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Ultimate Nursing Exam Mastery Exam 2026-2027 BANK
QUESTIONS WITH DETAILED VERIFIED ANSWERS EXAM
QUESTIONS WILL COME FROM HERE (100% Latest Already
Graded A+
1. A patient with chronic obstructive pulmonary disease (COPD)
presents with worsening dyspnea and a productive cough. Which acid-
base imbalance is most commonly associated with this condition?
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis
Answer: C. Respiratory acidosis. In COPD, alveolar hypoventilation leads
to an accumulation of carbon dioxide, which combines with water to
form carbonic acid, thus lowering the blood pH. The condition is a
primary respiratory problem, making respiratory acidosis the expected
imbalance.
2. A nurse is preparing to administer an enteric-coated tablet. Which
action is correct?
A. Crush the tablet and mix it with applesauce for easier administration.
B. Split the tablet in half for patients who have difficulty swallowing.
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C. Instruct the patient to swallow the tablet whole without chewing.
D. Dissolve the tablet in water before administration.
Answer: C. Enteric-coated tablets have a coating designed to resist
dissolution in the stomach and dissolve in the small intestine. Crushing,
splitting, or dissolving the tablet destroys this protective coating,
potentially causing gastric irritation or inactivation of the drug.
3. A postoperative patient complains of sudden chest pain, shortness of
breath, and hemoptysis. The nurse notes a pulse oximetry reading of
88%. What is the priority nursing action?
A. Administer oxygen and notify the healthcare provider immediately.
B. Encourage the patient to perform deep breathing and coughing
exercises.
C. Place the patient in the supine position.
D. Administer the prescribed oral pain medication.
Answer: A. These symptoms are classic for a pulmonary embolism, a
life-threatening emergency. The immediate priority is to support
oxygenation with high-flow oxygen and notify the provider for rapid
intervention. Deep breathing or supine positioning would not address
the underlying obstruction and could worsen the condition.
4. A patient is prescribed digoxin. Which assessment finding is a sign of
digoxin toxicity?
A. Tachycardia
B. Hypertension
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C. Bradycardia and nausea
D. Hyperkalemia
Answer: C. Signs of digoxin toxicity include gastrointestinal symptoms
like nausea, vomiting, and anorexia, as well as cardiac dysrhythmias,
with bradycardia being a common early sign. Tachycardia and
hypertension are not typical of toxicity; hypokalemia, not hyperkalemia,
predisposes patients to toxicity.
5. When assessing a patient's level of consciousness using the Glasgow
Coma Scale, which parameters are evaluated?
A. Eye opening, best verbal response, and best motor response
B. Pupillary response, grip strength, and respiratory rate
C. Blood pressure, heart rate, and pain response
D. Orientation to person, place, and time
Answer: A. The Glasgow Coma Scale is a standardized assessment tool
that scores a patient's level of consciousness based on three categories:
eye opening (1-4 points), best verbal response (1-5 points), and best
motor response (1-6 points). The total score ranges from 3 (deep coma)
to 15 (fully alert).
6. A nurse is caring for a patient with a nasogastric tube set to
continuous suction. The nurse should monitor for which potential
complication?
A. Metabolic alkalosis
B. Metabolic acidosis
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C. Respiratory acidosis
D. Respiratory alkalosis
Answer: A. Continuous nasogastric suction removes gastric hydrochloric
acid and other gastric secretions. The loss of this acid can lead to a
relative increase in bicarbonate, resulting in metabolic alkalosis.
7. What is the most appropriate nursing intervention for a patient
exhibiting signs of anaphylaxis after receiving a medication?
A. Administer diphenhydramine orally.
B. Place the patient in a supine position with legs elevated.
C. Administer epinephrine intramuscularly.
D. Apply a warm compress to the injection site.
Answer: C. The first-line treatment for anaphylaxis is intramuscular
epinephrine, which counteracts severe vasodilation and
bronchoconstriction. Oral antihistamines are not sufficient in a life-
threatening emergency, and while elevating the legs is beneficial for
shock, it is not the priority intervention.
8. A patient with heart failure is prescribed furosemide. The nurse
should assess the patient for which adverse effect?
