EXAM WITH UPGRADED QUESTIONS
AND ANSWERS 2025/2026
A nurse in an emergency department completes an assessment on an adolescent client that has conduct
disorder. The client threatened suicide to a teacher at school. Which of the following statements should
the nurse include in the assessment?
a)Tell me about your siblings?
B)Tell me what kind of music you like?
c) Tell me how often do you drink alcohol?
d) Tell me about your school schedule? - CORRECT ANSWERS -Tell me how often do you drink alcohol
A nurse is observing bonding to the client her newborn. Which of the following actions by the client
requires the nurse to intervene?
A- Holding the new born in an en face position
b- asking the father to change the newborns diaper
c- requesting the nurse to take the newborn nursery so she can rest
d- Viewing the newborns actions to be uncooperative - CORRECT ANSWERS -Viewing the newborns
actions to be uncooperative
A nurse is caring for a client who is taking levothyroxine. Which of the following findings should indicate
that the medication is effective?
A- Weight loss
b- Asking the father to change the newborns diaper
c- absence of seizures
,d- Decrease inflammation - CORRECT ANSWERS -Weightloss this drug acts as T4 and will normalize the
effects of hypothyroidism
A nurse is planning discharge teaching for cord care for the parent of a newborn. Which instructions
would you include in the teaching?
A- contact the provider if the cord still turns black
b- clean the base of the cord with hydrogen peroxide daily
c- Keep the cord dry unitl it falls off
d- The cord stump will fall off in five days - CORRECT ANSWERS -Keep the cord dry until it falls off (cord
should be kept clean and dry to prevent infection, it will turn black, clean with neutral ph cleanser, cord
falls off in 10-14 days)
A nurse is assessing a client in PACU. Which of the following findings indicates decreased cardiac
output?
A- Shivering
b- oliguria
c- Bradypnea
d- Constricted pupils - CORRECT ANSWERS -Oliguria
A nurse is assisting with mass casualty triage, explosion at a local factory. Which of the following client
should the nurse identify as the priority?
A- A client that has massive head trauma
B- A client has full thickness burns to face and trunk
C- A client with indications of hypovolemic shock
D- A client with open fracture of the lower extremity - CORRECT ANSWERS -A client with indications of
hypovolemic shock
A nurse is receiving report on four clients. Which of the following clients should the nurse asses first?
,A- a client who has illegal conduit and mucus in the pouch
b- Client pleasant arteriovenous additional vibration palpated
c- Client whose chronic kidney disease with cloudy diasylate outflow
D- A client was transurethral resection of the prostate with red tinged urine in the bag - CORRECT
ANSWERS -A client whose chronic kidney disease with cloudy diasylate outflow
A nurse is caring for a client just received the first dose of lisinopril. The following is an appropriate
nursing intervention?
a- place's cardiac monitoring
b- monitor the clients oxygen saturation level
c- provide standby assist with the client from bed
d- encourage foods high in potassium - CORRECT ANSWERS -Provide standby assist with the client from
bed
A nurse is caring for a client who is in labor and his seat is recieving electronic fetal monitoring. The
nurse is reviewing the monitor tracing and notes early decelerations. Which of the following should the
nurse expect?
a-Feta hypoxia
b- abrupto placentae
c- post maturity
d- head compressions - CORRECT ANSWERS -head compressions
A nurse is caring for a client who has chronic kidney disease. The nurse should identify which of the
following laboratory values as an indication for hemodialysis?
a- Glomerular filtration rate of 14 ml/minute
b- BUN 16 ml/dl
, c- serum magnesium 1.8 mg mg/dl
d- serum phosphorus 4.0 m mg/dl - CORRECT ANSWERS -glomerular filtraion rate of 14 ml/minute
A nurse is caring for an infant who has a prescription for continuous pulse oximetry. The following is an
appropriate action for the nurse to take?
a- placed infant under radiant warmer
b- move the probe site every 3 hrs
c- heat the skin one minute prior to placing the program
d- placed a sensor on the index finger - CORRECT ANSWERS -Heat the skin one minute prior to placing
the program.
A nurse in a mental health facility receives a change to shift report on for clients. Which of the following
clients should the nurse plan to asses first?
a- A client placed in restraints to the aggressive behavior
b- a new limited client pleasures history 4.5 kg weight loss in the past two months
c- client is receiving prn dose of health heard all two hours ago for increased anxiety
d- Applied he'll be receiving his first ect treatment today - CORRECT ANSWERS -Cliet placed in restraints
to the aggressive behavior
A nurse is working at the clinic is teaching a group of clients who are pregnant on the use of
nonpharmacological pain management. Which of the following statements by the nurse is an
appropriate description of the use of hypnosis during labor?
a- Hypnosis focuses on biofeedback as a relaxation technique
b- hypnosis promoted increased control of her pain perception during contractions
c- hypnosis uses therpeutic touch to reduce anxiety during labor