Update 2026 | 100% Correct Answers | Actual Exam Prep
1. What type of oral care product should be avoided for clients with stomatitis
according to the provided information?
Hydrogen peroxide solution
Foam swab
Soft toothbrush
Lemon and glycerin swabs
2. Describe the significance of recognizing symptoms of dialysis disequilibrium
syndrome (DDS) in a patient undergoing hemodialysis.
DDS is a common and expected outcome of hemodialysis.
Recognizing symptoms of DDS is crucial as it can lead to serious
complications if not addressed promptly.
Symptoms of DDS indicate that the dialysis is effective.
Symptoms of DDS are generally mild and do not require intervention.
3. Which of the following interventions is appropriate for addressing protein
deficiency in a client receiving chemotherapy?
Provide only low-protein foods
Serve only clear liquids
Mix powdered skim milk into liquid milk
Add honey to hot tea
4. A client returns from dialysis and is more confused than he was this morning.
The nurse is concerned about DDS (dialysis disequilibrium syndrome). Which
, of the following best describes the patho of this process?
The client has a decrease in fluid volume that decreases intracranial
pressure
electrolytes are removed too quickly from the blood altering brain
functions.
blood pressure drops during dialysis causing the client to experience
stroke symptoms
potassium buildup causes the client to experience painful cramps and
confusion
5. Why is it crucial for a client who has received a bone marrow transplant to
monitor their temperature regularly?
Temperature checks are only for clients with gastrointestinal disorders.
It is not important to monitor temperature after a bone marrow
transplant.
Temperature monitoring is only necessary if the client feels unwell.
Monitoring temperature helps detect signs of infection early, which
is critical for recovery.
6. A nurse is monitoring a patient with chronic kidney disease who presents with
muscle weakness and irregular heart rhythms. Which laboratory values
should the nurse prioritize checking?
Arterial pH and PaCO2
Hemoglobin and hematocrit
Potassium and magnesium
Calcium and bicarbonate
,7. What procedure should be performed for a client in severe respiratory
distress due to blunt chest trauma?
CT scan of the chest
Tracheostomy placement
Chest tube insertion
Thoracentesis
8. A nurse is providing teaching to a client about risk factors for breast cancer.
Which of the following factors should the nurse include as placing the client
at an increased risk for developing breast cancer?
Fibrocystic breast disease
Use of hormone replacement therapy
Early menopause
A BMI less than 25
9. Why is it important for a nurse to empty a urinary collection pouch when it is
2/3 full?
To allow for better patient comfort.
To prevent overflow and maintain proper drainage.
To reduce the risk of infection.
To ensure the pouch is sterile.
10. If a client becomes anxious and cannot remain still during the EEG, what
intervention should the nurse consider?
Administer a sedative to help the client relax.
, Provide reassurance and explain the importance of remaining still
for accurate results.
Cancel the EEG and reschedule for another day.
Ask the client to leave the room until they can calm down.
11. Which statement from the pt about stomatitis indicated the nurse's teaching is
effective?
"i will rinse my mouth with Listerine mouthwash"
"i will swish with antifungal solution and then swallow only at bedtime"
"i will avoid spicy foods, tobacco, and alcohol"
"i do not need to brush my teeth with a soft bristle toothbrush"
12. A nurse is caring for a client undergoing peritoneal dialysis who reports
abdominal discomfort and has minimal dialysate output. After changing the
client's position, what should the nurse monitor next to assess the
effectiveness of this intervention?
Dialysate output
Blood pressure
Client's pain level
Heart rate
13. The nurse is caring for a client 5 minutes after being extubated. The client
begins exhibiting stridor. What action by the nurse is best?
Suction the client's mouth and pharynx
Ask the client to take slow deep breaths
Administer a PRN albuterol inhaler