COMPREHENSIVE EXAM 2026 QUESTIONS
AND SOLUTIONS GRADED A+
● A nurse is caring for a client who reports shortness of breath. Which of
the following devices should the nurse use to obtain electronic data
regarding the client's clinical manifestations? Answer: Pulse oximeter
A pulse oximeter permits the indirect measurement of oxygen saturation
using a light-emitting diode. This information can be transmitted to the
client's health care record.
● A nurse is caring for a client who has a new diagnosis of type two
diabetes mellitus. The client tells the nurse that he is interested in doing
research about diabetes online but that he has never used a computer.
Which of the following responses by the nurse is appropriate? Answer:
"Let's take some time to look at Web sites about diabetes together."
This response addresses the client's desire to learn how to use a
computer and ensures the client receives credible information about
diabetes.
● A nurse in a primary care clinic completes a quality assurance project
using the electronic health records of clients who have type one diabetes
mellitus. Project findings reveal that clients had higher than expected
capillary blood glucose levels following teaching by the clinic nurses.
,Which of the following conclusions should the nurse draw from these
findings? Answer: The development of clinical practice guidelines
should be considered.
The development of clinical guidelines incorporates best practices,
promotes uniformity and consistency in education programs, and
improves client outcomes.
● A charge nurse is developing an in-service program on basic nursing
informatics. Which of the following should the nurse include in the
program? Answer: Querying the electronic health record
Accessing data from an electronic health record is used in nursing
informatics and allows nurses to provide improved client care.
● A nurse manager wants to decrease the number of nosocomial urinary
tract infections on her unit. Which of the following research databases
should the nurse manager consult to obtain information on evidence-
based practices? Answer: CINAHL cumulative index
CINAHL is an online evidence-based resource and information system
that offers a multitude of online services, which include Web site link
sources, CINAHL's online nursing and allied health database, document
delivery, and search services. This is the appropriate database to find
updated research for the nurse to use.
● A nurse is caring for a client who asks about measures the nurse takes
to protect client privacy. Which of the following is an appropriate
response by the nurse? Answer: "I log off the computer between seeing
clients."
, HIPAA establishes national standards for the protection of certain health
information. The privacy rule addresses the use and sharing of
individual's health information. This can be violated if a client's health
information is on the computer screen and the nurse leaves this up while
attending to other clients.
● A nurse is entering data in a client's electronic health record (EHR).
Which of the following protects the integrity of the data in the EHR?
Answer: Authentication
Login names and unique passwords ensure that only authorized
individuals have access to read and make entries into the EHR.
● A nurse manager is implementing criteria that promote a culture of
safety as defined by the Agency of Healthcare Research and Quality
(AHRQ). Which of the following criteria are included in the AHRQ
guidelines? (Select all that apply.) Answer: *Encourage collaboration
among disciplines to seek solutions to client safety problems is correct.
Collaboration demonstrates the manager's commitment to client safety
and is a guideline of the AHRQ.
*Use state-of-the-art technology to determine high-risk activities within
an organization is correct. Identification of high-risk activities is
required to determine appropriate interventions to promote safety and is
a guideline of the AHRQ.
*Sustain a blame-free environment where staff is able to report errors
without fear of reprimand is correct. A blame-free environment transfers
the focus from blame to client safety and is a guideline of the AHRQ.