelerations are caused by cord compression.
B. Late decelerations are associated with uteroplacental insufficiency.
C. Early decelerations indicate head compression.
D. Accelerations are a sign of fetal well-being.
Answer: A. Variable decelerations are caused by cord compression.
Rationale: Variable decelerations on the fetal heart rate tracing are often due to umbilical cord
compression. This is marked by sudden, abrupt drops in fetal heart rate.
7. A nurse is reviewing the medical record of a client who has diabetes mellitus and has been
prescribed metformin (Glucophage). Which of the following statements by the client
indicates an understanding of the teaching?
A. "I should take this medication on an empty stomach."
B. "I will take this medication with a meal."
C. "This medication should be taken only in the morning."
D. "I can stop this medication if my blood sugar is low."
Answer: B. "I will take this medication with a meal."
Rationale: Metformin should be taken with food to reduce gastrointestinal side effects, such as
nausea and upset stomach. Taking it with meals also helps improve its efficacy.
