2026 | High-Yield Review | Graded A+|Galen College of Nursing
1. What is the recommended size for the opening of an ostomy pouch in
relation to the stoma?
1/8 of an inch larger than the stoma
Equal to the size of the stoma
1/4 of an inch smaller than the stoma
1/2 of an inch larger than the stoma
2. A nurse is planning to delegate client care assignment . Which of the
following tasks should the nurse plan to delegate to an assistive personnel ?
Teaching a client to perform a finger - stick for testing blood glucose
levels
Performing postmortem care prior to transferring the client to the
morgue .
Informing a family of a client's progress in physical therapy .
Advising a client on self - administration of acetaminophen
3. Which food item is appropriate for a full liquid diet?
Oatmeal
Applesauce
Plain Yogurt
Scrambled eggs
4. Why is it important for a nurse to inform the client about the purpose of
collecting health history information?
, It allows the nurse to skip questions that seem irrelevant.
It minimizes the time spent on the health history process.
It ensures that the client feels pressured to disclose sensitive
information.
It helps build trust and encourages the client to provide accurate
information.
5. The nurse is reviewing the medication history of a patient who has been
prescribed warfarin (Coumadin). The healthcare provider is contacted when
the nurse finds that the patient is also taking which agent?
Niacin
Folic acid
Ginkgo biloba
Saw palmetto
6. What precaution should a nurse take when caring for a client with influenza?
Place the client in a negative airflow room
Administer metronidazole
Wear a mask when working within 3 feet of the client
Don protective eyewear before entering the room
7. What is the correct area for a nurse to perform percussion during postural
drainage for a client with cystic fibrosis?
Lower back
Abdomen
Thighs
, Upper chest
8. Why is it important for nurses to complete an incident report when a client's
prescribed laboratory testing is not obtained?
It documents a deviation from the standard of care that could
impact patient outcomes.
It serves as a record of the nurse's performance for evaluation.
It is required for all patient interactions regardless of the situation.
It helps in tracking the attendance of nursing staff.
9. Why is it important for a client to perform ankle and knee exercises regularly
when immobile?
It is important to change positions every 4 hours to avoid discomfort.
Removing antiembolic stockings improves blood flow.
Regular ankle and knee exercises help maintain circulation and
prevent complications from immobility.
Holding breath when rising prevents dizziness.
10. The medication order reads, "Give ondansetron (Zofran) 4mg, 30 min before
beginning chemo to prevent nausea." The nurse notes that the route is
missing from the order. What is the nurse's BEST action?
give the med IV because the pt might vomit
give med orally because the tabs are in 4 mg doses
contact the prescriber to clarify the route of the med ordered
hold the med until the prescriber returns to make rounds
11. What is a common skin change in older adults that affects sweat production?
, Increased production of oils
Reduced sweat production
Increased skin elasticity
Thickened outer layer of skin
12. The father of a child who is dying of cancer asks the nurse whether he
should tell his 7-year-old son that his sister is dying. What is the most
appropriate response by the nurse?
"Your son probably fears separation most and wants to know that you
will care for him, rather than what will happen to his sister."
"Your son probably doesn't understand death as we do but fears it
just the same. He should be told the truth to let him prepare for his
sister's possible death."
"He can't comprehend the real meaning of death, so don't tell him
until the last minute."
"You should talk this over with your health care provider, who
probably knows best what's happening in terms of your daughter's
prognosis."
13. While the nurse ambulated the client to the bathroom, the client begins to
have a seizure. Which of the following actions should the nurse take first?
Carry the patient to the nearest bed
Note the time the seizure began
Call for a wheelchair
Ease the patient to the floor
14. If the nurse had chosen to say, 'Try to help your dad enjoy this time as much
as he can,' how might this response affect the family's ability to cope with the