H&R BLOCK INCOME TAX COURSE EXAM – H&R
BLOCK INCOME TAX COURSE ASSESSMENT –
2026/2027 EDITION
---
This comprehensive set of 120 multiple-choice questions is meticulously designed to
serve as a rigorous review tool for nursing students and practicing clinicians,
covering essential medical-surgical, pharmacological, pediatric, maternal-newborn,
and psychiatric nursing concepts. Each question challenges the test-taker to apply
critical thinking and clinical judgment, moving beyond simple recall to prioritize
patient safety and evidence-based interventions. The inclusion of detailed
rationales for each correct answer transforms the exam into a powerful learning
instrument, clarifying the physiological and pathophysiological principles behind
each clinical decision. By addressing high-priority topics such as medication side
effects, emergency protocols, infection control, and age-specific care, this resource
reinforces core competencies required for safe, effective nursing practice.
Ultimately, it aims to bridge the gap between theoretical knowledge and real-
world bedside application, preparing learners for success in both academic
examinations and professional certification.
---
Nursing Fundamentals & Medical-Surgical Nursing
1. A patient with heart failure is prescribed furosemide (Lasix). Which assessment
finding indicates the medication is having the desired therapeutic effect?
A) Decreased blood pressure
B) Increased urine output
,C) Decreased heart rate
D) Increased respiratory rate
Correct Answer: B
Rationale: Furosemide is a loop diuretic. Its primary therapeutic effect is to promote
diuresis (increased urine output) to reduce fluid volume overload, a common issue in
heart failure. While it can decrease blood pressure, this is a secondary effect and
can be a side effect, not the primary indicator of therapeutic success for heart
failure.
---
2. A nurse is preparing to insert an indwelling urinary catheter. Which technique is
the priority to prevent infection?
A) Applying sterile gloves
B) Cleaning the meatus with an antiseptic solution
C) Using a sterile catheter
D) Maintaining sterile technique throughout the procedure
Correct Answer: D
Rationale: Maintaining sterile technique (asepsis) is the most crucial intervention to
prevent introducing bacteria into the urinary tract, which can cause a catheter-
associated urinary tract infection (CAUTI). While A, B, and C are components of the
procedure, the overall principle of sterility is the priority.
---
3. A patient is diagnosed with deep vein thrombosis (DVT) in the left leg. What is
the priority nursing intervention?
,A) Massaging the left leg to promote circulation
B) Applying a warm compress to the left leg
C) Administering an anticoagulant as prescribed
D) Encouraging the patient to ambulate frequently
Correct Answer: C
Rationale: The primary treatment for DVT is anticoagulation to prevent the clot from
growing and to reduce the risk of a pulmonary embolism. Massaging the leg is
contraindicated as it can dislodge the clot. Warm compresses may help comfort but
are not the priority. Ambulation is usually restricted initially to prevent clot
dislodgement.
---
4. A patient is one day post-operative following a total knee replacement. Which
finding requires immediate notification of the healthcare provider?
A) Pain level of 4 on a scale of 0-10
B) Serosanguinous drainage on the dressing
C) A pulse oximetry reading of 88% on room air
D) Mild erythema around the incision site
Correct Answer: C
Rationale: A pulse oximetry reading of 88% is a critical finding indicating
hypoxemia and potential respiratory compromise. Post-operative patients are at
risk for atelectasis, pneumonia, and pulmonary embolism. A, B, and D are expected
findings in the post-operative period.
---
, 5. The nurse is teaching a patient with hypertension about a low-sodium diet. Which
food choice by the patient indicates a correct understanding of the teaching?
A) A dill pickle
B) A serving of canned tomato soup
C) A slice of cheddar cheese
D) Fresh apple slices
Correct Answer: D
Rationale: Fresh fruits are naturally low in sodium. Dill pickles, canned soups, and
processed cheeses are typically very high in sodium.
---
6. A patient with diabetes mellitus type 2 is prescribed metformin. What is a
significant side effect the nurse should educate the patient about?
A) Weight gain
B) Lactic acidosis
C) Hypoglycemia
D) Bradycardia
Correct Answer: B
Rationale: Metformin is associated with a rare but serious side effect called lactic
acidosis, particularly in patients with renal impairment, liver disease, or severe
heart failure. It is less likely to cause hypoglycemia alone and is associated with
weight *loss* or stability, not gain.
