QUESTIONS WITH CORRECT
ANSWERS 2025/2026
FollowingAtheAadministrationAofAsublingualAnitroglycerinAtoAaAclientAexperiencingAanAacuteAan
ginalAattack,AwhichAassessmentAfindingAindicatesAtoAtheAnurseAthatAtheAdesiredAeffectAhasAbee
nAachieved?
A)AClientAstatesAchestApainAisArelieved.
B)AClient'sApulseAdecreasesAfromA120AtoA90.A
C)AClient'sAsystolicAbloodApressureAdecreasesAfromA180AtoA90.
D)AClient'sASaO2AlevelAincreasesAfromA92%AtoA96%.A-
AcorrectAanswersClientAstatesAchestApainAisArelieved.A
Rationale:ANitroglycerinAreducesAmyocardialAoxygenAconsumptionAwhichAdecreasesAischemiaA
andAreducesAchestApainA(A).A(BAandAD)AwouldAalsoAoccurAifAtheAanginaAwasArelieved,AbutAareAno
tAasAsignificantAasAtheAclient'sAsubjectiveAreportAofAdecreasedApain.A(C)AmayAindicateAaAreducti
onAinApain,AorAaApotentiallyAseriousAsideAeffectAofAtheAmedication.
FollowingAheparinAtreatmentAforAaApulmonaryAembolism,AaAclientAisAbeingAdischargedAwithAaAp
rescriptionAforAwarfarinACoumadin.AInAconductingAdischargeAteaching,AtheAnurseAadvisesAtheAc
lientAtoAhaveAwhichAdiagnosticAtestAmonitoredAregularlyAafterAdischarge?A
A)APerfusionAscan.A
B)AProthrombinATimeA(PT/INR).A
C)AActivatedApartialAthromboplastinA(APTT).A
D)ASerumACoumadinAlevelA(SCL).A-AcorrectAanswersProthrombinATimeA(PT/INR)A
Rationale:AWhenAusedAforAaAclientAwithApulmonaryAembolus,AtheAtherapeuticAgoalAforAwarfari
nAtherapyAisAaAPTA1½AtoA2½AtimesAgreaterAthanAtheAcontrol,AorAanAINRAofA2AtoA3A(B).AAAperfusio
nAmightAbeAperformedAtoAmonitorAlungAfunction,AbutAnotAmonthlyA(A).AAPTTAisAmonitoredAforA
theAclientAreceivingAheparinAtherapyA(C).AAAbloodAlevelAforACoumadinAcannotAbeAmeasuredA(D)
.
,AAhealthcareAproviderAprescribesAcephalexinAmonohydrateAKeflexAforAaAclientAwithAaApostoper
ativeAinfection.AItAisAmostAimportantAforAtheAnurseAtoAassessAforAwhatAadditionalAdrugAallergyAb
eforeAadministeringAthisAprescription?
A)APenicillins.
B)AAminoglycosides.
C)AErythromycins.
D)ASulfonamides.A-AcorrectAanswersPenicillin
Rationale:ACross-
allergiesAexistAbetweenApenicillinsA(A)AandAcephalosporins,AsuchAasAcephalexinAmonohydrateA(
Keflex),AsoAcheckingAforApenicillinAallergyAisAaAwiseAprecautionAbeforeAadministeringAthisAdrug.
AAclientAisAadmittedAtoAtheAcoronaryAcareAunitAwithAaAmedicalAdiagnosisAofAacuteAmyocardialAi
nfarction.AWhichAmedicationAprescriptionAdecreasesAbothApreloadAandAafterload?A
A)ANitroglycerin.A
B)APropranololA(Inderal).A
C)AMorphine.A
D)ACaptoprilA(Capoten).A-AcorrectAanswersNitroglycerinA
Rationale:ANitroglycerinA(A)AisAaAnitrateAthatAcausesAperipheralAvasodilationAandAdecreasesAco
ntractility,AtherebyAdecreasingAbothApreloadAandAafterload.A(B)AisAaAbetaAadrenergicAblockerAth
atAdecreasesAbothAheartArateAandAcontractility,AbutAonlyAdecreasesAafterload.AMorphineA(C)Ade
creasesAmyocardialAoxygenAconsumptionAandApreload.ACapotenA(D)AisAanAangiotensinAconverti
ngAenzymeA(ACE)AinhibitorAthatAactsAtoApreventsAvasoconstriction,AtherebyAdecreasingAbloodA
pressureAandAafterload.
WhichAdosingAscheduleAshouldAtheAnurseAteachAtheAclientAtoAobserveAforAaAcontrolled-
releaseAoxycodoneAprescription?A
A)AAsAneeded.
B)AEveryA12Ahours.A
,C)AEveryA24Ahours.A
D)AEveryA4AtoA6Ahours.A-AcorrectAanswersEveryA12AhoursA
Rationale:AAAcontrolled-releaseAoxycodoneAprovidesAlong-
actingAanalgesiaAtoArelieveAmoderateAtoAsevereApain,AsoAaAdosingAscheduleAofAeveryA12AhoursA(
B)AprovidesAtheAbestAaround-the-clockApainAmanagement.AControlled-
releaseAoxycodoneAisAnotAprescribedAforAbreakthroughApainAonAaAPRNAorAasAneededAscheduleA
(A).A(C)AisAinadequateAforAcontinuousApainAmanagement.AUsingAaAscheduleAofAeveryA4AtoA6Ahou
rsA(D)AmayAjeopardizeApatientAsafetyAdueAtoAcumulativeAeffects.
