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NURS 396 – Comprehensive Exam Prep 2025/2026 | 100+ Verified Q&As | Med-Surg, Diabetes, Tuberculosis, Oncology, Medication Safety, Advance Directives

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This high-yield study guide for NURS 396 includes 100+ graded and verified NCLEX-style questions and answers, aligned with the 2025/2026 academic year. It covers a wide range of topics including medication safety (digoxin, vincristine, phenytoin, simvastatin), tuberculosis treatment (first-line drugs), diabetes care and legal responsibilities, cranial nerve-related side effects, pain management, fluid volume regulation, wound care (dehiscence), advance directives, and medication reconciliation. Also includes rationale-based questions on albumin use, burn care, Coumadin education, chronic pain assessment, and operative consent understanding. Ideal for students in BSN, RN, Med-Surg, and Advanced Clinical Nursing programs, especially those preparing for NCLEX, HESI, ATI, or capstone evaluations across systems-based care, legal-ethical nursing, and pharmacology. Keywords: NCLEX questions, diabetes management, tuberculosis drugs, cranial nerve assessment, advance directives, simvastatin teaching, Coumadin interaction, digoxin toxicity, phenytoin administration, wound dehiscence, burn phase care, albumin use, pain assessment, medication reconciliation, NURS 396

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Institution
Nurs396
Course
Nurs396

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Nurs396 2025/2026 Exam Questions and
Verified Answers | Already Graded A+



A nurse is caring for a client with pulmonary tuberculosis who is to receive several

antitubercular medications. Which of the first-line antitubercular medications is

associated with damage to the eighth cranial nerve?

1) Isoniazid (INH)

2) Rifampin (Rifadin)

3) Streptomycin


4) Ethambutol (Myambutol) - 🧠 ANSWER ✔✔Correct: 3 Streptomycin


Rationale: Streptomycin is ototoxic and can cause damage to the eighth cranial

nerve, resulting in deafness. Assessment for ringing or roaring in the ears, vertigo,

and hearing acuity should be made before, during, and after treatment. Isoniazid

does not affect the ear; however, blurred vision and optic neuritis, as well as

peripheral neuropathy, may occur. Rifampin does not affect hearing; however,

, visual disturbances may occur. Ethambutol does not affect hearing; however,

visual disturbances may occur.

A client who is to have brain surgery has a signed advance directive in the medical

record. In what situation should this document be used?

1) Discharge planning is not covered by insurance.

2) Client cannot consent to his or her own surgery.

3) Postoperative complications occur that require additional treatment.

4) In case of the client's death, there will be directions about which client's

belongings are to be given to family members. - 🧠 ANSWER ✔✔Correct 2


Rationale: Advance directives allow clients to designate another person to consent

to procedures if they are unable to do so. Advance directives are not related to

insurance. No information suggests the client cannot consent to treatment.

Directions for distribution of belongings should be stipulated in a will, not in an

advance directive.

What clinical indicators should the nurse expect a client with hyperkalemia to

exhibit? Select all that apply.

1) Tetany

2) Seizures

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