Page 1 of 33
NEXUS NURSING QUESTIONS WITH ANSWERS EXAM
2026 LATEST EDITION SOLVED QUESTIONS & ANSWERS
VERIFIED 100 %
an orthodox jewish client is upset. the client's son has recently committed
suicide. the client tearfully tells the nurse that the son has disgraced the family
and cannot be buried with honors
a. ask the client why the son won't be buried with honors
b. accept that the client is upset and just needs time alone
c. call the psychiatrist for an antianxiety medication
d. sit with the client and allow expression of loss and sorrow
d
A nurse is caring for a client who has a serum potassium level of 5.5 mEq/L.
The provider prescribes polystyrene sulfonate. If this medication is effective,
the nurse should expect which of the following changes on the client's ECG?
Reduction of T-wave amplitude
Shortening of P-wave duration
Widening of the QRS complex
Restoration of QRS complex amplitude
Reduction of T-wave amplitude
K lvls: 3.5-5.0
Elevated K lvls. can cause changes on the ECG, including:
Tall, peaked T-waves
, Page 2 of 33
Prolonged PR interval
Widened QRS complexes
Flattened or absent P waves
In severe cases, sine wave pattern and cardiac arrest
a client has an elevated AST 24 hours following chest pain and SOB. this is
suggestive of which of the following?
Gallbladder disease
Liver disease
MI
Skeletal muscle injury
MI
AST=liver
in this scenario, AST rises with tissue injury. the pt's symptoms line up with MI.
a client has a coat time of 20 minutes. the nurse should observe the client for
which of the following?
blood clots
ecchymotic areas
jaundice
infections
ecchymotic
normal time to clot is 9-12 mins.
pt. might be bleeding out.
prothrombin time (PT/INR) should be performed regularly on clients taking
which med?
heparin
warfarin
phenobarbitol
digoxin
warfarin (coumadin)
, Page 3 of 33
which prothrombin time (PT/INR) value would be considered normal for a
client who is receiving warfarin (coumadin)?
12 seconds
20 seconds
60 seconds
98 seconds
20 seconds
Norm. value: 11-12
1.5-2x the normal value.
the nurse is caring for a client who is receiving heparin. what drug should be
readily available?
vit k.
caffeine
calcium gluconate
protamine sulfate
protamine sulfate
Antidote for magnesium
calcium gluconate
a client who is receiving heparin asks the nurse why it cannot be given by
mouth. the nurse respond that heparin is given parentally because...
it is destroyed by gastric secretions
heparin is a protein. it is broken down with contact with the hydrochloric acid in the
stomach
during the admission interview, a client who is admitted for a cardiac cath
says, "every time I eat shrimp, I get a rash." what action is essential for the
nurse to take at this time?
notify the physician
dye in contrast media contains shellfish. contrast media is used in cardiac cath.
procedures.
, Page 4 of 33
a client with a hx. of rheumatic fever as a child is to have a cardiac cath. she
asks the nurse why she must have a cardiac cath. the nurse's response is
based on the understanding that cardiac cath can accomplish all of the
following EXCEPT
assessing heart structures
determining o2 levels in the heart chambers
evaluating cardiac OP
obtaining a biopsy specimen
obtaining a biopsy specimen
cardiac cath cannot cut out tissues for biopsy
When a client returns from undergoing a cardiac cath, it is most essential for
the nurse to
a. Check peripheral pulses
b. Maintain NPO
c. Apply heat to the insertion site
d. Start range of motion exercises immediately
check peripheral pulses
assessing if the circulation is still intact.
complication from cardiac cath: bleeding out, infection at insertion site, and
obstruction
A nurse responds to a call light of a client who has a hx. of angina pectoris. he
tells the nurse that he has just taken a nitro tablet sublingually for anginal
pain. what action should the nurse take next?
if the pain does not subside within 5 mins, place a second tab under his tongue.
repeat if pain still does not subside. call the dr. if pain doesn't subside with the third
one.
pt. is already in the healthcare facility. dr. does not need to be contacted at this time.
only when client is home, should he call 911 after the first dose.
