RN COMPREHENSIVE ONLINE PRACTICE 2026 B EXAM
QUESTIONS AND ANSWERS (VERIFIED ANSWERS) MOST
RECENT EXAM COMPLETE (2025) (LATEST UPDATE 2025)
UPDATE!! | 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 a 5-year-old child
Physical Examination:
1510:
Upon visual inspection, throat is inflamed, tonsils appear pink, reddened and epiglottis is
edematous and cherry red in appearance. Skin appears pale. Stridor noted upon inspiration with
diminished bilateral lung sounds.
Nurse's Notes:
1500
Child accompanied to emergency department by caregiver. Caregiver states child has a sore
throat and reports the child has "pain on swallowing" and denies cough. Child is agitated and
lean Answer: Condition: Epiglottis
Actions: Initiate droplet precautions and request a prescription for IV antibiotics
Monitors: Breath sounds and temperature
The nurse should anticipate initiating droplet precautions and requesting a prescription for IV
antibiotics. The child is most likely experiencing epiglottis because of the clinical
manifestations of a high fever, inflammation and redness of the throat, pale skin, stridor with
inspiration, painful swallowing, no cough, is sitting in tripod position, and drooling. The nurse
should monitor the child's temperature and breath sounds.
A nurse is caring for a client who is on the spinal cord injury (SCI) unit
Nurses' Notes
Day 3, 1700
Client admitted to SCI unit 3 days ago following C7 injury. Skin is cool, pale, and dry to touch.
Respirations easy and unlabored. Lung sounds diminished in lower lobes. Abdomen soft and
nondistended with active bowel sounds. Client passed a small amount of hard formed stool this
AM. Indwelling urinary catheter draining clear yellow urine. Deep tendon reflexes (DTR) are
biceps 1+, triceps 1+, pa Answer: The client is most likely experiencing manifestations of
pneumonia and autonomic dysreflexia.
The nurse should analyze cues from the client's manifestations and determine that the client is
most likely experiencing manifestations of pneumonia and autonomic dysreflexia. A client who
has a cervical SCI is at risk for respiratory complications because spinal innervation to the
respiratory muscles is disrupted. Adventitious breath sounds in the lower lobes bilaterally and a
decrease in oxygen saturation to less than 92% can indicate pneumonia. The client's sudden
increase in blood pressure, bradycardia, flushing of the skin above the area of the injury,
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
,headache, and blurred vision are manifestations of autonomic dysreflexia, which can be a life-
threatening condition.
A nurse is caring for a client who has abdominal pain
Nurses' Notes
0900
Client reports loss of appetite, weight loss, and fatigue for 1 week. Reports abdominal pain, 6 on
a scale from 0 to 10, for 2 days. Client is a perioperative nurse, returned 1 week ago from a 2-
week mission trip to an underdeveloped country
1200
Results of antibody studies obtained. Provider prescription for antiviral medication pending.
Physical Examination
0930
Lung sounds clear bilaterally. Skin warm to touch and jau Answer: Hepatitis A: Client's risk
from fecal-oral transmission, laboratory results, and physical examination findings
Hepatitis B: Antiviral treatment, laboratory results, client's risk from bloodborne transmission,
physical examination findings
Hepatitis C: Antiviral treatment, laboratory results, client's risk from bloodborne transmission,
and physical examination findings
When analyzing cues, the nurse should recognize that manifestations of hepatitis A, hepatitis B,
and hepatitis C include jaundice, yellow sclerae, right upper quandrant pain upon palpation,
dark yellow urine, and elevated AST and ALT levels. When analyzing cues, the nurse should
also recognize the client's risk for contracting hepatitis A through the fecal-oral route during
recent travel to an underdeveloped country and the client's occupational risk as a perioperative
nurse for contracting hepatitis B and hepatitis C through bloodborne transmission. The nurse
should recognize that the current standard of practice for
A nurse is caring for a client on a medical-surgical unit
Vital Signs
0700
Temperature 37.6 C (99.7 F)
Heart rate 100/min
Respiratory rate 22/min
Blood pressure 115/70 mmHg
Oxygen saturation 98% on room air
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
, Nurses' Notes
1100
Client alert and oriented to person, place, and time. Client had episode of diarrhea, provided
perineal care. Noted 2 cm x 2 cm (0.8 in x 0.8 in) painful edematous area on sacrum. Client
repositioned every 4 hr. Answer: Click to highlight the findings that require follow up. To
deselect a finding, click on the finding again.
- Noted 2 cm x 2 cm (0.8 in x 0.8 in) painful edematous area on sacrum
- Client repositioned every 4 hr
When recognizing cues, the nurse should determine that the client's painful edematous area on
their sacrum and that the client has only been repositioned every 4 hr requires follow up. The
client has manifestations of a pressure injury that need to be addressed. The client should be
repositioned at least every 2 hr to prevent worsening of the pressure injury and to relieve
pressure from the sacral area.
A nurse in an outpatient mental health clinic is caring for a client
Vital Signs
3 months ago
Blood pressure 116/68 mmHg
Heart rate 82/min
Respiratory rate 16/min
Temperature 36.7 C (98.1 F)
SaO2 97% on room air
Today:
Blood pressure 128/76 mmHg
Heart rate 104/min
Respiratory rate 22/min
Temperature 37.4 (99.4 F)
SaO2 97% on room air
Nurses' Notes
3 months ago
Client recently admitted with new diagnosis of schizophrenia. Received inpatient treatment for
10 days and was discharged 1 week ago. Answer: Select the 3 findings that require immediate
follow up:
APPHIA – Crafted with Care and Precision for Academic Excellence.
