EXAM 100 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) 2025-2026
A nurse is updating a plan of care after an evaluation of a client who has
dysphagia. Which of the following interventions should the nurse include in the
plan?
a) Ask the client to tilt their head back when swallowing
b) Have the client sit upright for 1 hour following meals.
c) Administer liquids to the client using a syringe.
d) Allow the client to rest of 10 min prior to eating. - Answer-b) Have the client sit
upright for 1 hour following meals.
A nurse is assessing the IV infusion site of client who reports pain at the site. The
site is red and there is warmth along the course of the vein. Which of the
following actions should the nurse take?
a) initiate a new IV line below the original insertion site.
b) discontinue the infusion.
c) raise the head of the bed.
d) obtain a culture from the area of the insertion site. - Answer-b) discontinue the
infusion.
, A nurse is preparing to perform a routine abdominal assessment for a client.
Which of the following actions should the nurse take?
a) document shiny, taut skin as an expected finding.
b) perform palpitation after auscultation.
c) listen for 1 minute before documenting absent bowel sounds.
d) perform auscultation immediately after the client has consumed a meal. -
Answer-b) perform palpitation after auscultation.
A nurse is discusses immunity with a client who has received an immunization.
The nurse should identify that an immunization functions as part of the which of
following types of immunity?
a) passive immunity.
b) active immunity.
c) cellular immunity.
d) acquired immunity. - Answer-d) acquired immunity.
A nurse is reviewing the medical records of a group of older adult clients. The
nurse should identify that which of the following is a risk factor that places older
clients at an increased risk for developing infections?
a) overproduction of lymphocytes.
b) elevated albumin levels.
c) lowered immune system function.