Length Mock Exam (2025 Edition) CURRENTLY TESTING
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1. A nurse is preparing to administer 8 units of regular insulin and 12 units of NPH insulin.
What is the correct nursing action?
A. Draw NPH insulin into syringe first
B. Draw regular insulin into syringe first
C. Use two separate syringes
D. Shake NPH insulin before mixing
✅ Correct Answer: B. Draw regular insulin into syringe first
Rationale: Regular (clear) insulin should be drawn up before NPH (cloudy) to avoid
contaminating the vial.
2. A client has Clostridioides difficile (C. diff). What PPE should the nurse use when entering
the room?
A. Gloves and surgical mask
B. N95 respirator and gloves
C. Gown and gloves
D. Gown and N95 mask
✅ Correct Answer: C. Gown and gloves
Rationale: C. diff requires contact precautions: gown and gloves only; no airborne protection
is needed.
,3. A nurse is assessing a client post-thyroidectomy and notes stridor. What is the priority
action?
A. Administer morphine
B. Notify the surgeon
C. Reassure the client
D. Prepare for emergency airway management
✅ Correct Answer: D. Prepare for emergency airway management
Rationale: Stridor is a sign of airway obstruction. Emergency airway management must be
initiated.
1. A nurse is caring for a client who has heart failure and is receiving furosemide.
Which of the following findings indicates the client is experiencing an adverse effect
of the medication?
A. Blood pressure 132/84 mmHg
B. Potassium 3.0 mEq/L
C. Urine output 50 mL/hr
D. Heart rate 76/min
✅ Correct Answer: B. Potassium 3.0 mEq/L
Rationale: Furosemide is a loop diuretic that causes potassium loss, increasing the risk for
hypokalemia.
2. A client receiving IV vancomycin develops flushing of the neck and face. Which of
the following actions should the nurse take first?
A. Administer diphenhydramine
B. Decrease the infusion rate
C. Check the client’s temperature
D. Stop the infusion
✅ Correct Answer: D. Stop the infusion
Rationale: The client is likely experiencing "Red man syndrome," an infusion reaction. The
infusion should be stopped immediately.
,3. A nurse is reviewing lab results for a client with diabetes mellitus. Which of the
following results indicates effective long-term management?
A. Fasting glucose: 155 mg/dL
B. Hemoglobin A1c: 6.4%
C. Urine glucose: 1+
D. Random glucose: 185 mg/dL
✅ Correct Answer: B. Hemoglobin A1c: 6.4%
Rationale: A1c under 7% indicates good long-term blood glucose control.
4. A nurse is reinforcing teaching with a client about preventing sudden infant death
syndrome (SIDS). Which instruction should the nurse include?
A. Place the infant on their side to sleep
B. Use soft bedding to keep the infant warm
C. Share the bed with the infant
D. Use a pacifier during sleep
✅ Correct Answer: D. Use a pacifier during sleep
Rationale: Pacifier use during sleep is associated with reduced risk of SIDS.
5. A nurse is caring for a client with bipolar disorder in a manic phase. Which
intervention is appropriate?
A. Encourage group therapy
B. Provide a low-stimulation environment
C. Encourage extended verbal discussions
D. Allow the client to skip meals if desired
✅ Correct Answer: B. Provide a low-stimulation environment
Rationale: A calm, quiet environment helps manage manic behaviors.
6. A nurse is assessing a client following a thyroidectomy. Which of the following
findings should be reported immediately?
A. Hoarseness when speaking
B. Temperature 99.5°F (37.5°C)
C. Stridor
D. Sore throat
, ✅ Correct Answer: C. Stridor
Rationale: Stridor indicates airway obstruction, a medical emergency requiring immediate
intervention.
7. A nurse is caring for a client prescribed warfarin. Which of the following
instructions should the nurse include?
A. Increase intake of green leafy vegetables
B. Use a soft-bristled toothbrush
C. Take aspirin for pain
D. Skip a dose if you feel well
✅ Correct Answer: B. Use a soft-bristled toothbrush
Rationale: Warfarin increases bleeding risk; soft-bristled brushes prevent gum injury and
bleeding.
8. A nurse is reviewing advance directives with an older adult client. Which statement
by the client indicates understanding?
A. "If I have a living will, I don’t need a durable power of attorney."
B. "I can make changes to my advance directives at any time."
C. "My family must agree to the plan I choose."
D. "Advance directives expire after 5 years."
✅ Correct Answer: B. "I can make changes to my advance directives at any time."
Rationale: Clients can revise or revoke advance directives at any time as long as they are
competent.
9. A client receiving blood transfusion reports chills and back pain. What action
should the nurse take first?
A. Stop the transfusion
B. Notify the provider
C. Check vital signs
D. Send the blood bag to the lab
✅ Correct Answer: A. Stop the transfusion
Rationale: These are signs of a transfusion reaction. The first action is always to stop the
transfusion to prevent further reaction.