TESTED EXAM QUESTIONS
AND ANSWERS GRADED A+
ASSURED SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive Rationales
Included
,When preparing to administer a prescribed medication to a B) Withhold the medication until the dosage can be confirmed.
homeless client at a community psychiatric clinic. The
client tells the nurse that the usual dosage taken is
different from the dose the nurse is giving. Which action
should the nurse take?
A) Inform the client that he may refuse the medication and
document whether or not the client takes it.
B) Withhold the medication until the dosage can be
confirmed.
C) Explain to the client that the dosage has been changed.
D) Tell the client to take the medication then verify the
dosage at the next healthcare team meeting.
The charge nurse is making assignments for one practical B) Viral meningitis whose temperature change from 101 S to 102F.
nurse and three registered nurses who are caring for
neurologically compromised clients. Which client with
which change in status is best to assign to the PN?
A) Subdural hematoma whose blood pressure changed
from 150/80 to 170/60.
B) Viral meningitis whose temperature change from 101 S
to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale
score changed from 10 to 7.
D) Myxedema, whose blood pressure change from 80/50
to 70/40.
The nurse is caring for a client with pneumonia who now A) Maintain strict intake and output.
develops initial signs of septic shock and multi organ
failure. The healthcare provider prescribes a sepsis
protocol. Which intervention is most important for the nurse
to include in the plan of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level.
And adolescent client is admitted to the hospital because D) Go to the clients room and ask what happened.
of writing a suicide note to a teacher at school. On the
second day of hospitalization, the nurse asked the client to
meet with the treatment team. After the team meeting, the
client leaves in tears and goes to their room. Which
nursing intervention is best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened.
The healthcare provider prescribes dalteparin 200 units 0.6
per kilogram subcutaneous once a day for a client who
weighs 154 pounds. The medication is available and
25,000 units per milliliter vial. How many milliliters should
the nurse administer? (Enter numerical value only. If
rounding is required, round to the nearest 10th.)
, NGN: The client is a 49-year-old male who reports flu like B) Start oxygen 3 L per minute via nasal cannula.
symptoms including fever and chest congestion for four C) Place the client on a cardio respiratory monitor.
days. He came to the emergency department last night
when he was having more difficulty breathing he has a
history of 1/2 pack a day cigarette smoking for 20 years.
He has no significant medical or surgical history.
Which two orders should the nurse complete first?
A) Sputum culture.
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
D) Chest x-ray.
E) Acetominophen 350 mg PO every six hours for
temperature control.
F) Run 0.9% sodium chloride IV infusion at 150 mL per
hour.
G) Start peripheral IV.
H) NPO.
NGN: 0330: place the client on a cardio respiratory D) Nasal cannula.
monitor, NPO, sputum culture, start a peripheral IV E) Flow meter.
infusion, start oxygen 3 L per minute via nasal cannula,
begin 0.9% sodium chloride IV infusion at 150 mL per
hour, acetaminophen 350 mg PO every six hours for
temperature.
To start the client on oxygen as ordered which items
should the nurse collects from the supply room? SATA
A) humidifier bottle.
B)Suction canister.
C)Sterile water.
D) Nasal cannula.
E) Flow meter.
F) Lambs wool.
G) Tape.
NGN: states, I am feeling extremely anxious right now. The Cardiovascular: capillary refill for seconds, blood pressure 145/89.
client has decreased breath sounds in the left lower low. Neurological: anxious, restless.
His mucus membranes are dry. He has a productive cough Respiratory: oxygen saturation 90% on room air, respiratory rate 28 bpm.
with thick, yellow secretions. His capillary refill is four
seconds. Vital signs, temperature 100.2. Heart rate 101
bpm, respiratory rate 28 breaths per minute, blood
pressure 145/89, oxygen saturation 90% on room air.
(for each body system click to specify the assessment
findings that indicates hypoxia)
Cardiovascular: heart rate 100 bpm, capillary refill for
seconds, blood pressure 145/89.
Neurological: anxious, awake and alert, restless.
Respiratory: oxygen saturation 90% on room air,
respiratory rate 28 bpm, productive cough.
NGN: The client is a 49-year-old male who reports flu like Semi-Fowler , lung expansion.
symptoms including fever and chest congestion for four
days. He came to the emergency department last night
when he was having more difficulty breathing he has a
history of 1/2 pack a day cigarette smoking for 20 years.
He has no significant medical or surgical history.
The nurse should place the client in a _______________
position to promote _____________.