A. Hyperkalemia
B. Hyponatremia
C. Hypokalemia
D. Hypercalcemia
Ultimate Nursing Exam Mastery Exam 2026-2027 BANK
QUESTIONS WITH DETAILED VERIFIED ANSWERS EXAM
QUESTIONS WILL COME FROM HERE (100% Latest Already
Graded A+
1. A patient with chronic obstructive pulmonary disease (COPD)
presents with worsening dyspnea and a productive cough. Which acid-
base imbalance is most commonly associated with this condition?
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis
Answer: C. Respiratory acidosis. In COPD, alveolar hypoventilation leads
to an accumulation of carbon dioxide, which combines with water to
form carbonic acid, thus lowering the blood pH. The condition is a
primary respiratory problem, making respiratory acidosis the expected
imbalance.
2. A nurse is preparing to administer an enteric-coated tablet. Which
action is correct?
A. Crush the tablet and mix it with applesauce for easier administration.
B. Split the tablet in half for patients who have difficulty swallowing.
,2|Page
C. Instruct the patient to swallow the tablet whole without chewing.
D. Dissolve the tablet in water before administration.
Answer: C. Enteric-coated tablets have a coating designed to resist
dissolution in the stomach and dissolve in the small intestine. Crushing,
splitting, or dissolving the tablet destroys this protective coating,
potentially causing gastric irritation or inactivation of the drug.
3. A postoperative patient complains of sudden chest pain, shortness of
breath, and hemoptysis. The nurse notes a pulse oximetry reading of
88%. What is the priority nursing action?
A. Administer oxygen and notify the healthcare provider immediately.
B. Encourage the patient to perform deep breathing and coughing
exercises.
C. Place the patient in the supine position.
D. Administer the prescribed oral pain medication.
Answer: A. These symptoms are classic for a pulmonary embolism, a
life-threatening emergency. The immediate priority is to support
oxygenation with high-flow oxygen and notify the provider for rapid
intervention. Deep breathing or supine positioning would not address
the underlying obstruction and could worsen the condition.
4. A patient is prescribed digoxin. Which assessment finding is a sign of
digoxin toxicity?
A. Tachycardia
B. Hypertension
,3|Page
C. Bradycardia and nausea
D. Hyperkalemia
Answer: C. Signs of digoxin toxicity include gastrointestinal symptoms
like nausea, vomiting, and anorexia, as well as cardiac dysrhythmias,
with bradycardia being a common early sign. Tachycardia and
hypertension are not typical of toxicity; hypokalemia, not hyperkalemia,
predisposes patients to toxicity.
5. When assessing a patient's level of consciousness using the Glasgow
Coma Scale, which parameters are evaluated?
A. Eye opening, best verbal response, and best motor response
B. Pupillary response, grip strength, and respiratory rate
C. Blood pressure, heart rate, and pain response
D. Orientation to person, place, and time
Answer: A. The Glasgow Coma Scale is a standardized assessment tool
that scores a patient's level of consciousness based on three categories:
eye opening (1-4 points), best verbal response (1-5 points), and best
motor response (1-6 points). The total score ranges from 3 (deep coma)
to 15 (fully alert).
6. A nurse is caring for a patient with a nasogastric tube set to
continuous suction. The nurse should monitor for which potential
complication?
A. Metabolic alkalosis
B. Metabolic acidosis
, 4|Page
C. Respiratory acidosis
D. Respiratory alkalosis
Answer: A. Continuous nasogastric suction removes gastric hydrochloric
acid and other gastric secretions. The loss of this acid can lead to a
relative increase in bicarbonate, resulting in metabolic alkalosis.
7. What is the most appropriate nursing intervention for a patient
exhibiting signs of anaphylaxis after receiving a medication?
A. Administer diphenhydramine orally.
B. Place the patient in a supine position with legs elevated.
C. Administer epinephrine intramuscularly.
D. Apply a warm compress to the injection site.
Answer: C. The first-line treatment for anaphylaxis is intramuscular
epinephrine, which counteracts severe vasodilation and
bronchoconstriction. Oral antihistamines are not sufficient in a life-
threatening emergency, and while elevating the legs is beneficial for
shock, it is not the priority intervention.
8. A patient with heart failure is prescribed furosemide. The nurse
should assess the patient for which adverse effect?
A. Hyperkalemia
B. Hyponatremia
C. Hypokalemia
D. Hypercalcemia
