COMPREHENSIVE REVIEW EXAM QUESTIONS WITH CORRECT ANSWERS 2025

COMPREHENSIVE REVIEW EXAM QUESTIONS
WITH CORRECT ANSWERS 2025
EnalaprilSmaleateS(Vasotec)SisSprescribedSforSaShospitalizedSclient.SWhichSassessmentSdoesStheSnurseSperfo
rmSasSaSprioritySbeforeSadministeringStheSmedication?S



A.SCheckingStheSclient'sSbloodSpressureS

B.SCheckingStheSclient'sSperipheralSpulsesS

C.SCheckingStheSmostSrecentSpotassiumSlevelS

D.SCheckingStheSclient'sSintake-and-outputSrecordSforStheSlastS24ShoursS-SCORRECTSANSWERS-
A.SCheckingStheSclient'sSbloodSpressureS

Rationale:SEnalaprilSmaleateSisSanSangiotensin-
convertingSenzymeS(ACE)SinhibitorSusedStoStreatShypertension.SOneScommonSsideSeffectSisSposturalShypote
nsion.SThereforeStheSnurseSwouldScheckStheSclient'sSbloodSpressureSimmediatelySbeforeSadministeringSeac
hSdose.SCheckingStheSclient'sSperipheralSpulses,StheSresultsSofStheSmostSrecentSpotassiumSlevel,SandStheSint
akeSandSoutputSforStheSpreviousS24ShoursSareSnotSspecificallySassociatedSwithSthisSmediation.



ASclientSisSscheduledStoSundergoSanSupperSgastrointestinalS(GI)Sseries,SandStheSlicensedSpracticalSnurseSrein
forcesSinstructionsStoStheSclientSaboutStheStest.SWhichSstatementSbyStheSclientSindicatesSaSneedSforSfurtherS
instruction?S



A.S"TheStestSwillStakeSaboutS30Sminutes."S

B.S"ISneedStoSfastSforS8ShoursSbeforeStheStest."S

C.S"ISneedStoSdrinkScitrateSofSmagnesiaStheSnightSbeforeStheStestSandSgiveSmyselfSaSFleetSenemaSonStheSmor
ningSofStheStest."S

D.S"ISneedStoStakeSaSlaxativeSafterStheStestSisScompleted,SbecauseStheSliquidSthatSI'llShaveStoSdrinkSforStheStes
tScanSbeSconstipating."S-SCORRECTSANSWERS-
C.S"ISneedStoSdrinkScitrateSofSmagnesiaStheSnightSbeforeStheStestSandSgiveSmyselfSaSFleetSenemaSonStheSmor
ningSofStheStest."S

Rationale:SAnSupperSGISseriesSinvolvesSvisualizationSofStheSesophagus,Sduodenum,SandSupperSjejunumSbyS
meansSofStheSuseSofSaScontrastSmedium.SItSinvolvesSswallowingSaScontrastSmediumS(usuallySbarium),Swhich
SisSadministeredSinSaSflavoredSmilkshake.SFilmsSareStakenSatSintervalsSduringStheStest,SwhichStakesSaboutS30S

minutes.SNoSspecialSpreparationSisSnecessarySbeforeSaSGISseries,SexceptSthatSNPOSstatusSmustSbeSmaintain
edSforS8ShoursSbeforeStheStest.SAfterSanSupperSGISseries,StheSclientSisSprescribedSaSlaxativeStoShastenSelimin
ationSofStheSbarium.SBariumSthatSremainsSinStheScolonSmaySbecomeShardSandSdifficultStoSexpel,SleadingStoSf
ecalSimpaction.

,ASnurseSonStheSeveningSshiftSchecksSaSphysician'sSprescriptionsSandSnotesSthatStheSdoseSofSaSprescribedSme
dicationSisShigherSthanStheSnormalSdose.STheSnurseScallsStheSphysician'sSansweringSserviceSandSisStoldSthatS
theSphysicianSisSoffSforStheSnightSandSwillSbeSavailableSinStheSmorning.STheSnurseSshould:S



A.SCallStheSnursingSsupervisorS

B.SAskStheSansweringSserviceStoScontactStheSon-callSphysicianS

C.SWithholdStheSmedicationSuntilStheSphysicianScanSbeSreachedSinStheSmorningS

D.SAdministerStheSmedicationSbutSconsultStheSphysicianSwhenSheSbecomesSavailableS-SCORRECTSANSWERS-
B.SAskStheSansweringSserviceStoScontactStheSon-callSphysician

Rationale:STheSnurseShasSaSdutyStoSprotectStheSclientSfromSharm.SASnurseSwhoSbelievesSthatSaSphysician'sSp
rescriptionSmaySbeSinSerrorSisSresponsibleSforSclarifyingStheSprescriptionSbeforeScarryingSitSout.SThereforeSt
heSnurseSwouldSnotSadministerStheSmedication;Sinstead,StheSnurseSwouldSwithholdStheSmedicationSuntilSth
eSdoseScanSbeSclarified.STheSnurseSwouldSnotSwaitSuntilStheSnextSmorningStoSobtainSclarification.SItSisSprema
tureStoScallStheSnursingSsupervisor.



