ACTUAL COMPLETE REAL EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+
/NEWEST EXAM / JUST RELEASED!! 2026-2027
The nurse listens to Mrs. Sullen's lungs and notes a hissing sound or
musical sound. The nurse documents this as:
A. Wheezes
B. Rhonchi
C. Gurgles
D. Vesicular
A. Wheezes
Wheezes are indicated by continuous, lengthy, musical; heard during
inspiration or expiration. Rhonchi are usually coarse breath sounds.
Gurgles are loud gurgling, bubbling sound. Vesicular breath sounds are
low pitch, soft intensity on expiration.
Becky is on NPO since midnight as preparation for blood test. Adreno-
cortical response is activated. Which of the following is an expected
response?
A. Low blood pressure
B. Warm, dry skin
C. Decreased serum sodium levels
D. Decreased urine output
D. Decreased urine output
Adreno-cortical response involves release of aldosterone that leads to
retention of sodium and water. This results to decreased urine output.
,When performing an abdominal examination, the patient should be in a
supine position with the head of the bed at what position?
A. 30 degrees
B. 90 degrees
C. 45 degrees
D. 0 degree
D. 0 degree
The patient should be positioned with the head of the bed completely
flattened to perform an abdominal examination. If the head of the bed is
elevated, the abdominal muscles and organs can be bunched up,
altering the findings.
Which of the following is inappropriate nursing action when
administering NGT feeding?
A. Place the feeding 20 inches above the point of insertion of NGT
B. Introduce the feeding slowly
C. Instill 60ml of water into the NGT after feeding
D. Assist the patient in fowler's position
A. Place the feeding 20 inches above the point of insertion of NGT
The height of the feeding is above 12 inches above the point of insertion,
bot 20 inches. If the height of feeding is too high, this results to very
rapid introduction of feeding. This may trigger nausea and vomiting
, During application of medication into the ear, which of the following is
inappropriate nursing action?
A. In an adult, pull the pinna upward
B. Instill the medication directly into the tympanic membrane
C. Warm the medication at room or body temperature
D. Press the tragus of the ear a few times to assist flow of medication into
the ear canal
B. Instill the medication directly into the tympanic membrane
During the application of medication it is inappropriate to instill the
medication directly into the tympanic membrane. The right thing to do is
instill the medication along the lateral wall of the auditory canal.
Kussmaul's breathing is:
A. Shallow breaths interrupted by apnea
B. Prolonged gasping inspiration followed by a very short, usually
inefficient expiration
C. Marked rhythmic waxing and waning of respirations from very deep
to very shallow breathing and temporary apnea
D. Increased rate and depth of respiration
D. Increased rate and depth of respiration
Kussmaul breathing is also called as hyperventilation. Seen in metabolic
acidosis and renal failure. Option A refers to Biot's breathing. Option B is
apneustic breathing and option C is the Cheyne-stokes breathing.