1
Finals Testing and Remediation
Advanced Test| Nursing Drills Test 2025|
Updated and Verified
A nurse in a cardiac step-down unit is caring for a client who underwent a coronary artery bypass
graft (CABG) 3 days ago. The client is confused, restless, and has a respiratory rate of 28/min,
pulse 118/min, and blood pressure 86/52 mm Hg. Which of the following actions should the
nurse take first?
Notify the provider immediately
A nurse is providing discharge teaching to a client with newly diagnosed heart failure who is
prescribed furosemide. The client asks when to take the medication. Which of the following
responses should the nurse make?
"Take it in the morning to prevent nighttime urination."
A nurse in the emergency department is caring for a client who reports chest pain and shortness
of breath. The ECG shows ST segment elevation in leads II, III, and aVF. Which cardiac area is
likely affected?
Inferior wall of the heart
A nurse is assessing a client with a suspected deep vein thrombosis (DVT). Which finding
supports this diagnosis?
Unilateral leg swelling and pain
A nurse is caring for a client with a newly placed tracheostomy. Which action by the nurse
ensures airway safety?
Keep a replacement tracheostomy tube at the bedside
, 2
A nurse is caring for a client who has a newly inserted peripherally inserted central catheter
(PICC). Which of the following activities should the nurse instruct the client to avoid?
Lifting objects heavier than 10 pounds
A nurse is preparing to administer a unit of packed red blood cells (PRBCs) to a client. Which
action should the nurse take first?
Verify the client’s identification with another nurse
A nurse is providing discharge instructions to a client with a new ileostomy. Which statement by
the client indicates understanding?
"I will empty my pouch when it is one-third full."
A nurse is caring for a client who has just returned from an abdominal surgery. The nurse notes a
sudden gush of serosanguinous fluid from the incision site. What action should the nurse take
first?
Cover the wound with a sterile saline dressing
A nurse is assessing a client who has a history of COPD and is receiving oxygen at 2 L/min via
nasal cannula. Which finding requires immediate intervention?
Respiratory rate of 8/min
A nurse is reviewing the laboratory results for a client receiving warfarin therapy for atrial
fibrillation. Which of the following INR values should the nurse report to the provider
immediately?
5.2
Finals Testing and Remediation
Advanced Test| Nursing Drills Test 2025|
Updated and Verified
A nurse in a cardiac step-down unit is caring for a client who underwent a coronary artery bypass
graft (CABG) 3 days ago. The client is confused, restless, and has a respiratory rate of 28/min,
pulse 118/min, and blood pressure 86/52 mm Hg. Which of the following actions should the
nurse take first?
Notify the provider immediately
A nurse is providing discharge teaching to a client with newly diagnosed heart failure who is
prescribed furosemide. The client asks when to take the medication. Which of the following
responses should the nurse make?
"Take it in the morning to prevent nighttime urination."
A nurse in the emergency department is caring for a client who reports chest pain and shortness
of breath. The ECG shows ST segment elevation in leads II, III, and aVF. Which cardiac area is
likely affected?
Inferior wall of the heart
A nurse is assessing a client with a suspected deep vein thrombosis (DVT). Which finding
supports this diagnosis?
Unilateral leg swelling and pain
A nurse is caring for a client with a newly placed tracheostomy. Which action by the nurse
ensures airway safety?
Keep a replacement tracheostomy tube at the bedside
, 2
A nurse is caring for a client who has a newly inserted peripherally inserted central catheter
(PICC). Which of the following activities should the nurse instruct the client to avoid?
Lifting objects heavier than 10 pounds
A nurse is preparing to administer a unit of packed red blood cells (PRBCs) to a client. Which
action should the nurse take first?
Verify the client’s identification with another nurse
A nurse is providing discharge instructions to a client with a new ileostomy. Which statement by
the client indicates understanding?
"I will empty my pouch when it is one-third full."
A nurse is caring for a client who has just returned from an abdominal surgery. The nurse notes a
sudden gush of serosanguinous fluid from the incision site. What action should the nurse take
first?
Cover the wound with a sterile saline dressing
A nurse is assessing a client who has a history of COPD and is receiving oxygen at 2 L/min via
nasal cannula. Which finding requires immediate intervention?
Respiratory rate of 8/min
A nurse is reviewing the laboratory results for a client receiving warfarin therapy for atrial
fibrillation. Which of the following INR values should the nurse report to the provider
immediately?
5.2
