Answers | 2026 Exam Prep | Graded A+
1. What symptom is most commonly associated with chronic peripheral arterial
insufficiency?
Ankle ulceration and edema
Intermittent claudication
High serum cholesterol level
Positive Brodie-Trendelenburg test
2. What is the primary intervention for a client exhibiting signs of fluid overload, such
as pitting edema and crackles in the lungs?
Restrict daily fluid intake to 1500mL
Weigh client every morning
Administer prescribed diuretic
Maintain accurate intake and output
3. What is the most critical piece of information for a nurse to consider when a client
reports using heroin during an admission assessment?
Undiagnosed social anxiety symptoms (SAD)
History of suicide attempts
Family history of schizophrenia
Feelings of disorientation
,4. A client with SLE is admitted with severe symptom exacerbation. Which instructions
is most important for the nurse to review for the client?
avoid extreme environment temps Use
a walker when weakness occurs
decrease daily NA+ intake
Take prescribed corticosteroids accurately
5. Which symptom indicates a potential cardiac issue that requires immediate
attention in an emergency setting?
Unable to bear weight on the left foot, with swelling and bruising
One inch bleeding laceration on the chin of crying 5 year old
Chest discomfort one hour after consuming a large, spicy meal
Low grade fever, headache and malaise for the past 72 hours
6. If a client continues to experience nausea despite cooking meals outdoors, what
should the nurse do next?
Suggest that the client increase their physical activity to alleviate nausea.
Evaluate the effectiveness of the current interventions and consider
alternative strategies.
Instruct the client to avoid eating altogether until nausea subsides.
Recommend that the client only eat cold foods to avoid nausea.
7. The nurse is caring for a client with HIV who has a CD4+ cell count of 400/μL. Which
of the following factors is most important to consider when determining whether
antiretroviral therapy (ART) will be initiated for this client?
, Client social support system
Client ability to comply with ART schedule
HIV genotype and phenotype
Potential medication adverse effects
8. Which medication should the nurse highlight to the healthcare provider for a client
with calcium kidney stones and a history of gout who is starting aluminum
hydroxide?
Esinapril
Allopurinol
Furosemide
Aspirin, low dose
9. Why might the nurse prioritize the care of the client with anorexia nervosa over the
others?
The client with bipolar disorder may require redirection for safety.
The client with antisocial behavior needs to be monitored for conflict.
The client with anorexia nervosa is at immediate risk for severe health
complications due to refusal to eat.
The client with major depression needs emotional support to participate in
group.
10. In a scenario where a nurse is caring for a client who has just reported a sexual
assault, what should be the nurse's immediate priority in terms of intervention?
Ensure the preservation of evidence and provide emotional support.
, Ask the client about their living situation and safety.
Provide the client with information about local support services.