ANSWERS 2026
A-NURSE-IS-PROVIDING-D/C-INSTRUCTIONS-TO-A-PT-WHO-HAS-TB-AND-IS-BEGINNING-TX-W/-
MULTIDRUG-THERAPY.-WHICH-OF-THE-FOLLOWING-PT-STATEMENTS-INDS-AN-UNDERSTANDING-OF-THE-
TEACHING?---correct-answer--3-consecutive-negative-sputum-tests-will-ind-that-the-pt-is-no-longer-
contagious.-BUT-Mantoux-test-will-always-be-+.
-pts-who-have-taken-meds-to-tx-TB-for-2-3-consecutive-weeks-are-no-longer-contagious.-BUT,-pts-will-
need-to-continue-med-therapy-for-at-least-6mos.
-meds-for-TB-can-damage-liver.-avoid-consuming-alc.
-reg-follow-up-visits-needed-w/-TB.
A-NURSE-IS-CARING-FOR-A-PT-WHO-HAS-A-CLOSED-HEAD-INJ-AND-IS-ON-SEIZURE-PRECAUTIONS.-WHICH-
OF-THE-FOLLOWING-ACTIONS-SHOULD-THE-NURSE-TAKE?---correct-answer--no-padded-tongue-blade-
(risk-of-asp-and-damage-to-teeth).
-no-side-rails-raised
-set-up-suction-equipment-at-bedside.
A-NURSE-IS-DISCUSSING-SECURITY-MEASURES-W/-A-PT-FOLLOWING-DELIV-OF-AN-INFANT.-WHICH-OF-
THE-FOLLOWING-STATEMENTS-SHOULD-THE-NURSE-MAKE?---correct-answer--if-pt-or-other-responsible-
party-must-leave-the-room-for-any-reason,-the-newborn-should-be-transported-to-the-newborn-nursery.
-security-sensor-isn't-removed-until-d/c-from-facility.
,-2-plastic-ID-bracelets-needed---one-on-arm-and-one-on-leg.-ID-#,-name,-date,-time-of-birth,-and-sex-are-
included.-replace-immediately-if-off-or-missing.
-ask-for-hospital-ID-prior-to-allowing-anyone-to-transport-their-newborn-(don't-go-by-colored-scrubs).
A-NURSE-IS-CONDUCTING-A-PRENATAL-CLASS-ABT-CAR-SEAT-SAFETY.-WHICH-OF-THE-FOLLOWING-
STATEMENTS-BY-A-PT-INDICATES-AN-UNDERSTANDING-OF-TEACHING?---correct-answer--infants-should-
remain-in-the-rear-facing-position-until-they're-at-least-2yrs-old-to-ensure-safety.
-secure-the-retainer-clip-at-lvl-of-baby's-armpits.-
-car-seat-at-45-deg-angle.
-extra-blankets-or-padding-should-not-be-added-to-car-seat-(could-create-extra-air-btwn-infant-and-seat-=-
inj-during-MVC).
A-NURSE-IS-PERFORMING-TRIAGE-FOLLOWING-A-MASS-CASUALTY-EVENT.-WHICH-OF-THE-FOLLOWING-
PTS-SHOULD-THE-NURSE-REC-BE-TRANSPORTED-FIRST-TO-A-HCF?---correct-answer--a-middle-adult-pt-
who-has-a-sucking-chest-wound-
-a-child-whose-thigh-is-impaled-w/-glass-and-has-2+-pedal-pulses-has-good-peripheral-circ-and,-therefore,-
can-wait.
-ad-paralyzed-from-waist-down---low-SCI,-not-an-immediate-threat-and-can-wait.
-OA-w/-agonal-breathing---near-end-of-life.-not-transported-first-r/t-min-chance-of-survival.
A-HHN-IS-PLANNING-CARE-FOR-AN-OA-PT-WHO-HAS-IMPAIRED-VISION.-WHICH-INTERVENTIONS-SHOULD-
THE-NURSE-INCLUDE-IN-THE-PLAN-TO-PREVENT-INJ-IN-THE-HOME?---correct-answer--secure-any-area-
rugs-w/-a-non-slip-pad-or-adhesive-strips-to-secure-to-the-floor-to-prevent-sliding.
