NEWEST 2026 STUDY QUESTIONS WITH CORRECT
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A nurse assesses a 78-year-old patient who weighs 240 pounds (108.9 kg) and is partially
immobilized because of a stroke. The nurse turns the patient and finds that the skin over the
sacrum is very red and the patient does not feel sensation in the area. The patient has had fecal
incontinence on and off for the last 2 days. The nurse identifies the nursing diagnosis of "risk for
impaired skin integrity." Which of the following goals are appropriate for the patient? (Select all
that apply) [18]
1. Patient will be turned every 2 hours within 24 hours
2. Patient will have normal bowel function within 72 hours
3. Patient's skin will remain intact through discharge
4. Patient's skin condition will improve by discharge - Answer>>> 2, 3
A 58-year-old patient with nerve deafness has come to his doctor's office for a routine
examination. The patient wears two hearing aids. The advanced practice nurse who is conducting
the assessment uses which of the following approaches while conducting the interview with this
patient? (Select all that apply) [16]
1. Maintain a neutral facial expression
2. Lean forward when interacting with the patient
3. Acknowledge the patient's answers through head nodding
4. Limit direct eye contact - Answer>>> 2, 3
A nurse is assigned to a patient who has returned from the recovery room following surgery for a
colorectal tumor. After an initial assessment the nurse anticipates the need to monitor the
patient's abdominal dressing, IV infusion, and function of drainage tubes. The patient is in pain,
reporting 6 on a scale of 0-10, and will not be able to eat or drink until intestinal function returns.
,The family has been in the waiting room for an hour, wanting to see the patient. The nurse
establishes priorities first for which of the following situations? (Select all that apply) [18]
1. The family comes to visit the patient
2. The patient expresses concern about pain control
3. The patient's vital signs change, showing a drop in blood pressure.
4. The charge nurse approaches the nurse and requests a report at end of shift. - Answer>>> 2, 3
The nurse notes that an advance directive is on a patient's medical record. Which statement
represents the best description of an advance directive guideline the nurse will follow? [23]
1. A living will allows an appointed person to make health care decisions when the patient is in
an incapacitated state.
2. A living will is invoked only when the patient has a terminal condition or is in a persistent
vegetative state.
3. The patient can not make changes in the advance directive once admitted to the hospital.
4. A durable power of attorney for health care is invoked only when the patient has a terminal
condition or is in a persistent vegetative state. - Answer>>> 2
A patient's surgical wound has become swollen, red, and tender. You note that the patient has a
new fever and leukocytosis. What is the best immediate intervention? [28]
1. Notify the health care provider and use surgical technique to change the dressing
2. Reassure the patient and check the wound later
3. Notify the health care provider and support the patient's fluid and nutritional needs
4. Alert the patient and caregivers to the presence of an infection to ensure care after discharge -
Answer>>> 3
A nurse notes that the health care unit keeps a listing of the patient names at the front desk in
easy view for health care providers to more efficiently locate the patient. The nurse talks with the
nursing manager because this action is a violoation of which act? [23]
,1. Mental Health Parity Act
2. Patient Self-Determination Act (PSDA)
3. Health Insurance Portability and Accountability Act (HIPPA)
4. Emergency Medical Treatment and Active Labor Act - Answer>>> 3
A patient comes to a medical clinic with the diagnosis of asthma. The nurse practitioner decides
that the patient's obesity adds to the difficulty of breathing; the patient is 5 feet 7 inches tall and
weighs 200 pounds (90.7 kg). Based on the nursing diagnosis of "imbalanced nutrition: more
than body requirements," the practitioner plans to place the patient on a therapeutic diet. Which
of the following are evaluative measures for determining if the patient achieves the goal of a
desired weight loss? (Select all that apply) [20]
1. The patient eats 2000 calories a day
2. The patient is weighed during each clinic visit
3. The patient discusses factors that increase the risk of an asthma attack
4. The patient's food diary that tracks intake of daily meals is reviewed - Answer>>> 2, 4
The nurse follows a series of steps to objectively evaluate the degree of success in achieving
outcomes of care. Place the steps in the correct order. [20]
1. The nurse judges the extent to which the condition of the skin matches the outcome criteria
2. The nurse tries to determine why the outcome criteria and actual condition of the skin do not
agree
3. The nurse inspects the condition of the skin
4. The nurse reviews the outcome criteria to identify the desired skin condition
5. The nurse compares the degree of agreement between desired and actual condition of the skin
- Answer>>> 4, 3, 5, 1, 2
The nurse check the IV solution that is infusing into the patient's left arm. The IV solution of 9%
NS is infusing at 100 mL/hr as ordered. The nurse reviews the nurses' notes from the previous
, shift to determine if the dressing over the site what changed as scheduled per standard of care.
While in the room, the nurse inspects the condition of the dressing and notes the date on the
dressing label. In what ways did the nurse evaluate the IV intervention? (Select all that apply)
[20]
1. Checked the IV infusion location in left arm
2. Checked the type of IV solution
3. Confirmed from nurses' notes the time of dressing change and checked label
4. Inspected the condition of the IV dressing - Answer>>> 3, 4
Which of the following actions, if performed by a registered nurse, would result in both criminal
and administrative law sanctions against the nurse? (Select all that apply.) [23]
1. Taking and selling controlled substances
2. Refusing to provide health care information to a patient's child
3. Reporting suspected abuse and neglect of children
4. Applying physical restraints without a written physician's order. - Answer>>> 1, 4
The nurse received a hand-off report at the change of shift in the conference room from the night
shift nurse. The nursing student assigned to the nurse asks to review the medical records of the
patients assigned to them. The nurse begins assessing the assigned patients and lists the nursing
care information for each patient on each individual patient's message board in the patient rooms.
The nurse also lists the patient's medical diagnoses on the message board. Later in the day, the
nurse discusses the plan of care for a patient who is dying with the patient's family. Which of
these actions describes a violation of the Health Insurance Portability and Accountability Act
(HIPPA)? [23]
1. Discussing the patient conditions in the nursing report room at the change of shift
2. Allowing nursing students to review patient charts before caring for patients to whom they are
assigned
3. Posting medical information about the p - Answer>>> 3