2026|2027 Actual Complete Real Exam Questions And Correct
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A client with osteoarthritis receives a prescription for naproxen . Which
potential side effect should the nurse discuss with the client about this
medication ?
A. Sensitivity to sunlight .
B. Gastrointestinal disturbance .
C. Muscle fasciculations .
D. Increased urinary frequency . -ANSWER-B.
Prostaglandin synthesis inhibitors such as naproxen can have
gastrointestinal side effects such as nausea and gastric burning . It is
recommended that this medication be taken with food to avoid
gastrointestinal upset .
Which assessment finding is of greatest concern to the nurse who is
caring for a client with stomatitis ?
A. Painful and dry oral cavity .
B. Sore throat caused by speaking .
C. Unintended weight loss .
D. Cough brought on by swallowing . -ANSWER-D.
,A cough brought on by swallowing is a sign of dysphagia , which is a
finding of particular concern in a client with stomatitis . Dysphagia can
cause numerous problems , including airway obstruction , and should
be reported to the healthcare provider immediately .
The nurse is planning preoperative teaching for a client who will
undergo a radical neck dissection and total laryngectomy . Which
information has the greatest priority for this client ?
A. The stoma should never be covered after this type of surgery .
B. Techniques for esophageal speech are relatively easy to learn with
practice .
C. There is a radical change in appearance as a result of this surgery .
D. Prognosis after treatment is excellent . -ANSWER-C.
Radical neck dissection is the removal of lymphatic drainage channels
and nodes , sternocleidomastoid muscle , spinal accessory nerve ,
jugular vein , and submandibular area . The overall outcome of this type
of surgery causes the neck to be disfigured , so the radical change in
appearance , " Alteration in body image " will be a priority in the care of
this client .
Which assessment finding should the nurse identify that indicates a
client with an acute asthma exacerbation is beginning to improve after
treatment ?
A. Wheezing becomes louder .
B. Bronchodilators stimulate coughing .
,C. Vesicular breath sounds decrease .
D. Cough remains unproductive . -ANSWER-A.
In an acute asthma attack , air flow may be so significantly restricted
that breath sounds and wheezing are diminished . If the client is
successfully responding to bronchodilators and respiratory treatments ,
wheezing should become louder as the air flow increases in the airways
. As the airways open and mucous is mobilized in response to treatment
, the cough should become more productive .
The nurse is preparing a teaching plan for a client with newly diagnosed
glacoma and a history of allergic rhinitis . Which information is most
important for the nurse to provide the client about using over - the -
counter ( OTC ) medications for allergies ?
A. Increase fluid intake while taking an antihistamine or decongestant .
B. Avoid allergy medications that contain pseudoephedrine or
phenylephrine .
C. Ophthalmic lubricating drops may be used for eye dryness due to
allergy medications .
D. Notify your healthcare provider if there is an increase in heart rate . -
ANSWER-B.
OTC allergy medications may contain ephedrine , phenylephrine , or
pseudoephedrine , which can cause adrenergic side effects , such as
increased intraocular pressure , so a client with glaucoma should avoid
using these OTC medications .
, A nurse is preparing to insert an IV catheter after applying an eutectic
mixture of lidocaine and prilocaine ( EMLA ) , a topical anesthetic cream
. What action should the nurse take to maximize its therapeutic effect ?
A. Use the smallest amount of cream necessary to numb the skin
surface .
B. Rub a liberal amount of cream into the skin thoroughly .
C. Cover the skin with a gauze dressing after applying the cream .
D. Leave the cream on the skin for 1 to 2 hours before the procedure . -
ANSWER-D.
Topical anesthetic creams , such as EMLA , should be applied to the
puncture site at least 60 minutes to 2 hours before the insertion of an
IV catheter .
The nurse is providing discharge instructions to a client who has
undergone a left orchiectomy for testicular cancer . Which statement
indicates that the client understands his post - operative care and
prognosis ?
A. " I should continue to perform testicular self - examination ( TSE )
monthly on my remaining testicle . "
B. " I should wear an athletic supporter and cup to prevent testicular
cancer in my remaining testicle . "
C. " I should always use a condom because I am at increased risk for
acquiring a sexually transmitted disease . "
D. " I should make sure my sons know how to perform TSE because
they are at increased risk for this type of cancer ." -ANSWER-A.