PRACTICE A PRACTICE STUDY GUIDE 2026
QUESTIONS WITH COMPLETE SOLUTIONS
GRADED A+
◉ Which of the following is a correctly stated nursing diagnosis for a
client
with abruptio placentae?
1. Infection related to obstetrical trauma.
2. Potential for fetal injury related to abruptio placentae.
3. Potential alteration in tissue perfusion related to depletion of
fibrinogen.
4. Fluid volume deficit related to bleeding. Answer: 4
◉ An 8-year-old client is returned to the recovery room after a
bronchoscopy. The nurse should position the client
1. in semi-Fowler's position.
2. prone, with the head turned to the side.
3. with the head of the bed elevated 45° and the neck extended.
4. supine, with the head in the midline position. Answer: 1
,◉ Which of the following assessment findings would indicate to the
nurse
the need for more sedation in a client who is withdrawing from
alcohol
dependence?
1. Steadily increasing vital signs.
2. Mild tremors and irritability.
3. Decreased respirations and disorientation.
4. Stomach distress and inability to sleep. Answer: 1
◉ The home care nurse is instructing a client recently diagnosed
with
tuberculosis. It is MOST important for the nurse to include which of
the
following as a part of the teaching plan?
1. During the first two weeks of treatment, the client should cover
his mouth and
nose when he coughs or sneezes.
2. It is necessary for the client to wear a mask at all times to prevent
transmission of
the disease.
3. The family should support the client to help reduce feeling of low
self-esteem and
isolation.
,4. The client will be required to take prescribed medication for a
duration of 6-9
months. Answer: 4
◉ The nurse's INITIAL priority when managing a physically
assaultive
client is to
1. restrict the client to the room.
2. place the client under one-to-one supervision.
3. restore the client's self-control and prevent further loss of control.
4. clear the immediate area of other clients to prevent harm. Answer:
3
◉ A client with newly diagnosed type I diabetes mellitus is being
seen by
the home health nurse. The physician orders include: 1,200-calorie
ADA
diet, 15 units of NPH insulin before breakfast, and check blood sugar
qid.
When the nurse visits the client at 5 PM, the nurse observes the man
performing a blood sugar analysis. The result is 50 mg/dL. The
nurse would
expect the client to be
1. confused with cold, clammy skin and a pulse of 110.
, 2. lethargic with hot, dry skin and rapid, deep respirations.
3. alert and cooperative with a BP of 130/80 and respirations of 12.
4. short of breath, with distended neck veins and a bounding pulse of
96. Answer: 1
◉ The nurse is supervising the staff providing care for an 18-month-
old
hospitalized with hepatitis A. The nurse determines that the staff's
care is
appropriate if which of the following is observed?
1. The child is placed in a private room.
2. The staff removes a toy from the child's bed and takes it to the
nurse's station.
3. The staff offers the child french fries and a vanilla milkshake for a
midafternoon
snack.
4. The staff uses standard precautions. Answer: 1
◉ When using restraints for an agitated/aggressive patient, which of
the
following statements should NOT influence the nurse's actions
during this
intervention?
1. The restraints/seclusion policies set forth by the institution.