DAVIS ADVANTAGE FOR MEDICAL-SURGICAL
NURSING TEST PAPER 2026 COMPLETE
RESPONSES GRADED A+
◉ The nurse administers 6 units of regular insulin and 10 units NPH
insulin at 7 AM. At what time does the nurse assess the client for
problems related to the NPH insulin?
A) 4 PM
B) 11 PM
C) 8 AM
D) 8 PM. Answer: A
NPH is an intermediate-acting insulin with an onset of 1.5 hours,
peak of 4 to 12 hours, and duration of action of 22 hours. Checking
the client at 8:00 AM would be too soon; 8:00 PM and 11:00 PM
would be too late.
◉ The nurse is caring for a client who is immobile from a recent
stroke. Which intervention does the nurse implement to prevent
complications in this client?
A) Teach the client to touch and use both sides of the body.
,B) Apply sequential compression stockings.
C) Instruct the client to turn the head from side to side.
D) Position the client with the unaffected side down.. Answer: B
To avoid complications of immobility, such as deep vein thrombosis,
the nurse applies sequential compression stockings or pneumatic
compression boots. Efforts are made to mobilize the client as much
as possible, and the client should be repositioned frequently. The
other interventions will not prevent complications of immobility.
◉ The nurse is caring for a client who has experienced a stroke.
Which nursing intervention for nutrition does the nurse implement
to prevent complications from cranial nerve IX impairment?
A) Place the client in high Fowler's position.
B) Verbalize the placement of food on the client's plate.
C) Order a clear liquid diet for the client.
D) Turn the client's plate around halfway through the meal.. Answer:
A
Cranial nerve IX, the glossopharyngeal nerve, controls the gag reflex.
Clients with impairment of this nerve are at great risk for aspiration.
The client should be in high Fowler's position and should drink
thickened liquids if swallowing difficulties are present. The client
would not have vision problems. Turning the plate around would not
,prevent a complication, nor would limiting the client's diet to clear
liquids.
◉ Which statement indicates that the client needs more teaching
about mucositis?
A) "I will use a soft-bristled toothbrush to prevent trauma."
B) "I will rinse my mouth with water after every meal."
C) "I should use an alcohol-based mouth rinse to kill bacteria."
D) "I cannot use floss because it may irritate my gums.". Answer: C
Mouthwashes that contain alcohol are drying and can exacerbate
mucosal irritation, leading to painful mouth sores. Rinsing the
mouth with water or normal saline is indicated. Interventions aimed
at decreasing risk for trauma or irritation are matters of priority
because of inflammation associated with mucositis.
◉ A young woman is being treated with amoxicillin (Amoxil) for a
urinary tract infection. Which is the highest priority instruction for
the nurse to give this client?
A) "You may experience an irregular heartbeat while on the drug."
B) "Watch for blood in your urine while taking this drug."
C) "Use a second form of birth control while on the drug."
, D) "You will experience increased menstrual bleeding while on this
drug.". Answer: C
The client should use a second form of birth control because
penicillin seems to reduce the effectiveness of estrogen-containing
contraceptives. She should not experience increased menstrual
bleeding, an irregular heartbeat, or blood in her urine while taking
the medication.
◉ The nurse prepares to teach a patient recovering from a
myocardial infarction (MI) about combination durg therapy based
on "best practice" for controlling hypertension. Which drugs does
the nurse include in the teaching plan? SELECT ALL THAT APPLY!!!
A) NSAID's
B) Aspirin
C) Aldosterone antagonists
D) ACE Inhibitors or ARB's
E) Central alpha Agonists
F) Beta Blockers
G) Diuretics. Answer: B,C,D,F,G
NURSING TEST PAPER 2026 COMPLETE
RESPONSES GRADED A+
◉ The nurse administers 6 units of regular insulin and 10 units NPH
insulin at 7 AM. At what time does the nurse assess the client for
problems related to the NPH insulin?
A) 4 PM
B) 11 PM
C) 8 AM
D) 8 PM. Answer: A
NPH is an intermediate-acting insulin with an onset of 1.5 hours,
peak of 4 to 12 hours, and duration of action of 22 hours. Checking
the client at 8:00 AM would be too soon; 8:00 PM and 11:00 PM
would be too late.
◉ The nurse is caring for a client who is immobile from a recent
stroke. Which intervention does the nurse implement to prevent
complications in this client?
A) Teach the client to touch and use both sides of the body.
,B) Apply sequential compression stockings.
C) Instruct the client to turn the head from side to side.
D) Position the client with the unaffected side down.. Answer: B
To avoid complications of immobility, such as deep vein thrombosis,
the nurse applies sequential compression stockings or pneumatic
compression boots. Efforts are made to mobilize the client as much
as possible, and the client should be repositioned frequently. The
other interventions will not prevent complications of immobility.
◉ The nurse is caring for a client who has experienced a stroke.
Which nursing intervention for nutrition does the nurse implement
to prevent complications from cranial nerve IX impairment?
A) Place the client in high Fowler's position.
B) Verbalize the placement of food on the client's plate.
C) Order a clear liquid diet for the client.
D) Turn the client's plate around halfway through the meal.. Answer:
A
Cranial nerve IX, the glossopharyngeal nerve, controls the gag reflex.
Clients with impairment of this nerve are at great risk for aspiration.
The client should be in high Fowler's position and should drink
thickened liquids if swallowing difficulties are present. The client
would not have vision problems. Turning the plate around would not
,prevent a complication, nor would limiting the client's diet to clear
liquids.
◉ Which statement indicates that the client needs more teaching
about mucositis?
A) "I will use a soft-bristled toothbrush to prevent trauma."
B) "I will rinse my mouth with water after every meal."
C) "I should use an alcohol-based mouth rinse to kill bacteria."
D) "I cannot use floss because it may irritate my gums.". Answer: C
Mouthwashes that contain alcohol are drying and can exacerbate
mucosal irritation, leading to painful mouth sores. Rinsing the
mouth with water or normal saline is indicated. Interventions aimed
at decreasing risk for trauma or irritation are matters of priority
because of inflammation associated with mucositis.
◉ A young woman is being treated with amoxicillin (Amoxil) for a
urinary tract infection. Which is the highest priority instruction for
the nurse to give this client?
A) "You may experience an irregular heartbeat while on the drug."
B) "Watch for blood in your urine while taking this drug."
C) "Use a second form of birth control while on the drug."
, D) "You will experience increased menstrual bleeding while on this
drug.". Answer: C
The client should use a second form of birth control because
penicillin seems to reduce the effectiveness of estrogen-containing
contraceptives. She should not experience increased menstrual
bleeding, an irregular heartbeat, or blood in her urine while taking
the medication.
◉ The nurse prepares to teach a patient recovering from a
myocardial infarction (MI) about combination durg therapy based
on "best practice" for controlling hypertension. Which drugs does
the nurse include in the teaching plan? SELECT ALL THAT APPLY!!!
A) NSAID's
B) Aspirin
C) Aldosterone antagonists
D) ACE Inhibitors or ARB's
E) Central alpha Agonists
F) Beta Blockers
G) Diuretics. Answer: B,C,D,F,G
