READINESS EXAM 4 QUESTIONS AND
ANSWERS 2026 MASTER PRACTICE SET WITH
ACCURATE SOLUTIONS
◉ A case manager is assessing an unresponsive client diagnosed
with terminal hepatic encephalopathy to determine equipment
needs upon discharge to home for hospice care. Which equipment
should the case manager obtain for this client?
1. Alternating pressure mattress
2. Hospital bed
3. Walker
4. Suction equipment
5. Oxygen Answer: 1,2,4,5
◉ A client who has developed hypovolemic shock is receiving
albumin. What assessment finding by the nurse indicates that the
albumin has been effective?
1. Swelling in the legs
2. Increase in uninary output
3. Proteinuria
,4. Increase in waist measurement Answer: 2
◉ Which assignment would be most appropriate for the charge
nurse to assign to the LPN/VN in the Labor, Delivery, Recovery and
Postpartum Unit (LDRP)?
1. Primipara needing assistance with breastfeeding.
2. Multipara reporting a headache and epigastric discomfort.
3. Primipara who is two days post op cesarean section.
4. Primipara who is preeclamptic in active labor.
5. Multipara post op cesarean section with a PCA pump. Answer: 1,3
◉ The nurse is obtaining a health assessment from the preoperative
client scheduled for hip replacement surgery. Which statement by
the client would be most important for the nurse to report to the
primary healthcare provider?
1. "When I was 8 years old I had chickenpox."
2. "I had rheumatic fever when I was 10 years old."
3. "There is a strong history of gastric cancer in my family."
4. "I have pain in my hip with any movement." Answer: 2
,◉ A woman, diagnosed with an ectopic pregnancy, asks the nurse
the purpose of receiving methotrexate. What is the best reply for the
nurse to make?
1. "Methotrexate will stop your bleeding."
2. "It will destroy fetal cells that got into your blood so that
antibodies will not be formed."
3. "This medication will stop the growth of the embryo to save your
fallopian tube."
4. "Cervical dilation is expected after receiving this medication."
Answer: 3
◉ During evening rounds, the nurse discovers that a violent client
with a history of threats against a former girlfriend cannot be
located. The client's window is open and personal belongings
missing. Based on recent threats of violence against the girlfriend,
what is the nurse's initial action?
1. Look for the client quietly to maintain confidentiality.
2. Notify the local police to organize a search party.
3. Initiate the missing client protocol.
4. Complete an "Against Medical Advice" (AMA) form on the client's
elopement. Answer: 3
, ◉ A newborn in a neonatal unit is to receive penicillin G benzathine
50,000 units/kg intramuscularly (IM). The newborn weighs 6 lbs
(2.7 kg). The dispensed dose is 25,000 units per 1 mL. What should
the nurse do?
1. Administer the drug intravenously (IV) since a large volume is
required.
2. Choose three injection sites and give the medication as prescribed.
3. Consult with the pharmacy for a different medication
concentration.
4. Read the available drug information to determine how to
administer the medication. Answer: 3
◉ An elderly client arrives in the emergency department (ED) after a
fall. What assessment findings would lead the nurse to suspect that
the client has a fractured right hip?
1. Severe pain in the right hip and groin.
2. Inability to bear weight on the right leg.
3. Right leg slightly longer in length than the left leg.
4. External rotation of right lower leg.
5. Bruising and swelling around the right hip. Answer: 1,2,4,5
ANSWERS 2026 MASTER PRACTICE SET WITH
ACCURATE SOLUTIONS
◉ A case manager is assessing an unresponsive client diagnosed
with terminal hepatic encephalopathy to determine equipment
needs upon discharge to home for hospice care. Which equipment
should the case manager obtain for this client?
1. Alternating pressure mattress
2. Hospital bed
3. Walker
4. Suction equipment
5. Oxygen Answer: 1,2,4,5
◉ A client who has developed hypovolemic shock is receiving
albumin. What assessment finding by the nurse indicates that the
albumin has been effective?
1. Swelling in the legs
2. Increase in uninary output
3. Proteinuria
,4. Increase in waist measurement Answer: 2
◉ Which assignment would be most appropriate for the charge
nurse to assign to the LPN/VN in the Labor, Delivery, Recovery and
Postpartum Unit (LDRP)?
1. Primipara needing assistance with breastfeeding.
2. Multipara reporting a headache and epigastric discomfort.
3. Primipara who is two days post op cesarean section.
4. Primipara who is preeclamptic in active labor.
5. Multipara post op cesarean section with a PCA pump. Answer: 1,3
◉ The nurse is obtaining a health assessment from the preoperative
client scheduled for hip replacement surgery. Which statement by
the client would be most important for the nurse to report to the
primary healthcare provider?
1. "When I was 8 years old I had chickenpox."
2. "I had rheumatic fever when I was 10 years old."
3. "There is a strong history of gastric cancer in my family."
4. "I have pain in my hip with any movement." Answer: 2
,◉ A woman, diagnosed with an ectopic pregnancy, asks the nurse
the purpose of receiving methotrexate. What is the best reply for the
nurse to make?
1. "Methotrexate will stop your bleeding."
2. "It will destroy fetal cells that got into your blood so that
antibodies will not be formed."
3. "This medication will stop the growth of the embryo to save your
fallopian tube."
4. "Cervical dilation is expected after receiving this medication."
Answer: 3
◉ During evening rounds, the nurse discovers that a violent client
with a history of threats against a former girlfriend cannot be
located. The client's window is open and personal belongings
missing. Based on recent threats of violence against the girlfriend,
what is the nurse's initial action?
1. Look for the client quietly to maintain confidentiality.
2. Notify the local police to organize a search party.
3. Initiate the missing client protocol.
4. Complete an "Against Medical Advice" (AMA) form on the client's
elopement. Answer: 3
, ◉ A newborn in a neonatal unit is to receive penicillin G benzathine
50,000 units/kg intramuscularly (IM). The newborn weighs 6 lbs
(2.7 kg). The dispensed dose is 25,000 units per 1 mL. What should
the nurse do?
1. Administer the drug intravenously (IV) since a large volume is
required.
2. Choose three injection sites and give the medication as prescribed.
3. Consult with the pharmacy for a different medication
concentration.
4. Read the available drug information to determine how to
administer the medication. Answer: 3
◉ An elderly client arrives in the emergency department (ED) after a
fall. What assessment findings would lead the nurse to suspect that
the client has a fractured right hip?
1. Severe pain in the right hip and groin.
2. Inability to bear weight on the right leg.
3. Right leg slightly longer in length than the left leg.
4. External rotation of right lower leg.
5. Bruising and swelling around the right hip. Answer: 1,2,4,5
