Practice 2026 B 2026 Exam
Questions and Correct
Answers | New Update
A nurse in a medical-surgical unit is caring for six clients.
Complete the following sentence by using the list of options.
The first client the nurse should assess is _____ followed by _____.
,Client 1: Client is admitted with a new diagnosis of rheumatoid
arthritis.Client 2: Client has a history of hyperlipidemia. Atorvastatin 20
mg PO administered as prescribed.Client 3: Client is 1 day
postoperative. Reports pain as 8 on a scale of 0 to 10. Morphine 5 mg
subcutaneous administered as prescribed.Client 4: Client is admitted
with a new diagnosis of heart failure.Client 5: Client has a stage 2
pressure injury on the left heel.Client 6: Client is admitted with a new
diagnosis of diabetes mellitus. - ANSWER ✔✔Correct Answer (1):
Client 3
When using the airway, breathing, circulation approach to client care, the
nurse should determine that this client is the priority client to assess. The
client has an oxygen saturation that is less than the expected reference
range, which is an indication of hypoxia.
Correct Answer (2):
Client 4
When using the airway, breathing, circulation approach to client care, the
nurse should determine that this client is the next priority client to
assess. The client has a potassium level that is less than the expected
reference range, which places the client at risk for dysrhythmias.
,Incorrect Answers (1):
Client 1 is incorrect. The nurse should assess this client because the
client's C-reactive protein is greater than the expected reference range,
which is an indication of inflammation. However, there is another client
the nurse should assess first.
Client 2 is incorrect. The nurse should assess this client because the
client's cholesterol level is greater than the expected reference range,
which places them at risk for coronary heart disease. However, there is
another client the nurse should assess first.
Incorrect Answers (2):
Client 5 is incorrect. The nurse should assess this client because their
prealbumin level is less than the expected reference range, which places
them at risk for delayed wound healing. However, this client is not the
next priority client to assess.
3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
, Client 6 is incorrect. The nurse should assess this client because their
glycosylated hemoglobin level is greater than the expected reference
range, which indicates poor diabetic control. However, this client is not
the next priority client to assess.
A nurse is caring for a client who has COPD.
Select the 3 findings that require follow-up.
Breath sounds
Blood pressure
Oxygen saturation
Temperature
Heart rate - ANSWER ✔✔Correct Answer:
Breath Sounds
Crackles are caused by mucous in the airways and are a manifestation
of pneumonia. Decreased breath sounds indicate decreased ventilation
and require follow-up by the nurse.