AApeakAandAtroughAlevelAmustAbeAdrawnAforAaAclientAreceivingAantibioticAtherapy.AWhatAisAtheA
optimumAtimeAforAtheAnurseAtoAobtainAtheAtroughAlevel?A
A)ASixtyAminutesAafterAtheAantibioticAdoseAisAadministered.AB)AImmediatelyAbeforeAtheAnextAan
tibioticAdoseAisAgiven.A
C)AWhenAtheAnextAbloodAglucoseAlevelAisAtoAbeAchecked.A
D)AThirtyAminutesAbeforeAtheAnextAantibioticAdoseAisAgiven.A-
AcorrectAanswersImmediatelyAbeforeAtheAnextAantibioticAdoseAisAgivenA
Rationale:ATroughAlevelsAareAdrawnAwhenAtheAbloodAlevelAisAatAitsAlowest,AwhichAisAtypicallyAju
stAbeforeAtheAnextAdoseAisAgivenA(B).A(A,AC,AandAD)AdoAnotAdescribeAtheAoptimumAtimeAforAobta
iningAaAtroughAlevelAofAanAantibiotic.
AfterAabdominalAsurgery,AaAmaleAclientAisAprescribedAlowAmolecularAweightAheparinALMWH.AD
uringAadministrationAofAtheAmedication,AtheAclientAasksAtheAnurseAwhyAheAisAreceivingAthisAme
dication.AWhichAisAtheAbestAresponseAforAtheAnurseAtoAprovide?A
A)AThisAmedicationAisAaAbloodAthinnerAgivenAtoApreventAbloodAclotAformation.A
B)AThisAmedicationAenhancesAantibioticsAtoApreventAinfection.A
C)AThisAmedicationAdissolvesAanyAclotsAthatAdevelopAinAtheAlegs.A
D)AThisAabdominalAinjectionAassistsAinAtheAhealingAofAtheAabdominalAwound.A-
AcorrectAanswersThisAmedicationAisAaAbloodAthinnerAgivenAtoApreventAbloodAclotAformationA
, Rationale:AUnfractionatedAheparinAorAlowAmolecularAweightAheparinA(LMWH)AisAanAanticoagul
antAthatAinhibitsAthrombin-
mediatedAconversionAofAfibrinogenAtoAfibrinAandAisAgivenAprophylacticallyAtoApreventApostoper
ativeAvenousAthrombosisA(A)AorAtoAtreatApulmonaryAembolismAorAdeepAveinAthrombosisAfollow
ingAkneeAandAabdominalAsurgeries.AHeparinAdoesAnotAdissolveAclotsAbutApreventsAclotAextensi
onAorAfurtherAclotAformationA(C).ATheAanticoagulantAheparinAdoesAnotApreventAinfectionA(B)AorA
influenceAoperativeAwoundAhealingA(D).
AAclientAwithAParkinson'sAdiseaseAisAtakingAcarbidopa-
levodopaA(Sinemet).AWhichAobservationAbyAtheAnurseAshouldAindicateAthatAtheAdesiredAoutco
meAofAtheAmedicationAisAbeingAachieved?A
A)ADecreasedAbloodApressure.A
B)ALesseningAofAtremors.A
C)AIncreasedAsalivation.A
D)AIncreasedAattentionAspan.A-AcorrectAanswersLesseningAofAtremorsA
Rationale:ASinemetAincreasesAtheAamountAofAlevodopaAtoAtheACNSA(dopamineAtoAtheAbrain).AIn
creasedAamountsAofAdopamineAimproveAtheAsymptomsAofAParkinson's,AsuchAasAinvoluntaryAm
ovements,ArestingAtremorsA(B),AshufflingAgait,Aetc.A(A)AisAaAsideAeffectAofASinemet.ADecreasedAd
roolingAwouldAbeAaAdesiredAeffect,AnotA(C).ASinemetAdoesAnotAaffectA(D).
AAclientAisAreceivingAmetoprololALopressorASR.AWhatAassessmentAisAmostAimportantAforAtheAnu
rseAtoAobtain?A
A)ATemperature.A
B)ALungAsounds.A
C)ABloodApressure.A
D)AUrinaryAoutput.A-AcorrectAanswersBloodApressureA
Rationale:AItAisAmostAimportantAtoAmonitorAtheAbloodApressureA(C)AofAclientsAtakingAthisAmedic
ationAbecauseALopressorAisAanAantianginal,Aantiarrhythmic,AantihypertensiveAagent.AWhileA(AA
andAB)AareAimportantAdataAtoAobtainAonAanyAclient,AtheyAareAnotAasAimportantAforAaAclientArece
ivingALopressorAasA(C).AIntakeAandAoutputAratiosAandAdailyAweightsAshouldAbeAmonitoredAwhile
AtakingALopressorAtoAassessAforAsignsAandAsymptomsAofAcongestiveAheartAfailure,AbutA(D)AaloneA
doesAnotAhaveAtheAimportanceAofA(C).