QUESTIONS WITH CORRECT
ANSWERS 2025/2026
AAnurseAisApreparingAtoAadministerAaAtransfusionAofARBCsAtoAaAclientAwhoAhasAheartAfailure.AFo
rAwhichAofAtheAfollowingAmanifestationsAshouldAtheAnurseAmonitorAtoApreventAfluidAvolumeAov
erload?A(SelectAallAthatAapply.)
A.ADyspnea
B.AGastrointestinalAbloating
C.AJugularAveinAdistention
D.AConfusion
E.AHypotensionA-AcorrectAanswersA.ADyspnea
C.AJugularAveinAdistention
D.AConfusion
DyspneaAisAaAclinicalAmanifestationAofAfluidAvolumeAoverload.AJugularAveinAdistentionAisAaAclini
calAmanifestationAofAfluidAvolumeAoverload.AConfusionAisAaAclinicalAmanifestationAofAfluidAvolu
meAoverload.
AAnurseAisAcaringAforAaAclientAwhoAhasAaAspinalAcordAinjuryAandAsuspectsAtheAclientAisAdevelopin
gAautonomicAdysreflexia.AWhichAofAtheAfollowingAactionsAshouldAtheAnurseAtakeAfirst?
A.ACheckAtheAclientAforAaAfecalAimpaction.
B.AExamineAtheAclientAforAareasAofAskinAbreakdown.
C.ACheckAtheAclient'sAbladderAforAdistention.
D.APlaceAtheAclientAinAaAsittingAposition.A-
AcorrectAanswersD.APlaceAtheAclientAinAaAsittingAposition.
TheAnurseAshouldAuseAtheAleastAinvasiveAinterventionAfirst.ATherefore,AtheAnurseAshouldAplaceA
theAclientAinAaAsittingApositionAtoAdecreaseAtheAmanifestationAofAhypertension.
,TheAnurseAmightAhaveAtoAcheckAtheAclientAforAfecalAimpaction,AwhichAcanAprecipitateAautonom
icAdysreflexia.AHowever,AtheAnurseAshouldAuseAaAlessAinvasiveAinterventionAfirst.ATheAnurseAmig
htAhaveAtoAexamineAtheAclient'sAskinAforAareasAofAskinAbreakdownAorApressure,AwhichAcanAtrigg
erAautonomicAdysreflexia.AHowever,AtheAnurseAshouldAuseAaAlessAinvasiveAinterventionAfirst.ATh
eAnurseAmightAhaveAtoAcheckAtheAclientAforAbladderAdistention,AwhichAcanAprecipitateAautono
micAdysreflexia.AHowever,AtheAnurseAshouldAuseAaAlessAinvasiveAinterventionAfirst.
AAnurseAisAteachingAaAnewlyAlicensedAnurseAaboutAtheAriskAfactorsAforAdehiscenceAforAclientsAw
hoAhaveAsurgicalAincisions.AWhichAofAtheAfollowingAfactorsAshouldAtheAnurseAincludeAinAtheAtea
ching?A(SelectAallAthatAapply.)
A.APoorAnutritionalAstate
B.AAlteredAmentalAstatus
C.AObesity
D.APainAmedicationAadministration
E.AWoundAinfectionA-AcorrectAanswersA.APoorAnutritionalAstate
C.AObesity
E.AWoundAinfection
AAnurseAisAcaringAforAaAclientAwhoAhasAanAendotrachealAtubeAandAisAreceivingAmechanicalAventi
lation.AWhichAofAtheAfollowingAinterventionsAshouldAtheAnurseAtakeAtoAreduceAtheAriskAforAvent
ilator-associatedApneumonia?
A.APositionAtheAheadAofAtheAclient'sAbedAinAtheAflatAposition.
B.ATurnAtheAclientAeveryA4Ahr.
C.ARinseAtheAclient'sAmouthAwithAanAantimicrobialAsolutionAeveryA4Ahr.
D.APerformAhandAhygieneApriorAtoAsuctioningAtheAclient'sAendotrachealAtube.A-
AcorrectAanswersC.ARinseAtheAclient'sAmouthAwithAanAantimicrobialAsolutionAeveryA4Ahr.
TheAnurseAshouldAbrushAtheAclient'sAteethAeveryA8AhrAandArinseAtheAclient'sAmouthAwithAanAant
imicrobialArinseAeveryA2AhrAtoAreduceAtheAgrowthAofAbacteria.
TheAnurseAshouldAelevateAtheAheadAofAtheAclient'sAbedA30°AtoAreduceAtheAriskAforAaspirationAan
dApneumonia.ATheAnurseAshouldAturnAtheAclientAeveryA2AhrAtoApromoteAlungAexpansionAandAre
, duceAtheAriskAforApneumonia.ATheAnurseAshouldAperformAhandAhygieneApriorAtoAsuctioningAthe
Aclient'sAendotrachealAtubeAtoAreduceAtheAriskAofAintroducingAbacteria.
AAnurseAisAprovidingAinstructionAtoAaAnewAnurseAaboutAcaringAforAclientsAwhoAareAreceivingAdiu
reticAtherapyAtoAtreatAheartAfailure.ATheAnurseAshouldAexplainAthatAwhichAofAtheAfollowingAme
dicationsAputsAclientsAatAriskAforAbothAhyperkalemiaAandAhyponatremia?
A.AFurosemide
B.AHydrochlorothiazide
C.AMetolazone
D.ASpironolactoneA-AcorrectAanswersD.ASpironolactone
SpironolactoneAisAaApotassium-
sparingAdiuretic.AItAblocksAtheAeffectsAofAaldosteroneAinAtheArenalAtubules,AcausingAaAlossAofAso
diumAandAwaterAandAtheAretentionAofApotassium.ATheApossibleAadverseAreactionsAincludeAhyp
erkalemiaAandAhyponatremia.
FurosemideAisAaAhigh-
ceilingA(loop)AdiureticAthatAincreasesAtheAriskAofAhyponatremiaAandAhypokalemia,AnotAhyperkal
emia.AHydrochlorothiazideAisAaAthiazideAdiureticAthatAincreasesAtheAriskAofAhypokalemia,AnotAh
yperkalemia.AMetolazoneAisAaAthiazideAdiureticAthatAincreasesAtheAriskAofAhyponatremiaAandAh
ypokalemia,AnotAhyperkalemia.
AAnurseAisAreviewingAtheAmedicalArecordAofAaAclientAwhoAhasAaApepticAulcer.AWhichAofAtheAfollo
wingAfindingsAshouldAtheAnurseArecognizeAasAaAriskAfactorAforAthisAmedication?
A.AHistoryAofAbulimia
B.AHistoryAofANSAIDAuse
C.ADrinksAgreenAtea
D.AHasAaAglassAofAwineAwithAdinnerAeachAdayA-AcorrectAanswersB.AHistoryAofANSAIDAuse
TheAnurseAshouldArecognizeAthatAlong-
termAuseAofANSAIDsAisAaAriskAfactorAforApepticAulcerAdisease.ANSAIDsAbreakAdownAtheAmucosalA