EXAM NIGHTGALE NEWEST
2026/2027 ACTUAL EXAM COMPLETE
250 QUESTIONS AND CORRECT
DETAILED ANSWERS
Amclientmwithmosteoarthritismreceivesmamnewmprescriptionmformcelecoxibmorallymformsymptommman
agement.mThemnursemnotesmthemclientmismallergicmtomsulfa.mWhichmactionmismmostmimportantmformt
hemnursemtomimplementmpriormtomadministeringmthemfirstmdose?
a)mReviewmthemclient'smhemoglobinmresults.
b)mNotifymthemhealthcaremprovider.
c)mInquiremaboutmthemreactionmtomsulfa.
d)mRecordmthemclient'smvitalmsigns.m-mCORRECTmANSWERSmb)mNotifymthemhealthcaremprovider.
Themnursemismmakingmearlymmorningmroundsmonmamgroupmofmclientsmwhenmamclientmbeginsmexhibiti
ngmsymptomsmofmanmacutemasthmamattack.mThemnursemadministersmamPRNmprescriptionmformamBeta
m2mreceptormagonistmagent.mWhichmclientmresponsemshouldmthemnursemexpect?
a)mTachycardia
b)mIncreasedmbloodmpressure
c)mRapidmresolutionmofmwheezing
d)mImprovedmpulsemoximetrymvalues
e)mReducedmfevermandmairwayminflammationm-mCORRECTmANSWERSma)mTachycardia
c)mRapidmresolutionmofmwheezing
d)mImprovedmpulsemoximetrymvalues
,WhichmchangeminmdatamindicatesmtomthemnursemthatmthemdesiredmeffectmofmthemangiotensinmIImrece
ptormantagonistmvalsartanmhasmbeenmachieved?
a)mDependentmedemamreducedmfromm+3mtom+1
b)mSerummHDLmincreasedmfromm35mtom55mmg/dl
c)mPulsemratemreducedmfromm150mtom90mbeats/minute
d)mBloodmpressuremreducedmfromm160/90mtom130/80mmmHgm-
mCORRECTmANSWERSmd)mBloodmpressuremreducedmfromm160/90mtom130/80mmmHg
Themnursemismassessingmthemeffectivenessmofmhigh-dosemaspirinmtherapymformanm88-year-
oldmclientmwithmarthritis.mThemclientmreportsmthatmshemcan'tmhearmthemnurse'smquestionsmbecausem
hermearsmaremringing.mWhichmactionmshouldmthemnursemimplement?
a)mRefermthemclientmtomanmaudiologistmformevaluationmofmhermhearing.
b)mAdvisemthemclientmthatmthismismamcommonmsidemeffectmofmaspirinmtherapy.
c)mNotifymthemhealthcaremprovidermofmthismfindingmimmediately.
d)mAskmthemclientmtomturnmoffmhermhearingmaidmduringmthemexam.m-
mCORRECTmANSWERSmc)mNotifymthemhealthcaremprovidermofmthismfindingmimmediately.
Themnitratemisosorbidemdinitratemismprescribedmformamclientmwithmangina.mWhichminstructionmshoul
dmthemnursemincludeminmthismclient'smdischargemteachingmplan?
a)mQuitmtakingmthemmedicationmifmdizzinessmoccurs.
b)mDomnotmgetmupmquickly.mAlwaysmrisemslowly.
c)mTakemthemmedicationmwithmfoodmonly.
d)mIncreasemyourmintakemofmpotassium-richmfoods.m-
mCORRECTmANSWERSmb)mDomnotmgetmupmquickly.mAlwaysmrisemslowly.
, Whichmmedicationsmshouldmthemnursemcautionmthemclientmaboutmtakingmwhilemreceivingmanmopioi
dmanalgesic?
a)mAntacids
b)mBenzodiazepines
c)mAntihypertensives
d)mOralmantidiabeticsm-mCORRECTmANSWERSmb)mBenzodiazepines
AmclientmwhomhasmbeenmtakingmlevodopamPOmTIDmtomcontrolmthemsymptomsmofmParkinson'smdiseas
emhasmamnewmprescriptionmformsustained-
releasemlevodopa/carbidopamPOmBID.mThemclientmtookmhismlevodopamatm0800.mWhichminstructionm
shouldmthemnursemincludeminmthemteachingmplanmformthismclient?
a)m"Takemthemfirstmdosemofmlevodopa-carbidopamtoday,masmsoonmasmyourmprescriptionmismfilled."
b)m"Sincemyoumalreadymtookmyourmlevodopa,mwaitmuntilmtomorrowmtomtakemthemlevodopa-
carbidopa."
c)m"Takembothmdrugsmformthemfirstmweek,mthenmswitchmtomonlymthemlevodopa-carbidopa."
d)m"Youmcanmbeginmtakingmthemlevodopa-
carbidopamthismevening,mbutmdomnotmtakemanymmoremlevodopa."m-
mCORRECTmANSWERSmd)m"Youmcanmbeginmtakingmthemlevodopa-
carbidopamthismevening,mbutmdomnotmtakemanymmoremlevodopa."
Anmadultmclientmismgivenmamprescriptionmformamscopolaminempatchmtompreventmmotionmsicknessmw
hilemonmamcruise.mWhichminformationmshouldmthemnursemprovidemtomthemclient?
a)mApplymthempatchmatmleastm4mhoursmpriormtomdeparture.
b)mChangemthempatchmeverymothermdaymwhilemonmthemcruise.
c)mPlacemthempatchmonmamhairlessmareamatmthembasemofmthemskull.