Exam 2026/2027 All topics Fully Covered/
100% Verified GRADED A+
1.
A nurse is caring for a client admitted with diabetic ketoacidosis. Which finding
indicates that treatment is effective?
A. Blood glucose 140 mg/dL
B. Urine negative for ketones
C. Respiratory rate 12/min
D. Potassium level 3.2 mEq/L
✓ Correct Answer: B
⬛
Rationale:
Resolution of ketoacidosis is best indicated by the absence of ketones,
reflecting correction of fat breakdown and metabolic acidosis. Glucose levels
may normalize before acidosis fully resolves, making ketone clearance the most
reliable indicator of effective treatment.
2.
A nurse is caring for a client with acute coronary syndrome. Which medication
should be administered first?
A. Morphine
B. Nitroglycerin
C. Aspirin
D. Metoprolol
✓ Correct Answer: C
⬛
, Rationale:
Aspirin inhibits platelet aggregation, reducing clot progression and myocardial
damage. Early administration significantly decreases mortality in acute
coronary syndrome.
3.
A nurse is assessing a client with suspected hypovolemia. Which finding
supports this diagnosis?
A. Bounding pulses
B. Dry mucous membranes
C. Hypertension
D. Jugular vein distention
✓ Correct Answer: B
⬛
Rationale:
Dry mucous membranes indicate decreased intravascular volume and
dehydration, commonly seen in hypovolemia.
4.
A nurse is caring for a client with SIADH. Which lab value is expected?
A. Hypernatremia
B. Hyponatremia
C. Hyperkalemia
D. Elevated glucose
✓ Correct Answer: B
⬛
Rationale:
Excess antidiuretic hormone causes water retention, diluting serum sodium and
leading to hyponatremia.
5.
A nurse is caring for a client with a bowel obstruction. Which assessment finding
is most concerning?
A. Abdominal distention
B. High-pitched bowel sounds
C. Absence of bowel sounds
D. Nausea