| STUDY GUIDE WITH SCREENSHOTS | TESTBANK | PRACTICE
QUESTIONS & ANSWERS | EXAM PREPARATION |
COMPREHENSIVE PRACTICE EXAM | LATEST UPDATE 2026/2027 |
ADVANCED REVIEW
Question 1
A nurse is caring for a school-aged child.
he nurse is reviewing the child's medical record. Click to highlight the findings
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the nurse should report to the provider. To deselect a finding, click on the
finding again.
Exhibit 1 – Vital Signs
0100
● emperature: 38.2°C (100.8°F)
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● Heart rate: 112/min
● BP: 102/60 mm Hg
● Respiratory rate: 26/min
0400
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● emperature: 38.4°C (101.1°F)
● Heart rate: 118/min
● BP: 112/68 mm Hg
, ● Respiratory rate: 26/min
Nurse's Notes (0800)
A
● lert; child reports pain as8 on a scale of 0 to 10
● NG tube placement verified
● Connected to low intermittent suction with small amount of greenish
drainage
● Oral mucosa moist and pink; lips dry
● Capillary refill 2 seconds
● Respirations easy and shallow; breath sounds clear
● Abdomen moderately firm, diffusely tender, with no bowel sounds
noted
● Abdominal dressing dry and intact
● Portable wound bulb suction device with small amount of pink drainage
● IV patent and intact
) Report the NG tube placement verification only.
A
B) Report the capillary refill and pink drainage only.
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C) Report the severe abdominal pain, firm tender abdomen with absent
bowel sounds, and persistent fever.
D) Report the dry lips and intact IV site.
The findings of severe pain, abdominal tenderness with absent bowel sounds,
and continuing fever may indicate postoperative complications such as
peritonitis or bowel obstruction. These findings require immediate provider
notification.
Question 2
, nurse in the emergency department is assessing a client who has status
A
asthmaticus. The nurse should expect which of the following findings?
) Increase in peak expiratory flow rate
A
B) Bradycardia
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C) Distended neck veins
D) Epigastric pain
Status asthmaticus causes severe airway obstruction and increased
intrathoracic pressure, which can lead to distended neck veins. Peak expiratory
flow decreases, not increases, and bradycardia is a late, ominous finding rather
than an expected early assessment finding.
Question 3
, A nurse is caring for a client in an emergency department.
Provider Prescriptions (1115)
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● xygen 2 L/min via nasal cannula
● Albuterol 2.5 mg via nebulization every 1 to 4 hr PRN
● Ipratropium metered-dose inhaler, 2 inhalations four times daily
hich of the following interventions should the nurse include in the plan of
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care?(Select all thatapply.)
) Increase oxygen flow rate to 4 L/min.
A
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B) Assess the client's breath sounds.
C) Perform chest percussion and vibration.
D) Restrict the client's fluid intake.
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E) Instruct the client to perform diaphragmatic breathing.
F) Place the client in a supine position.
Breath sound assessment helps evaluate airway status and response to
therapy. Diaphragmatic breathing promotes lung expansion and improves
ventilation. Oxygen should not be increased without a prescription, fluids
should generally be encouraged rather than restricted, chest percussion is not
routinely indicated for acute asthma, and the client should be positioned upright
rather than supine.