MISSOURI POST TEST EXAM
2025/2026 VERIFIED QUESTIONS AND
CORRECT ANSWERS | A+ GRADED |
JUST RELEASED VERSION
Question 1: A nurse is preparing to administer morphine 2 mg IV to a client with pain.
What is the priority action before administration?
A. Check the client's blood pressure
B. Verify the client's allergies
C. Obtain a verbal order
D. Document the dose
Correct Answer: B. Verify the client's allergies
Rationale: Verifying allergies prevents anaphylaxis, a life-threatening reaction (Missouri BON
safety priority). BP (A) for hypotension risk; verbal order (C) not needed for standing;
documentation (D) after. Clinical priority: Medication safety. Exam tip: Always check allergies
first.
Question 2: A client with a new colostomy is anxious about self-care. What is the priority
nursing intervention?
A. Demonstrate pouch emptying
B. Assess the client's readiness to learn
C. Provide written materials
D. Refer to a wound care specialist
Correct Answer: B. Assess the client's readiness to learn
Rationale: Assessing readiness ensures effective teaching (Missouri BON education priority).
Demonstration (A) follows; materials (C) supplementary; specialist (D) if complication. Clinical
priority: Patient education. Exam tip: Teaching – assess readiness.
Question 3: A client with a respiratory rate of 32/min and SpO2 88% is admitted. What is
the priority intervention?
A. Administer oxygen via nasal cannula
B. Obtain arterial blood gas
C. Prepare for intubation
D. Encourage deep breathing
Correct Answer: A. Administer oxygen via nasal cannula
Rationale: Oxygenation addresses hypoxia immediately (Missouri BON ABCs priority). ABG
, (B) diagnostic; intubation (C) if fails; breathing (D) adjunct. Clinical priority: Airway/breathing.
Exam tip: Low SpO2 – oxygen first.
Question 4: A nurse is delegating tasks to a UAP. Which task is appropriate for the UAP?
A. Assess vital signs
B. Assist with ambulation
C. Teach medication instructions
D. Perform sterile dressing change
Correct Answer: B. Assist with ambulation
Rationale: UAPs perform ADLs like ambulation (Missouri BON delegation priority).
Assessment (A), teaching (C), sterile procedures (D) RN roles. Clinical priority: Scope of
practice. Exam tip: Delegate non-assessment tasks.
Question 5: A client on warfarin has INR 5.2 without bleeding. What is the priority action?
A. Administer vitamin K IV
B. Hold next dose and monitor INR
C. Transfuse FFP
D. Continue warfarin
Correct Answer: B. Hold next dose and monitor INR
Rationale: INR 4.5–10 without bleeding: hold and recheck (ASH guidelines). Vitamin K (A) if
>10; FFP (C) for bleeding. Clinical priority: Prevent bleeding. Exam tip: Elevated INR – hold
and monitor.
Question 6: A client with a new tracheostomy requires suctioning. What is the maximum
suction time?
A. 5 seconds
B. 10-15 seconds
C. 20 seconds
D. 30 seconds
Correct Answer: B. 10-15 seconds
Rationale: Limits hypoxia during suctioning (AARC guidelines). Clinical priority: Airway
safety. Exam tip: Tracheostomy – short suction time.
Question 7: A client with type 2 diabetes has A1c 8.5% on metformin. What is the next
step?
A. Add sulfonylurea
B. Add GLP-1 agonist
C. Start insulin
2025/2026 VERIFIED QUESTIONS AND
CORRECT ANSWERS | A+ GRADED |
JUST RELEASED VERSION
Question 1: A nurse is preparing to administer morphine 2 mg IV to a client with pain.
What is the priority action before administration?
A. Check the client's blood pressure
B. Verify the client's allergies
C. Obtain a verbal order
D. Document the dose
Correct Answer: B. Verify the client's allergies
Rationale: Verifying allergies prevents anaphylaxis, a life-threatening reaction (Missouri BON
safety priority). BP (A) for hypotension risk; verbal order (C) not needed for standing;
documentation (D) after. Clinical priority: Medication safety. Exam tip: Always check allergies
first.
Question 2: A client with a new colostomy is anxious about self-care. What is the priority
nursing intervention?
A. Demonstrate pouch emptying
B. Assess the client's readiness to learn
C. Provide written materials
D. Refer to a wound care specialist
Correct Answer: B. Assess the client's readiness to learn
Rationale: Assessing readiness ensures effective teaching (Missouri BON education priority).
Demonstration (A) follows; materials (C) supplementary; specialist (D) if complication. Clinical
priority: Patient education. Exam tip: Teaching – assess readiness.
Question 3: A client with a respiratory rate of 32/min and SpO2 88% is admitted. What is
the priority intervention?
A. Administer oxygen via nasal cannula
B. Obtain arterial blood gas
C. Prepare for intubation
D. Encourage deep breathing
Correct Answer: A. Administer oxygen via nasal cannula
Rationale: Oxygenation addresses hypoxia immediately (Missouri BON ABCs priority). ABG
, (B) diagnostic; intubation (C) if fails; breathing (D) adjunct. Clinical priority: Airway/breathing.
Exam tip: Low SpO2 – oxygen first.
Question 4: A nurse is delegating tasks to a UAP. Which task is appropriate for the UAP?
A. Assess vital signs
B. Assist with ambulation
C. Teach medication instructions
D. Perform sterile dressing change
Correct Answer: B. Assist with ambulation
Rationale: UAPs perform ADLs like ambulation (Missouri BON delegation priority).
Assessment (A), teaching (C), sterile procedures (D) RN roles. Clinical priority: Scope of
practice. Exam tip: Delegate non-assessment tasks.
Question 5: A client on warfarin has INR 5.2 without bleeding. What is the priority action?
A. Administer vitamin K IV
B. Hold next dose and monitor INR
C. Transfuse FFP
D. Continue warfarin
Correct Answer: B. Hold next dose and monitor INR
Rationale: INR 4.5–10 without bleeding: hold and recheck (ASH guidelines). Vitamin K (A) if
>10; FFP (C) for bleeding. Clinical priority: Prevent bleeding. Exam tip: Elevated INR – hold
and monitor.
Question 6: A client with a new tracheostomy requires suctioning. What is the maximum
suction time?
A. 5 seconds
B. 10-15 seconds
C. 20 seconds
D. 30 seconds
Correct Answer: B. 10-15 seconds
Rationale: Limits hypoxia during suctioning (AARC guidelines). Clinical priority: Airway
safety. Exam tip: Tracheostomy – short suction time.
Question 7: A client with type 2 diabetes has A1c 8.5% on metformin. What is the next
step?
A. Add sulfonylurea
B. Add GLP-1 agonist
C. Start insulin
