NRNP 6540 FINAL 2026 ACTUAL TEST PAPER
QUESTIONS SOLUTIONS VERIFIED COMPLETE
STUDY PACKAGE
◉ The nurse teaches a patient about the use of budesonide
intranasal spray for seasonal allergic rhinitis. The nurse determines
that medication teaching is successful if the patient makes which
statement?
A. "My liver function will be checked with blood tests every 2 to 3
months."
B. "The medication will decrease the congestion within 3 to 5
minutes after use."
C. "I may develop a serious infection because the medication reduces
my immunity."
D. "I will use the medication every day of the season whether I have
symptoms or not."
Answer: D. "I will use the medication every day of the season
whether I have symptoms or not."
rationale:
Budesonide should be started 2 weeks before pollen season starts
and used on a regular basis, not as needed. The spray acts to
decrease inflammation and the effect is not immediate as with
decongestant sprays. At recommended doses, budesonide has only
,local effects and will not result in immunosuppression or a systemic
infection. Zafirlukast (Accolate) is a leukotriene receptor antagonist
and may alter liver function tests (LFTs). LFTs must be monitored
periodically in the patient taking zafirlukast.
◉ Which topics will the nurse include in discharge teaching for a
patient who has had a complete laryngectomy? Select all that apply
A. How to obtain a medic alert bracelet
B. Care of the stoma or laryngectomy tube
C. Ways to hide the stoma with a scarf or shirt
D. Use of a smartphone with a text- to speech app
E: Ways to decrease aspiration risk when swallowing
Answer: A. How to obtain a medic alert bracelet
B. Care of the stoma or laryngectomy tube
C. Ways to hide the stoma with a scarf or shirt
D. Use of a smartphone with a text- to speech app
◉ Which instructions will the nurse include in teaching a patient
and family first aid measures for epistaxis? select all that apply
A. Tilt the patient's head backwards
B. Apply ice compresses to the nose
C. Tilt the head forward while lying down.
D. Pinch the entire soft lower portion of the nose
, E. Partially insert a small gauze pad into the bleeding nostril
Answer: A. Apply ice compresses to the nose
D. Pinch the entire soft lower portion of the nose
E. Partially insert a small gauze pad into the bleeding nostril
◉ Which nursing action indicates good understanding of the
postoperative care of the patient who has had a complete
laryngectomy?
A. Keeping the neck extended for the first few postoperative days
B. Helping the patient use a smartphone text- to- speech application
C. Repositioning the nasogastric tube to relieve abdominal
distension
D. Avoiding tracheal suctioning during the early postoperative
period
Answer: B. Helping the patient use a smartphone text- to- speech
application
◉ Which patient with a tracheostomy requires a change in the plan
of care?
A. Patient A: Tracheostomy tube with cuff and pilot balloon-
maintain a cuff pressure of < or equal to 20 mm Hg
B. Patient B: Fenestrated tracheostomy tube- insert decannulation
plug in tracheostomy tube before deflating the cuff
QUESTIONS SOLUTIONS VERIFIED COMPLETE
STUDY PACKAGE
◉ The nurse teaches a patient about the use of budesonide
intranasal spray for seasonal allergic rhinitis. The nurse determines
that medication teaching is successful if the patient makes which
statement?
A. "My liver function will be checked with blood tests every 2 to 3
months."
B. "The medication will decrease the congestion within 3 to 5
minutes after use."
C. "I may develop a serious infection because the medication reduces
my immunity."
D. "I will use the medication every day of the season whether I have
symptoms or not."
Answer: D. "I will use the medication every day of the season
whether I have symptoms or not."
rationale:
Budesonide should be started 2 weeks before pollen season starts
and used on a regular basis, not as needed. The spray acts to
decrease inflammation and the effect is not immediate as with
decongestant sprays. At recommended doses, budesonide has only
,local effects and will not result in immunosuppression or a systemic
infection. Zafirlukast (Accolate) is a leukotriene receptor antagonist
and may alter liver function tests (LFTs). LFTs must be monitored
periodically in the patient taking zafirlukast.
◉ Which topics will the nurse include in discharge teaching for a
patient who has had a complete laryngectomy? Select all that apply
A. How to obtain a medic alert bracelet
B. Care of the stoma or laryngectomy tube
C. Ways to hide the stoma with a scarf or shirt
D. Use of a smartphone with a text- to speech app
E: Ways to decrease aspiration risk when swallowing
Answer: A. How to obtain a medic alert bracelet
B. Care of the stoma or laryngectomy tube
C. Ways to hide the stoma with a scarf or shirt
D. Use of a smartphone with a text- to speech app
◉ Which instructions will the nurse include in teaching a patient
and family first aid measures for epistaxis? select all that apply
A. Tilt the patient's head backwards
B. Apply ice compresses to the nose
C. Tilt the head forward while lying down.
D. Pinch the entire soft lower portion of the nose
, E. Partially insert a small gauze pad into the bleeding nostril
Answer: A. Apply ice compresses to the nose
D. Pinch the entire soft lower portion of the nose
E. Partially insert a small gauze pad into the bleeding nostril
◉ Which nursing action indicates good understanding of the
postoperative care of the patient who has had a complete
laryngectomy?
A. Keeping the neck extended for the first few postoperative days
B. Helping the patient use a smartphone text- to- speech application
C. Repositioning the nasogastric tube to relieve abdominal
distension
D. Avoiding tracheal suctioning during the early postoperative
period
Answer: B. Helping the patient use a smartphone text- to- speech
application
◉ Which patient with a tracheostomy requires a change in the plan
of care?
A. Patient A: Tracheostomy tube with cuff and pilot balloon-
maintain a cuff pressure of < or equal to 20 mm Hg
B. Patient B: Fenestrated tracheostomy tube- insert decannulation
plug in tracheostomy tube before deflating the cuff
