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NP4 EXAM QUESTIONS WITH COMPLETE SOLUTIONS

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10 pages

Written in 2025/2026

Grade A+

NursAid

NP4 EXAM QUESTIONS WITH COMPLETE SOLUTIONS

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43 pages

Written in 2025/2026

Grade A+

Classroom

SITUATION 1: You are caring for patient Igaram, a patient with Addison's disease. You utilize your knowledge on this concept to help care for the patient. -- Igaram was just recently diagnosed with Addison's disease. He still lacks knowledge about his disease so he decided to ask you some questions. Igaram asked you, "How does the disease happen?" You answer him correctly by stating that this disease results from: A. Insufficient secretion of growth hormone (GH). B. Dysfunction...

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33 pages

Written in 2026/2027

Grade A+

COCOSOLUTIONS

SITUATION: Nurse Jairo is admitting a patient with DM type I. In caring for patients with DM type I, it is imperative that nurses must be knowledgeable about the different types of insulin and their respective duration to promote safe patient care. -- What is the duration of action of Humulin N? A. 18-24 hours B. 20-22 hours C. 21-23 hours D. 16-20 hours - Answer A. 18-24 hours SITUATION: Nurse Jairo is admitting a patient with DM type I. In caring for patients with DM type I, it i...

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32 pages

Written in 2026/2027

Grade A+

COCOSOLUTIONS

1. Following spinal injury, the nurse should encourage the client to drink fluids to avoid: A. Urinary tract infection. B. Fluid and electrolyte imbalance. C. Dehydration. D. Skin breakdown. - Answer A. Clients in the early stage of spinal cord damage experience an atonic bladder, which is characterized by the absence of muscle tone, an enlarged capacity, no feeling of discomfort with distention, and overflow with a large residual. This leads to urinary stasis and infection. High flui...

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15 pages

Written in 2026/2027

Grade A+

COCOSOLUTIONS

1. Randy has undergone kidney transplant, what assessment would prompt Nurse Katrina to suspect organ rejection? A. Sudden weight loss B. Polyuria C. Hypertension D. Shock - Answer Answer: (C) Hypertension. Hypertension, along with fever, and tenderness over the grafted kidney, reflects acute rejection. 2. The immediate objective of nursing care for an overweight, mildly hypertensive male client with ureteral colic and hematuria is to decrease: A. Pain B. Weight C. Hematuria ...

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34 pages

Written in 2026/2027

Grade A+

COCOSOLUTIONS

The difference between the focus of managers and leaders is best described by which one of the following statements? - Answer The manager focuses on systems and structure, and the leader focuses on people and innovation. Nurses who challenge assumptions, consolidate a purpose, build the culture, and move a vision forward are more likely within which role? - Answer Nurse executives Nurses coordinate, integrate and provide care, restore health and nurture human beings in their experien...

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32 pages

Written in 2026/2027

Grade A+

COCOSOLUTIONS

Delegation - Answer The process by which responsibility and authority are transferred to another. Responsibility - Answer The obligation to complete a task. Authority - Answer The right to act or command the actions of others. Liability - Answer Responsibility for actions of oneself and/or for the actions under one's supervision. Accountability - Answer The ability and willingness to assume responsibility for actions and related consequences. Standards of Care - ...

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11 pages

Written in 2026/2027

Grade A+

COCOSOLUTIONS

drain fluid for wound healing - Answer Hemovac drain Wipe the Hemovac drain tubing with alcohol for - Answer ASEPSIS UTI causative agent - Answer Escherichia coli UTI Analgesic of choice - Answer phenazopyridine Red orange urine in UTI is due to - Answer phenazopyridine Proposed study in research how to determine total sample population - Answer sampling randomization CABG (Coronary Artery Bypass Graft) - Answer internal mammary artery First step in rese...

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7 pages

Written in 2026/2027

Grade A+

COCOSOLUTIONS

Which of the following is the best indirect method of measuring blood pressure? a. Palpatory blood pressure b. Aneroid sphygmomanometer c. Pulse oximeter d. Intra-arterial catheter - Answer b. Aneroid sphygmomanometer According to the standards of INC 8, hypertension stage 1 is described as: a. Systolic BP of 120-149mmHg, diastolic BP of 90-99mmHg b. Systolic BP of 120-139mmHg, diastolic BP of 80-89mmHg c. Systolic BP of 140-159mmHg, diastolic BP of 90-99mmHg d. Systolic Bp of ...

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26 pages

Written in 2026/2027

Grade A+

COCOSOLUTIONS

1. Which of the following is NOT a known predisposing factor to lung cancer? A. House is near a banana plantation. B. Works as a sprayer of vegetables and fruit trees. C. Lives in a suburban area. D. Living with mother who is a tobacco smoker. - Answer C. Lives in a suburban area. 2. Upon history-taking, the nurse notes that the cough of a patient with lung cancer usually starts off to be—- A. Blood tinged B. productive C. dark yellow sputum D. dry and persistent - Answer D....

