AND ANSWERS] WITH PRACTICE EXAM DETAILED AND VERIFIED
FOR GUARANTEED PASS- LATEST UPDATE 2026 GRADED A
(BRAND NEW!!)
A nurse in an emergency department completes an assessment on an
adolescent client that has conduct disorder. The client threatened
suicide to teacher at school. Which of the following statements
should the
nurse include in the assessment?
a) Tell me about your siblings
b) Tell me what kind of music you like
c) Tell me how often do you drink alcohol
d) Tell me about your school schedule - CORRECT ANSWER ✔✔✔✔✔
c) Tell me how often do you drink alcohol
A nurse is observing bonding to the client her newborn. Which of
following actions by the client requires the nurse to intervene?
a) Holding the newborn in face position
b) Asking the father to change the newborn's diaper
c) Requesting the nurse take the newborn nursery so she can rest
d) Viewing the newborn's actions to be uncooperative - CORRECT
ANSWER ✔✔✔✔✔ d) Viewing the newborn's actions to be
uncooperative
A nurse is caring for client who is taking levothyroxin. Which of the
following findings should indicate that the medication is effective?
a) Weight loss
b) Decreased blood pressure
c) Absence of seizures
d) Decrease inflammation - CORRECT ANSWER ✔✔✔✔✔ a) Weight
loss
A nurse is planning discharge teaching for cord care for the parent of
a newborn. Which instructions would you include in the teaching?
a) Contact provider if the cord still turns black
b) Clean the base of the cord with hydrogen peroxide daily
c) Keep the cord dry until it falls off
,d) The cord stump will fall off in five days - CORRECT ANSWER
✔✔✔✔✔ c) Keep the cord dry until it falls off
A nurse is assessing a client in the PACU. Which of the following
findings indicates decreased cardiac output?
a) Shivering
b) Oliguria
c) Bradypnea
d) Constricted pupils - CORRECT ANSWER ✔✔✔✔✔ b) Oliguria
A nurse is assisting with mass casualty triage: explosion at a local
factory. Which of the following client should the nurse identify as the
priority?
a) A client that has massive head trauma
b) A client has full thickness burns to face and trunk
c) A client with indications of hypovolemic shock
d) A client with open fracture of the lower extremity - CORRECT
ANSWER ✔✔✔✔✔ c) A client with indications of hypovolemic shock
A nurse is a receiving report on four clients. Which of the following
clients should the nurse assess first?
a) A client who has illeal conduit and mucus in the pouch
b) Client pleasant arteriovenous additional vibration palpated
c) A client whose chronic kidney disease with cloudy diasylate
outflow
d) A client was transurethral resection of the prostate with a red
tinged urine in the bag - CORRECT ANSWER ✔✔✔✔✔ c) A client
whose chronic kidney disease with cloudy diasylate outflow
A nurse is caring for a client just received the first dose of lisinopril.
The following is an appropriate nursing intervention?
a) Place's cardiac monitoring
b) Monitor the clients oxygen saturation level
c) Provide standby assist with the client from bed
d) Encourage foods high in potassium - CORRECT ANSWER ✔✔✔✔✔
c) Provide standby assist with the client from bed
A nurse is caring for a client who is in labor and his seat is receiving
electronic fetal monitoring. The nurse is reviewing the monitor tracing
,and notes early decelerations. Which the following should the nurse
expect?
a) Feta hypoxia
b) Abrupto placentae
c) Post maturity
d) Head Compression - CORRECT ANSWER ✔✔✔✔✔ d) Head
Compression
A nurse is caring for a client who has chronic kidney disease. The
nurse should identify which of the following laboratory values as in
an indication for hemodialysis?
a) glomerular filtration rate of 14 mL/ minute
b) BUN 16 mg/DL
c) serum magnesium 1.8 mg mg/dl
d) Serum phosphorus 4.0 mg/dL - CORRECT ANSWER ✔✔✔✔✔ a)
glomerular filtration rate of 14 mL/ minute
A nurse is caring for an infant who has a prescription for continuous
pulse oximetry. The following is an appropriate action for the nurse to
take?
a) Placed infant under radiant warmer
b) Move the probe site every 3 hours
c) Heat the skin one minute prior to placing the program
d) Placed a sensor on the index finger - CORRECT ANSWER ✔✔✔✔✔
c) Heat the skin one minute prior to placing the program
A nurse in a mental health facility receives a change of shift report on
for clients. Which of the following clients should the nurse plan to
assess first?
a) Client placed in restraints to the aggressive behavior
b) A new limited client pleasures history of 4.5 kg weight loss in the
past two months
c) Client is receiving a PRN dose of health heard all two hours ago for
increased anxiety
d) Applied he'll be receiving his first ECT treatment today - CORRECT
ANSWER ✔✔✔✔✔ a) Client placed in restraints to the aggressive
behavior
, A nurse working at the clinic is teaching a group of clients who are
pregnant on the use of non-pharmacological pain management.
Which of the following statements by the nurse is an appropriate
description of the use of hypnosis during labor?
a) Hypnosis focuses on the biofeedback as a relaxation technique
b) Hypnosis promotes increased control of her pain perception during
contractions
c) Hypnosis uses therapeutic touch to reduce anxiety during labor
d) Hypnosis provides instruction to minimize pain - CORRECT
ANSWER ✔✔✔✔✔ b) Hypnosis promotes increased control of her
pain perception during contractions
A nurse in a County Jail health clinic is leading group therapy
session. A client who was incarcerated for theft is addressing the
group. Which of the following is an example of reaction formation?
a) I steal things because it's the only way I can keep my mind off my
bad marriage
b) I can't believe I was accused of something I didn't do
c) I don't want talk about my feelings right now. We will talk more next
time
d) I think that people just you're just lazy and should earn money
honestly - CORRECT ANSWER ✔✔✔✔✔ d) I think that people just
you're just lazy and should earn money honestly
A nurse is obtaining the medical history of a client who has a new
prescription for isosorbide monotitrate. Which of the following should
the nurse identify as a contraindication to medication?
a) Glaucoma
b) Hypertension
c) Polycythemia
d) Migraine headaches - CORRECT ANSWER ✔✔✔✔✔ a) Glaucoma
The nurses is caring for a client recovering from an acute myocardial
infarction. Which following
intervention should the nurse include in the point of care?
a) Draw a troponin level every four hours
b) Performance EKG every 12 hours
c) Plant oxygen tent fell over minutes via rebreather mask