QUESTION BANK AND ANSWER KEY 2026
◉ a nurse is caring for a client who has renal failure, what ABG
result would the nurse expect. Answer: ph 7.25
HCO3 20
PaCO2 35
◉ a nurse is caring for pt who has a cerebellar tumor, what action is
the nurse's priority. Answer: provide assistance with ambulation
◉ a nurse is assessing a pt who has a spinal cord injury, what finding
indicates the client might be experiencing neurogenic shock.
Answer: heart rate 52/min
◉ a nurse is caring for a pt who has renal caliculi, what prescription
by the provider is the priority action for the nurse to take. Answer:
strictly monitor intake and output
◉ a nurse is caring for a pt who is immediately postoperative
following a pheochromocytoma removal, what action is priority.
Answer: monitoring BP
,◉ a nurse is assessing a female pt who reports severe joint pain, the
nurse should identify which of the following factors places the pt at
risk for gout. Answer: diuretic use
◉ a nurse is caring for a pt who has a cervical spinal cord injury,
what interventions should the nurse include in the plan of care to
prevent autonomic dysreflexia. Answer: monitor bowel movement
regularity
◉ a nurse is caring for an adult client who asks about vaccinations
against communicable diseases, the nurse should inform the client
that which of the following vaccines are available. Answer: Hep A,
Hep B, Pneumococcal
◉ a nurse is providing discharge instructions to a pt following a
cataract surgery, the nurse should advise the pt that he can perform
what activities. Answer: cooking
light house work
(avoid bending at the waist, or anything that can increase IOP)
◉ a nurse is teaching a pt who has angina pectoris about
nitroglycerin sublingual tablets, what statements should indicate to
the nurse that the pt understands the teaching. Answer: i will keep
the tablets in the original container
, ◉ a nurse is discussing risk factors for hep A with a newly licensed
nurse, what client would the nurse identify as an increased risk for
hep A. Answer: a client who has recently done missionary work in a
developing country
◉ a nurse is providing discharge teaching to a pt who had a
colposcopy with cervical biopsy, what instruction should the nurse
provide. Answer: avoid the use of aspirin for cramping discomfort
◉ a nurse is caring for a pt who has a history of tonic clonic seizures,
what precuation should the nurse take?. Answer: keep a suction
apparatus at the bedside, keep the bed in the lowest position, keep
oxygen equipment at the bedside
◉ a nurse is caring for a pt who is postop and reports frequent
leakage of small amounts of urine, the nurse notes that the client's
bladder is palpable upon examination, the nurse should identify
these findings as what form of incontinence. Answer: overflow
◉ a nurse is assessing a pt who has a tension pneumothorax
following blunt chest trauma, what should the nurse expect. Answer:
tracheal deviation to the unaffected side