TEST 2026 QUESTIONS WITH ANSWERS
GRADED A+
◉ a nurse is planning care for a client who has a cervical spine injury
and has halo traction device in place. which of the following actions
should the nurse plan to take?
a. apply medicated power under the vest to reduce itching
b. move the client up and down the bed holding onto the halo traction
device
c. ensure that there is space for one finger to fit between the vest and the
client's skin
d. loosen or tighten the screws on the device as needed for the client's
comfort. Answer: c. ensure that there is space for one finger to fit
between the vest and the client's skin
◉ a nurse is reviewing the medical record of a client who has nephrotic
syndrome. which of the following findings should the nurse expect?
a. hyperalbuminemia
b. proteinuria
c. decrease serum lipid levels
,d. decreased coagulation. Answer: b. proteinuria
◉ a nurse is providing teaching for a client who is taking isoniazid
(INH) for tuberculosis. Which of the following statements by the client
indicates an understanding of the teaching?
a. i plan to take the medication for 1 week
b. i should take an antacid with each dose of this medication
c. this medication may cause BP to increase
d. I will have my liver function tested while i am taking this medication.
Answer: d. I will have my liver function tested while i am taking this
medication
◉ a nurse is performing a cranial nerve assessment on a client following
a head injury. which of the following findings should the nurse expect if
the client has impaired function of the vestiulocochlear nerve (cranial
nerve VIII)?
a. loss of peripheral vision
b. inability to smell
c. deviation of the tongue from midline
d. disequilibrium with movement. Answer: d. disequilibrium with
movement
,◉ a nurse is planning for a client who has developed nephrotic
syndrome. which of the following dietary recommendations should the
nurse include?
a. increase phosphorus level
b. decrease carbohydrates
c. decrease protein intake
d. increase potassium intake. Answer: c. decrease protein intake
◉ A nurse is caring for a client who just returned from surgery with an
external fixation to the left tibia. which of the following assessment
finding requires immediate intervention by the nurse?
a. the client's capillary refill in the left toe is 6 seconds
b. the client has 100 mL blood in the closed suction drain
c. the client has an oral temperature of 38.9 C (100.9F)
d. the client reports a pain level of 7 on a scale from 0 to 10 at the
operative site. Answer: a. the client's capillary refill in the left toe is 6
seconds
◉ a nurse enters a client's room and observes the client having tonic-
clonic seizures. which of the following actions should the nurse take?
a. obtain VS
, b. perform neurologic checks
c. turn the client on their side
d. notify the rapid response team. Answer: c. turn the client on their side
◉ a nurse is caring for a client who has cervical cancer and is receiving
brachytherapy. which of the following action should the nurse take?
a. discard the radiation device in the client's trashcan
b. limit the time for visitors 2 hr per day
c. instruct visitors to remain 2 ft from the client
d. keep soiled linens in the client's room. Answer: d. keep soiled linens
in the client's room
◉ A nurse is caring for a client who has systemic lupus erythematous.
during assessment, which of the following should the nurse expect to
find.
a. joint inflammation
b. bull's eye lesion
c. esophagitis
d. tophi. Answer: a. joint inflammation