ANSWERS COMPLETE SOLUTION
COMPREHENSIVE EXAM SCRIPT 2026
COMPLETE QUESTIONS AND SOLUTIONS
GRADED A+
⩥ Three days after a colon resection, the nurse is assessing a client with
a nasogastric tube (NGT) to intermittent suction. What assessment
should the nurse implement to determine proper placement of the NGT?
Answer: Aspirate the tube contents to test the pH.
⩥ In which order should the nurse implement these actions when
withdrawing a solution from an ampule? Answer: Flick the stem several
times with a finger.
Wrap the neck with a protective device.
Break the neck by pressing thumbs outward.
Stabilize ampule on a firm surface.
Withdraw the solution using a filter needle.
⩥ When administering an intramuscular (IM) injection to an adult client
using the ventrogluteal site, which landmarks should the nurse identify
to locate the area for injection? Answer: The anterosuperior iliac spine
and the greater trochanter.
,⩥ The nurse identifies a break in sterile technique as a client is draped
for an operative procedure. What action should the nurse implement?
Answer: Point out the observation immediately to the surgical team.
⩥ The nurse is supervising an unlicensed assistive personnel (UAP) who
is feeding an older client with dysphagia. Which action by the UAP
requires the nurse's intervention? Answer: Divides solid food items into
one inch cube pieces
⩥ The nurse instills an atropine ophthalmic solution into both eyes for a
client who is having a routine eye examination. Which side effects
should the nurse tell the client to anticipate? Answer: Blurred vision
⩥ client is using an otic solution, hydrocortisone and polymyxin B
(Otobiotic otic), for external otitis media. Which therapeutic response
should the nurse tell the client to expect? Answer: Decreases
inflammation and pain
⩥ The nurse is providing tracheostomy care for a client who has
encrusted secretions inside the inner cannula. Which solution should the
nurse use to remove the debris? Answer: hydrogen peroxide
⩥ The nurse is instructing a client about the use of podofilox (Condylox)
for the treatment of genital warts. Which information should the nurse
, provide? Answer: Redness, peeling, and itching may occur at the site of
application.
⩥ The nurse is reviewing the laboratory results of an older client who is
admitted to a medical unit. Which serum chemistry values should the
nurse recognize as most commonly affected by the aging process?
(Select all that apply.) Answer: Calcium
Potassium
Sodium
⩥ During admission to the mental health unit, a female client with
bipolar disorder, manic phase, is loud, hyperverbal, hyperactive, and is
garishly dressed. Which intervention should the nurse include when
planning care for this client? Answer: Maintain an environment that
reduces stimulation of the client.
⩥ A 50-year-old male client with amyotropic lateral sclerosis (ALS) is
becoming increasingly debilitated and tells the nurse, Since I haven't
been able to go to church, I feel out of touch with God. I pray, but I
wonder whether my prayers are heard. Which nursing diagnosis should
the nurse include in the client's plan of care? Answer: Spiritual distress
⩥ A mother brings her 4-year-old boy to the clinic because he spends his
day in constant motion, talks excessively, and is easily distracted from
playing with his toys. His preschool teacher is unable to keep him
focused in the classroom and suggested he undergo a mental health