COMPREHENSIVE EXAM QUESTIONS AND
ANSWERS ACTUAL TEST PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
⩥ During a group therapy session, a client with hypomania threatens to
strike another client. What intervention is best for the nurse to
implement? Answer: Firmly inform the client that acting out anger is not
acceptable.
⩥ A client who is a laboratory technician and has a history of allergic
rhinitis, asthma, and multiple food allergies is scheduled for surgery.
Which action should the nurse implement? Answer: Document a
possible Type I latex allergy.
⩥ In reviewing the medical record, the nurse notes that a client's last eye
examination revealed an IOP of 28 mmHg. What information should the
nurse ask the client? Answer: Use of prescribed eye drops since last
exam by ophthalmologist.
⩥ Which action should the nurse implement to assess for JVD in a client
with HF? Answer: Observe the vertical distention of the veins as the
client is gradually elevated to an upright position.
⩥ The nurse identifies a client's laboratory results and identifies an
elevated serum ammonia level. Which pathophysiological process
,contributes to this finding? Answer: Failure of the liver to convert
ammonia absorbed from the bowel to urea.
⩥ A client with GERD is unconscious and unresponsive to stimuli. The
nurse places the client in a side-lying position. The nurse should monitor
for the risk of which complication? Answer: Aspiration pneumonia.
⩥ A client returns to the unit after abdominal Nissen fundoplication for
treatment of GERD. After 4 hours, the nurse determines the client has no
drainage from the NGT and has absent bowel sounds. What action
should the nurse implement? Answer: Irrigate the NGT with normal
saline.
⩥ A male client who is admitted with a bleeding peptic ulcer develops
sudden, severe upper abdominal pain. The client becomes diaphoretic
and draws his knees over his abdomen. Which finding should the nurse
report to the healthcare provider? Answer: A rigid, boardlike abdomen.
⩥ A client returns to the postoperative unit after a gastroduodenostomy
(Billroth I) for treatment of a perforated ulcer. The healthcare provider's
prescriptions include morphine with a patient-controlled analgesia
(PCA), nasogastric tube (NGT) to low intermittent nasogastric suction,
and IV fluids and antibiotics. The client complains of increasing
abdominal pain 12 hours after returning to the surgical unit. The nurse
determines the client has no bowel sounds, and 200 ml of bright red
nasogastric drainage is in the suction canister in the past hour. What is
the priority action the nurse should implement? Answer: Notify HCP
, ⩥ A client returns from surgery after undergoing an abdominal-perineal
resection with a sigmoid colostomy. The colostomy is dressed with
petroleum jelly gauze and dry gauze dressings. The perineal incision is
partially closed with two drains attached to Jackson-Pratt suction bulbs.
During the early postoperative period, the nurse should give the highest
priority to which nursing action? Answer: Maintain dry perineal
dressings
⩥ What information in a client's history indicates the highest risk factor
for hepatitis C? Answer: Intravenous drug abuse
⩥ A client with advanced cirrhosis and hepatic encephalopathy is
manifesting mounting ascites and 4+ pitting edema of the feet and legs.
The nurse identifies fluid leaking from his skin when he is turned.
Which intervention is most important for the nurse to include in the
client's plan of care? Answer: Apply a pressure-relieving mattress under
the client.
⩥ A female client arrives at the clinic because her boyfriend received the
results of a Gram stain smear that revealed the presence of Neisseria
gonorrhoeae. The client tells the nurse that she has not had any
symptoms and almost did not come to the clinic. What information
should the nurse provide the client? Answer: Gonorrhea is often
asymptomatic in women because the infection is not visible.
ANSWERS ACTUAL TEST PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
⩥ During a group therapy session, a client with hypomania threatens to
strike another client. What intervention is best for the nurse to
implement? Answer: Firmly inform the client that acting out anger is not
acceptable.
⩥ A client who is a laboratory technician and has a history of allergic
rhinitis, asthma, and multiple food allergies is scheduled for surgery.
Which action should the nurse implement? Answer: Document a
possible Type I latex allergy.
⩥ In reviewing the medical record, the nurse notes that a client's last eye
examination revealed an IOP of 28 mmHg. What information should the
nurse ask the client? Answer: Use of prescribed eye drops since last
exam by ophthalmologist.
⩥ Which action should the nurse implement to assess for JVD in a client
with HF? Answer: Observe the vertical distention of the veins as the
client is gradually elevated to an upright position.
⩥ The nurse identifies a client's laboratory results and identifies an
elevated serum ammonia level. Which pathophysiological process
,contributes to this finding? Answer: Failure of the liver to convert
ammonia absorbed from the bowel to urea.
⩥ A client with GERD is unconscious and unresponsive to stimuli. The
nurse places the client in a side-lying position. The nurse should monitor
for the risk of which complication? Answer: Aspiration pneumonia.
⩥ A client returns to the unit after abdominal Nissen fundoplication for
treatment of GERD. After 4 hours, the nurse determines the client has no
drainage from the NGT and has absent bowel sounds. What action
should the nurse implement? Answer: Irrigate the NGT with normal
saline.
⩥ A male client who is admitted with a bleeding peptic ulcer develops
sudden, severe upper abdominal pain. The client becomes diaphoretic
and draws his knees over his abdomen. Which finding should the nurse
report to the healthcare provider? Answer: A rigid, boardlike abdomen.
⩥ A client returns to the postoperative unit after a gastroduodenostomy
(Billroth I) for treatment of a perforated ulcer. The healthcare provider's
prescriptions include morphine with a patient-controlled analgesia
(PCA), nasogastric tube (NGT) to low intermittent nasogastric suction,
and IV fluids and antibiotics. The client complains of increasing
abdominal pain 12 hours after returning to the surgical unit. The nurse
determines the client has no bowel sounds, and 200 ml of bright red
nasogastric drainage is in the suction canister in the past hour. What is
the priority action the nurse should implement? Answer: Notify HCP
, ⩥ A client returns from surgery after undergoing an abdominal-perineal
resection with a sigmoid colostomy. The colostomy is dressed with
petroleum jelly gauze and dry gauze dressings. The perineal incision is
partially closed with two drains attached to Jackson-Pratt suction bulbs.
During the early postoperative period, the nurse should give the highest
priority to which nursing action? Answer: Maintain dry perineal
dressings
⩥ What information in a client's history indicates the highest risk factor
for hepatitis C? Answer: Intravenous drug abuse
⩥ A client with advanced cirrhosis and hepatic encephalopathy is
manifesting mounting ascites and 4+ pitting edema of the feet and legs.
The nurse identifies fluid leaking from his skin when he is turned.
Which intervention is most important for the nurse to include in the
client's plan of care? Answer: Apply a pressure-relieving mattress under
the client.
⩥ A female client arrives at the clinic because her boyfriend received the
results of a Gram stain smear that revealed the presence of Neisseria
gonorrhoeae. The client tells the nurse that she has not had any
symptoms and almost did not come to the clinic. What information
should the nurse provide the client? Answer: Gonorrhea is often
asymptomatic in women because the infection is not visible.
