ADVANCED TEST 2026/2027 QUESTIONS WITH VERIFIED
ANSWERS| GRADED A
A nurse is caring for a client who has terminal pancreatic cancer. The client is
competent and has requested no resuscitative measures be taken in the event of
respiratory or cardiac arrest. Which of the following is necessary to legally change
the client's code status to do-not-resuscitate (DNR)? SELECTED ANSWER 👀 A
written prescription from the provider
A DNR is typically instituted at the request of a client or family member and
should be a written order instead of a verbal prescription. Until a DNR
prescription exists. every attempts to revive the client should be made in the
event of respiratory or cardiac arrest. A written prescription from the provider is
necessary to legally change the client's code status to a DNR
A nurse is caring for a toddler who has acute otitis media and is prescribed
benzocaine (Americaine) ear drops for pain relief. Which of the following actions
by the nurse is appropriate when administering the ear drops? SELECTED
ANSWER 👀 Warm refrigerated drops to room temperature prior to instillation.
Because of the anatomy of internal ear structures, it is important to remember
that the ear is sensitive to extremes in temp. Ear drops should be warmed to
room temp prior to instillation to reduce the risk of painful stimuli
A nurse is caring for a client who has a new colostomy. The client is being
discharged and plans to live with her daughter. Which of the following responses
by the nurse is appropriate when the daughter states that she doesn't know how
she is going to care for her mother's colostomy? SELECTED ANSWER 👀 "What
part of your mother's care concerns you?"
, A nurse is caring for a client who is diagnosed with bipolar disorder and is taking
lithium (Lithane). Which of the following serum lithium levels indicates the client's
dosage is appropriate for maintenance therapy? SELECTED ANSWER 👀 0.75
mEq/L
Lithium is a mood-stabilizing medication used in the treatment of bipolar I acute
and recurrent manic and depressive episodes. To achieve a therapeutic range,
give 300 mg to 600 mg of lithium during the active phase. The therapeutic serum
lithium level is between 0.8 mEq/L and 1.4 mEq/L. Maintenance levels of 0.4 to
1.3 mEq/L are then achieved for clients who are prescribed lithium for long-term
therapy. Because small increments of dosage separate therapeutic, maintenance,
and toxic levels of lithium, knowledge of these levels is essential to ensure safe,
quality care. This serum lithium level indicates the client's dosage is appropriate
for maintenance therapy.
A nurse is caring for a client who is scheduled for a lumbar puncture. The nurse
should teach the client that which of the following is a post-procedure
complication? SELECTED ANSWER 👀 Headache
A headache is a manifestation experienced by 15 to 30% of clients following a
lumbar puncture that results from cerebrospinal fluid leakage at the puncture
site. These headaches are managed primarily with analgesics, hydration, and bed
rest
A nurse is reinforcing teaching about a new prescription for cromolyn sodium
(Intal) metered-dose inhaler (MDI) to a school-age child who has asthma. Which
of the following statements should indicate to the nurse that the child needs
further teaching? SELECTED ANSWER 👀 "I will use my cromolyn inhaler before
using my albuterol inhaler."