NEXUS NURSING QUESTIONS WITH ANSWERS EXAM
2026 LATEST EDITION SOLVED QUESTIONS & ANSWERS
VERIFIED 100 %
an orthodox jewish client is upset. the client's son has recently committed
suicide. the client tearfully tells the nurse that the son has disgraced the family
and cannot be buried with honors
a. ask the client why the son won't be buried with honors
b. accept that the client is upset and just needs time alone
c. call the psychiatrist for an antianxiety medication
d. sit with the client and allow expression of loss and sorrow
d
A nurse is caring for a client who has a serum potassium level of 5.5 mEq/L.
The provider prescribes polystyrene sulfonate. If this medication is effective,
the nurse should expect which of the following changes on the client's ECG?
Reduction of T-wave amplitude
Shortening of P-wave duration
Widening of the QRS complex
Restoration of QRS complex amplitude
Reduction of T-wave amplitude
K lvls: 3.5-5.0
Elevated K lvls. can cause changes on the ECG, including:
Tall, peaked T-waves
, Page 2 of 33
Prolonged PR interval
Widened QRS complexes
Flattened or absent P waves
In severe cases, sine wave pattern and cardiac arrest
a client has an elevated AST 24 hours following chest pain and SOB. this is
suggestive of which of the following?
Gallbladder disease
Liver disease
MI
Skeletal muscle injury
MI
AST=liver
in this scenario, AST rises with tissue injury. the pt's symptoms line up with MI.
a client has a coat time of 20 minutes. the nurse should observe the client for
which of the following?
blood clots
ecchymotic areas
jaundice
infections
ecchymotic
normal time to clot is 9-12 mins.
pt. might be bleeding out.
prothrombin time (PT/INR) should be performed regularly on clients taking
which med?
heparin
warfarin
phenobarbitol
digoxin
warfarin (coumadin)
, Page 3 of 33
which prothrombin time (PT/INR) value would be considered normal for a
client who is receiving warfarin (coumadin)?
12 seconds
20 seconds
60 seconds
98 seconds
20 seconds
Norm. value: 11-12
1.5-2x the normal value.
the nurse is caring for a client who is receiving heparin. what drug should be
readily available?
vit k.
caffeine
calcium gluconate
protamine sulfate
protamine sulfate
Antidote for magnesium
calcium gluconate
a client who is receiving heparin asks the nurse why it cannot be given by
mouth. the nurse respond that heparin is given parentally because...
it is destroyed by gastric secretions
heparin is a protein. it is broken down with contact with the hydrochloric acid in the
stomach
during the admission interview, a client who is admitted for a cardiac cath
says, "every time I eat shrimp, I get a rash." what action is essential for the
nurse to take at this time?
notify the physician
dye in contrast media contains shellfish. contrast media is used in cardiac cath.
procedures.
, Page 4 of 33
a client with a hx. of rheumatic fever as a child is to have a cardiac cath. she
asks the nurse why she must have a cardiac cath. the nurse's response is
based on the understanding that cardiac cath can accomplish all of the
following EXCEPT
assessing heart structures
determining o2 levels in the heart chambers
evaluating cardiac OP
obtaining a biopsy specimen
obtaining a biopsy specimen
cardiac cath cannot cut out tissues for biopsy
When a client returns from undergoing a cardiac cath, it is most essential for
the nurse to
a. Check peripheral pulses
b. Maintain NPO
c. Apply heat to the insertion site
d. Start range of motion exercises immediately
check peripheral pulses
assessing if the circulation is still intact.
complication from cardiac cath: bleeding out, infection at insertion site, and
obstruction
A nurse responds to a call light of a client who has a hx. of angina pectoris. he
tells the nurse that he has just taken a nitro tablet sublingually for anginal
pain. what action should the nurse take next?
if the pain does not subside within 5 mins, place a second tab under his tongue.
repeat if pain still does not subside. call the dr. if pain doesn't subside with the third
one.
pt. is already in the healthcare facility. dr. does not need to be contacted at this time.
only when client is home, should he call 911 after the first dose.
