Acute Care Final Practice Questions and Answers All Updated 2026 A+

Acute Care Final
Practice
Questions and
Answers All
Updated 2026 A+
ABpatientBwithBhepatitisBBBisBbeingBdischargedBinB2Bdays.BInBtheBdischargeBteachingB
planBtheBnurseBshouldBincludeBinstructionsBto:



a.BAvoidBalcoholBforBtheBfirstB3Bweeks

b.BUseBaBcondomBduringBsexualBintercourse

c.BHaveBfamilyBmembersBgetBanBinjectionBofBimmunoglobulin

d.BFollowBaBlow-protein,Bmoderate-carbohydrate,Bmoderate-fatBdietB-
BAnswerBAnswer:BB



Rationale:BHepatitisBBBvirusBmayBbeBtransmittedBbyBmucosalBexposureBtoBinfectiousBb
lood,BbloodBproducts,BorBotherBbodyBfluidsB(e.g.,Bsemen,BvaginalBsecretions,Bsaliva).B
HepatitisBBBisBaBsexuallyBtransmittedBdiseaseBthatBisBacquiredBthroughBunprotectedBs
exBwithBanBinfectedBperson.BCondomBuseBshouldBbeBtaughtBtoBpatientsBtoBpreventBt
ransmissionBofBhepatitisBB.



ABclientBwithBacuteBhepatitisBisBprescribedBlactulose.BTheBnurseBknowsBthisBmedicatio
nBwill:



A.BPreventBtheBabsorptionBofBammoniaBfromBtheBbowel.

,B.BPreventBhypoglycemia.

C.BRemoveBbilirubinBfromBtheBblood.

D.BMobilizeBironBstoresBfromBtheBliverB-BAnswerBAnswer:BA



Rationale:BLactuloseBhelpsBpreventBtheBabsorptionBofBammoniaBfromBtheBbowelBbeca
useBitBwillBcauseBfrequentBbowelBmovements,BwhichBfacilitatesBtheBremovalBofBamm
oniaBfromBtheBintestines.



ToBpreventBtheBspreadBofBhepatitisBABvirusB(HAV)BinfectionBtheBnurseBisBespeciallyBc
arefulBwhenB



A.BDisposingBofBfoodBtraysB

B.BEmptyingBbedpansB

C.BTakingBanBoralBtemperature

D.BChangingBIVB-BAnswerBAnswer:BB



Rationale:BHAVBisBtransmittedBprimarilyBperson-to-personBbyBtheBfecal-
oralBroute.BFoodBcanBbeBaBmethodBofBtransmissionBbutBneedsBtoBbeBfecallyBcontami
nated.BSinceBtheBtransmissionBofBhepatitisBABisBfecal-
oralBandBnotBsalivaBorBbloodBlikeBhepatitisBB,BtakingBaBtemperatureBandBchangingBIV
BtubingBwouldBnotBspreadBhepatitisBA.



ABclientBwhoBhasBsustainedBaBcrushBinjuryBtoBtheBrightBlowerBlegBreportsBnumbness
BandBtinglingBofBtheBaffectedBextremity.BTheBskinBofBtheBrightBlegBappearsBpale.BWhi
chBisBtheBnurse'sBfirstBintervention?



a.BAssessBpedalBpulses.

b.BApplyBoxygenBbyBnasalBcannula.

c.BIncreaseBtheBIVBflowBrate.

d.BDocumentBtheBfinding.B-BAnswerBAnswer:BA

,Rationale:BTheBsymptomsBrepresentBearlyBwarningBofBacuteBcompartmentBsyndrome.B
InBacuteBcompartmentBsyndrome,BsensoryBdeficitsBsuchBasBparesthesiasBprecedeBchan
gesBinBvascularBorBmotorBsigns.BIfBtheBnurseBfindsBaBdecreaseBinBpedalBpulses,BtheB
healthBcareBproviderBshouldBbeBnotifiedBasBsoonBasBpossible.



