Update 2026 Exam Prep
1. A pregnant patient presents with severe hypertension and is diagnosed with
pregnancy-induced hypertension. If hydralazine (Apresoline) is administered,
what physiological response should be monitored closely?
Fluid retention
Respiratory rate changes
Increased heart rate
Blood pressure reduction
2. In a clinical scenario where a patient is experiencing heart failure, how might
stroke volume be affected, and what implications does this have for
treatment?
Stroke volume may decrease, leading to reduced cardiac output
and necessitating interventions to improve heart function.
Stroke volume may increase, resulting in higher blood pressure and
requiring medication to lower it.
Stroke volume may fluctuate, requiring constant monitoring without
any specific treatment.
Stroke volume remains unchanged, but heart rate increases to
compensate for decreased blood flow.
3. All of the following are true statements regarding Stevens-Johnson syndrome
(SJS) EXCEPT:
Viruses, such as herpes simplex virus, Epstein-Barr virus, enteroviruses,
and influenza, are accepted triggers
Malignancy can be associated with SJS
, Medications, including nonsteroidal anti-inflammatory medications
(NSAIDs), sulfonamides, antiepileptics, and allopurinol, are commonly
accepted triggers
Idiopathic causes are unlikely
Bacterial etiologies include mycoplasma and group A beta-hemolytic
streptococcus, among others
4. Discuss why separation from a caregiver is considered a primary fear for
infants.
Infants are afraid of darkness due to their limited vision.
Infants are wary of strangers as a natural instinct for survival.
Infants fear loud noises because they are startled easily.
Infants rely on their caregivers for safety and comfort, making
separation a source of anxiety.
5. A patient receiving IV magnesium sulfate exhibits a significant decrease in
patellar reflexes. What should be the immediate nursing intervention?
Document the findings and continue monitoring without intervention.
Notify the healthcare provider and prepare to assess for further
signs of toxicity.
Increase the magnesium sulfate infusion rate.
Administer calcium gluconate as a preventive measure.
6. In a patient experiencing severe dehydration, how might the renin-
angiotensin-aldosterone system respond?
It would activate to increase blood pressure and promote fluid
retention.
, It would decrease blood pressure and promote fluid loss.
It would increase heart rate and decrease fluid retention.
It would have no effect on blood pressure.
7. Describe the significance of stroke volume in relation to cardiac function.
Stroke volume is the rate at which the heart beats per minute.
Stroke volume indicates the pressure in the arteries during systole.
Stroke volume is crucial as it determines the amount of blood the
heart pumps with each beat, affecting overall cardiac output.
Stroke volume measures the heart's electrical activity during diastole.
8. Describe why surgical debridement is often necessary for patients with high-
voltage electrical burns.
Surgical debridement is necessary to remove dead or damaged
tissue, which helps prevent infection and promotes healing.
Surgical debridement is used to enhance blood flow to the area.
Surgical debridement is only needed for superficial burns.
Surgical debridement is performed to assess nerve damage.
9. If a patient has a condition that impairs bile production, which nutrient
absorption would be most affected?
carbohydrates
fats
minerals
proteins
, 10. What is the initial response to asphyxia at birth called?
Respiratory distress
Secondary apnea
Primary apnea
Neonatal shock
11. What is the medical term used to describe the passage of fresh, bright red
blood from the rectum?
colitis
hematochezia
hemorrhoids
melena
12. Bile is needed for...
digestion of fats
digestion of proteins
digestion of carbohydrates
digestion of fiber
13. What is one pain management strategy mentioned for neonates?
Surgical intervention is the first line of treatment.
Administering high doses of opioids is a common practice.
Using ice packs to numb the area is recommended.
A pacifier dipped in D10W is one pain management strategy.