2026 COMPLETE QUESTIONS AND ANSWERS
ALREADY PASSED
◉ Which laboratory value should the nurse monitor for a client
prescribed furosemide?
Answer: Potassium
◉ What is the priority nursing action for a postoperative client with
sudden shortness of breath?
Answer: Administer oxygen
◉ When should the nurse check the blood glucose for peak action
after administering insulin lispro?
Answer: 1 hour
◉ Which assessment finding indicates worsening condition for a
client with cirrhosis and ascites?
Answer: Increasing abdominal girth with shortness of breath
◉ Which finding requires immediate action for a client receiving
morphine IV?
,Answer: Respiratory rate of 10/min
◉ What should the nurse do first for a client with diabetes reporting
shakiness, sweating, and confusion?
Answer: Give oral glucose
◉ Which finding indicates proper function of a chest tube?
Answer: Intermittent bubbling with coughing
◉ Which laboratory value should the nurse monitor for a client
prescribed warfarin?
Answer: INR
◉ Which urine output should be reported immediately for a client
with acute kidney injury?
Answer: 25 mL/hr
◉ Which intervention is most effective for a client with pneumonia
having crackles and increased work of breathing?
Answer: Provide oxygen therapy
◉ Which ECG change should the nurse expect for a client with
hypokalemia?
,Answer: Flattened T waves
◉ What intervention is appropriate for a client receiving
chemotherapy with a WBC count of 1,500/mm³?
Answer: Place the client in isolation
◉ What is the priority action for a postpartum client with heavy
vaginal bleeding and a boggy uterus?
Answer: Massage the fundus
◉ Which action is priority for a child with croup having stridor at
rest?
Answer: Administer humidified oxygen
◉ Which response is appropriate for a client with schizophrenia
experiencing hallucinations?
Answer: I don't hear them, but I know they are real to you.
◉ Which adverse effect should the nurse monitor for a client
prescribed lisinopril?
Answer: Dry cough
, ◉ Which finding indicates a complication for a client with a fracture
in traction?
Answer: Numbness and tingling
◉ Which apical pulse finding requires withholding digoxin?
Answer: 54/min
◉ Which assessment finding is expected for a client with
dehydration?
Answer: Poor skin turgor
◉ Which finding indicates the nasogastric tube is functioning
correctly?
Answer: Greenish drainage present in the collection container
◉ Which instruction should the nurse include for a client prescribed
enoxaparin?
Answer: Inject into abdominal tissue
◉ Which finding requires immediate intervention for a client
experiencing alcohol withdrawal?
Answer: Visual hallucinations