STUDY GUIDE 2026 SOLVED QUESTIONS
FULLY CORRECT
⫸ A nurse is supervising an assistive personnel (AP) obtain supplies for
a client who is on seizure precautions. Which of the following materials
should the AP place in the client's room? Answer: Oral Suction
Equipment
⫸ A charge nurse on a mental health unit is supervising a newly
licensed nurse. For which of the following actions by the newly licensed
nurse should the supervising nurse intervene? Answer: Tells a client he
will lose his phone privileges if he does not take his medication
⫸ A nurse is caring for a client who follows a kosher diet. Which of the
following menu items should the nurse include in the meal tray?
Answer: Roasted Salmon
⫸ A nurse is reviewing information about advance directives with a
newly admitted client. Which of the following statements by the client
indicates an understanding of the information? Answer: "Advance
directives include a living will"
⫸ A nurse is collecting data from the caregiver of a client who has
Alzheimer's disease. The caregiver reports the client has difficulty
sleeping at night and wanders throughout the house. Which of the
following interventions should the nurse recommend? Answer:
Encourage the client to take frequent walks during the day
,⫸ A nurse is assisting in the care of a client who is 8hr postpartum and
has uterine atony with increased bleeding. Which of the following
actions should the nurse take? (Select all that apply) Answer: Assist the
client to empty her bladder
⫸ A nurse is reinforcing teaching with the support person of a client
who is in the first stage of labor. Which of the following instructions
should the nurse include regarding effleurage? Answer: "Gently stroke
her abdomen during contractions"
⫸ A nurse is caring for an older adult client who is postoperative
following a total hip arthroplasty. The client is incontinent of stool and
urine. Which of the following actions should the nurse take to prevent
skin breakdown? Answer: Use a moisture barrier on the client's skin
⫸ A nurse is caring for a client who has terminal cancer. Which of the
following actions should the nurse take to promote the client's
autonomy? Answer: Allow the client to choose treatment times
⫸ A nurse in a clinic is caring for a client who is at 40 weeks of
gestation and experiences a sudden gush of vaginal fluids. Which of the
following findings is evidence of an obstetric complication? Answer:
Appears greenish-brown in color
⫸ A nurse is assisting with the care of an adolescent client immediately
following a lumbar puncture. Which of the following actions should the
,nurse take? Answer: Inform the adolescent that he might experience a
headache
⫸ A nurse is reinforcing teaching about advance directives with a client
who has end-stage heart failure. Which of the following statements by
the client indicates an understanding of the teaching? Answer: "I should
discuss this document with my family after I sign it"
⫸ A nurse is caring for a client who has continuous bladder irrigation
following a transurethral resection of the prostate. The nurse notices
clots and dark red blood in the catheter collection bag. Which of the
following actions should the nurse take? Answer: Irrigate the bladder
with 20 to 30 mL of 0.9% sodium chloride
⫸ A nurse is planning to obtain a 12-lead ECG for a client who has a
history of cardiac dysrhythmias. Which of the following actions should
the nurse plan to take? Answer: Instruct the client to remain as still as
possible during the recording
⫸ A nurse is reinforcing teaching with a client who has genital herpes.
Which of the following information should the nurse include in the
teaching? Answer: "You should increase fluid intake to relieve dysuria"
⫸ A nurse is preparing to empty a postoperative client's closed-wound
drainage system. Which of the following actions should the nurse plan to
take? Answer: Compress the container before replacing the drainage
plug
, ⫸ A nurse is reinforcing teaching with the parents of a toddler who has
a new diagnosis of asthma and a prescription for montelukast. Which of
the following instructions should the nurse include in the teaching?
Answer: Administer the medication to the toddler each evening
⫸ A nurse in an acute mental health facility is caring for a newly
admitted client. Which of the following should occur during the
orientation phase of the nurse-client relationship? Answer: Defining
responsibilities
⫸ A nurse is caring for a client who reports having a decrease in fetal
movement following an external cephalic version 6 hr ago. The nurse
identifies the fetus is in the right occiput anterior position. The nurse
should place the fetal heart monitor on which of the following sites to
auscultate the fetal heart rate? Answer: Lower left
⫸ A charge nurse is observing a newly licensed nurse perform
suctioning for a client who has a tracheostomy. For which of the
following actions by the newly licensed nurse should the charge nurse
intervene? Answer: Suction for 30 seconds
⫸ A nurse is reviewing the medication administration record of a client
who takes atenolol PO and supplies a nitroglycerin transdermal patch
daily. Which of the following interactions should the nurse monitor with
this client? Answer: Hypotension
⫸ A nurse in an acute care setting is preparing to administer
medications to a client. Which of the following actions should the nurse