NURSING MISC VSIM SABINA VASQUEZ
ACTUAL EXAM PAPER 2026 QUESTIONS
SOLUTIONS GRADED A+
◉ A nurse is explaining the pathophysiology of asthma and asthma
exacerbation to a group of nursing students at a workshop. Which of
the following statements would be most accurate for the nurse to
make? (SATA) Answer: 1) the smooth muscles of the airway
increases in responsiveness, causing bronchoconstriction
2) Chronic inflammation contributes to irreversible airway changes
and decreased lung function
3) exposure to bacterial and viral infections increases airways
responsiveness and inflammation
◉ A patient arrives at the emergency department in respiratory
distress with a history of asthma. Upon assessment, the nurse notes
that the patient sits forward with intercostal retractions, has a
productive cough, and wheeze upon auscultation. Which of the
following interventions is most appropriate for the nurse to
implement at this time? Answer: Elevate the head of the bed and
allow the patient to assume a position of comfort
◉ A nurse observes that a preschooler who is hospitalized appears
stressed. which of the following is the most likely stressor for this
child? Answer: Fear of mutilation
, ◉ The nurse is preparing a 5 year old for a chest x-ray. Which of the
following statements would be the nurse's best explanation of this
procedure to the patient? Answer: I am sending you to have a big
camera take picture of your body
◉ A patient weighting 43 lb has an order fro intravenous cefuroxime
475 mg Q8 hr. The safe dose range is 50 to 100 mg/kg/day. Is the
order safe? Answer: Yes, the safe range is 975 to 1,950 mg/day
◉ The provider has given an order for acetaminophen suspension
240 mg orally every 4 - 6 hr as needed for fever. Which of the
following considerations does the nurse need to remember when
administering acetaminophen? Answer: Acetaminophen can affect
lab test results for WBC and H+H
◉ A nurse must administer maintenance fluid intravenously to a
patient weight 43 lb. What is the daily maintenance fluid
requirement for this patient? Answer: 1,475 mL/day
◉ The nurse is preparing Sadina for her nebulized albuterol
treatment. Which of the following demonstrates that the nurse
understands developmentally appropriate communication? Answer:
Some kids say the breathing treatment makes them feel a little shaky
ACTUAL EXAM PAPER 2026 QUESTIONS
SOLUTIONS GRADED A+
◉ A nurse is explaining the pathophysiology of asthma and asthma
exacerbation to a group of nursing students at a workshop. Which of
the following statements would be most accurate for the nurse to
make? (SATA) Answer: 1) the smooth muscles of the airway
increases in responsiveness, causing bronchoconstriction
2) Chronic inflammation contributes to irreversible airway changes
and decreased lung function
3) exposure to bacterial and viral infections increases airways
responsiveness and inflammation
◉ A patient arrives at the emergency department in respiratory
distress with a history of asthma. Upon assessment, the nurse notes
that the patient sits forward with intercostal retractions, has a
productive cough, and wheeze upon auscultation. Which of the
following interventions is most appropriate for the nurse to
implement at this time? Answer: Elevate the head of the bed and
allow the patient to assume a position of comfort
◉ A nurse observes that a preschooler who is hospitalized appears
stressed. which of the following is the most likely stressor for this
child? Answer: Fear of mutilation
, ◉ The nurse is preparing a 5 year old for a chest x-ray. Which of the
following statements would be the nurse's best explanation of this
procedure to the patient? Answer: I am sending you to have a big
camera take picture of your body
◉ A patient weighting 43 lb has an order fro intravenous cefuroxime
475 mg Q8 hr. The safe dose range is 50 to 100 mg/kg/day. Is the
order safe? Answer: Yes, the safe range is 975 to 1,950 mg/day
◉ The provider has given an order for acetaminophen suspension
240 mg orally every 4 - 6 hr as needed for fever. Which of the
following considerations does the nurse need to remember when
administering acetaminophen? Answer: Acetaminophen can affect
lab test results for WBC and H+H
◉ A nurse must administer maintenance fluid intravenously to a
patient weight 43 lb. What is the daily maintenance fluid
requirement for this patient? Answer: 1,475 mL/day
◉ The nurse is preparing Sadina for her nebulized albuterol
treatment. Which of the following demonstrates that the nurse
understands developmentally appropriate communication? Answer:
Some kids say the breathing treatment makes them feel a little shaky