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Exam (elaborations)

All Nursing 2000+ Questions And Answers

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ALL NURSING 2000+ QUESTIONS AND ANSWERS

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ALL NURSING 2000+ QUESTIONS AND ANSWERS
FULL BLUEPRINT 2026-28

Question 1: Maternity

A nurse is assessing a 32-year-old pregnant client at 30 weeks of gestation. The client reports
swelling in her feet and legs, which increases throughout the day. Which of the following actions
should the nurse take first?

• A) Educate the client about resting with her legs elevated.
• B) Measure the client’s blood pressure.
• C) Assess the client’s urine output.
• D) Check for protein in the urine.

Correct Answer: B
Rationale: The first action the nurse should take is to measure the client’s blood pressure.
Swelling in the feet and legs can be a normal finding in pregnancy, but it can also indicate
complications like gestational hypertension or preeclampsia. Blood pressure assessment will
help determine if further evaluation is necessary.



Question 2: Pharmacology

A nurse is teaching a patient who has been prescribed warfarin about the medication. Which
statement by the patient indicates a need for further teaching?

• A) “I will need to have my INR checked regularly.”
• B) “I can eat as much spinach as I want.”
• C) “I should take this medication at the same time every day.”
• D) “I need to report any unusual bleeding to my doctor.”

Correct Answer: B
Rationale: This statement indicates a need for further teaching. While spinach and other leafy
greens are healthy, they are high in vitamin K, which can affect the effectiveness of warfarin.
Patients on warfarin should maintain a consistent intake of vitamin K, not consume it freely.



Question 3: Adult Health

A nurse is caring for a patient with a diagnosis of heart failure. The patient complains of
shortness of breath and is exhibiting signs of edema. Which assessment finding would be most
concerning?

• A) Increased heart rate.

,2


• B) Crackles upon auscultation.
• C) Decreased urine output.
• D) Elevated blood pressure.

,3


Correct Answer: B
Rationale: Crackles upon auscultation indicate fluid in the lungs, which is a sign of worsening
heart failure and potential pulmonary edema. This finding is the most concerning and requires
immediate attention.



Question 4: Pediatric Nursing

A nurse is assessing a 6-year-old child who has been diagnosed with asthma. Which of
the following symptoms would indicate that the child's asthma is poorly controlled?

• A) Occasional cough.
• B) Frequent nighttime awakenings due to coughing.
• C) Normal activity levels during the day.
• D) Use of a rescue inhaler less than once a week.

Correct Answer: B
Rationale: Frequent nighttime awakenings due to coughing are a sign that asthma is
poorly controlled. The goal of asthma management is to minimize nighttime symptoms
and ensure normal activity levels during the day.



Question 5: Mental Health

A nurse is caring for a patient diagnosed with schizophrenia who is experiencing auditory
hallucinations. Which nursing intervention is most appropriate?

• A) Tell the patient to ignore the voices.
• B) Provide distraction with activities.
• C) Validate the patient’s experience of hallucinations.
• D) Ask the patient to describe the hallucinations in detail.

Correct Answer: C
Rationale: Validating the patient’s experience of hallucinations helps the nurse to establish
rapport and trust. It allows the nurse to engage in therapeutic communication while not
endorsing the hallucinations.



Question 6: Surgical Nursing

A nurse is preparing a patient for surgery. Which of the following is the priority assessment
before administering preoperative medications?

, 4


• A) Assess the patient’s pain level.
• B) Verify the patient's allergies.
• C) Review the surgical consent form.
• D) Obtain the patient’s vital signs.

Correct Answer: B
Rationale: Verifying the patient’s allergies is the priority assessment to prevent any adverse
reactions to medications that may be administered before surgery.



Question 7: Infection Control

A nurse is caring for a patient in a private room who is on contact precautions due to a
methicillin-resistant Staphylococcus aureus (MRSA) infection. Which of the following actions
should the nurse take?

• A) Wear gloves when entering the room.
• B) Remove the gown and gloves before leaving the room.
• C) Wash hands with soap and water after leaving the room.
• D) Place a surgical mask on the patient when providing care.

Correct Answer: A
Rationale: The nurse should wear gloves when entering the room to prevent the spread of
MRSA. Hand hygiene should always be performed after leaving the room, and a gown should be
worn if there is a risk of contact with the patient or their environment.



Question 8: Nutrition

A nurse is teaching a patient with diabetes mellitus about dietary choices. Which food
choice would the nurse recommend as a source of complex carbohydrates?

• A) White rice.
• B) Whole grain bread.
• C) Table sugar.
• D) Honey.

Correct Answer: B
Rationale: Whole grain bread is a source of complex carbohydrates, which are digested
more slowly and help to maintain stable blood glucose levels, making it a better choice for
someone with diabetes.

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