Questions and Answers
All Verified 2026 A+
ABnurseBisBonBaBmedical-
surgicalBunitBisBcaringBforBaBgroupBofBclients.BTheBnurseBshouldBnotifyBtheBrapidBres
ponseBteamBforBwhichBofBtheBfollowingBclients?
A.BClientBwhoBhasBanBulcerationBofBtheBrightBheelBwhoseBbloodBglucoseBisB300Bmg/
dL
B.BClientBwhoBreportsBrightBcalfBpainBandBshortnessBofBbreath
C.BClientBwhoBhasBbloodBonBaBpressureBdressingBinBtheBfemoralBareaBfollowingBaBca
rdiacBcatheterization
D.BClientBwhoBhasBdarkBredBcolorationBofBleftBtoesBandBabsentBpedalBpulseB-
BAnswerBB.BClientBwhoBreportsBrightBcalfBpainBandBshortnessBofBbreath
ABnurseBisBcaringBforBaBclientBwhoBhasBingestedBaBtoxicBagent.BWhichBofBtheBfollowi
ngBactionsBshouldBtheBnurseBplanBtoBtake?B(SelectBallBthatBapply.)
A.BInduceBvomiting.
B.BInstillBactivatedBcharcoal.
C.BPerformBaBgastricBlavageBwithBaspiration.
D.BAdministerBsyrupBofBipecac.
E.BInfuseBIVBfluidsB-BAnswerBB.BInstillBactivatedBcharcoal.
C.BPerformBaBgastricBlavageBwithBaspiration.
E.BInfuseBIVBfluids
,ABnurseBinBtheBemergencyBdepartmentBisBcaringBforBaBclientBwhoBfellBthroughBtheBi
ceBonBaBpondBandBisBunresponsiveBandBbreathingBslowly.BWhichBofBtheBfollowingBar
eBappropriateBactionsBbyBtheBnurse?B(SelectBallBthatBapply.)
A.BRemoveBwetBclothing.
B.BMaintainBnormalBroomBtemperature.
C.BApplyBwarmBblankets.
D.BApplyBaBheatBlamp.
E.BInfuseBwarmedBIVBfluids.B-BAnswerBA.BRemoveBwetBclothing.
C.BApplyBwarmBblankets.
D.BApplyBaBheatBlamp.
E.BInfuseBwarmedBIVBfluids
ABnurseBinBtheBemergencyBdepartmentBisBassessingBaBclientBwhoBisBunresponsive.BTh
eBclient'sBpartnerBstates,B"HeBwasBpullingBweedsBinBtheByardBandBdroppedBtoBtheBgr
ound."BWhichBofBtheBfollowingBtechniquesBshouldBtheBnurseBuseBtoBopenBtheBclient'
sBairway?B
A.BHead-tilt,Bchin-lift
B.BModifiedBjawBthrust
C.BHyperextensionBofBtheBhead
D.BFlexionBofBtheBheadB-BAnswerBA.BHead-tilt,Bchin-lift
ABnurseBisBreviewingBtheBcommonBemergencyBmanagementBprotocolBforBclientsBwho
BhaveBasystole.BWhichBofBtheBfollowingBactionsBshouldBtheBnurseBplanBtoBtakeBdurin
gBthisBcardiacBemergency?
A.BPerformBdefibrillation
B.BPrepareBforBtranscutaneousBpacing
C.BAdministerBIVBepinephrineB(Adrenaline).
,D.BElevateBtheBclient'sBlowerBextremitiesB-
BAnswerBC.BAdministerBIVBepinephrineB(Adrenaline).
ABnurseBisBcaringBforBaBclientBwhoBisBpostprocedureBfollowingBlumbarBpunctureBand
BreportsBaBthrobbingBheadacheBwhenBsittingBupright.BWhichBofBtheBfollowingBactions
BshouldBtheBnurseBtake?B(SelectBallBthatBapply)
A.BUseBtheBGlasgowBComaBScaleBwhenBassessingBtheBclient
B.BAssistBtheBclientBtoBaBsupineBposition
C.BAdministerBanBopioidBmedication
D.BEncourageBtheBclientBtoBincreaseBfluidBintake
E.BInstructBtheBclientBtoBperformBdeepBbreathingBandBcoughingBexercisesB-
BAnswerBB.BAssistBtheBclientBtoBaBsupineBposition
C.BAdministerBanBopioidBmedication
D.BEncourageBtheBclientBtoBincreaseBfluidBintake
ABnurseBisBcaringBforBaBclientBwhoBexperiencedBaBtraumaticBheadBinjuryBandBhasBan
BintraventricularBcatheterB(ventriculostomy)BforBICPBmonitoring.BTheBnurseBshouldBmo
nitorBtheBclientBforBwhichBofBtheBfollowingBcomplicationsBrelatedBtoBtheBventriculosto
my?
A.BHeadache
B.BInfection
C.BAphasia
D.BHypertensionB-BAnswerBB.BInfection
aBnurseBisBassessingBaBclientBforBchangesBinBtheBlevelBofBconsciousnessBusingBtheBGl
asgowBComaBScaleB(GCS).BTheBclientBopensBhisBeyesBwhenBspokeBto,BspeaksBincoher
ently,BandBmovesBhisBextremitiesBwhenBpainBisBapplied.BWhichBofBtheBfollowingBGCS
BscoresBshouldBtheBnurseBdocument?
, A.BE2B+BV3B+BM5B=B10
B.BE3B+BV4B+BM4B=B11
C.BE4B+BV5B+BM6B=B15
D.BE2B+BV2B+BM4B=B8B-BAnswerBB.BE3B+BV4B+BM4B=B11
ABnurseBisBdevelopingBaBplanBofBcareBforBaBclientBwhoBisBscheduledBforBcerebralBan
giographyBwithBcontrastBdye.BWhichBofBtheBfollowingBstatementsBbyBtheBclientBshoul
dBtheBnurseBreportBtoBtheBprovider?B(SelectBallBthatBapply.)
A.B"IBthinkBIBmightBbeBpregnant."
B.B"IBtakeBwarfarin."
C.B"IBtakeBantihypertensiveBmedication."
D.B"IBamBallergicBtoBshrimp."
E.B"IBateBaBlightBbreakfastBthisBmorning."B-
BAnswerBA.B"IBthinkBIBmightBbeBpregnant."
B.B"IBtakeBwarfarin."
D.B"IBamBallergicBtoBshrimp."
E.B"IBateBaBlightBbreakfastBthisBmorning."
ABnurseBisBprovidingBeducationBtoBaBclientBwhoBisBtoBundergoBanBelectroencephalogr
amB(EEG)BtheBnextBday.BWhichBofBtheBfollowingBinformationBshouldBtheBnurseBinclud
eBinBtheBteaching?
A.B"DoBnotBwashByourBhairBtheBmorningBofBtheBprocedure."
B.B"TryBtoBstayBawakeBmostBofBtheBnightBpriorBtoBtheBprocedure."
C.B"TheBprocedureBwillBtakeBapproximatelyB15Bminutes."
D.B"YouBwillBneedBtoBlieBflatBforB4BhoursBafterBtheBprocedure."B-
BAnswerBB.B"TryBtoBstayBawakeBmostBofBtheBnightBpriorBtoBtheBprocedure."