PRIORITIZATION, DELEGATION AND
ASSIGNMENT COMPREHENSIVE
EXAMINATION TEST 2026 FULL QUESTIONS
AND CORRECT ANSWERS
•Current guidelines recommend low sodium intake for lifestyle
management of hypertension, and the nurse should teach the client
about the high sodium content in many fast foods and how to make
low-sodium choices. A 26-year-old with this level of hypertension is
not likely to have a stroke or myocardial infarction. Weight loss or
changes in alcohol intake are not necessary. The client's weight and
BMI are normal. Alcohol intake of less than 1 or 2 glasses of wine
daily is recommended to prevent hypertension.
◉The nurse makes a home visit to evaluate a hypertensive client
who has been taking enalapril. Which finding is *most* important to
report to the health care provider?
•Client reports frequent urination
•Client's blood pressure is 138/86 mm Hg
•Client complains about a frequent dry cough
•Client says, "I get dizzy sometimes if I stand up fast.". Answer:
•Client complains about a frequent dry cough
,•A persistent and irritating cough (caused by accumulation of
bradykinin) is a possible adverse effect of angiotensin-converting
enzyme inhibitors such as enalapril and is a common reason for
changing to another medication category such as the angiotensin II
receptor blockers. The other assessment data indicate a need for
more client teaching and ongoing monitoring but would not require
a change in therapy.
◉While reviewing a hospitalized client's medical record, the nurse
obtains this information about cardiovascular risk factors (health
history: hypertension for 10 years, takes hydrochlorothiazide 25 mg
daily, blood pressure range 110/60 to 132/72 mmHg; family history:
client's mother and 2 siblings have had myocardial infarctions; social
history: 20 pack-year history of cigarette use, walks 2 to 3 miles
daily). Which interventions will be important to include in the
discharge plan for this client? *Select all that apply.*
•Referral to community programs that assist in smoking cessation
•Teaching about the impact of family history on cardiovascular risk
•Education about the need for a change in antihypertensive therapy
•Assistance in reducing emotional stress
•Discussion of the risks associated with having a sedentary lifestyle.
Answer: •Referral to community programs that assist in smoking
cessation
•Teaching about the impact of family history on cardiovascular risk
, •The client's major modifiable risk factor is ongoing smoking. The
family history is significant, and the client should be aware that this
increases cardiovascular risk. The blood pressure is well controlled
on the current medication, and no change is needed. There is no
indication that stress is a risk factor for this client, and the client's
activity level meets the American Heart Association
recommendation for at least 150 minutes of moderate activity
weekly.
◉Which client is best for the coronary care charge nurse to assign to
a float RN who has come for the day from the general medical-
surgical unit?
•Client requiring discharge teaching about coronary artery stenting
before going home today
•Client receiving IV furosemide to treat acute left ventricular failure
•Client who just transferred in from the radiology department after
a coronary angioplasty
•Client just admitted with unstable angina who has orders for a
heparin infusion and aspirin. Answer: •Client receiving IV
furosemide to treat acute left ventricular failure
•An RN who worked on a medical-surgical unit would be familiar
with left ventricular failure, the administration of IV medications,
and ongoing monitoring for therapeutic and adverse effects of
ASSIGNMENT COMPREHENSIVE
EXAMINATION TEST 2026 FULL QUESTIONS
AND CORRECT ANSWERS
•Current guidelines recommend low sodium intake for lifestyle
management of hypertension, and the nurse should teach the client
about the high sodium content in many fast foods and how to make
low-sodium choices. A 26-year-old with this level of hypertension is
not likely to have a stroke or myocardial infarction. Weight loss or
changes in alcohol intake are not necessary. The client's weight and
BMI are normal. Alcohol intake of less than 1 or 2 glasses of wine
daily is recommended to prevent hypertension.
◉The nurse makes a home visit to evaluate a hypertensive client
who has been taking enalapril. Which finding is *most* important to
report to the health care provider?
•Client reports frequent urination
•Client's blood pressure is 138/86 mm Hg
•Client complains about a frequent dry cough
•Client says, "I get dizzy sometimes if I stand up fast.". Answer:
•Client complains about a frequent dry cough
,•A persistent and irritating cough (caused by accumulation of
bradykinin) is a possible adverse effect of angiotensin-converting
enzyme inhibitors such as enalapril and is a common reason for
changing to another medication category such as the angiotensin II
receptor blockers. The other assessment data indicate a need for
more client teaching and ongoing monitoring but would not require
a change in therapy.
◉While reviewing a hospitalized client's medical record, the nurse
obtains this information about cardiovascular risk factors (health
history: hypertension for 10 years, takes hydrochlorothiazide 25 mg
daily, blood pressure range 110/60 to 132/72 mmHg; family history:
client's mother and 2 siblings have had myocardial infarctions; social
history: 20 pack-year history of cigarette use, walks 2 to 3 miles
daily). Which interventions will be important to include in the
discharge plan for this client? *Select all that apply.*
•Referral to community programs that assist in smoking cessation
•Teaching about the impact of family history on cardiovascular risk
•Education about the need for a change in antihypertensive therapy
•Assistance in reducing emotional stress
•Discussion of the risks associated with having a sedentary lifestyle.
Answer: •Referral to community programs that assist in smoking
cessation
•Teaching about the impact of family history on cardiovascular risk
, •The client's major modifiable risk factor is ongoing smoking. The
family history is significant, and the client should be aware that this
increases cardiovascular risk. The blood pressure is well controlled
on the current medication, and no change is needed. There is no
indication that stress is a risk factor for this client, and the client's
activity level meets the American Heart Association
recommendation for at least 150 minutes of moderate activity
weekly.
◉Which client is best for the coronary care charge nurse to assign to
a float RN who has come for the day from the general medical-
surgical unit?
•Client requiring discharge teaching about coronary artery stenting
before going home today
•Client receiving IV furosemide to treat acute left ventricular failure
•Client who just transferred in from the radiology department after
a coronary angioplasty
•Client just admitted with unstable angina who has orders for a
heparin infusion and aspirin. Answer: •Client receiving IV
furosemide to treat acute left ventricular failure
•An RN who worked on a medical-surgical unit would be familiar
with left ventricular failure, the administration of IV medications,
and ongoing monitoring for therapeutic and adverse effects of
