FORM A ACTUAL EXAM 2026 QUESTIONS
WITH ANSWERS GRADED A+
◉ 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. Answer: 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. Answer: 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. Answer: 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. Answer: 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. Answer:
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. Answer: 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. Answer: 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