Questions with Verified/Correct
Answers 2025-2026 Updated.
A nurse is preparing to administer an enteral feeding. In which order will the nurse implement
the steps, starting with the first one?
Elevate head of bed to at least 30 degrees.
Check for gastric residual volume.
Flush tubing with 30 mL of water.
Verify tube placement.
S. Initiate feeding.
a. 4, 2, 1, 5, 3
b. 2, 4, 1, 3, 5
c. 1, 4, 2, 3, 5
d. 2, 1, 4, 5, 3 - Answer
A patient is experiencing dehydration. While planning care, the nurse considers that the
majority of the patient's total water volume exists in with compartment?
a. Intracellular
b. Extracellular
c. Intravascular
d. Transcellular - Answer a. Intracelular
The nurse is teaching about the process of passively moving water from an area of lower
particle concentration to an area of higher particle concentration. Which process is the nurse
describing?
a. Osmosis
b. Filtration
c. Diffusion
d. Active transport - Answer a. Osmosis
The nurse observes edema in a patient who is experiencing venous congestion as a result of
right heart failure. Which type of pressure facilitated the formation of the patient's edema?
a. Osmotic
b. Oncotic
c. Hydrostatic
,d. Concentration - Answer c. Hydrostatic
The nurse administers an intravenous (IV) hypertonic solution to a patient expects the fluid
shift to occur in what direction?
a. From intracellular to extracellular
b. From Extracellular to intracellular
c. From intravascular to intracellular
d. From intravascular to interstitial - Answer a. From intracellular to extracellular
A nurse is preparing to start peripheral intravenous (IV) therapy. In which order will the nurse
perform the steps starting with the first one?
1. Clean site.
2. Select vein.
3. Apply tourniquet.
4 Release tourniquet
5. Reapply tourniquet.
6. Advance and secure.
7. Insert vascular access device.
a. 1, 3, 2, 7, 5, 4, 6
b. 1, 3, 2, 5, 7, 6, 4
c. 3, 2, 1, 5, 7, 6, 4
d. 3, 2, 4, 1, 5, 7, 6 - Answer d. 3, 2, 4, 1, 5, 7, 6
The nurse is laboratory blood results will expect to observe which cation in the most
abundance?
a. Sodium
b. Chloride
c. Potassium
d. Magnesium - Answer a. Sodium
The nurse receives the patient's most recent blood work results. Which laboratory value is of
greatest concern?
a. Sodium of 145 mEg/L
b. Calcium of 15.5 mg/dL
c. Potassium of 3.5 mEg/L
d. Chloride of 100 mEg/L - Answer b. Calcium of 15.5 mg/dL
, The nurse observes that the patient's calcium is elevated. When checking the phosphate level,
what does the nurse expect to see?
a. An increase
b. A decrease
c. Equal to calcium
d. No change in phosphate - Answer b. An decrease
Four patients arrive at the emergency department at the same time. Which patient will the
nurse see first?
a. An infant with temperature of 102.2°F and diarrhea for 3 days
b. A teenager with a sprained ankle and excessive edema
c. A middle-aged adult with abdominal pain who is moaning and holding her stomach
d. An older adult with nausea and vomiting for 3 days with blood pressure 112/60 - Answer
a. An infant with temperature of 102.2°F and diarrhea for 3 days
The patient has an intravenous (IV) line and the nurse needs to remove the gown. In which
order will the nurse perform the steps, starting with the first one?
1. Remove the sleeve of the gown from the arm without the IV.
2. Remove the sleeve of the gown from the arm with the IV.
3. Remove the IV solution container from its stand.
4. Pass the IV bag and tubing through the sleeve.
a. 1, 2, 3, 4
b. 2, 3, 4, 1
c. 3, 4, 1, 2
d. 4, 1, 2, 3 - Answer a. 1, 2, 3, 4
A 2-year-old child has ingested a quantity of a medication that causes respiratory depression.
For which acid-base imbalance will the nurse most closely monitor this child?
a. Respirator alkalosis
b. Respiratory acidosis
c. Metabolic acidosis
d. Metabolic alkalosis - Answer b. Respiratory acidosis