(2025/2026)COMPREHENSIVE
QUESTIONS AND VERIFIED
ANSWERS ( DETAILED &
ELABORATED) ACTUAL EXAM
2025/2026TEST!!
Avptvpressesvthevcallvbellvandvrequestsvpainvmedicationvforvavseverevheadache.vTovassessvthevqualit
yvofvthevpt.vPain,vwhichvapproachvshouldvthevnursevuse?v-
vCORRECTvANSWERSvAskvthevpatientvtovdescribevthevpain
Thevnursevisvwearingvpersonalvprotectivevequipmentvwhilevcaringvforvavpt.vWhenvexitingvthevroom,
vwhichvPPEvshouldvbevremovedvfirst?v-vCORRECTvANSWERSvGloves
AnvoldervptvisvbroughtvtovthevEDvwithvavsuddenvonsetvofvconfusionvthatvoccurredvaftervexperiencin
gvavfallvatvhome.vThevdaughter,vwhovhasvpowervofvattorney,vhasvbroughtvthevclient'svprescriptions.v
Whichvinformationvshouldvthevnursevprovidevfirstvwhenvreportingvtovthevhealthcarevprovidervusing
vSBARvcommunication?v-vCORRECTvANSWERSvIncreasingvconfusionvofvthevpt.
Avptvtellsvthevnursevaboutvworkingvoutvwithvavpersonalvtrainervandvswimmingvthreevtimesvavweekvi
nvanveffortvtovlosevweightvandvsleepvbetter.vThevptvstatesvthatvitvstillvisvtakingvhoursvtovfallvasleepvatv
night.vWhichvactionvshouldvthevnursevimplement?v-
vCORRECTvANSWERSvAskvthevptvforvavdescriptionvofvthevexercisevschedulevthatvisvbeingvfollowed
2vdaysvpriorvtovdischargevfromvthevrehabvfacility,vthevnursevisvteachingvavptvwhovisvrecoveringvfromv
Guillain-
Barrevsyndromevaboutvhome.vWhichvactionsvshouldvthevnursevincludevwhenvprovidingvdischargevt
eachingvtovthevptvandvspouse?vSATAv-vCORRECTvANSWERSv-reviewvsafevtransfervstrategies
-developvavnutritionalvplan
-helpvidentifyvcommunityvsupport
,Thevnursevimplementsvavtertiaryvpreventionvprogramvforvtypev2vdiabetesvinvavruralvhealthvclinic.vW
hichvoutcomevindicatesvthatvthevprogramvwasveffective?v-
vCORRECTvANSWERSvptvwhovdevelopvdiseasevcomplicationsvpromptlyvreceivedvrehabilitation
ThevnursevhasvreceivedvfundingvtovdesignvavhealthvpromotionvprojectvforvAfricanvAmericanvwome
nvwhovarevatvriskvforvdevelopingvbreastvcancer.vWhichvresourcevisvmostvimportantvinvdesigningvthis
vprogram?v-vCORRECTvANSWERSvparticipationvofvcommunityvleadersvinvplanningvthevprogram
Avptvwithvmultiplevinjuriesvisvbeingvtreatedvinvthevburnvtraumavunitvjustvhoursvaftervthevinjuriesvocc
urred.vThevhealthcarevprovidervinstructsvthevnursevtovavoidvautovcontaminationvwhenvperformingv
dressingvchanges.vWhichvinterventionvisvmostvimportantvforvthevnursevtovimplement?v-
vCORRECTvANSWERSvusevgown,vmask,vandvglovesvwithvdressingvchanges
Avptvisvrecoveringvinvthevcriticalvcarevunitvfollowingvavcardiacvcath.vIVvnitrovandvheparinvarevinfusing
.vThevptvisvsedatedvbutvrespondsvtovinstructions.vAftervchangingvpositions,vthevptvcomplainsvofvpain
vatvthevrightvgroinvinsertionvsite.vWhatvactionvshouldvthevnursevimplement?v-
vCORRECTvANSWERSvStimulatevthevptvtovtakevdeepvbreaths
Priorvtovobtainingvavtrapezevbarvforvavptvwithvlimitedvmobility,vwhichvptvassessmentvisvmostvimport
antvforvthevnursevtovobtain?v-vCORRECTvANSWERSvuppervbodyvmusclevstrength
Whilevthevnursevisvassessingvanvoldervptvfallvrisk,vthevptvreportsvlivingvatvhomevalonevandvnevervfalli
ng.vWhichvactionvshouldvthevnursevtake?v-
vCORRECTvANSWERSvContinuevtovobtainvptvdatavneededvtovcompletevthevfallvriskvsurvey
Thevnursevisvfeedingvanvoldervadultvwhovwasvadmittedvwithvaspirationvpneumonia.vThevptvisvweakv
andvbeginsvcoughingvwhilevattemptingvtovdrinkvthroughvavstraw.vWhichvinterventionvshouldvthevnu
rsevimplement?v-vCORRECTvANSWERSvTeachvcoughingvandvdeepvbreathingvexercises
,Thevnursevisvteachingvthevptvaboutvhomevcarevaftervsurgeryvforvanvilealvconduitvplacement.vWhenvr
eviewingvthevinformation,vwhichvstatementvshouldvthevnursevrecognizevasvneedingvadditionalvedu
cation?v-vCORRECTvANSWERSvEmptyvthevpouchvwhenvitvisvhalfvfull.
