EXAM 2026/202 GUARANTEED PASS
1. A client is admitted with a fever of undermined origin (FUO). During
rounds, the nurse finds the client diaphoretic, and the linens are damp. What
should the nurse do first? - ANSWER ✅ B. Check the client's vital signs
and pain scale
2. A client is admitted with a newly diagnosed case of active tuberculosis (TB).
Which intervention should the nurse teach the client about controlling
transmission of tuberculosis (TB)? - ANSWER ✅ A. Proper disposal of
tissues when coughing
3. A client is complaining of muscle fatigue in the lower extremities. What is
the physiological cause of muscle fatigue? - ANSWER ✅ A. The depletion
of glycogen and energy stores
4. A client is diagnosed with Clostridium Difficile (CDIFF). What action
should the nurse implement to prevent the spread of the organism? -
ANSWER ✅ B. Don non-sterile gloves when performing direct care
5. A client is diagnosed with Pericarditis after a Myocardial Infarction (MI)
and asks the nurse, "Why did this happen?" What explanation should the
nurse offer? - ANSWER ✅ A. The sac surrounding the heart has become
inflamed from the cells damaged by the heart attack
6. A client is having Radical Mastectomy. What is the position of choice
during the immediate postoperative period? - ANSWER ✅ C. Semi-
Fowler's position with the arm on the operative side elevated
,7. A client is receiving 0.5 grams of a prescription medication that is dispensed
as 500 mg/5mL. How many ml should the PN administer? (enter the
numeric value only. If rounding is required, round to the nearest tenth.) -
ANSWER ✅ 5
8. A client is receiving dexamethasone (Hexadrol, Decadron). What symptoms
should the nurse recognize as Cushioned side effects? - ANSWER ✅ A.
Moon face, Slow wound healing, muscle wasting sodium and water
retention
9. A client is receiving nitroglycerin sublingual tablets for angina. What
response should the nurse expect the client to manifest in response to the
administration of this drug during an acute anginal episode? - ANSWER ✅
B. Cessation of acute chest pain
10.A client is returning to the surgical unit after a total right knee replacement.
Which assessment findings are most important for the nurse to include in
this client's record? - ANSWER ✅ A. Pedal pulses, pallor, pain, paresthesia
or paralysis
11.A client is using an incentive spirometer on the first postoperative day after
an inguinal Herniorrhaphy. The nurse should re-teach the proper use of the
spirometer when the client demonstrates what action? - ANSWER ✅ C.
Blowing forcefully into the mouthpiece
12.A client presents in the clinic because of generalized swelling after a bee
sting. What intervention should the nurse implement first? - ANSWER ✅ C.
Determine respiratory status and apply a pulse oximeter
, 13.A client receives a new prescription for the angiotensin II receptor
antagonist losartan (Cozaar). Which client instruction should the nurse
encourage this client to follow? - ANSWER ✅ A. Move slowly when
getting up to prevent sudden dizziness
14.A client requires application of an eye shield to the right eye. What should
the nurse do in order to apply tape in which direction to anchor the shield
most effectively? - ANSWER ✅ B. Longitudinally from the right forehead
to the right cheek
15.A client returns to the postoperative unit following an open reduction and
internal fixation of a hip fracture. The practical nurse applies the prescribed
sequential compression devise (SCD) to both lower extremities. (BLE).
What action is important when turning the client to a lateral position? -
ANSWER ✅ D. Observe the SCDs continue to inflate and deflate when the
client is turned
16.A client returns to the unit following a cardiac catheterization with a
Femoral artery Access. Which objective criteria is most important for the
nurse to obtain immediately upon the clients return? - ANSWER ✅ B. Pedal
pulses
17.A client's chief complaint is being able to swallow only small bites of solid
food and liquid's for the last 3months. The nurse should assess the client for
what additional information? - ANSWER ✅ A. History of alcohol and
tobacco use
18.A client's daughter phones the charge nurse to report that the night nurse did
not provide good care for her mother. What response should the nurse make?
- ANSWER ✅ A. Ask for a description of what happened during the night