Exam 2026-2027 Actual Complete Real Exam
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A nurse is caring for a postoperative client 1 hr following an
aortic aneurysm
repair. Which of the following findings can indicate shock
and should be
reported to the
provider?
-Serosanguineous drainage on dressing
-Severe pain with coughing
-Urine output of 20 mL/hr
-Increase in temperature from 36.8 C (98.2 F) to 37.5C (99.5 F) -
ANSWER Urine output of 20 mL/hr
Urine output less than 30 mL/hr is a manifestation of shock.
Urine output is
decreased due to a compensatory decreased blood flow
to the kidneys,
hypovolemia, or graft thrombosis
or rupture.
,A nurse is teaching a client who is starting to take an ACE
inhibitor to treat hypertension. The nurse should instruct the
client to notify his provider if he experiences which of the
following adverse effects of this medication?
-Tendon pain
-Persistent cough
-Frequent urination
-Constipation - ANSWER -Persistent cough
A persistent cough is an adverse effect of ACE inhibitors.
The client should
report this finding to the provider and discontinue
the medication.
A nurse is caring for a client who has endocarditis. Which
of the following
findings should the nurse recognize as a potential
complication?
-Ventricular depolarization
-Guillain-Barre syndrome
-Myelodysplastic syndrome
-Valvular disease - ANSWER -Valvular disease
Valvular disease or damage often occurs as a result of
inflammation or infection
, of the
endocardium.
A nurse is caring for a client who had an onset of chest pain 24
hr ago. The nurse should recognize that an increase in which of
the following is diagnostic of a myocardial infarction (MI)?
-Myoglobin
-C-reactive protein
-Creatine kinase- MB
-Homocysteine - ANSWER -Creatine kinase-MB
MY ANSWER
Creatine kinase-MB is the isoenzyme specific to the
myocardium. Elevated creatine kinase-MB indicates myocardial
muscle injury.
A nurse in an emergency department is caring for a client who
had an anterior myocardial infarction. The client's history
reveals she is 1 week postoperative following an open
cholecystectomy. The nurse should recognize that which of the
following interventions is contraindicated?
-Administering IV morphine sulfate
-Administering oxygen at 2 L/min via nasal cannula
-Helping the client to the bedside commode
-Assisting with thrombolytic therapy - ANSWER -Assisting with
thrombolytic therapy