-extension-cords-are-removed-from-high-traffic-areas-in-the-home-and-placed-along-the-edges-of-walls.-
-have-adequate-lighting---use-of-light-fixtures-that-use-bulbs->40-watts-to-optimize-visibility.
-mark-edges-of-stairs-w/-paint-or-colored-tape-for-contrast.
A-NURSE-IS-DELEGATING-MEASUREMENT-AND-DOC-OF-A-PT'S-CAPILLARY-BLOOD-GLUCOSE-LVL-BEFORE-
LUNCH-TO-A-LPN.-WHICH-ACTIONS-SHOULD-THE-NURSE-TAKE-TO-EVAL-THE-COMPLETION-OF-THIS-TASK?-
--correct-answer--ensure-that-the-glucose-lvl-appears-in-the-pt's-med-record---task-completion!!
,A-NURSE-IS-PLANNING-CARE-FOR-A-GRP-OF-PTS.-IDENTIFY-THAT-WHICH-OF-THE-FOLLOWING-TASKS-IS-
OUTSIDE-AN-RN'S-SCOPE-OF-PRACTICE?---correct-answer--inserting-a-non-tunneled-percutaneous-central-
venous-catheter.
A-NURSE-IS-CARING-FOR-A-PT-WHO-IS-HIV+-AND-HAS-PNEUMONIA.-A-FAM-MEMBER-ASKS-THE-NURSE,-
"WHAT-IS-CAUSING-MY-SISTER'S-PNEUMONIA?"-WHICH-OF-THE-FOLLOWING-RESPONSES-SHOULD-THE-
NURSE-MAKE?---correct-answer--"your-sister-must-give-permission-for-me-to-discuss-her-condition-w/-
you."
A-NURSE-MANAGER-IS-PREPPING-A-STAFF-ED-PROGRAM-ABT-CONFIDENTIALITY.-WHICH-OF-THE-
FOLLOWING-ACTIONS-SHOULD-THE-NURSE-TAKE-FIRST?---correct-answer--determine-the-staff's-current-
knowledge-of-confidentiality-requirements.
A-NURSE-IS-CARING-FOR-A-NEWBORN-WHOSE-GUARDIAN-HAS-REFUSED-THE-ROUTINE-ADMIN-OF-
ERYTHROMYCIN-OINTMENT-TO-THE-NEWBORN'S-EYES.-WHICH-ACTIONS-SHOULD-THE-NURSE-TAKE?---
correct-answer--have-the-guardian-sign-the-facility's-refusal-form-and-doc-completion-of-the-form.
-do-NOT-obtain-a-culture-of-the-newborn's-eye-secretions-for-gonorrhea-(as-erythromycin-is-used-as-a-
prophylactic-tx-for-gonorrhea-for-the-prevention-of-ophthalmia-neonatorum.---the-cultures-are-not-part-
of-standard-practice-for-providing-care-to-a-newborn).
A-NURSE-IS-DELEGATING-CARE-FOR-A-GRP-OF-PTS.-DELEGATE-TO-THE-AP?---correct-answer--perform-
postmortem-care
(cannot-check-placement-of-enteral-feeding-tube).
A-NURSE-IS-CARING-FOR-AN-ANTEPARTUM-PT-WHO-HAS-JUST-BEEN-INFORMED-THAT-THEIR-FETUS-HAS-
ANENCEPHALY.-THE-PT-ASKS-THE-NURSE,-"DO-YOU-THINK-I-SHOULD-TERMINATE-MY-PREG?"-WHAT-
SHOULD-THE-NURSE-SAY?---correct-answer-"Let's-talk-abt-what-YOU-think-you-should-do."
