COPY**VATI GREEN LIGHT COMPREHENSIVE FORMS |
FROM QUESTION TO PERFECTION| STUDY WITH
CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027
Duration: 2 Hours
Total Marks: 70%
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,A nurse is caring for client who has breast cancer and has been covering receiving
chemotherapy. Which of the following laboratory values should nurse report to provider?
A. WBC 3,000/mm3
B. Hemoglobin 14 g/dl
C. Platelet 250,000/mm3
D. aPTT 30 seconds Answer: A. WBC 3,000/mm3
A nurse is reviewing the lab report of a client who has a magnesium level of 1.0mEq/L. What
clinical finding should the nurse expect? Answer: Cardiac dysrhythmia
A nurse is teaching a client about nutritional intake. The nurse should include which of the
following in the teaching?
A. "Carbohydrates should be at least 45% of your caloric intake."
B. "Protein should be at least 55% of your calorie intake."
C. "Carbohydrates should be at least 30% of your caloric intake."
D. "Protein should be at least 60% of your caloric intake." Answer: A. "Carbohydrates should
be at least 45% of your caloric intake."
A nurse in a provider's office is providing education to a client who is 16 weeks of gestation and
has a new prescription for ferrous sulfate. Which of the following instructions should the nurse
provide?
a. Avoid strawberries, citrus fruit, and melon to ensure that your iron medication is effective."
b. "Take your iron medication with fluids other than coffee or tea."
c. "It is important to take your iron medication on a full stomach."
d. "If you miss a dose one day, take two doses the next day." Answer: b. "Take your iron
medication with fluids other than coffee or tea."
Placenta previa hallmark manifestation Answer: Bring red vaginal bleeding
A nurse administers a dose of metoclopramide to a client prior to chemotherapy treatment.
Which of the following medications should the nurse administer?
a. Albuterol sulfate
b. Hydromorphone
c diphenhydramine
d Amitriptyline Answer: c. diphenhydramine
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, A nurse on the medical surgical unit is caring for a group of clients. Which of the following
clients would benefit from a three-way indwelling catheter?
a. A female client who is prone to development of blood clots in the urine.
b. A female client who has a history of chronic urinary tract infections
c. A male client who has spontaneous bladder emptying.
d. A male client who has postoperative acute urinary retention Answer: a. A female client who
is prone to development of blood clots in the urine.
Risk for metabolic alkalosis. A client who has severe _________ Answer: hyperemesis
A nurse is about to administer an injection to a client who states, "I don't want that injection."
The nurse goes ahead and administers the injection anyway. The nurse committed which of the
following?
a. Battery
b. Assault
c. False Imprisonment
d. Libel Answer: a. Battery
At the beginning of the day shift, a team leader delegates the following tasks to the assistive
personnel (AP); bathe four clients, distribute fresh water, and obtain the morning vital signs. At
noon, the nurse asks the AP to transport one client to physical therapy. The AP reports two
clients still need bed baths. Which of the following is an appropriate strategy for the nurse to
delegate more effectively in the future?
a. Plan a more reasonable job assignment
b. Co-assign a more qualified individual to assist the AP.
c. Set a clear time for the completion of each task.
d. Volunteer to give the baths for the AP. Answer: c. Set a clear time for the completion of each
task.
Is caring for clients was a new prescription for enoxaparin for the prevention of DVT. Which of
the following is an appropriate action by the nurse?
a) Expel air bubble at the top of the prefilled syringe
b) Massage the injection site to evenly distribute the medication
c) Inject the medication the lateral abdominal wall
d) Administer an NSAID for injection site discomfort Answer: c) Inject the medication the
lateral abdominal wall
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
FROM QUESTION TO PERFECTION| STUDY WITH
CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027
Duration: 2 Hours
Total Marks: 70%
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,A nurse is caring for client who has breast cancer and has been covering receiving
chemotherapy. Which of the following laboratory values should nurse report to provider?
A. WBC 3,000/mm3
B. Hemoglobin 14 g/dl
C. Platelet 250,000/mm3
D. aPTT 30 seconds Answer: A. WBC 3,000/mm3
A nurse is reviewing the lab report of a client who has a magnesium level of 1.0mEq/L. What
clinical finding should the nurse expect? Answer: Cardiac dysrhythmia
A nurse is teaching a client about nutritional intake. The nurse should include which of the
following in the teaching?
A. "Carbohydrates should be at least 45% of your caloric intake."
B. "Protein should be at least 55% of your calorie intake."
C. "Carbohydrates should be at least 30% of your caloric intake."
D. "Protein should be at least 60% of your caloric intake." Answer: A. "Carbohydrates should
be at least 45% of your caloric intake."
A nurse in a provider's office is providing education to a client who is 16 weeks of gestation and
has a new prescription for ferrous sulfate. Which of the following instructions should the nurse
provide?
a. Avoid strawberries, citrus fruit, and melon to ensure that your iron medication is effective."
b. "Take your iron medication with fluids other than coffee or tea."
c. "It is important to take your iron medication on a full stomach."
d. "If you miss a dose one day, take two doses the next day." Answer: b. "Take your iron
medication with fluids other than coffee or tea."
Placenta previa hallmark manifestation Answer: Bring red vaginal bleeding
A nurse administers a dose of metoclopramide to a client prior to chemotherapy treatment.
Which of the following medications should the nurse administer?
a. Albuterol sulfate
b. Hydromorphone
c diphenhydramine
d Amitriptyline Answer: c. diphenhydramine
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, A nurse on the medical surgical unit is caring for a group of clients. Which of the following
clients would benefit from a three-way indwelling catheter?
a. A female client who is prone to development of blood clots in the urine.
b. A female client who has a history of chronic urinary tract infections
c. A male client who has spontaneous bladder emptying.
d. A male client who has postoperative acute urinary retention Answer: a. A female client who
is prone to development of blood clots in the urine.
Risk for metabolic alkalosis. A client who has severe _________ Answer: hyperemesis
A nurse is about to administer an injection to a client who states, "I don't want that injection."
The nurse goes ahead and administers the injection anyway. The nurse committed which of the
following?
a. Battery
b. Assault
c. False Imprisonment
d. Libel Answer: a. Battery
At the beginning of the day shift, a team leader delegates the following tasks to the assistive
personnel (AP); bathe four clients, distribute fresh water, and obtain the morning vital signs. At
noon, the nurse asks the AP to transport one client to physical therapy. The AP reports two
clients still need bed baths. Which of the following is an appropriate strategy for the nurse to
delegate more effectively in the future?
a. Plan a more reasonable job assignment
b. Co-assign a more qualified individual to assist the AP.
c. Set a clear time for the completion of each task.
d. Volunteer to give the baths for the AP. Answer: c. Set a clear time for the completion of each
task.
Is caring for clients was a new prescription for enoxaparin for the prevention of DVT. Which of
the following is an appropriate action by the nurse?
a) Expel air bubble at the top of the prefilled syringe
b) Massage the injection site to evenly distribute the medication
c) Inject the medication the lateral abdominal wall
d) Administer an NSAID for injection site discomfort Answer: c) Inject the medication the
lateral abdominal wall
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