AnSemergencySdepartmentS(ED)SnurseSisSmonitoringSaSclientSwithSsuspectedSacuteSmyocardialSinfarctionS(
MI)SwhoSisSawaitingStransferStoStheScoronarySintensiveScareSunit.STheSnurseSnotesStheSsuddenSonsetSofSpre
matureSventricularScontractionsS(PVCs)SonStheSmonitor,SchecksStheSclient'sScarotidSpulse,SandSdeterminesSt
hatStheSPVCsSareSnotSresultingSinSperfusion.STheSappropriateSactionSbyStheSnurseSis:S



A.SDocumentingStheSfindingsS

B.SAskingStheSEDSphysicianStoScheckStheSclientS

C.SContinuingStoSmonitorStheSclient'sScardiacSstatusS

D.SInformingStheSclientSthatSPVCsSareSexpectedSafterSanSMIS-SCORRECTSANSWERS-
B.SAskingStheSEDSphysicianStoScheckStheSclient

Rationale:SPVCsSareSaSresultSofSincreasedSirritabilitySofSventricularScells.SPeripheralSpulsesSmaySbeSabsentSor
SdiminishedSwithStheSPVCsSthemselvesSbecauseStheSdecreasedSstrokeSvolumeSofStheSprematureSbeatsSmayS

inSturnSdecreaseSperipheralSperfusion.SBecauseSotherSrhythmsSalsoScauseSwidenedSQRSScomplexes,SitSisSes
sentialSthatStheSnurseSdetermineSwhetherStheSprematureSbeatsSareSresultingSinSperfusionSofStheSextremitie
s.SThisSisSdoneSbySpalpatingStheScarotid,Sbrachial,SorSfemoralSarterySwhileSobservingStheSmonitorSforSwiden
edScomplexesSorSbySauscultatingSforSapicalSheartSsounds.SInStheSsituationSofSacuteSMI,SPVCsSmaySbeSconsid
eredSwarningSdysrhythmias,SpossiblySheraldingStheSonsetSofSventricularStachycardiaSorSventricularSfibrillati
on.SThereforeStheSnurseSwouldSnotStellStheSclientSthatStheSPVCsSareSexpected.SAlthoughStheSnurseSwillSconti
nueStoSmonitorStheSclientSandSdocumentStheSfindings,StheseSareSnotStheSmostSappropriateSactionsSofSthose
Sprovided.STheSmostSappropriateSactionSwouldSbeStoSaskStheSEDSphysicianStoScheckStheSclient.

,NPOSstatusSisSimposedS8ShoursSbeforeStheSprocedureSonSaSclientSscheduledStoSundergoSelectroconvulsiveSt
herapyS(ECT)SatS1Sp.m.SOnStheSmorningSofStheSprocedure,StheSnurseSchecksStheSclient'sSrecordSandSnotesSth
atStheSclientSroutinelyStakesSanSoralSantihypertensiveSmedicationSeachSmorning.STheSnurseSshould:S



A.SAdministerStheSantihypertensiveSwithSaSsmallSsipSofSwaterS

B.SWithholdStheSantihypertensiveSandSadministerSitSatSbedtimeS

C.SAdministerStheSmedicationSbySwaySofStheSintravenousS(IV)SrouteS

D.SHoldStheSantihypertensiveSandSresumeSitsSadministrationSonStheSdaySafterStheSECTS-SCORRECTSANSWERS-
A.SAdministerStheSantihypertensiveSwithSaSsmallSsipSofSwater

Rationale:SGeneralSanesthesiaSisSrequiredSforSECT,SsoSNPOSstatusSisSimposedSforS6StoS8ShoursSbeforeStreatm
entStoShelpSpreventSaspiration.SExceptionsSincludeSclientsSwhoSroutinelySreceiveScardiacSmedications,Santih
ypertensiveSagents,SorShistamineS(H2)Sblockers,SwhichSshouldSbeSadministeredSseveralShoursSbeforeStreat
mentSwithSaSsmallSsipSofSwater.SWithholdingStheSantihypertensiveSandSadministeringSitSatSbedtimeSandSwit
hholdingStheSantihypertensiveSandSresumingSadministrationSonStheSdaySafterStheSECTSareSincorrectSactions
,SbecauseSantihypertensivesSmustSbeSadministeredSonStime;Sotherwise,StheSriskSforSreboundShypertensionS
exists.STheSnurseSwouldSnotSadministerSaSmedicationSbySwaySofSaSrouteSthatShasSnotSbeenSprescribed.



