RN COMPREHENSIVE ACTUAL EXAM SCRIPT
2026 FULL QUESTIONS AND CORRECT
ANSWERS ALREADY PASSED
◉ Labs to check for pernicious anemia. Answer: B12
◉ Sign of mild anxiety. Answer: Extreme focus
◉ What is remote memory loss? Answer: Inability to remember things
from YEARS ago
◉ HF dietary teaching. Answer: Low Na
fluid restriction
◉ Diverticulitis dietary teaching. Answer: Low fiber
◉ Diverticulosis dietary teaching. Answer: High fiber
◉ IBS dietary teaching. Answer: High fiber
,◉ Parents nervous @ their 3 y.o. will act when newborn arrives. What
can they do. Answer: Provide gift from the infant to the sibling
◉ Methylprednisolone sodium succinate lab to watch for? Answer:
Serum glucose
(because glucocorticoids cause hyperglycemia)
◉ At 14 weeks' gestation, what should the patient report to the MD.
Answer: Swelling of the face
(sign of preeclampsia)
◉ Change of shift report should include. Answer: The blood lost
Any changes in PT status
◉ Patient teaching for colostomy care. Answer: The patient doesn't need
to change the bag every day
(changed every 4-7 days)
◉ Scoliosis manifestation. Answer: Lateral curvature of the spin
asymmetrical hips/ribs
◉ Lab values that are elevated for Cushing's disease. Answer: Cortisol,
Na
,Glucose
◉ Administering medications through an NG tube. Answer: Check pH
level & residual & return aspirate
Administer meds separately
DO NOT mix with enteral feedings
Dissolve crushed tablets in 15-30mL of water
Flush before & after each med c 10-30mL of water
◉ Tobramycin adverse reaction. Answer: Ototoxicity (hearing damage
& loss of balance)
Cloudy/bloody urine (nephrotoxicity
◉ Amniocentesis patient teaching. Answer: Have them empty bladder
before the procedure
◉ Expected finding during cardiac catheterization. Answer: Patient will
feel warmth and flushed when dye is inserted
, ◉ What action should you instruct the patient to do prior to postural
drainage. Answer: Admin bronchodilator or nebulizer prior tx,
Postural done 1 hr before meals or 2 hrs after meals (perform twice
daily)
◉ IV Phlebitis has occurred, what should the nurse do. Answer:
Discontinue IV
Apply a warm/moist compress
S/S pain, tenderness, redness,
streak formation, edema
◉ mannitol, what should the nurse monitor for. Answer: Hypovolemia
◉ Co-worker is impaired, what do you do. Answer: Report it to the
charge nurse
◉ How do you draw blood out of a PICC line. Answer: Draw 10mL of
blood and discard it, then draw another 10mL of blood for sample, and
then flush with 10mL of 0.9% sodium chloride
◉ IV Infiltrated, what should the nurse do. Answer: Discontinue and
apply a cool compress
skin: blanched, tight, bruised, swellibng
2026 FULL QUESTIONS AND CORRECT
ANSWERS ALREADY PASSED
◉ Labs to check for pernicious anemia. Answer: B12
◉ Sign of mild anxiety. Answer: Extreme focus
◉ What is remote memory loss? Answer: Inability to remember things
from YEARS ago
◉ HF dietary teaching. Answer: Low Na
fluid restriction
◉ Diverticulitis dietary teaching. Answer: Low fiber
◉ Diverticulosis dietary teaching. Answer: High fiber
◉ IBS dietary teaching. Answer: High fiber
,◉ Parents nervous @ their 3 y.o. will act when newborn arrives. What
can they do. Answer: Provide gift from the infant to the sibling
◉ Methylprednisolone sodium succinate lab to watch for? Answer:
Serum glucose
(because glucocorticoids cause hyperglycemia)
◉ At 14 weeks' gestation, what should the patient report to the MD.
Answer: Swelling of the face
(sign of preeclampsia)
◉ Change of shift report should include. Answer: The blood lost
Any changes in PT status
◉ Patient teaching for colostomy care. Answer: The patient doesn't need
to change the bag every day
(changed every 4-7 days)
◉ Scoliosis manifestation. Answer: Lateral curvature of the spin
asymmetrical hips/ribs
◉ Lab values that are elevated for Cushing's disease. Answer: Cortisol,
Na
,Glucose
◉ Administering medications through an NG tube. Answer: Check pH
level & residual & return aspirate
Administer meds separately
DO NOT mix with enteral feedings
Dissolve crushed tablets in 15-30mL of water
Flush before & after each med c 10-30mL of water
◉ Tobramycin adverse reaction. Answer: Ototoxicity (hearing damage
& loss of balance)
Cloudy/bloody urine (nephrotoxicity
◉ Amniocentesis patient teaching. Answer: Have them empty bladder
before the procedure
◉ Expected finding during cardiac catheterization. Answer: Patient will
feel warmth and flushed when dye is inserted
, ◉ What action should you instruct the patient to do prior to postural
drainage. Answer: Admin bronchodilator or nebulizer prior tx,
Postural done 1 hr before meals or 2 hrs after meals (perform twice
daily)
◉ IV Phlebitis has occurred, what should the nurse do. Answer:
Discontinue IV
Apply a warm/moist compress
S/S pain, tenderness, redness,
streak formation, edema
◉ mannitol, what should the nurse monitor for. Answer: Hypovolemia
◉ Co-worker is impaired, what do you do. Answer: Report it to the
charge nurse
◉ How do you draw blood out of a PICC line. Answer: Draw 10mL of
blood and discard it, then draw another 10mL of blood for sample, and
then flush with 10mL of 0.9% sodium chloride
◉ IV Infiltrated, what should the nurse do. Answer: Discontinue and
apply a cool compress
skin: blanched, tight, bruised, swellibng