---
BLOCK INCOME TAX COURSE ASSESSMENT –
2026/2027 EDITION
---
This comprehensive set of 120 multiple-choice questions is meticulously designed to
serve as a rigorous review tool for nursing students and practicing clinicians,
covering essential medical-surgical, pharmacological, pediatric, maternal-newborn,
and psychiatric nursing concepts. Each question challenges the test-taker to apply
critical thinking and clinical judgment, moving beyond simple recall to prioritize
patient safety and evidence-based interventions. The inclusion of detailed
rationales for each correct answer transforms the exam into a powerful learning
instrument, clarifying the physiological and pathophysiological principles behind
each clinical decision. By addressing high-priority topics such as medication side
effects, emergency protocols, infection control, and age-specific care, this resource
reinforces core competencies required for safe, effective nursing practice.
Ultimately, it aims to bridge the gap between theoretical knowledge and real-
world bedside application, preparing learners for success in both academic
examinations and professional certification.
---
Nursing Fundamentals & Medical-Surgical Nursing
1. A patient with heart failure is prescribed furosemide (Lasix). Which assessment
finding indicates the medication is having the desired therapeutic effect?
A) Decreased blood pressure
B) Increased urine output
,C) Decreased heart rate
D) Increased respiratory rate
Correct Answer: B
Rationale: Furosemide is a loop diuretic. Its primary therapeutic effect is to promote
diuresis (increased urine output) to reduce fluid volume overload, a common issue in
heart failure. While it can decrease blood pressure, this is a secondary effect and
can be a side effect, not the primary indicator of therapeutic success for heart
failure.
---
2. A nurse is preparing to insert an indwelling urinary catheter. Which technique is
the priority to prevent infection?
A) Applying sterile gloves
B) Cleaning the meatus with an antiseptic solution
C) Using a sterile catheter
D) Maintaining sterile technique throughout the procedure
Correct Answer: D
Rationale: Maintaining sterile technique (asepsis) is the most crucial intervention to
prevent introducing bacteria into the urinary tract, which can cause a catheter-
associated urinary tract infection (CAUTI). While A, B, and C are components of the
procedure, the overall principle of sterility is the priority.
---
3. A patient is diagnosed with deep vein thrombosis (DVT) in the left leg. What is
the priority nursing intervention?
,A) Massaging the left leg to promote circulation
B) Applying a warm compress to the left leg
C) Administering an anticoagulant as prescribed
D) Encouraging the patient to ambulate frequently
Correct Answer: C
Rationale: The primary treatment for DVT is anticoagulation to prevent the clot from
growing and to reduce the risk of a pulmonary embolism. Massaging the leg is
contraindicated as it can dislodge the clot. Warm compresses may help comfort but
are not the priority. Ambulation is usually restricted initially to prevent clot
dislodgement.
---
4. A patient is one day post-operative following a total knee replacement. Which
finding requires immediate notification of the healthcare provider?
A) Pain level of 4 on a scale of 0-10
B) Serosanguinous drainage on the dressing
C) A pulse oximetry reading of 88% on room air
D) Mild erythema around the incision site
Correct Answer: C
Rationale: A pulse oximetry reading of 88% is a critical finding indicating
hypoxemia and potential respiratory compromise. Post-operative patients are at
risk for atelectasis, pneumonia, and pulmonary embolism. A, B, and D are expected
findings in the post-operative period.
---
, 5. The nurse is teaching a patient with hypertension about a low-sodium diet. Which
food choice by the patient indicates a correct understanding of the teaching?
A) A dill pickle
B) A serving of canned tomato soup
C) A slice of cheddar cheese
D) Fresh apple slices
Correct Answer: D
Rationale: Fresh fruits are naturally low in sodium. Dill pickles, canned soups, and
processed cheeses are typically very high in sodium.
---
6. A patient with diabetes mellitus type 2 is prescribed metformin. What is a
significant side effect the nurse should educate the patient about?
A) Weight gain
B) Lactic acidosis
C) Hypoglycemia
D) Bradycardia
Correct Answer: B
Rationale: Metformin is associated with a rare but serious side effect called lactic
acidosis, particularly in patients with renal impairment, liver disease, or severe
heart failure. It is less likely to cause hypoglycemia alone and is associated with
weight *loss* or stability, not gain.
---
