N397 FINAL PRACTICE EXAAM
2026 LATEST UPDATE
QUESTIONS WITH ANSWERS
Respiratory
1. A nurse is caring for a client who has been diagnosed with a pneumothorax and
has a right chest tube connected to an Atrium drainage system. Which of the
following needs to be included in client teaching for this intervention?
a. “You will need to take your pain medication as prescribed so you won’t
be afraid to move and cough”
b. “You will need to remain still and not move around too much to prevent
dislodging the chest tube.”
c. “A chest tube measures how elastic your lungs are.”
d. “A chest tube for a pneumothorax drains mostly sanguineous fluid,
which will be measured at the end of each shift.”
Answer is a
2. A nurse is assessing a client complaining of dyspnea. The nurse auscultates the
client's chest and hears wheezing throughout the lung fields. Which of the
following is the most likely indication for this assessment finding?
a. The patient has a narrowed airway.
b. The patient has pneumonia.
c. The patient needs physiotherapy.
d. The patient has a hemothorax.
Answer is a
3. A hospital has collected data regarding an increase incidence of hospital-
acquired pneumonia (HAP) with their ventilator-dependent clients. What is an
important measure for the prevention of HAP in these clients?
a. Administration of prophylactic antibiotics
b. Good oral hygiene twice a day.
c. Obtaining culture and sensitivity swabs from all newly admitted patients
d. Administration of antibiotics to all nurses with cold symptoms.
Answer is b
, Cardiac
4. A client diagnosed with congestive heart failure is taking digoxin daily. Which of
the following laboratory results would the nurse immediately report to the
provider?
a. Sodium 140 mEq/l
b. Calcium 9 mg/dL
c. Carbon dioxide (CO2) 24 mEq/L
d. Potassium 2.8 mEq/L
Answer is d. K+ is extremely important for heart muscle contraction
5. A nurse is caring for a client who begins to complain of chest pain related to
CAD. Which of the following would be the nurse's priority action?
a. Apply oxygen vial nasal cannula at 2 L/min.
b. Call a code.
c. Ask the client to rate his pain on a scale of 0-10.
d. Prepare to defibrillate the client.
Answer is a, priority is always, airway, breathing, circulation
6.
A nurse is assessing a client complaining of chest pain and obtains the following
6 second rhythm strip. Which of the following would be the priority nursing
intervention for this client?
a. Prepare to defibrillate the client.
b. Begin compressions.
c. Ask the client to hold their breath.
d. Communicate the client’s condition to the spouse.
Answer is a. If the client was unresponsive (not complaining of chest pain, the answer
would be b)
2026 LATEST UPDATE
QUESTIONS WITH ANSWERS
Respiratory
1. A nurse is caring for a client who has been diagnosed with a pneumothorax and
has a right chest tube connected to an Atrium drainage system. Which of the
following needs to be included in client teaching for this intervention?
a. “You will need to take your pain medication as prescribed so you won’t
be afraid to move and cough”
b. “You will need to remain still and not move around too much to prevent
dislodging the chest tube.”
c. “A chest tube measures how elastic your lungs are.”
d. “A chest tube for a pneumothorax drains mostly sanguineous fluid,
which will be measured at the end of each shift.”
Answer is a
2. A nurse is assessing a client complaining of dyspnea. The nurse auscultates the
client's chest and hears wheezing throughout the lung fields. Which of the
following is the most likely indication for this assessment finding?
a. The patient has a narrowed airway.
b. The patient has pneumonia.
c. The patient needs physiotherapy.
d. The patient has a hemothorax.
Answer is a
3. A hospital has collected data regarding an increase incidence of hospital-
acquired pneumonia (HAP) with their ventilator-dependent clients. What is an
important measure for the prevention of HAP in these clients?
a. Administration of prophylactic antibiotics
b. Good oral hygiene twice a day.
c. Obtaining culture and sensitivity swabs from all newly admitted patients
d. Administration of antibiotics to all nurses with cold symptoms.
Answer is b
, Cardiac
4. A client diagnosed with congestive heart failure is taking digoxin daily. Which of
the following laboratory results would the nurse immediately report to the
provider?
a. Sodium 140 mEq/l
b. Calcium 9 mg/dL
c. Carbon dioxide (CO2) 24 mEq/L
d. Potassium 2.8 mEq/L
Answer is d. K+ is extremely important for heart muscle contraction
5. A nurse is caring for a client who begins to complain of chest pain related to
CAD. Which of the following would be the nurse's priority action?
a. Apply oxygen vial nasal cannula at 2 L/min.
b. Call a code.
c. Ask the client to rate his pain on a scale of 0-10.
d. Prepare to defibrillate the client.
Answer is a, priority is always, airway, breathing, circulation
6.
A nurse is assessing a client complaining of chest pain and obtains the following
6 second rhythm strip. Which of the following would be the priority nursing
intervention for this client?
a. Prepare to defibrillate the client.
b. Begin compressions.
c. Ask the client to hold their breath.
d. Communicate the client’s condition to the spouse.
Answer is a. If the client was unresponsive (not complaining of chest pain, the answer
would be b)