4
QUESTIONS AND ANSWERS (VERIFIED ANSWERS) MOST
RECENT EXAM COMPLETE (2025) (LATEST UPDATE 2025)
UPDATE!! | 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 a 5-year-old child
Physical Examination:
1510:
Upon visual inspection, throat is inflamed, tonsils appear pink, reddened and epiglottis is
edematous and cherry red in appearance. Skin appears pale. Stridor noted upon inspiration with
diminished bilateral lung sounds.
Nurse's Notes:
1500
Child accompanied to emergency department by caregiver. Caregiver states child has a sore
throat and reports the child has "pain on swallowing" and denies cough. Child is agitated and
lean Answer: Condition: Epiglottis
Actions: Initiate droplet precautions and request a prescription for IV antibiotics
Monitors: Breath sounds and temperature
The nurse should anticipate initiating droplet precautions and requesting a prescription for IV
antibiotics. The child is most likely experiencing epiglottis because of the clinical
manifestations of a high fever, inflammation and redness of the throat, pale skin, stridor with
inspiration, painful swallowing, no cough, is sitting in tripod position, and drooling. The nurse
should monitor the child's temperature and breath sounds.
A nurse is caring for a client who is on the spinal cord injury (SCI) unit
Nurses' Notes
Day 3, 1700
Client admitted to SCI unit 3 days ago following C7 injury. Skin is cool, pale, and dry to touch.
Respirations easy and unlabored. Lung sounds diminished in lower lobes. Abdomen soft and
nondistended with active bowel sounds. Client passed a small amount of hard formed stool this
AM. Indwelling urinary catheter draining clear yellow urine. Deep tendon reflexes (DTR) are
biceps 1+, triceps 1+, pa Answer: The client is most likely experiencing manifestations of
pneumonia and autonomic dysreflexia.
The nurse should analyze cues from the client's manifestations and determine that the client is
most likely experiencing manifestations of pneumonia and autonomic dysreflexia. A client who
has a cervical SCI is at risk for respiratory complications because spinal innervation to the
respiratory muscles is disrupted. Adventitious breath sounds in the lower lobes bilaterally and a
decrease in oxygen saturation to less than 92% can indicate pneumonia. The client's sudden
increase in blood pressure, bradycardia, flushing of the skin above the area of the injury,
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
,headache, and blurred vision are manifestations of autonomic dysreflexia, which can be a life-
threatening condition.
A nurse is caring for a client who has abdominal pain
Nurses' Notes
0900
Client reports loss of appetite, weight loss, and fatigue for 1 week. Reports abdominal pain, 6 on
a scale from 0 to 10, for 2 days. Client is a perioperative nurse, returned 1 week ago from a 2-
week mission trip to an underdeveloped country
1200
Results of antibody studies obtained. Provider prescription for antiviral medication pending.
Physical Examination
0930
Lung sounds clear bilaterally. Skin warm to touch and jau Answer: Hepatitis A: Client's risk
from fecal-oral transmission, laboratory results, and physical examination findings
Hepatitis B: Antiviral treatment, laboratory results, client's risk from bloodborne transmission,
physical examination findings
Hepatitis C: Antiviral treatment, laboratory results, client's risk from bloodborne transmission,
and physical examination findings
When analyzing cues, the nurse should recognize that manifestations of hepatitis A, hepatitis B,
and hepatitis C include jaundice, yellow sclerae, right upper quandrant pain upon palpation,
dark yellow urine, and elevated AST and ALT levels. When analyzing cues, the nurse should
also recognize the client's risk for contracting hepatitis A through the fecal-oral route during
recent travel to an underdeveloped country and the client's occupational risk as a perioperative
nurse for contracting hepatitis B and hepatitis C through bloodborne transmission. The nurse
should recognize that the current standard of practice for
A nurse is caring for a client on a medical-surgical unit
Vital Signs
0700
Temperature 37.6 C (99.7 F)
Heart rate 100/min
Respiratory rate 22/min
Blood pressure 115/70 mmHg
Oxygen saturation 98% on room air
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
, Nurses' Notes
1100
Client alert and oriented to person, place, and time. Client had episode of diarrhea, provided
perineal care. Noted 2 cm x 2 cm (0.8 in x 0.8 in) painful edematous area on sacrum. Client
repositioned every 4 hr. Answer: Click to highlight the findings that require follow up. To
deselect a finding, click on the finding again.
- Noted 2 cm x 2 cm (0.8 in x 0.8 in) painful edematous area on sacrum
- Client repositioned every 4 hr
When recognizing cues, the nurse should determine that the client's painful edematous area on
their sacrum and that the client has only been repositioned every 4 hr requires follow up. The
client has manifestations of a pressure injury that need to be addressed. The client should be
repositioned at least every 2 hr to prevent worsening of the pressure injury and to relieve
pressure from the sacral area.
A nurse in an outpatient mental health clinic is caring for a client
Vital Signs
3 months ago
Blood pressure 116/68 mmHg
Heart rate 82/min
Respiratory rate 16/min
Temperature 36.7 C (98.1 F)
SaO2 97% on room air
Today:
Blood pressure 128/76 mmHg
Heart rate 104/min
Respiratory rate 22/min
Temperature 37.4 (99.4 F)
SaO2 97% on room air
Nurses' Notes
3 months ago
Client recently admitted with new diagnosis of schizophrenia. Received inpatient treatment for
10 days and was discharged 1 week ago. Answer: Select the 3 findings that require immediate
follow up:
APPHIA – Crafted with Care and Precision for Academic Excellence.
4
