Antigua International College 2026 Passed Exam August RN Exit

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Sample questions from Antigua International College 2026 Passed Exam August RN Exit

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.At change of shift on a medical-surgical unit, which client should the nurse assess first?

   • A.A 52-year-old reporting incisional pain of 7/10
   • B.A 45-year-old with pneumonia whose SpO2 decreased from 95% to 89% on 2 L/min oxygen
   • C.A 36-year-old asking when discharge papers will be ready
   • D.A 70-year-old requesting assistance to the bathroom

   Rationale: The declining oxygen saturation despite supplemental oxygen signals impaired gas exchange and requires immediate assessment. Toileting, pain control, and discharge planning are important but can wait until breathing is evaluated. Prioritize an acute threat to airway or breathing over comfort and routine needs.

2. 2.During a home health visit, an 82-year-old client with heart failure reports increasing fatigue. The nurse reviews the client's care needs. Which tasks may be delegated to a trained assistive personnel member? Select all that apply.

   • A.Obtain and record the client's daily weight
   • B.Assess the client's lung sounds
   • C.Assist the client with bathing
   • D.Report the client's measured intake and output
   • E.Teach the client how to follow a low-sodium diet

   Rationale: Obtaining a weight, assisting with bathing, and recording measured intake and output are routine tasks that can be delegated to trained assistive personnel. Lung assessment requires nursing judgment, and diet teaching is an RN responsibility. The RN remains accountable for interpreting findings and acting on changes.

3. 3.In the emergency department, a 29-year-old client with a fractured ankle is scheduled for surgery. The client says, 'I do not understand what the surgeon plans to do.' Which action should the nurse take?

   • A.Notify the surgeon that the client needs further explanation before signing
   • B.Witness the signature and reassure the client that the procedure is routine
   • C.Ask the client's family member to explain the procedure
   • D.Explain the surgical procedure and obtain the client's signature

   Rationale: The surgeon performing the procedure is responsible for explaining its nature, risks, benefits, and alternatives. The nurse should pause the signing process and notify the surgeon when the client indicates a lack of understanding. Family explanation and reassurance do not replace informed consent, and witnessing a signature does not establish understanding.

4. 4.A provider prescribes a medication dose that is ten times the usual dose for a 6-year-old. The child is stable, and the medication has not been given. What should the nurse do first?

   • A.Ask another nurse to calculate the dose independently, then administer it
   • B.Administer the dose and monitor for adverse effects
   • C.Document the concern and give the medication at the next scheduled time
   • D.Hold the medication and clarify the prescription with the provider

   Answer and rationale are in the full material.

5. 5.At 0800, the charge nurse is assigning care on a medical unit. Which assignment is appropriate for a licensed practical nurse (LPN)?

   • A.Initial assessment of a newly admitted client with chest pain
   • B.Development of the nursing care plan for a client with sepsis
   • C.Routine dressing change for a stable client with a healing surgical incision
   • D.Teaching a client newly diagnosed with heart failure about medication management

   Answer and rationale are in the full material.