FORM A 2025/26 QUESTIONS AND CORRECT
ANSWERS
A client who has a diagnosis of complete placenta previa is admitted
to the labor and delivery suite at 36 weeks gestation with
contractions 5 min in frequency and 1 min in duration. Which of the
following actions should the nurse take?
A. Rupture the amniotic sac
B. Medicate the client for pain
C. Prepare the client for a cesarean section
D. Perform a vaginal exam
Prepare the client for a cesarean section
A nurse enters a client's room and finds the client lying on the floor
in a puddle of water. Which of the following statements should the
nurse document in an incident report?
A. Client fell out of bed because an assistive personnel left the rails of the
bed down
B. Client's roommate thinks the client is confused and fell when getting
out of bed
C. Client appears to have slipped in water but reports no injuries
D. Client found lying on the floor near the bedside table
Client found lying on the floor near the bedside table
A charge nurse on a pediatric unit is making assignments 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 Herrington rod
A 10-year-old client who has pneumonia and is receiving respiratory
treatments
A nurse is preparing to administer vancomycin to a client who has
an infected wound. The nurse should plan to monitor for which of
the following adverse reactions?
A. Hepatotoxicity
B. Ototoxicity
C. Hypercalcemia
D. Hypertension
Ototoxicity
A nurse is assessing an infant who has water intoxication. Which of the
following findings should the nurse expect?
A. Generalized edema
B. Elevated urine specific gravity
C. Thready pulse
D. Increased hematocrit
Generalized edema
A home health nurse is conducting an initial home visit for a client
who has terminal breast cancer. The client has two school-age
children and a limited support system. Which of the following is the
priority nursing action?
A. Inform the client of available community resources
,B. Assist the client in finding childcare options
C. Agree upon short-term goals for the client
D. Ask the client about their understanding of the diagnosis
Inform the client of available community resources
A nurse in an emergency department is assessing a client who has a
nasal fracture. Which of the following findings should cause the
nurse to suspect a skull fracture?
A. Clear fluid drainage from the nares
B. Report of pain around the eyes
C. Dried blood in the mouth
D. Mandibular asymmetry
Clear fluid drainage from the nares
A nurse in an urgent care clinic is collecting admission history from a
client who is at 16 weeks of
gestation and has bacterial vaginosis. The nurse should recognize that
which of the following clinical findings are associated with this
infection?
A. Profuse milky white discharge
B. Frequency and dysuria
C. Low-grade fever
D. Hematuria
Profuse milky white discharge
A nurse is discussing the z-track administration of 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
This technique decreases the risk of subcutaneous infiltration
10. A nurse is caring for a full-term newborn immediately following
birth. Which of the following actions should the nurse take first?
A. Instill erythromycin ophthalmic ointment in the newborn's eyes
B. Weigh the newborn
C. Place identification bracelets on the newborn
D. Dry the newborn
Dry the newborn
A nurse is planning to provide community education about viral
hepatitis. Which of the following should the nurse plan to include in
the teaching?
A. A series of four hepatitis vaccines is recommended to prevent viral
hepatitis
B. Hepatitis B is transmitted by contaminated food
C. Chronic hepatitis can lead to renal cell cancer
D. Clients who have a history of viral hepatitis are unable to donate blood
Clients who have a history of viral hepatitis are unable to donate blood
A nurse in a residential mental health facility is planning care for a new
client who has obsessive compulsive disorder. Which of the following is
appropriate for the nurse to include in the plan of care?
A. Work with the client to create a flexible daily schedule
B. Gradually decrease the time allowed for ritualistic behavior
C. Offer solutions to assist in problem solving
D. Teach the client to meditate about obsessive thoughts
Gradually decrease the time allowed for ritualistic behavior
A nurse is assessing an adult male who has a BMI of 20. The nurse
should identify that the client's BMI falls within which of the