PAPER 2026 FULL 50 QUESTIONS
AND ACCURATE SOLUTIONS
◉ Justine (CNA) was instructed by the staff nurse to elevate the client's
casted left limb to prevent swelling. Justine is elevating the casted
extremity correctly when she does which of the following? Answer:
Places the casted limb above the level of the heart.
Explanation:
To reduce swelling, place the casted limb above the level of the heart
with the use of pillows. Placing it below or at the level of the heart
won't reduce swelling. To elevate a cast, the limb may need to be
extended from the body.
◉ A nurse obtains an order from a physician to restrain a client by using
a jacket restraint and delegates a nursing assistant to assist in the
restraining of the client. Which of the following observations indicates
inappropriate application of the restraint by the nursing assistant?
Answer: Restraint straps that are safely secured to the side rails.
Explanation:
The restraint straps should be secured to the bed frame and never to
the side rail to avoid accidental injury in the event that the side rail is
released. A half-bow or safety knot should be used for applying a
restraint because it does not tighten when force is applied against it
and allows quick and easy removal of the restraint in case of
, emergency. The jacket restraint should be secured, and one to two
fingers should slide easily between the restraint and the client's skin.
◉ The nurse inserts a Foley catheter to relieve a client's urinary
retention. Which of the following is an inappropriate action in caring for
clients with an indwelling catheter? Answer: Attaching the drainage bag
to the lowest part of the siderails near the client's feet.
Explanation:
The bag hangs from the bed frame, chair, or wheel chair. It must not
touch the floor. The bag is always kept lower than the client's bladder.
If the drainage bag is higher than the bladder, urine can flow back into
the bladder and an infection can occur. Therefore, do not hang the
drainage bag on a bed rail. When the bed rail is raised, the bag is higher
than the bladder level. When the person walks, the bag is held lower
than the bladder. Emptying of the drainage should be done every 6-8
hours to prevent proliferation of microbes which can develop into
infection. The tubing should not have dependent loops to prevent stasis
of urine in the tubes which can promote backflow to the bladder.
◉ Elderly patients are prone to stomach-aches and bloating. Which of
the following foods are avoided since they are gas-forming and
contribute to the said condition? Answer: Cauliflower
Explanation:
Cauliflower is gas-forming. Other examples of gas-forming foods are
beans, cabbage, radishes, and cucumbers.