EXAM (10 LATEST VERSIONS 2025-
2026) EXAMS COMPLETE QUESTIONS
AND CORRECT ANSWERS RATED A+
AGRADE
Aznurseziszassessingzazclientzwhoziszreceivingzintravenousztherapy.zTheznursezshouldzidentifyzwhichz
ofzthezfollowingzfindingszaszazmanifestationzofzfluidzvolumezexcess?
a.zDecreasedzbowelzsounds
b.zDistendedzneckzveinsz
c.zBilateralzmusclezweakness
d.zThreadzpulsez-zCORRECTzANSWERSzb.zDistendedzneckzveins
Aznurseziszcaringzforzazclientzwhozhaszhyponatremiazandziszreceivingzanzinfusionzofzazprescribedzhyp
ertoniczsolution.zWhichzofzthezfollowingzfindingszshouldzindicateztoztheznursezthatztheztreatmentzisz
effective?
a.zAbsentzChvostek'szsign
b.zImprovedzcognitionz
c.zDecreasedzvomitingz
d.zCardiaczarrhythmiaszabsentz-zCORRECTzANSWERSzb.zImprovedzcognition
Aznurseziszteachingzazclientzwhozhaszaznewzprescriptionzforzaznitroglycerinztransdermalzpatch.zWhic
hzofzthezfollowingzinstructionszshouldztheznursezinclude?
a.z"Discontinuezthezpatchzifzyouzexperiencezazheadache."
b.z"Applyzaznewzpatchzifzyouzhavezchestzpain."
c.z"Coverzthezpatchzwithzdryzgauzezwhenztakingzazshower."
d.z"Removezthezpatchzpriorztozgoingztozbed."z-
zCORRECTzANSWERSzd.z"Removezthezpatchzpriorztozgoingztozbed."
,Aznurseziszreviewingzhezlaboratoryzresultszofzazclientzwhozhaszazprescriptionzforzsodiumzpolystyrene
zsulfonatez(Kayexalate)zeveryz6zhr.zwhichzofzthezfollowingzshouldztheznursezreportztozthezprovider?
a.zCreatininez0.72zmg/dL
b.zSodiumz138zmEq/L
c.zMagnesiumz2zmEq/L
d.zPotassiumz5.2zmEq/Lz-zCORRECTzANSWERSzd.zPotassiumz5.2zmEq/Lz-
zHyperkalemiaz(serumzpotassiumzlevelzgreaterzthanz5.0zmEq/L)zincreaseszthezclientzriskzforzfatalzcar
diaczdysrhythmias.zKayexalateziszusedztozdecreasezthezserumzpotassiumzlevelzsozthezPNzshouldzmo
nitorzthezclient'szserumzpotassiumzlevel
Aznurseziszcaringzforzazclientzwhozhasztuberculosiszandzisztakingzisoniazidzandzrifampin.zWhichzofzth
ezfollowingzoutcomeszindicateszthatzthezclientziszadheringztozthezmedicationzregimen?
a.zThezclientzhaszaznegativezsputumzculture
b.zThezclientztestsznegativezforzHIV
c.zThezclientzhaszazpositivezpurifiedzproteinzderivativeztest
d.zThezclient'szliverzfunctionztestzresultszarezwithinzthezexpectedzreferencezrangez-
zCORRECTzANSWERSza.zThezclientzhaszaznegativezsputumzculture
AzclientziszcaringzforzazclientzwhozdevelopszanzanaphylacticzreactionztozIVzadministration.zAfterzasse
ssingzthezclient'szrespiratoryzstatuszandzstoppingzthezmedicationzinfusion.zWhichzofzthezfollowingza
ctionszshouldztheznurseztakeznext?
a.zReplacezthezinfusionzwithz0.9%zsodiumzchloridez
b.zGivezdiphenhydraminezIM
c.zElevatezthezclient'szlegszandzfeetz
d.zAdministerzepinephrinezIMz-zCORRECTzANSWERSzd.zAdministerzepinephrinezIM
Aznurseziszcaringzforzazclientzwhozisztakingzsertralinezandzreportszazdesireztozbeginztakingzsuppleme
nts.zWhichzofzthezfollowingzsupplementszshouldztheznursezadvisezthezclientztozavoid?
