100 APPROVED QUESTIONS AND CORRECT DETAILED ANSWERS
(100% CORRECT VERIFIED SOLUTIONS) NEWEST UPDATED
VERSION |GUARANTEED PASS A+ (BRAND NEW!) FULL REVISED
EXAM 2026
1. A nurse enters a client room and finds the client cyanotic and struggling to
breathe. What is the first action?
A. Call the provider
B. Assess airway and provide oxygen correct answer
C. Take vital signs
D. Obtain a blood glucose
Rationale:
Airway and breathing are the top priority (ABCs).
2. Which client should the nurse assess first?
A. Client with mild headache
B. Client with sudden chest pain correct answer
C. Client requesting pain medication
D. Client awaiting discharge
Rationale:
Sudden chest pain may indicate myocardial infarction.
,3. Which finding indicates early hypoxia?
A. Cyanosis
B. Restlessness correct answer
C. Bradycardia
D. Hypotension
Rationale:
Restlessness is an early sign of inadequate oxygenation.
4. Which laboratory value is most concerning in a client on furosemide?
A. Sodium 140
B. Potassium 2.9 correct answer
C. Calcium 9
D. Glucose 100
Rationale:
Loop diuretics increase potassium excretion; hypokalemia is dangerous.
5. Which task can the nurse delegate to a UAP?
A. Assess pain
B. Administer medications
C. Obtain vital signs correct answer
,D. Teach discharge instructions
Rationale:
UAPs perform non-invasive routine tasks under supervision.
6. A postoperative client reports calf pain and swelling. What is the priority?
A. Apply warm compress
B. Encourage ambulation
C. Assess for deep vein thrombosis correct answer
D. Give pain medication
Rationale:
These are classic DVT signs; immediate assessment is required.
7. A client with asthma reports wheezing. Which medication is given first?
A. Inhaled corticosteroid
B. Short-acting bronchodilator correct answer
C. Antibiotic
D. Antihistamine
Rationale:
Rescue inhalers relieve acute bronchospasm.
, 8. Which sign indicates digoxin toxicity?
A. Hypertension
B. Yellow-green vision correct answer
C. Polyuria
D. Tachycardia
Rationale:
Visual disturbances are classic signs of toxicity.
9. A client reports tingling around the mouth and fingers after thyroid surgery.
Which lab should the nurse check?
A. Sodium
B. Calcium correct answer
C. Potassium
D. Magnesium
Rationale:
Perioral tingling indicates hypocalcemia.
10. Which finding requires immediate intervention?
A. Blood pressure 120/80
B. Temperature 98.6°F
C. Oxygen saturation 82% correct answer