NP 235 COMPREHENSIVE EXAM 2026 QUESTIONS AND
SOLUTIONS GRADED A+
✔✔How are the electrodes placed on the patient for a 12 Lead EKG? - ✔✔12 views of
the heart
10 stickers
✔✔What is a technique used to ensure the electrodes are secured on the patient? -
✔✔Remove hair (trimming)
clean the skin to remove any lotions, creams, powders or oils,
patient lay supine,
quiet
✔✔Platelets: - ✔✔150,000-450,000
Thrombocytopenia if <150,000
✔✔White Blood Cells: - ✔✔4.0-11.0
Infection and leukemia if elevated
✔✔Neutrophils: - ✔✔50-70%
✔✔Potassium: - ✔✔3.5-5.0
irregular heartbeat
TP waves
calcium is first line drug to treat high value.
✔✔Phosphorus: - ✔✔2.4-4.4
✔✔magnesium - ✔✔1.5-2.5
cardiac dysrhythmias
ventricular tachycardia
✔✔Sodium: - ✔✔135-145
helps regulate BP
✔✔Creatinine: - ✔✔0.6-1.2
kidney problems
✔✔Post prandial blood glucose test: - ✔✔<140
✔✔hemoglobin A1c - ✔✔<6
type 2 diabetes
✔✔aPTT: - ✔✔30-40 seconds
, Heparin
✔✔Where is a specimen collected during a Bone Biopsy? - ✔✔Iliac crest
Sternum
✔✔What are some indications to perform a thoracentesis? What would be some
expected findings during your assessment? - ✔✔Change in skin color
Coughing and spitting up blood
Decreed RR
Breath sounds
✔✔What would be part of your assessment when caring for a patient taking anti-
thrombolytic medication? - ✔✔Monitor for bleeding
Severe bruising
Prolonged nosebleeds
Vomiting blood or coughing up blood
Severe back pain
Difficulty breathing or chest pain.
Vitals
*MOST AT RISK FOR BLEEDING*
✔✔What are some risk factors for a patient with Type 1 diabetes? - ✔✔affect major
organs in the body
retinopathy (eye damage)
Neuropathy (nerve damage)
Cardiovascular disease
Kidney disease
✔✔What abnormal lab values would indicate a kidney problem? - ✔✔Creatine
BUN
✔✔What are some nursing considerations when caring for a patient taking
immunosuppressive medications? - ✔✔Standard precautions
PPE
Limit visitors
Encourage rest
Sign on door
✔✔What is a bronchoscopy? - ✔✔Procedure in which the bronchi are visualized
through a fiberoptic tube. Maybe used for diagnostic purposes to obtain biopsy
specimens and assess changes resulting from treatments.
✔✔What are some nursing considerations when caring for a patient who just received a
bronchoscopy? - ✔✔NPO
Looking for anything abnormal in the lungs
SOLUTIONS GRADED A+
✔✔How are the electrodes placed on the patient for a 12 Lead EKG? - ✔✔12 views of
the heart
10 stickers
✔✔What is a technique used to ensure the electrodes are secured on the patient? -
✔✔Remove hair (trimming)
clean the skin to remove any lotions, creams, powders or oils,
patient lay supine,
quiet
✔✔Platelets: - ✔✔150,000-450,000
Thrombocytopenia if <150,000
✔✔White Blood Cells: - ✔✔4.0-11.0
Infection and leukemia if elevated
✔✔Neutrophils: - ✔✔50-70%
✔✔Potassium: - ✔✔3.5-5.0
irregular heartbeat
TP waves
calcium is first line drug to treat high value.
✔✔Phosphorus: - ✔✔2.4-4.4
✔✔magnesium - ✔✔1.5-2.5
cardiac dysrhythmias
ventricular tachycardia
✔✔Sodium: - ✔✔135-145
helps regulate BP
✔✔Creatinine: - ✔✔0.6-1.2
kidney problems
✔✔Post prandial blood glucose test: - ✔✔<140
✔✔hemoglobin A1c - ✔✔<6
type 2 diabetes
✔✔aPTT: - ✔✔30-40 seconds
, Heparin
✔✔Where is a specimen collected during a Bone Biopsy? - ✔✔Iliac crest
Sternum
✔✔What are some indications to perform a thoracentesis? What would be some
expected findings during your assessment? - ✔✔Change in skin color
Coughing and spitting up blood
Decreed RR
Breath sounds
✔✔What would be part of your assessment when caring for a patient taking anti-
thrombolytic medication? - ✔✔Monitor for bleeding
Severe bruising
Prolonged nosebleeds
Vomiting blood or coughing up blood
Severe back pain
Difficulty breathing or chest pain.
Vitals
*MOST AT RISK FOR BLEEDING*
✔✔What are some risk factors for a patient with Type 1 diabetes? - ✔✔affect major
organs in the body
retinopathy (eye damage)
Neuropathy (nerve damage)
Cardiovascular disease
Kidney disease
✔✔What abnormal lab values would indicate a kidney problem? - ✔✔Creatine
BUN
✔✔What are some nursing considerations when caring for a patient taking
immunosuppressive medications? - ✔✔Standard precautions
PPE
Limit visitors
Encourage rest
Sign on door
✔✔What is a bronchoscopy? - ✔✔Procedure in which the bronchi are visualized
through a fiberoptic tube. Maybe used for diagnostic purposes to obtain biopsy
specimens and assess changes resulting from treatments.
✔✔What are some nursing considerations when caring for a patient who just received a
bronchoscopy? - ✔✔NPO
Looking for anything abnormal in the lungs
