b b b b
140 Questions and ANSwers 2026 update
b b b b b
140 QUESTIONS b
A nurse is assessing a client who is receiving intravenous therapy. The nurse should identif
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y which of the following findings as a manifestation of fluid volume excess?
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a. Decreasedbbowelbsounds
b. Distendedbneckbveins
c. Bilateralbmusclebweakness
d. Threadbpulseb-bANS>>b.bDistendedbneckbveins
A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed h
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ypertonic solution. Which of the following findings should indicate to the nurse that the treat
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ment is effective? b b
a. AbsentbChvostek'sbsign
b. Improvedbcognition
c. Decreasedbvomiting
d. Cardiacbarrhythmiasbabsentb-bANS>>b.bImprovedbcognition
A nurse is teaching a client who has a new prescription for a nitroglycerin transdermal patc
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h. Which of the following instructions should the nurse include?
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a. "Discontinuebthebpatchbifbyoubexperiencebabheadache."
b. "Applybabnewbpatchbifbyoubhavebchestbpain."
c. "Coverbthebpatchbwithbdrybgauzebwhenbtakingbabshower."
d. "Removebthebpatchbpriorbtobgoingbtobbed."b-
b ANS>>d. "Remove the patch prior to going to bed."
b b b b b b b b
A nurse is reviewing he laboratory results of a client who has a prescription for sodium po
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lystyrene sulfonate (Kayexalate) every 6 hr. which of the following should the nurse report to
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the provider?
b
,a. Creatinineb0.72bmg/dL
b. Sodiumb138bmEq/L
c. Magnesiumb2bmEq/L
d. Potassiumb5.2bmEq/Lb-bANS>>d.bPotassiumb5.2bmEq/Lb-
Hyperkalemia (serum potassium level greater than 5.0 mEq/L) increases the client risk for f
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atal cardiac dysrhythmias. Kayexalate is used to decrease the serum potassium level so the P
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N should monitor the client's serum potassium level
b b b b b b b
A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin. Whi
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ch of the following outcomes indicates that the client is adhering to the medication regimen?
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a. Thebclientbhasbabnegativebsputumbculture
b. ThebclientbtestsbnegativebforbHIV
c. Thebclientbhasbabpositivebpurifiedbproteinbderivativebtest
d. Thebclient'sbliverbfunctionbtestbresultsbarebwithinbthebexpectedbreferencebrangeb-
ANS>>a. The client has a negative sputum culture
b b b b b b b b
A client is caring for a client who develops an anaphylactic reaction to IV administration. Afte
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r assessing the client's respiratory status and stopping the medication infusion. Which of the fo
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llowing actions should the nurse take next?
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a. Replacebthebinfusionbwithb0.9%bsodiumbchloride
b. GivebdiphenhydraminebIM
c. Elevatebthebclient'sblegsbandbfeet
d. AdministerbepinephrinebIMb-bANS>>d.bAdministerbepinephrinebIM
A nurse is caring for a client who is taking sertraline and reports a desire to begin taking suppl
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ements. Which of the following supplements should the nurse advise the client to avoid?
b b b b b b b b b b b b b
a. St.bJohn'sbWort
b. Gingerbroot
c. Blackbcohosh
d. CoenzymebQ10b-bANS>>a.bSt.bJohn'sbWort
A nurse is caring for a client who has heart failure and a new prescription for lisinopril. For wh
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ich of the following adverse effects should the nurse monitor when administering lisinopril?
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a. Bradycardia
b. Hypokalemia
30b/b36
,c. Tinnitus
d. Hypotensionb-bANS>>d.bHypotension
A nurse is assessing a client who is receiving heparin IV continuous IV. The client has an PPT
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of 90 seconds. They should monitor the client for which of the following changes in their vital
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signs?
b
31b/b36
, a. Decreasedbtemperature
b. Increasedbpulsebrate
c. Decreasedbrespiratorybrate
d. Increasedbbloodbpressureb-bANS>>d.bIncreasedbbloodbpressure
A nurse is preparing to administer medication to a client and discovers a medication error. T
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he nurse should recognize that which of the following staff members is responsible for compl
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eting an incident report? b b b
a. Thebqualitybimprovementbcommittee
b. Thebnursebwhobidentifiesbtheberror
c. Thebnursebwhobcausedbtheberror
d. Thebchargebnurseb-bANS>>b.bThebnursebwhobidentifiesbtheberror
A nurse is planning care for a client who is receiving morphine via continuous epidural infu
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sion. The nurse should monitor the client for which of the following?
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a. Pruritus
b. Cough
c. Tachypnea
d. Gastricbbleedingb-bANS>>a.bPruritusb-bSignbofballergicbreactionbtobmorphine
A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps th
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e nurse should take. (Move the steps into the box on the right placing them in the order of per
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formance. Use all the steps.) - ANS>>a. Obtain the client's apical heart rate
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b. Removebthebmedicationbfrombthebdispensingbsystem
c. Openbthebmedicationbpackage
d. Comparebthebclient'sbwristbandbtobthebmedicationbadministrationbrecord
e. Documentbadministrationbofbthebmedication
A nurse is reviewing the medical record of an adult client who has a fever and a prescription f
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or acetaminophen. Which of the following findings should the nurse identify as a contraindic
b b b b b b b b b b b b b
ation for receiving this medication?
b b b b
a. Alcoholbusebdisorder
b. Chronicbkidneybdisease
c. HepatitisbBbvaccinebwithinbtheblastbweek
32b/b36