,a.zSt.zJohn'szWortz
b.zGingerzrootz
c.zBlackzcohosh
d.zCoenzymezQ10z-zCORRECTzANSWERSza.zSt.zJohn'szWort
Aznurseziszcaringzforzazclientzwhozhaszheartzfailurezandzaznewzprescriptionzforzlisinopril.zForzwhichzof
zthezfollowingzadversezeffectszshouldztheznursezmonitorzwhenzadministeringzlisinopril?
a.zBradycardia
b.zHypokalemia
c.zTinnitus
d.zHypotensionz-zCORRECTzANSWERSzd.zHypotension
AznurseziszassessingzazclientzwhoziszreceivingzheparinzIVzcontinuouszIV.zThezclientzhaszanzPPTzofz90zs
econds.zTheyzshouldzmonitorzthezclientzforzwhichzofzthezfollowingzchangeszinztheirzvitalzsigns?
a.zDecreasedztemperaturez
b.zIncreasedzpulsezrate
c.zDecreasedzrespiratoryzratez
d.zIncreasedzbloodzpressurez-zCORRECTzANSWERSzd.zIncreasedzbloodzpressure
Aznurseziszpreparingztozadministerzmedicationztozazclientzandzdiscoverszazmedicationzerror.zTheznur
sezshouldzrecognizezthatzwhichzofzthezfollowingzstaffzmembersziszresponsiblezforzcompletingzanzinci
dentzreport?
a.zThezqualityzimprovementzcommitteez
b.zTheznursezwhozidentifieszthezerrorz
c.zTheznursezwhozcausedzthezerrorz
d.zThezchargeznursez-zCORRECTzANSWERSzb.zTheznursezwhozidentifieszthezerror
, Aznurseziszplanningzcarezforzazclientzwhoziszreceivingzmorphinezviazcontinuouszepiduralzinfusion.zTh
eznursezshouldzmonitorzthezclientzforzwhichzofzthezfollowing?
a.zPruritus
b.zCoughz
c.zTachypnea
d.zGastriczbleedingz-zCORRECTzANSWERSza.zPruritusz-zSignzofzallergiczreactionztozmorphine
Aznurseziszpreparingztozadministerzdigoxinzorallyztozazclient.zIdentifyzthezsequencezofzstepsztheznurs
ezshouldztake.z(Movezthezstepszintozthezboxzonzthezrightzplacingzthemzinzthezorderzofzperformance.z
Usezallzthezsteps.)z-zCORRECTzANSWERSza.zObtainzthezclient'szapicalzheartzrate
b.zRemovezthezmedicationzfromzthezdispensingzsystemz
c.zOpenzthezmedicationzpackage
d.zComparezthezclient'szwristbandztozthezmedicationzadministrationzrecord
e.zDocumentzadministrationzofzthezmedication
Aznurseziszreviewingzthezmedicalzrecordzofzanzadultzclientzwhozhaszazfeverzandzazprescriptionzforzac
etaminophen.zWhichzofzthezfollowingzfindingszshouldztheznursezidentifyzaszazcontraindicationzforzr
eceivingzthiszmedication?
a.zAlcoholzusezdisorder
b.zChroniczkidneyzdiseasez
c.zHepatitiszBzvaccinezwithinzthezlastzweekz
d.zDiabeteszmellitusz-zCORRECTzANSWERSza.zAlcoholzusezdisorder
b.zChroniczkidneyzdisease
Azhomezhealthznurseziszvisitingzazclientzwhozhaszheartzfailurezandzazprescriptionzforzfurosemide.zTh
eznursezidentifieszthatzthezclientzhaszgainedz2.5zkgz(5zlb.)zsincezthezlastzvisitz2zdayszago.zWhichzofzthe
zfollowingzactionszshouldztheznurseztakezfirst?