EXAM QUESTIONS WITH CORRECT
ANSWERS 2025-2026
The nurse observes that a male client has removed the covering from an ice pack
applied to his knee. what action should the nurse take first? CORRECT
ANSWER observe the appearance of the skin under the ice pack
The nurse mixes 50 mg of Nitride in 250 mL of D5W and plans to administer the
solution at a rate of 5mcg/kg/min to a client weighing 182 pounds. using the drip
factor of 60gtt/mL, how many drops per minute should the client receive
CORRECT ANSWER 124 gtt/mL
The healthcare provider prescribes an IV infusion of 1,000 mL of LR with 30 units of
piton to run in over 4 hours for a client who has just delivered a 10 pound infant by
C-section. The tubing has been changed to a 20gtt/mL admin set. the nurse plans to
set the flow rate at how many gtt/min? CORRECT ANSWER 83 gtt/min
which assessment date provides the most accurate determination of proper
placement of a NGT? CORRECT ANSWER examining a chest x-ray obtained
after the tubing was inserted
three days following surgery, a male client observes his colostomy for the first time.
he becomes quite upset and tells the nurse that it is much bigger than he expected.
what is the best response by the nurse? CORRECT ANSWER instruct the client
that the stoma will become smaller when the initial swelling diminishes
a female client with a NGT attached to low suction states that she is nauseated. the
nurse assesses that there has been no drainage through the NGT in the last two
hours. what action should the nurse take first? CORRECT ANSWER reposition
the client on her side
a hospitalized male client is receiving NGT feedings via a small-bore tube and a
continuous pump infusion. he reports that he had a bad bout of severe coughing a
few minutes ago, but feels fine now. what action is best for the nurse to take?
CORRECT ANSWER after clearing the tube with 30mL of air, check the pH of
the fluid withdrawn from the tube
a male client tells the nurse that he does not know where he is or what year it is.
what data should the nurse document that is most accurate? CORRECT
ANSWER is disoriented to place and time
a client with chronic kidney diseases CKD selects a scrambled egg for his breakfast.
what action should the nurse take? CORRECT ANSWER commend the client
for selecting a hight biologic value protein
, when assisting an 82 y.o. client to ambulate, it is important for the nurse to realize
that the cent of gravity for an elderly person is the? CORRECT ANSWER upper
torso
in developing a plan of care for a client with dementia, the nurse should remember
the confusion in the elderly? CORRECT ANSWER often follows relocation to
new surroundings
a postoperative client will need to perform daily dressing changes after discharge,
which outcome statement best demonstrates the clients readiness to manage his
wound care after discharge? the client..... CORRECT ANSWER demonstrates
the wound care procedure correctly
a client who is 5'5" tall and weighs 200 pounds is scheduled for surgery the next day.
what question is most important for the nurse to include during preoperative
assessment? CORRECT ANSWER "what vitamin and mineral supplements do
you take?"
during the initial morning assessment, a male client denies dysuria but reports that
his urine appears dark amber, which intervention should the nurse implement?
CORRECT ANSWER Encourage additional oral intake of juices and water
which intervention is most important for the nurse to implement for a male client who
is experiencing urinary retention? CORRECT ANSWER assess for bladder
distention
a client with acute hemorrhagic anemia is to receive four units of packed RBC's as
rapidly as possible, which intervention is most important for the nurse to implement?
CORRECT ANSWER ensure the accuracy of the blood type match
a male client being discharged with a prescription for the bronchodilator theophylline
tells the nurse that he understands he is to take three doses of the medication each
day. since, at the time of discharge, timed-relate capsules are not available, which
does schedule should the nurse advise the client to follow? CORRECT
ANSWER 8 am, 4pm and Midnight
a client is to receive 10 mEq of KCl diluted in 250 mL of normal saline over 4 hours.
at what rate should the nurse set the clients intravenous infusion pump?
CORRECT ANSWER 63 mL/hour
when evaluation a clients plan of care, the nurse determines that a desired outcome
was not achieved. which action should the nurse implement first? CORRECT
ANSWER note which actions were not implemented
Which snack food is best for the nurse to provide a client with myasthenia graves
who is at risk for altered nutritional status? CORRECT ANSWER chocolate
pudding