2026) Questions and Verified Answers | Grade A+
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,Nursing Exam Q&A
1. A client who underwent cardiac stent placement four days ago arrives to the emergency
department reporting a sudden onset of chest pressure and shortness of breath. Which action
should the nurse take next?
Answer: Obtain a 12-lead electrocardiogram and begin continuous cardiac monitoring
2. While completing a health assessment for a client with migraine headaches, the nurse
assesses bilateral weakness in the client's hand grips. The client reports joint pain and trouble
twisting a door knob due to weakness. Which action should the nurse take?
Answer: Gather additional assessment data about the pain and weakness
3. When assessing a male client's respiratory status, which technique should the nurse use to
assess his anterior-posterior chest diameter?
Answer: Tenderness upon palpation and generalized erythema (Note: answer as per original
text)
4. An adult client who had gastric bypass surgery 2 weeks ago is admitted with possible
anastomosis leakage. Abdomen tender, temp 101°F (38.3°C), HR 130/min, RR 26/min, BP
100/50 mmHg. Which intervention is most important?
Answer: Strict IV fluid replacement
5. A client recently diagnosed with Raynaud's disease is concerned about pain management.
Which nursing instruction should the nurse provide?
Answer: Wearing gloves when handling cold items guards against painful spasms
6. A client with newly diagnosed Crohn's disease asks about dietary restrictions. How should
the nurse respond?
Answer: Describe the use of an elimination diet to find trigger foods
, 7. The nurse is obtaining a health history from a new client with a history of kidney stones.
Which statement indicates an increased risk for renal calculi?
Answer: Eats a vegetarian diet with cheese 2 to 3 times a day
8. An older male client reports losing sleep due to getting up several times at night, trouble
starting urination, and feeling of incomplete emptying. Which intervention should the nurse
implement?
Answer: Palpate the bladder above the symphysis pubis
9. A client is diagnosed with chronic kidney disease and needs to begin dialysis. Which
condition is a contraindication for peritoneal dialysis?
Answer: Crohn's disease with colectomy
10. When providing care for an unconscious client who has seizures, which nursing
intervention is most essential?
Answer: Ensure oral suction is available
11. A client presents to the ED with chest pain radiating to left arm, shortness of breath, and
diaphoresis. Which medication should the nurse anticipate?
Answer: Morphine
12. An adult recently diagnosed with glaucoma says, "It feels like I am driving through a
tunnel" and fears going blind. Which instruction is most important?
Answer: Maintain prescribed eye drop regimen
13. Which information should the nurse include in the teaching plan for a client with GERD?
Answer: Minimize symptoms by wearing loose, comfortable clothing
14. A client reports intermittent fever, night sweats for 3 weeks, and productive cough with
small amounts of blood. Which intervention should the nurse prioritize?
Answer: Move into airborne isolation