Practice Question Bank & Verified Answers with Rationales |
Comprehensive Nursing Exam Review | 2026–2027
,A nurse is admitting a client who has antisocial personality C. Uses others for personal gain
disorder. Which of the following client behaviors should the
nurse identify as consistent with this disorder?
A. Compulsive attention to details
B. Avoids interacting with others
C. Uses others for personal gain
D. Socially awkward in group situations
A nurse is interpreting the cardiac rhythm strip of a client
who was admitted with syncope. Which of the following
images indicates that the client has atrial fibrillation?
A charge nurse on a pediatric unit is making assignments A. A 10-year-old client who has pneumonia and is receiving respiratory treatments
for a float nurse from the medical unit. Which of the
following clients is appropriate to assign to the float nurse?
A. A 10-year-old client who has pneumonia and is
receiving respiratory treatments
B. A 4-year-old client who has a Wilms tumor and is
receiving chemotherapy
C. An 8-month-old client who is scheduled for a surgical
repair of a ventricular septal defect tomorrow
D. A 14-year-old client who is scheduled for discharge
today following placement of a Harrington rod
A nurse is assessing an infant who has water intoxication. A. Generalized edema
Which of the following findings should the nurse expect?
A. Generalized edema
B. Elevated urine specific gravity
C. Thready pulse
D. Increased hematocrit
A nurse is discussing the z-track administration of This technique decreases the risk of subcutaneous infiltration
hydroxyzine with a newly licensed nurse. Which of the
following statements indicates the newly licensed nurse
understands the purpose of the technique?
A. This technique prevents injury to the sciatic nerve
B. This technique decreases the risk of subcutaneous
infiltration
C. This technique allows a larger amount of medication to
be injected
D. This technique increases the absorption rate of the drug
A nurse is creating a plan of care for a client who has C. Monitor the client for 1 hr after meals
anorexia nervosa. Which of the following interventions
should the nurse include in the plan?
A. Encourage the client to gain 2.3 kg per week
B. Weigh the client once per week throughout
hospitalization
C. Monitor the client for 1 hr after meals
D. Allow the client to choose mealtimes
A nurse is planning care for a child who has increased B. Maintain the head at a midline position
intracranial pressure with a decrease in level of
consciousness. Which of the following interventions should
the nurse include in the plan of care?
A. Perform active range-of-motion exercises
B. Maintain the head at a midline position
C. Suction the airway frequently
D. Perform neurological checks every 4 hrs
10. A nurse is assessing a client who has delirium due to a A. Hallucinations
febrile illness. Which of the following findings should the
nurse expect?
A. Hallucinations
B. Agnosia
C. Bradycardia
D. Aphasia
,A nurse is assessing a client who is receiving enteral D. Bounding pulses
feedings via a gastrostomy tube. The nurse should identify
that which of the following findings indicates fluid
overload?
A. Diminished bowel sounds
B. Bradycardia
C. Hypotension
D. Bounding pulses
A nurse is caring for a client following an open colectomy. B. Hyperemesis
Which of the following findings places the client at risk for
delayed wound healing?
A. INR 1.1
B. Hyperemesis
C. HbA1c 5.6%
D. Uncontrolled pain
A home health nurse is reviewing treatment goals with a B. HbA1c
client who has diabetes mellitus. The nurse should
evaluate which of the following laboratory tests to
determine effective long-term management of blood
glucose levels?
A. 3-hr oral glucose tolerance test
B. HbA1c
C. Fasting blood glucose test
D. Urinalysis for ketones
A nurse is caring for a client who has neutropenia due to D. Use a dedicated stethoscope
HIV. Which of the following precautions should the nurse
take while caring for this client?
A. Wear an N95 respirator
B. Insert an indwelling urinary catheter to monitor urinary
output
C. Monitor the client's vital signs every 8 hr
D. Use a dedicated stethoscope
A nurse is caring for a client who reports difficulty falling C. Schedule routine care tasks during hours when the client is awake
asleep at night. Which of the following actions should the
nurse take?
A. Encourage the client to ambulate in the hallway 1 hr
before bedtime
B. Tell the client to avoid drinking fluids 1 hr before bedtime
C. Schedule routine care tasks during hours when the
client is awake
D. Advise the client to leave the television in the room on
when trying to fall asleep
A nurse is planning care for a newborn who has D. Place the newborn 45 cm (18 in) from the light source
hyperbilirubinemia and is to receive phototherapy. Which
of the following interventions should the nurse include?
A. Clothe the newborn in light cotton
B. Check the newborn's temperature every 8 hrs. (every 4)
C. Administer 120 mL of water between feedings
D. Place the newborn 45 cm (18 in) from the light source
A nurse is planning care for a client who has schizophrenia A. Art therapist
and is having difficulty expressing their feelings. Which of
the following referrals should the nurse make?
A. Art therapist
B. Speech-language pathologist
C. Social worker
D. Recreational therapist
, A nurse is caring for a client who has heart failure and has A. Decreased reflexes
started taking a loop diuretic. Which of the following
findings indicates the client is experiencing an adverse Loop diuretics cause excessive urination leading to hypotension and finally resulting
effect of the medication? in decreased reflexes.
A. Decreased reflexes
B. Weight gain of 1.4 kg
C. Increased urinary output
D. Jugular vein distention
At the start of an evening shift on a cardiac unit, a licensed B. Indigestion
practical nurse brings the nurse a list of client reports.
Which of the following client reports should the nurse
assess first?
A. Constipation
B. Indigestion
C. Swollen ankles
D. Urinary frequency
A nurse is caring for a client who has just returned to the C. Offers oral fluids to the client
unit following a bronchoscopy. Which of the following
actions by the assistive personnel requires the nurse to
intervene?
A. Encourages the client to use the incentive spirometer
B. Elevates the head of the client's bed
C. Offers oral fluids to the client
D. Checks the client's pulse oximetry
A nurse on a medical unit has just received change-of-shift A 68-year-old client who had a myocardial infarction 2 days ago and reports chest
report. Which of the following clients should the nurse pain 4 on a scale of 0 to 10
assess first?
A. A 68-year-old client who had a myocardial infarction 2
days ago and reports chest pain 4 on a scale of 0 to 10
B. A 48-year-old client who has AIDS, pneumocystis
pneumonia, and a temperature of 38.3 C (101F)
C. A 60-year-old client who has COPD, is receiving 2 L/min
O2 via a nasal cannula, and has an oxygen saturation of
89%
D. A 26-year-old female client who has pelvic inflammatory
disease and is unable to void
A nurse is assessing a client prior to performing a blood C. Avocados
draw. The nurse should identify that an allergy to which of
the following food can indicate that the client has an
allergy to latex?
A. Peanuts
B. Shellfish
C. Avocados
D. Eggs
A nurse is preparing to witness a client's signature on an D. I am thankful there are no serious complications from this type of surgery
informed consent for a total knee arthroplasty. Which of the
following client statements indicates the nurse should
contact the surgeon?
A. I wonder if the metal in my knee will show up in airport
screenings
B. The physical therapy has not been working, so I will
need to have the surgery
C. I look forward to being able to bend my knee again
when I sit in a chair
D. I am thankful there are no serious complications from
this type of surgery
A nurse is teaching the parent of a school-age child who A. Burning
has scabies about the application of permethrin 5% cream.
The nurse should include which of the following as a
potential adverse effect of the medication?
A. Burning
B. Discoloration
C. Photosensitivity
D. Alopecia