Final Exams, Top Grade Assurance 2026
At a routine prenatal visit, a client at 24-weeks gestation
complains of nasal stuffiness and occasional nosebleeds.
Which hormone is responsible for these changes?
A. Human chorionic gonadotropin.
B. Progesterone.
C. Relaxin.
D. Estrogen. - Correct Answers ✅D. Estrogen.
A client who has localized eczematous eruptions on b oth
hands is diagnosed as having contact dermatitis. What
instruction should the nurse include in this client's discharge
teaching plan?
A. Wear latex gloves whenever outdoors.
B. Apply an oil-based ointment to the affected areas.
C. Take prescribed antihistamine near bedtime.
D. Soak hands in warm soapy water three times a day. -
Correct Answers ✅B. Apply an oil-based ointment to the
affected areas
While transcribing a new prescription, the nurse notes that
the prescribed dosage is much lower than the recommended
dosage listed in the drug reference guide. Which client data
supports the dosage reduction?
A. Decreased serum creatinine
B. Increased serum protein.
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Final Exams, Top Grade Assurance 2026
C. Increased liver enzymes.
D. Prolonged prothrombin time. - Correct Answers ✅C.
Increased liver enzymes.
The nurse assigns an unlicensed assistive personnel (UAP) to
take the vital signs of a client who is positive for Human
Immunodeficiency Virus (HIV). What protective apparel
should the nurse counsel the UAP to wear when carrying out
this assignment?
A. None.
B. Gown, gloves, mask.
C. Gloves and mask.
D. Gloves only. - Correct Answers ✅A. None.
A client with Guillain-Barre syndrome requires a tracheostomy
and mechanical ventilation due to the progression of the
disease. What nursing intervention is most helpful in aiding
this clinet to communicate with the staff and family?
A. Speak slowly and disntinctly while in direct view of the
client.
B. Teach the client to point to a letter board word chart to
communicate needs.
C. Provide the client with a pencil and tablet of paper.
D. With the client, develop a system of eye blinks to
communicate "yes" or "no." - Correct Answers ✅D. With
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Final Exams, Top Grade Assurance 2026
the client, develop a system of eye blinks to communicate
"yes" or "no."
A client with peptic ulcer disease (PUD) is admitted to the
emergency room complaining of sudden severe upper
abdominal pain. Assessment indicates an extremely tender
and rigid abdomen, B/P of 90/60 mmHg, and pulse of 110
beat/minute. The emergency department nurse should
anticipate implementation of which intervention?
A. Preparing the client for emergency abdominal surgery.
B. Infusing the proton pump inhibitor Protonix intravenously.
C. Administering an iced saline lavage.
D. Inserting a nasogastric tube to decompress the bowel. -
Correct Answers ✅A. Preparing the client for emergency
abdominal surgery.
Which finding should the nurse expect a client to exhibit who
is newly diagnosed with fibromyalgia?
A. Recent joint trauma.
B. Disruption in sleep patterns.
C. Unexplained weight gain.
D. Itching and rash. - Correct Answers ✅B. Disruption in
sleep patterns.
A male client with diabetes mellitus reports that he has had
trouble following his diet, and the result of his fasting blood
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Final Exams, Top Grade Assurance 2026
glucose test is 90 mg/dl. What action should the nurse
implement first?
A. Obtain a urine specimen from the client to test for
ketonuria.
B. Assure the client that his diabetes control is within normal
limits.
C. Schedule the client to attend classes about diet
management.
D. Review the findings of his glycosylated hemoglobin test. -
Correct Answers ✅D. Review the findings of his
glycosylated hemoglobin test.
A multipara postpartum client complain intense cramping
while breastfeeding. What instruction should the nurse
provide to the client?
A. Change the infant's position during the next feeding.
B. Void and completely empty bladder before each feeding.
C. Take a prescribed analgesic an hour prior to breastfeeding.
D. Drink two glasses of water 30 minutes prior to
breastfeeding. - Correct Answers ✅C. Take a prescribed
analgesic an hour prior to breastfeeding.
A nurse is preparing to teach the parents of a child who had a
surgical repair of myelomeningocele how to change an
occlusive dressing on the child's back. Which statement by
the parents indicates that they understand this procedure?