COMPREHENSIVE ASSESSMENT B PRACTICE
SET 2026 FULL SOLUTION
◉ a nurse is assigning task roles for a group of clients in a
community mental health clinic. which of the following tasks should
the nurse assign to the member of the group functioning as the
orienteer? Answer: noting the progress of the group toward
assigned goals
◉ a nurse is creating a plan of care for a newly admitted child. which
of the following actions should the nurse include in the plan?
Answer: Administer high dose antibiotic therapy
cystic fibrosis kid with lung infection
◉ a nurse is caring for a newborn immediately after delivery. which
of the following interventions should the nurse implement to
prevent heat loss by conduction? Answer: use a protective cover on
the scale when weighing the infant
◉ a nurse is caring for a client who has abdominal surgery 24 hr
ago. which of the following actions is the nurse's priority? Answer:
assist with deep breathing and coughing
,◉ a nurse in an outpatient mental health clinic is caring for four
clients. the nurse should recognize that which of the following
clients is effectively using sublimation as a defense mechanism?
Answer: a client who channels their energy into a new hobby
following the loss of their job
◉ a nurse is assessing for correct placement of a client's NG feeding
tube prior to administering a bolus feeding. which of the following
actions should the nurse take? Answer: aspirate contents from the
tube and verify the pH level
◉ an antepartum nurse is caring for four clients. for which of the
following clients should the nurse initiate seizure precautions?
Answer: a client who is at 33 weeks of gestation and has severe
gestational hypertension
◉ a nurse is providing discharge teaching to a client who is to
receive home oxygen therapy. which of the following instructions
should the nurse include in the teaching? Answer: wear clothing
made with cotton fabrics while oxygen is in use
use water soluble lubricant not petroleum based lubricant
, ◉ a nurse is providing teaching for a client who has a fracture of the
right fibula with a short leg cast in place a new prescription for
crutches. The client is non weight bearing for 6 weeks. which of the
following instructions should the nurse include in the teaching?
Answer: use a three point gait
◉ a nurse is preparing to transfer a client from the ICU to the
medical floor. The client was recently weaned from mechanical
ventilation following a pneumonectomy. which of the following
information should the nurse include in the change of shift report?
Answer: The time of the client's last dose of pain medication
◉ a nurse is assessing an infant who has hydrocephalus and is 6 hr
postoperative following placement of a ventriculoperitoneal VP
shunt. Which of the following findings should the nurse report to the
provider? Answer: irritability when being held - increased
intracranial pressure
◉ a nurse is caring for a client who has a prescription for
chlorpromazine. which of the following findings should the nurse
identify as an indication that the medication is effective? Answer:
decreased hallucinations
◉ a nurse is providing teaching about lithium to a client who has
bipolar disorder. which of the following statements should the nurse
include in the teaching? Answer: "Notify your provider if you
experience increased thirst"