ASclientSwhoSrecentlySunderwentScoronarySarterySbypassSgraftSsurgeryScomesStoStheSphysician'sSofficeSforSa
Sfollow-

upSvisit.SOnSassessment,StheSclientStellsStheSnurseSthatSheSisSfeelingSdepressed.SWhichSresponseSbyStheSnur
seSisStherapeutic?S



A.S"TellSmeSmoreSaboutSwhatSyou'reSfeeling."S

B.S"That'sSaSnormalSresponseSafterSthisStypeSofSsurgery."S

C.S"ItSwillStakeStime,Sbut,SISpromiseSyou,SyouSwillSgetSoverSthisSdepression."S

D.S"EverySclientSwhoShasSthisSsurgerySfeelsStheSsameSwaySforSaboutSaSmonth."S-SCORRECTSANSWERS-
A.S"TellSmeSmoreSaboutSwhatSyou'reSfeeling."

Rationale:SWhenSaSclientSexpressesSfeelingsSofSdepression,SitSisSextremelySimportantSforStheSnurseStoSfurth
erSexploreStheseSfeelingsSwithStheSclient.SInSstating,S"ThisSisSaSnormalSresponseSafterSthisStypeSofSsurgery"St
heSnurseSprovidesSfalseSreassuranceSandSavoidsSaddressingStheSclient'sSfeelings.S"ItSwillStakeStime,Sbut,SISpr
omiseSyou,SyouSwillSgetSoverStheSdepression"SisSalsoSaSfalseSreassurance,SandSitSdoesSnotSencourageStheSex
pressionSofSfeelings.S"EverySclientSwhoShasSthisSsurgerySfeelsStheSsameSwaySforSaboutSaSmonth"SisSaSgeneral
izationSthatSavoidsStheSclient'sSfeelings.

, ASclientSinSlaborSexperiencesSspontaneousSruptureSofStheSmembranes.STheSnurseSimmediatelyScountsStheSf
etalSheartSrateS(FHR)SforS1SfullSminuteSandSthenSchecksStheSamnioticSfluid.STheSnurseSnotesSthatStheSfluidSisS
yellowSandShasSaSstrongSodor.SWhichSofStheSfollowingSactionsSshouldSbeStheSnurse'sSpriority?S



A.SContactingStheSphysicianS

B.SDocumentingStheSfindingsS

C.SCheckingStheSfluidSforSproteinS

D.SContinuingStoSmonitorStheSclientSandStheSFHRS-SCORRECTSANSWERS-A.SContactingStheSphysicianS

Rationale:STheSFHRSisSassessedSforSatSleastS1SminuteSwhenStheSmembranesSrupture.STheSnurseSalsoSchecksS
theSquantity,Scolor,SandSodorSofStheSamnioticSfluid.STheSfluidSshouldSbeSclearS(oftenSwithSbitsSofSvernix)SandS
haveSaSmildSodor.SFluidSwithSaSfoulSorSstrongSodor,ScloudySappearance,SorSyellowScolorationSsuggestsSchorio
amnionitisSandSwarrantsSnotifyingStheSphysician.SASlargeSamountSofSvernixSinStheSfluidSsuggestsSthatStheSfet
usSisSpreterm.SGreenish,Smeconium-
stainedSfluidSmaySbeSseenSinScasesSofSposttermSgestationSorSplacentalSinsufficiency.SCheckingStheSfluidSforSp
roteinSisSnotSassociatedSwithStheSdataSinStheSquestion.SAlthoughStheSnurseSwouldScontinueStoSmonitorStheS
clientSandStheSFHRSandSwouldSdocumentStheSfindings,ScontactingStheSphysicianSisStheSpriority.



ASnurseShelpsSprovideSanSeducationalSsessionStoScommunitySmembersSaboutScancerSofStheScervix.STheSnur
seSinformsStheSgroupSmembersSthatSanSearlySsignSofSthisStypeSofScancerSis:S



A.SDark,Sfoul-smellingSvaginalSdrainageS

B.SAbdominalSpainS

C.SConstant,SprofuseSbleedingS

D.SIrregularSvaginalSbleedingSorSspottingS-SCORRECTSANSWERS-D.SIrregularSvaginalSbleedingSorSspotting

Rationale:SEarlyScancerSofStheScervixSisSusuallySasymptomatic.STheStwoSchiefSsymptomsSareSleukorrheaS(va
ginalSdischarge)SandSirregularSvaginalSbleedingSorSspotting.STheSvaginalSdischargeSincreasesSgraduallySinSa
mountSandSbecomesSwaterySandSfinallySdarkSandSfoulSsmellingSbecauseSofSnecrosisSandSinfectionSofStheStu
morSmass.SAsStheSdiseaseSprogresses,StheSbleedingSmaySbecomeSconstantSandSincreaseSinSamount.



ASsurvivorSofSsexualSassaultSbeingStreatedSinStheSemergencySdepartmentSsaysStoStheSnurse,S"I'mSreallySworr
iedSthatSI'veSgotSHIVSnow."SWhatSisStheSappropriateSresponseSbyStheSnurse?S



A.S"HIVSisSrarelySanSissueSinSsurvivorsSofSsexualSassault."S

B.S"EverySsurvivorSofSsexualSassaultSisSconcernedSaboutSHIV."S