TheBnurseBisBcaringBforBaBclientBwithBaBfracturedBfibula.BWhichBassessmentBpromptsB
immediateBactionBbyBtheBnurse?



a.BReportedBpainBofB4BonBaBscaleBofB0BtoB10

b.BNumbnessBandBtinglingBinBtheBextremity

c.BSwollenBextremityBwhereBtheBinjuryBoccurred

d.BReportsBofBbeingBcoldBinBbedB-BAnswerBAnswer:BB



Rationale:BTheBclientBwithBnumbnessBandBtinglingBofBtheBextremityBmayBbeBdisplayin
gBtheBfirstBsignsBofBacuteBcompartmentBsyndrome.BThisBisBanBacuteBproblemBthatBre
quiresBimmediateBinterventionBbecauseBofBpossibleBdecreasedBcirculation.BModerateBp
ainBandBswellingBisBanBexpectedBassessmentBafterBaBfracture.BTheseBfindingsBcanBbeB
treatedBwithBcomfortBmeasures.BBeingBcoldBcanBbeBtreatedBwithBadditionalBblanketsB
orBbyBincreasingBtheBtemperatureBofBtheBroom.



ABpatientBwithBcomminutedBfracturesBofBtheBtibiaBandBfibulaBisBtreatedBwithBopenBr
eductionBandBapplicationBofBanBexternalBfixator.BTheBnextBday,BtheBpatientBcomplains
BofBsevereBpainBinBtheBleg,BwhichBisBunrelievedBbyBorderedBanalgesics.BTheBpatient's
BtoesBareBpink,BbutBtheBpatientBcomplainsBofBnumbnessBandBtingling.BTheBmostBappr
opriateBactionBbyBtheBnurseBisBto



a.BNotifyBtheBpatient'sBhealthBcareBprovider.

b.BCheckBtheBpatient'sBbloodBpressure.

c.BAssessBtheBexternalBfixatorBpinsBforBrednessBorBdrainage.

d.BElevateBtheBextremityBandBapplyBiceBoverBtheBwoundBsite.B-BAnswerBAnswer:BAB



Rationale:BnotBprovided

, TheBnurseBisBcaringBforBaBclientBwhoBdevelopsBcompartmentBsyndromeBfromBaBsever
elyBfracturedBarm.BTheBclientBasksBtheBnurseBhowBthisBcanBhappen.BTheBnurse'sBresp
onseBisBbasedBonBtheBunderstandingBthat:



a.BABboneBfragmentBhasBinjuredBtheBnerveBsupplyBinBtheBarea

b.BAnBinjuredBarteryBcausesBimpairedBarterialBperfusionBthroughBtheBcompartment

c.BBleedingBandBswellingBcauseBincreasedBpressureBinBanBareaBthatBcannotBexpand

d.BTheBfasciaBexpandsBwithBinjury,BcausingBpressureBonBunderlyingBnervesBandBmuscl
esB-BAnswerBAnswer:BCB



Rationale:BCompartmentBsyndromeBisBcausedBbyBbleedingBandBswellingBwithinBaBcom
partment,BwhichBisBlinedBbyBfasciaBthatBdoesBnotBexpand.BTheBbleedingBandBswelling
BplaceBpressureBonBtheBnerves,Bmuscles,BandBbloodBvesselsBinBtheBcompartment,Btrig
geringBtheBsymptoms.



ABclientBhasBanBarmBcastBandBreportsBthatBitBfeelsBreallyBtightBandBtheBfingersBareB
puffy.BWhatBisBtheBnurse'sBbestBresponse?



a.B"ElevateByourBarmBonBtwoBpillowsBandBapplyBiceBtoBtheBcast."

b.B"ContinueBtoBtakeBibuprofenB(Motrin)BuntilBtheBswellingBsubsides."

c.B"ItBisBnormalBforBaBnewBcastBtoBfeelBaBlittleBtightBforBtheBfirstBfewBdays."

d.B"PleaseBcomeBtoBtheBclinicBtodayBtoBhaveByourBarmBcheckedBbyBtheBhealthBcareB
provider."B-BAnswerBAnswer:BD



Rationale:BPuffyBfingersBandBaBfeelingBofBtightnessBfromBtheBcastBmayBindicateBtheBd
evelopmentBofBcompartmentBsyndrome.BTheBclientBshouldBcomeBtoBtheBclinicBthatBd
ayBtoBbeBevaluatedBbyBtheBproviderBbecauseBdelayBofBtreatmentBcanBcauseBpermane
ntBdamageBtoBtheBextremity.BIceBandBMotrinBareBacceptableBactions,BbutBcheckingBt
heBcastBisBtheBpriorityBbecauseBitBensuresBclientBsafety.BTheBnurseBshouldBnotBjustBr
eassureBtheBclientBthatBthisBisBnormal.