REVIEW 2026/2027 COMPREHENSIVE
PRACTICE QUESTIONS DETAILED
RATIONALES AND STUDY GUIDE
LATEST!!
A nurse is planning care for a client who has renal calculi. Which of the following
interventions should the nurse include to promote elimination of the calculi?
Maintain bedrest until calculi are expelled.
Withhold thiazide diuretics.
Encourage intake of at least 3 L of fluid each day.
Collect all urine for 24 hr in a collection container.
Encourage intake of at least 3 L of fluid each day.
RATIONALE
The nurse should encourage the client to consume at least 3 L of fluid each day.
Increased fluid intake increases urine production, promotes eliminiation of calculi,
and helps prevent recurrence.
,A nurse is providing postoperative education for a client following a laparoscopic
cholecystectomy for cholelithiasis. Which of the following client statements
indicates an understanding of the teaching?
"The adhesive bandages on my incision will fall off as the incision heals."
"I will be able to take a shower in 1 week."
"I will need to follow a liquid diet for the first 3 days after surgery."
"I can begin to resume my normal activity level in 2 weeks."
"The adhesive bandages on my incision will fall off as the incision heals."
RATIONALE
The nurse should instruct the client that the small adhesive bandages will lose their
adhesiveness in 7 to 10 days. The client can then remove the bandages or allow the
bandages to fall off over time as the incision heals.
A nurse is planning care to prevent hospital-acquired methicillin-resistant
Staphylococcus aureus (MRSA) infection for a client who is
immunocompromised. Which of the following interventions should the nurse
include to prevent this antibiotic-resistant infection?
Initiate contact precautions for this client.
,Bathe the client with chlorhexidine wipes.
Administer ceftaroline to the client as a prophylactic measure.
Avoid using alcohol-based hand sanitizers after caring for the client
Bathe the client with chlorhexidine wipes.
RATIONALE
The nurse should bathe a client who is immunocompromised with chlorhexidine
wipes to decrease the risk of contracting hospital-acquired MRSA.
A nurse is assessing a client who has Graves' disease. Which of the following
findings should the nurse expect?
Somnolence
Cold intolerance
Exophthalmos
Dry, scaly skin
Exophthalmos
, RATIONALE
The nurse should expect a client who has Graves' disease, an autoimmune form of
hyperthyroidism, to experience exophthalmos, which is protrusion of the eyeballs.
A nurse is teaching an older adult client who has peripheral neuropathy about a
new prescription for duloxetine. Which of the following client statements indicates
an understanding of the teaching?
"It might take several weeks to notice an improvement in my symptoms."
"I will need to take this medication on an empty stomach."
"I should take a daily ibuprofen for generalized aches."
"I will need to decrease my dietary sodium intake while taking this medication."
It might take several weeks to notice an improvement in my symptoms."
RATIONALE
The nurse should instruct the client that duloxetine can take several weeks to be
effective. This medication is an antidepressant that reduces the discomfort of
peripheral neuropathy.
A nurse is teaching a client who has scabies about a new prescription for lindane
lotion. Which of the following client statements indicates an understanding of the
treatment for this parasitic infection?