Av12vweekvgestationvisvadmittedvtovthevantepartumvunitvwithvavdxvofvhyperemesisvgravidarum.vWh
ichvactionvisvmostvimportantvforvthevnursevtovimplement?v-
vCORRECTvANSWERSvinitiatevprescribedvIVvfluids
Avptvwithvdyspneavisvbeingvadmittedvtovthevmedicalvunit.vTovbestvpreparevforvthevptvarrival,vthevnur
sevshouldvensurevthatvthevptvbedvisvinvwhichvposition?v-
vCORRECTvANSWERSvPicturevwithvthevbedvsittingvup
Avptvwhovisvscheduledvforvavbronchoscopyvinvthevmorningvisvanxiousvandvaskingvthevnursevnumero
usvquestionsvaboutvthevprocedure.vInvpreparingvthevptvforvthevprocedure,vwhichvinterventionvhasvt
hevhighestvpriority?v-vCORRECTvANSWERSvInstructvptvtovwritevdownvquestions
Whilevcaringvforvavptvpostvoperativevdressing,vthevnursevobservesvpurulentvdrainagevatvthevwound.
vBeforevreportingvthisvfindingvtovthevprovider,vthevnursevshouldvreviewvwhichvofvthevptvlabvvalues?v
-vCORRECTvANSWERSvculturevforvsensitivevorganisms
Avptvwithvavlowervrespiratoryvtractvinfectionvreceivesvavprescriptionvforvciprofloxacinv500mgvPOvev
eryv12hrs.vWhenvthevclientvrequestsvanvafternoonvsnack,vwhichvdietaryvchoicevshouldvthevnursevpr
ovide?v-vCORRECTvANSWERSvCinnamonvapplevsauce
Anvoldervmalevreportingvabdvpainvisvadmittedvfromvavfacility.vItvhasvbeenv7vdaysvsincevhisvlastvBMva
ndvhisvabdvisvdistended,vandvhevjustvvomitedv150mlvofvdarkvbrownvemesis.vInvwhatvordervshouldvth
evnursevimplementvthesevinterventions?v-vCORRECTvANSWERSvSendvemesisvtovlab
ElevatevHOB
completevfocusedvassessment
offersvPRNvpainvmeds
, Avpatientvwhovrecentlyvreceivedvavprescriptionvforvramelteonvtovtreatvsleepvdeprivationvreportsvex
periencingvseveralvsideveffectsvsincevtakingvthevmed.vWhichvsideveffectvshouldvthevnursevreportvtov
thevhealthcarevprovider?v-vCORRECTvANSWERSvSomnambulism
AvptvisvscheduledvforvavspiralvCTvscanvwithvcontrastvtovevaluatevforvpulmonaryvembolism.vWhichvinf
ormationvinvthevclient'svhistoryvrequiresvfollowvupvbyvthevnurse?v-
vCORRECTvANSWERSvtakevmetforminvforvtypev2vdiabetes
Thevnursevshouldvwithholdvwhichvmedicationvifvthevclient'svserumvpotassiumvlevelvisv6.2vmEq/?v-
vCORRECTvANSWERSvSpironolactone
Avnursevreceivesvavreportvonvavptvwhovisvfourvhoursvpost-
totalvabdominalvhysterectomy.vThevpreviousvnursevreportsvthatvitvwasvnecessaryvtovchangevthevcli
ent'svperinealvpadvhourlyvandvthatvitvisvagainvsaturated.vThevpreviousvnursevalsovreportsvthatvthevcl
ient'svurinaryvoutputvhasvdecreased.vWhichvactionvshouldvthevnursevimplementvfirst?v-
vCORRECTvANSWERSvAssessvforvweaknessvorvdizziness
Avptvwhovisvadmittedvforvprimaryvhypothyroidismvhasvearlyvsignsvofvmyxedemavcoma.vInvassessingv
thevpt,vinvwhichvsequencevshouldvthevnursevcompletevthesevactions?v-vCORRECTvANSWERSv-
Observevbreathingvpatterns
-assessvbloodvpressure
-measurevbodyvtemp
-palpatevforvpedalvedema
ThevnursevisvtakingvthevbloodvpressurevmeasurementvofvavclientvwithvParkinson'svdisease.vWhichvi
nformationvinvthevadmissionvassessmentvisvrelevantvtovthevnurse'svplanvforvtakingvthevbloodvpress
urevreading?vSATAv-vCORRECTvANSWERSvBlurredvVision
FlatvAffect
frequentvsyncope