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12 pages

Written in 2026/2027

Grade A+

COCOSOLUTIONS

NURSING PRATICE IV Situation - Nurse Stephanie just finished emergency and disaster training for one month in the Disaster and Risk Reduction Management conducted by the Department of Health. 1. To Nurse Stephanie's knowledge, the key difference between emergencies and disaster is that: A. Emergencies can typically be handled by avoidable emergency services. B. Disaster results from man-made error. C. Disasters typically involve local emergency services and no other agencies. D. Emergen...

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24 pages

Written in 2026/2027

Grade A+

COCOSOLUTIONS

Situation - Nurse Sylvia is assigned In Out Patient Department medical center. Every Wednesday of the month, the health care services are scheduled for patients with endocrine disorders. The patient is admitted to the private room for further work-up. You started to develop a nursing care plan for Ms. Belen who has hypothyroidism. Which of the following nursing diagnosis is APPROPRIATE for her at this time? A. Disturbed thought processes R/T hyper metabolic rate B. Constipation R/T gastro...

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25 pages

Written in 2026/2027

Grade A+

COCOSOLUTIONS

Nurse Jihyo comes into the maternal ward and assesses the fundus of a two-day post-partum mother. Nurse Jihyo would be correct to report to the patient's primary healthcare provider what finding? * 1 punto A. The client verbalizes afterpains B. Nurse Jihyo palpates the fundus 2cm below the umbilicus C. The client reports pain upon massaging the fundus D. The uterus remains soft upon massaging - Answer D. The uterus remains soft upon massaging - it should become firm to decrease risk ...

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31 pages

Written in 2026/2027

Grade A+

COCOSOLUTIONS

Situation The nurse assists in the care of clients with chronic obstructi pulmonary disease (COPD). 1. The nurse is aware that clients with COPD are at risk for ineffective respirations EXCEPT which of the following _________? A. Clients undergoing thoracic or abdominal surgery B. Clients with rib fractures and kyphosis C. Clients with neuromuscular disorders such as Guillain-Barre' syndrome D. Clients with fluid volume deficit - Answer 2. Nursing interventions for clients w...

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28 pages

Written in 2026/2027

Grade A+

COCOSOLUTIONS

NP4 BUNDLED QUESTIONS WITH CORRECT ANSWERS LATEST UPDATE 2026/2027

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5 items

TutorJosh

PREBOARDS NP4 EXAM QUESTIONS WITH CORRECT ANSWERS LATEST UPDATE 2026/2027 1. Management of Gastroesophageal reflux (GERD) begins on teaching the client to avoid situations that cause decreased lower esophageal sphincter pressure and esophageal irritation. Which statement by a client who has received education about GERD indicates that the nurse may need to provide additional teaching? A. "I will take antacids before I eat." B. "I should have my big meal at lunchtime." C. "I ...

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30 pages

Written in 2025/2026

Grade A+

TutorJosh

NP4 FINAL PT1 EXAM QUESTIONS WITH CORRECT ANSWERS LATEST UPDATE 2026/2027 The field of bioethics came into existence because A. physicians, lawyers, policymakers, and legislators began to have questions about ethical issues in health care. B. scientific advances made it possible for patients to trust completely in their doctor's judgment, leaving no need for their own voice to be heard. C. there was a need to talk about how research and healthcare decisions and regulations could be made, ...

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11 pages

Written in 2025/2026

Grade A+

TutorJosh

NP4 EXAM QUESTIONS WITH CORRECT ANSWERS LATEST UPDATE 2026/2027 1. Nurse Kim carries out the order for the client to have a diagnostic test. Which of the following values indicate hyponatremia? A sodium level _____ * 1 point A. Below 8.5 to 10.5 mg/dL B. Between 3.5 and 5.5 mEgL C. Above 145 mEg/L D. Below 135 mEg/L - Answers D. Below 135 mEg/L 2. Nurse Kim is aware that the MOST common electrolyte abnormality in hospitalized patient is ______ * 1 point A. Hyperkalemia B. Hyponatremi...

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37 pages

Written in 2025/2026

Grade A+

TutorJosh

NP4 (1-50) EXAM QUESTIONS WITH CORRECT ANSWERS LATEST UPDATE 2026/2027 Situation: Nurses working on the medical unit are experiencing difficulties stabilizing the clients' nasogastric tubes. In order to offer the clients the best choice of care, the nurse must do data gathering. Before data gathering, which of the following should be initiated by the nurse? A. Develop the question or problem statement that best defines the need B. Begin with a concept and seek how to best implement th...

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16 pages

Written in 2025/2026

Grade A+

TutorJosh