ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS GRADED A+|| 2026 EXAM
The client was diagnosed with tension pneumothorax. Which
statement explains the nurse's understanding of tracheal
deviation?
A) accumulation of air in the pleural space, the lung
collapses
B) increase intrathoracic pressure, the lung collapses
C) increase intrathoracic secretion of pus, the lung collapses
D) pleural pressure leakage increases, the lung collapses
B) increase intrathoracic pressure, the lung collapses
A client is admitted to the unit following a head injury. The
nurse assess deep-tendon reflexes and other reflexes
frequently for which of the following reasons?
A) muscle and skeletal damage
B) spinal cord damage
C) cranial nerve damage
D) tendon and ligament damage
B) spinal cord damage
Which information obtained when caring for a client who has
just been admitted for evaluation of diabetes insipidus will be
of least concern to the nurse?
A) the cline has a urine output of 800 ml/hr
B) the client's urine specific gravity is 1.003
,C) the client has a recent head injury
D) the client is confused and lethargic
D) the client is confused and lethargic
A client has severe acute pancreatitis. To assess for the most
systemic complication of the disease, it is most important for
the nurse to monitor
A) serum lipase
B) abdominal CT scan
C) serum amylase
D) arterial blood gas
D) arterial blood gas
A client with damaged nerve fibers as well as other tissues
asks the nurse to explain the extent of the nerve damage.
The best response from the nurse should be
A) nerve cells do not regenerate
B) normal motor and sensory function will return
C) weak sensation and movement will come back
D) some sensory and motor function may return
D) some sensory and motor function may return
Diagnostic criteria for sepsis include:
A) temperature of 36.5 C (97.7F)
B) heart rate greater than 90 beats per minute
C) respiratory rate less than 20 breaths per minute
D) leukocyte count between 5,000 and 11,000 cells/mm3
B) heart rate greater than 90 beats per minute
A post MI client has been pain free for 3 days. He asks the
nurse why his activity is restricted. Which information about
,controlling activity in post MI clients is correct?
A) any additional activity at this time will result in life
threatening complications
B) the injured area in the heart is capable of responding to an
increase in bodily activity
C) minimal activity promotes the effect of the medications
used to control the force of heart muscle contractions
D) activity is restricted because the heart requires complete
physical rest for at least 5 days after an MI
C) minimal activity promotes the effect of the medications used to
control the force of heart muscle contractions
The nurse has finished check the groin catheter insertion site
of a client one-hour post cardiac catheterization. The client
begins to raise the head of his bed. The initial nursing action
will be to
A) explain that he must not move his leg for 3 hours, thus the
head of the bed may not be elevated
B) elevate his affected leg on a pillow and allow him to raise
the head of the bed to a position of comfort
C) check the pedal pulse and dressing
D) explain that the head of the bed should be elevated at 30
degrees
A) explain that he must not move his leg for 3 hours, thus the
head of the bed may not be elevated
A client is trying to determine the difference between
Hospice Care and Palliative Care? Which response(s) by the
nurse to the client are correct? (select all that apply)
A) hospice care is provided when the person decides to
forego curative treatments
, B) palliative care does not allow a person to receive curative
and palliative together
C) hospice care is provided at an institution with 24-hour
nursing being present
D) family members are not required for palliative care
A) hospice care is provided when the person decides to forego
curative treatments
D) family members are not required for palliative care
A health care provider who has been effectively immunized
for hepatitis B is exposed to the hepatitis B virus (HBV)
through a needle stick from an infected client. The infection
control nurse informs the individual that treatment for
exposure should include
A) baseline hepatitis B antibody testing now and in 2 months
B) active immunization with hepatitis B vaccine
C) hepatitis b immune globulin (HBIG) injection
D) both the hepatitis B vaccine and HBIG injection
D) both the hepatitis B vaccine and HBIG injection
The nurse assesses a burn injury client's ouput and
documents that client's urine is bloody. Based on the bloody
urine, the nurse suspects that the client has which kind of
burn injury?
A) thermal
B) chemical
C) electrical
D) smoke
C) electrical