AHEAD PAPER 2026 QUESTIONS WITH FULL
ANSWERS GRADED A+
◉ ADHD (Attention-Deficit Hyperactivity Disorder). Answer: a
psychological disorder marked by extreme inattention and/or
hyperactivity and impulsivity
◉ What should the nurse include in her planning for a patient who
has ACUTE phase of DIVERTICULITIS?. Answer: -Instruct the client
to AVOID COUGHING (this can increase the intra-abdominal
pressure and cause BOWEL PERFORATION).
-ADMINISTER OPIOID analgesics to relieve pain (this can decrease
bowel motility)
-DO NOT administer EMEMAS or LAXITIVES (this will increase
bowel motility and places client at risk for bowel perforation)
-client should be NPO or on a clear liquid diet (this will decrease
inflammation of the bowels).
◉ sickle cell crisis. Answer: condition in sickle cell anemia in which
the sickled cells interfere with oxygen transport, obstruct capillary
blood flow, and cause fever and severe pain in the joints and
abdomen.
,◉ How should the nurse manage care for a client who is
experiencing a sickle cell crisis?. Answer: -promote fluid intake to
prevent dehydration
-monitor peripheral capillary refill, pulse O2, and skin temp every
1hr to assess PERFUSION of EXTREMITIES.
-EXTEND client's knees to promote perfusion of lower extremities.
-elevate head or bed to 30 DEGREES or less to increase perfusion to
lower extremities.
◉ What are the depressive manifestation of low self-esteem?.
Answer: -hypersensitivity to criticism
-guilt
-shame
-expression of helplessness
-lack of eye contact
-pessimistic outcome on life
◉ What are the manifestations of spiritual distress?. Answer: -
express lack of meaning in life
-anger
-refusing interactions with family
-discontinuing spiritual practice
,◉ What are the manifestations of disturbed thought process?.
Answer: -impaired problem-solving skills
-confusion
-difficulty concentration
-inappropriate thinking
-memory deficits
◉ What are the nursing interactions for palliative care of near death
clients?. Answer: -administer analgesics like morphine SUB Q,
SUBLINGUAL, or IV if the client is NOT RESPONSIVE.
-APPLY A SOCOPALAMINE TRANSDERMAL PATCH or administer
ATROPINE to decrease oral or respiratory secretions.
-provide soothing music, use therapeutic touch, and keep noise level
low
-don place heating pads on extremities
◉ What teachings should the nurse include to a client who is
preclamtic WITHOUT severe features?. Answer: -inform client to use
SIDE-LYING POSITION when resting in bed or on couch
-monitor blood pressure 2 times a week
◉ What teachings should the nurse include to a client who is
preclamtic WITH severe features?. Answer: -limit fluid intake to
PREVENT PULMONARY EDEMA
, -maintain a DARK, QUIET ENVIRONMENT to avoid stimuli that can
cause seizure activity.
◉ How should the nurse plan her care to a client with anorexia
nervosa?. Answer: -observe client for 60 MIN AFTER MEALS
-weigh client each day early in the morning after voiding, while
wearing the same amount of clothing each day.
-EMPHASIZE SOCIAL ASPECTS of eating during mealtimes.
◉ What drug may cause an adverse affect when combined with
METAMINE?. Answer: -SODIUM BICARBONATE (antacid used to
treat GI upset) b/c this can increase accumulation of METAMINE
which can lead to TOXICITY
◉ Teachings for client who has genital herpes. Answer: -wear gloves
when applying anesthetic ointment
-begin ORAL ANTIVIRALS with in 1 day of outbreak
-use latex or plyurethane condoms during sexual intercourse.
-take a sitz bath 3-4 times a day to help minimize discomfort
◉ What meds should the nurse expect to administer for a client who
is in post-partum and experiencing hemorrhaging?. Answer: -
METHYLERGONOUINE (causes contractions of the uterine muscle,
which decreases bleeding. Adverse affect is HTN).