A-NURSE-IS-PREPPING-TO-ADMIN-A-MIXTURE-OF-HALDOL-5mg/ml-AND-DIPHENHYDRAMINE-50mg/ml-IM-
TO-A-PT-WHO-IS-AGITATED.-NURSING-ACTION?---correct-answer--avoid-admin->1ml-of-med-into-the-
deltoid-site.-both-haloperidol-and-diphenhydramine-should-be-admin-deep-into-a-large-muscle-mass,-
such-as-the-VG-muscle!!
-use-a-2-in-needle-for-an-IM-injection-of-this-combo-of-the-2-meds.
, -inject-air-into-both-vials-prior-to-withdrawing-the-meds.-this-action-ensures-that-the-nurse-can-easily-
withdraw-the-med-when-needed-and-that-the-med-in-the-syringe-isn't-pulled-back-into-the-vials-due-to-
negative-pressure-being-formed.
-the-nurse-should-use-a-filter-needle-to-withdraw-med-from-an-ampule;-however,-the-filter-needle-is-
removed-and-replaced-w/-a-reg-needle-prior-to-admin.-these-meds-for-admin-are-being-withdrawn-from-
vials,-not-ampules.
A-NURSE-IS-TEACHING-A-PT-WHO-HAS-A-NEW-RX-FOR-HALDOL.-INSTRUCTIONS-INCLUDED-IN-THE-
TEACHING?---correct-answer--rinse-your-mouth-freq-throughout-the-day---Haldol-has-antich-s/e-like-dry-
mouth.-
-taper-Haldol-slowly-to-avoid-EPS---don't-stop-abruptly/immediately-for-sed!!
-reg-eye-exams-(not-ear)-w/-Haldol.
-use-sunscreen-products-or-protective-clothing-to-min-unprotected-exposure-to-sunlight-b/c-Haldol-can-
cause-photosensitivity.
A-NURSE-IS-PROVIDING-D/C-TEACHING-TO-A-PT-WHO-HAS-A-NEW-RX-FOR-CODEINE-PRN-FOR-PAIN.-
UNDERSTANDING-OF-THE-TEACHING?---correct-answer-"I-should-take-a-stool-softener-w/-this-med"---a/e-
of-opioid-analgesics-is-constip!!!
-may-have-urinary-retention-w/-codeine.
A-NURSE-IS-CARING-FOR-A-PT-WHO-IS-TAKING-VERAPAMIL-AND-STATES,-"I-TAKE-MY-MED-W/-A-GLASS-
OF-GFJ-EVERY-AM."-WHICH-FINDING-INDS-A-POSS-MED-FOOD-INTERACTION?---correct-answer--
drowsiness,-hypotension-(GFJ-inhibits-metab-of-this-med---higher-lvl-of-verapamil-in-the-blood--->-
hypotension).-+-urinary-frequency-&-wt-gain.
A-NURSE-IS-CARING-FOR-A-PT-WHO-IS-RECEIVING-0.9%-SODIUM-CHLORIDE-VIA-CONTINUOUS-IV-
INFUSION-THROUGH-A-PERIPHERAL-IV-SITE.-THE-PT-HAS-A-NEW-RX-FOR-CEFAZOLIN-1g-VIA-
INTERMITTENT-IV-BOLUS-TO-INFUSE-OVER-30-MINS.-WHICH-ACTIONS-SHOULD-THE-NURSE-TAKE-WHEN-
INFUSING-THE-CEFAZOLIN?---correct-answer--infuse-the-cef-thru-secondary-tubing-CC-w/-the-0.9%-NaCl-
infusion-(piggyback-it-AFTER-ensuring-solutions-are-compatible).
-abx-are-time-crit-meds-(so-do-not-wait-to-admin-it).
A-NURSE-IS-MONITORING-A-PT-WHO-RECEIVED-ALTEPLASE-DURING-CORONARY-ANGIOGRAPHY.-
ADVERSE-EFFECT-OF-THE-MED?---correct-answer--bleeding-around-IV-site,-hematuria,-or-ALT-LOC-(IC-
BLEED!!!!).