QUESTIONS WITH DETAILED SOLUTIONS 2026
◉ a nurse is assessing a pt who has a history of migraine headaches
with aura and reports feeling a "migraine coming on", the nurse
should expect the pt to report what manifestation. Answer: visual
disturbance
◉ a nurse is teaching a pt who has a new diagnosis of MS about
visual changes she might experience as the disease progresses, what
would she include?. Answer: double vision
◉ a nurse is teaching a pt who has asthma about using a peak flow
meter, when a yellow zone meter reading appears, the nurse should
instruct the pt to take which of the following actions. Answer: take
prescribed relief meds
◉ a nurse is assessing a pt who has Addison's disease, what
manifestation would indicate they are experiencing the crisis.
Answer: hypotension
(aldosterone deficit)
,◉ a nurse is caring for pt who has acute gastritis and is NPO, the pt
has a new prescription to resume oral intake, what item should the
nurse offer the pt. Answer: gelatin
◉ a nurse is providing education to a pt who is scheduled for a
barium swallow, what statement indicates understanding of the
teaching?. Answer: i will remove my metal jewelry before coming in
◉ a nurse is caring for pt who is undergoing a liver biopsy, what
instruction should the nurse provide to the pt following the
procedure. Answer: lie on your right side
◉ a nurse is teaching a pt who has a hiatal hernia about dietary
selections to maintain lower esophageal sphincter (LES) pressure,
what choice by the pt indicates understanding. Answer: cheddar
cheese
(avoid fried, fatty, peppermint, caffeine, tomatoes, citrus fruits, and
alcohol)
◉ a nurse is reviewing the lab results of a pt who has unstable
angina and has been receiving heparin via continuous IV infusion for
the past 5 days, what lab values should the nurse identify as an
indication that the pt has developed HIT. Answer: platelets 90,000
, ◉ a nurse is teaching a pt who has a new diagnosis of polycystic
kidney disease, what statement should the nurse include in the
teaching. Answer: apply dry heat to your abdomen when needed
◉ a nurse is obtaining the health history of a young adult male
client, what information should indicate to the nurse that the pt is at
high risk for developing testicular cancer. Answer: undescended
right testis
◉ a nurse is instructing a pt's caregiver on how to position the client
before administering tube feedings in the home, which
demonstrates understanding?. Answer: i will sit him up in bed
◉ a triage nurse finds a school-age child lying in the road following a
school bus crash with multiple causalities, the child has a
respiratory rate of 10/min, strong distal pulses, and groans to
painful stimuli, what action should the nurse take. Answer: place an
emergent category on the child's upper body and yell for help
◉ 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