Complete 100-Question Practice Exam with Answers and Expert
Explanations
Questions 1–100
1. A nurse is caring for a postoperative client who reports increased
pain during range-of-motion exercises. What is the nurse's priority
action?
A) Discontinue all physical activity for the client
B) Increase the intensity of the exercises immediately
C) Encourage the client to push through the pain
,D) Reassess the exercise regimen and consult with the healthcare
provider
Answer D: Reassess the exercise regimen and consult with the
healthcare provider
Rationale: Pain during therapeutic exercises requires reassessment
and consultation; pushing through pain can cause further injury, and
discontinuing all activity is premature without evaluation.
2. A patient who has been on high-dose corticosteroids for several
months is experiencing a severe allergic reaction. How should the
nurse manage the corticosteroid dosage during treatment?
A) Maintain the current dosage until the allergic reaction resolves
B) Increase the dosage of corticosteroids to combat the allergic
reaction
C) Gradually reduce the corticosteroid dosage to prevent adrenal
crisis while managing the allergic reaction
D) Stop the corticosteroid therapy immediately to control the allergic
reaction
Answer C: Gradually reduce the corticosteroid dosage to prevent
adrenal crisis while managing the allergic reaction
,Rationale: Abrupt withdrawal of chronic corticosteroids can
precipitate adrenal crisis; dosage should be tapered under provider
guidance.
3. Which client is at the highest risk for fluid volume overload after
surgery?
A) Client with laparoscopic cholecystectomy
B) Client with liver transplantation
C) Client with lymph node dissection
D) Client with surgical intervention for hemorrhoids
Answer B: Client with liver transplantation
Rationale: Liver transplant clients are at highest risk for fluid volume
overload due to compromised liver function affecting fluid regulation,
altered albumin levels, and the significant fluid shifts associated with
major abdominal surgery.
4. A 10-year-old boy with juvenile idiopathic arthritis is being
admitted. Which condition in a potential roommate would be most
concerning?
, A) Splenectomy
B) Fractured femur
C) Asthma
D) Colitis
Answer C: Asthma
Rationale: A child with JIA on immunosuppressive therapy (including
biologics) should not be placed with a child with asthma, as
respiratory infections could be transmitted and the JIA patient may
be immunocompromised.
5. A postoperative client presents with foul-smelling drainage from
their wound. What is the nurse's immediate priority action?
A) Administer pain medication to the client
B) Change the dressing and apply a new antiseptic ointment
C) Document the findings and continue to monitor the wound
D) Notify the healthcare provider for further evaluation and possible
intervention
Answer D: Notify the healthcare provider for further evaluation and
possible intervention