BASIC NURSING ACTUAL EXAM QUESTIONS
AND ANSWERS|100% CORRECT AND
VERIFIED|GRADED A+|LATEST 2025/2026
The nurse caring for a resident of a long-
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term care facility discovers the client has a body temperature of 102 F, nasal congestion, and b
B B B B B B B B B B B B B B B B
ody aches. The provider diagnosed the resident with influenza the day prior. Which nursing di
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agnosis does the nurse determine applies to this client?
B B B B B B B B
A. Hyperthermia related to the body's inflammatory response to invading pathogens
B B B B B B B B B B
B. Ineffective airway clearance related to thick and tenacious bronchial secretions.
B B B B B B B B B B
C. Risk for altered thought processes (dementia) related to advanced age
B B B B B B B B B B
D. Risk for infection related to hyperthermia, nasal congestions, and body aches - ANSWER-
B B B B B B B B B B B B B
A. Hyperthermia related to the body's inflammatory response to invading pathogens
B B B B B B B B B B
The nurse notes that a client with pneumonia is experiencing a decrease in oxygen saturation
B B B B B B B B B B B B B B B
and determines the client's nursing diagnosis is "Impaired gas exchange". Which statement or
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related factors does the nurse determine is the etiology of this nursing diagnosis?
B B B B B B B B B B B B
A. Alveolar-capillary membrane exchange
B B B
B. Cough, chest pain, and fever
B B B B B
C. Pneumonia
B
D. Respiratory illness - ANSWER-
B B B B A. Alveolar-capillary membrane exchange
B B B
, The nurse notes that a client has the nursing diagnosis of "Fluid volume deficit related to an in
B B B B B B B B B B B B B B B B B
ability to swallow". Which outcome criterion is appropriate for the nurse to set for this client?
B B B B B B B B B B B B B B B
A. The client's fluid intake will be adequately restored.
B B B B B B B B
B. The client will drink at least two liters of fluids daily
B B B B B B B B B B B
C. The client will swallow normally
B B B B B
D. The client will verbalize understanding the need to drink more fluids - ANSWER-
B B B B B B B B B B B B B
B. The client will drink at least two liters of fluids daily
B B B B B B B B B B B
A two year old child has an endoscopic procedure to remove a small toy she swallowed. Durin
B B B B B B B B B B B B B B B B
g discharge teaching, which instruction is priority for the nurse to inform the child's parents to
B B B B B B B B B B B B B B B B
prevent further risk of aspiration?
B B B B
A. "Allow the child to play with one toy at a time and only under direct supervision.
B B B B B B B B B B B B B B B B
B. "Follow the appropriate are recommendations marked on toys before giving them to the ch
B B B B B B B B B B B B B B
ild." B
C."Notify the physician if the child complains of a sore throat within the next 24 hours."
B B B B B B B B B B B B B B B
D. Place all the child's toys at a level higher than can be reached without adult assistance. -
B B B B B B B B B B B B B B B B B
ANSWER-
B
B. "Follow the appropriate are recommendations marked on toys before giving them to
B B B B B B B B B B B B
B the child."
B
A nurse is caring for five clients on a busy medical-
B B B B B B B B B B
surgery nursing unit. Which technique implemented during medication administration will be
B B B B B B B B B B
st reduce the risk of making a medication error?
B B B B B B B B
AND ANSWERS|100% CORRECT AND
VERIFIED|GRADED A+|LATEST 2025/2026
The nurse caring for a resident of a long-
B B B B B B B B
term care facility discovers the client has a body temperature of 102 F, nasal congestion, and b
B B B B B B B B B B B B B B B B
ody aches. The provider diagnosed the resident with influenza the day prior. Which nursing di
B B B B B B B B B B B B B B
agnosis does the nurse determine applies to this client?
B B B B B B B B
A. Hyperthermia related to the body's inflammatory response to invading pathogens
B B B B B B B B B B
B. Ineffective airway clearance related to thick and tenacious bronchial secretions.
B B B B B B B B B B
C. Risk for altered thought processes (dementia) related to advanced age
B B B B B B B B B B
D. Risk for infection related to hyperthermia, nasal congestions, and body aches - ANSWER-
B B B B B B B B B B B B B
A. Hyperthermia related to the body's inflammatory response to invading pathogens
B B B B B B B B B B
The nurse notes that a client with pneumonia is experiencing a decrease in oxygen saturation
B B B B B B B B B B B B B B B
and determines the client's nursing diagnosis is "Impaired gas exchange". Which statement or
B B B B B B B B B B B B B
related factors does the nurse determine is the etiology of this nursing diagnosis?
B B B B B B B B B B B B
A. Alveolar-capillary membrane exchange
B B B
B. Cough, chest pain, and fever
B B B B B
C. Pneumonia
B
D. Respiratory illness - ANSWER-
B B B B A. Alveolar-capillary membrane exchange
B B B
, The nurse notes that a client has the nursing diagnosis of "Fluid volume deficit related to an in
B B B B B B B B B B B B B B B B B
ability to swallow". Which outcome criterion is appropriate for the nurse to set for this client?
B B B B B B B B B B B B B B B
A. The client's fluid intake will be adequately restored.
B B B B B B B B
B. The client will drink at least two liters of fluids daily
B B B B B B B B B B B
C. The client will swallow normally
B B B B B
D. The client will verbalize understanding the need to drink more fluids - ANSWER-
B B B B B B B B B B B B B
B. The client will drink at least two liters of fluids daily
B B B B B B B B B B B
A two year old child has an endoscopic procedure to remove a small toy she swallowed. Durin
B B B B B B B B B B B B B B B B
g discharge teaching, which instruction is priority for the nurse to inform the child's parents to
B B B B B B B B B B B B B B B B
prevent further risk of aspiration?
B B B B
A. "Allow the child to play with one toy at a time and only under direct supervision.
B B B B B B B B B B B B B B B B
B. "Follow the appropriate are recommendations marked on toys before giving them to the ch
B B B B B B B B B B B B B B
ild." B
C."Notify the physician if the child complains of a sore throat within the next 24 hours."
B B B B B B B B B B B B B B B
D. Place all the child's toys at a level higher than can be reached without adult assistance. -
B B B B B B B B B B B B B B B B B
ANSWER-
B
B. "Follow the appropriate are recommendations marked on toys before giving them to
B B B B B B B B B B B B
B the child."
B
A nurse is caring for five clients on a busy medical-
B B B B B B B B B B
surgery nursing unit. Which technique implemented during medication administration will be
B B B B B B B B B B
st reduce the risk of making a medication error?
B B B B B B B B