NEXT GENERATION |
NEWEST ACTUAL EXAM COMPREHENSIVE
QUESTIONS AND VERIFIED ANSWERS
GRADED A+ 2026 UPDATE!
A client with heart failure become short of breath, anxious, and has
audible reasoning with pink frothy sputum. The nurse sits the client
upright and provides oxygen per nasal cannula. The nurse receives a
prescription to administer a one time dose of morphine sulfate IV.
Which action should the nurse take?
A) Administer the dose of morphine sulfate as prescribed.
B) Consult with the charge nurse regarding the morphine prescription.
C) Review the need for the prescription with the healthcare provider.
D) Withhold the morphine until the clients dyspnea resolves. - ANSWER
A) Administer the dose of morphine sulfate as prescribed.
A client with acute asthma exacerbation is manifesting inspiratory and
expiratory wheezes and a decreased forced expiratory volume. Which
prescribed drug class should the nurse administer first to the client?
,A) Inhaled short acting beta two agonists.
B) Inhaled corticosteroids.
C) Anti-cholinergics.
D) Leukotriene modifiers. - ANSWER B) Inhaled corticosteroids.
The nurse enters a clients room to administer oral medication's and
find an unlicensed assistive personnel providing personal care to the
client, whose condition has obviously deteriorated. The client is lying in
a supine position and is weak, pale, and diaphoretic. Which is the
priority nursing action?
A) Determine why the UAP did not notify the nurse of the change in
the clients condition.
B) Advised the UAP to stop providing care so the nurse can assess the
clients condition.
C) Explain to the UAP that changes in a clients condition should be
reported immediately.
D) Ask for UAP to position the client so the oral medication's can be
administered. - ANSWER B) Advised the UAP to stop providing care so
the nurse can assess the clients condition.
The client who was admitted yesterday with severe dehydration is
reporting pain where a 24 gauge IV catheter with 0.9% sodium chloride
is infusing at a rate of 150 mL per hour. Which intervention should the
nurse implement first?
,A) Discontinue the 24 gauge IV.
B) Establish a second IV site.
C) Stop the 0.9% sodium chloride infusion.
D) Assess the IV for blood return. - ANSWER C) Stop the 0.9% sodium
chloride infusion.
Client should the nurse assess frequently because of the risk for overflow
incontinence?
A) a client with hematuria and decreasing hemoglobin and hematocrit
levels.
B) A client who has been fast, with increased serum creatinine levels.
C) A client who is confused and frequently forgets to go to the bathroom.
D) A client who has a history of frequent urinary tract infections. -
ANSWER C) A client who is confused and frequently forgets to go to
the bathroom.
After a spider bite on the lower extremity, a client is admitted for
treatment of an infection that is spreading up the leg. Which admission
assessment findings should the nurse report to the healthcare
provider? SATA.
A) Location of the initial IV site.
B) Swollen lymph nodes in the groin.
, C) Red blood cell count.
D) White blood cell count.
E) Core body temperature. - ANSWER B) Swollen lymph nodes in the
groin. D) White blood cell count.
E) Core body temperature.
A client develops your to Caria on the trunk and neck shortly after a
secondary infusion of pepper Sillen is initiated. In which order should
the nurse implement these interventions?
Document reaction of the drug.
Contact the healthcare provider.
Assess vital signs.
Stop the infusion.
Initiate an adverse event report. - ANSWER Stop the infusion.
Assess vital signs.
Contact the healthcare provider. Initiate
an adverse event report.
Document reaction to drug.
What nursing intervention is particularly indicated for the second stage
of labor?