2026/27 Update Graded A+ | Instant Pdf Download
1. Explain.why.it.is.important.for.nurses.to.assess.patients.using.the.Braden.Scale.upon.
admission.and.after.any.incidents.
. It.helps.in.planning.daily.activities.for.the.patient.
. It.ensures.timely.interventions.to.prevent.pressure.sores.
. It.allows.for.a.comprehensive.review.of.the.patient's.medical.history.
. It.is.required.by.hospital.policy.for.all.patients.
2. Explain.the.significance.of.the.blood.pressure.classification.system.established.b
y.the.ACC.in.2017.and.how.it.impacts.patient.care.
. It.helps.in.diagnosing.diabetes.and.its.complications.
. It.provides.a.framework.for.assessing.cardiovascular.risk.and.guiding.tre
atment.decisions.
. It.is.primarily.used.for.determining.medication.dosages.
. It.categorizes.patients.based.on.their.body.mass.index.
3. What.is.the.primary.purpose.of.using.a.cane.for.a.client.with.an.injury.to.the.left.lower.extr
emity?
. To.provide.support.and.stability.while.walking
. To.increase.the.speed.of.ambulation
. To.encourage.the.use.of.the.injured.leg
. To.eliminate.the.need.for.physical.therapy
,4. Which.of.the.following.is.a.key.nursing.intervention.for.a.patient.experiencing.difficulty.wit
h.oxygenation?
. Administering.oxygen.therapy
. Prescribing.antibiotics
. Monitoring.blood.glucose.levels
. Scheduling.follow-up.appointments
5. A.nurse.is.caring.for.a.patient.with.urinary.retention.due.to.a.recent.surgery.that.caused.sca
rring..Which.intervention.should.the.nurse.prioritize.to
manage.this.condition.effectively?
. Administering.oral.antibiotics.as.a.preventive.measure
. Encouraging.the. patient.to.drink.more.fluids
. Performing.intermittent.straight.catheterization.as.needed
. Instructing.the.patient.on.pelvic.floor.exercises
6. What.is.the.primary.purpose.of.documenting.the.application.of.restraints.in.a.patient's.chart?
. To.inform.the.family.about.the.patient's.condition
. To.provide.legal.protection.for.the.healthcare.provider
. To.ensure.the.patient.receives.proper.nutrition
. To.facilitate.communication.between.nursing.staff
7. Explain.how.hand.hygiene.contributes.to.breaking.the.chain.of.infection.
. It.reduces.the.need.for.isolation.precautions.
. It.eliminates.the.need.for.proper.disinfection.
, . It.decreases.the.number.of.pathogens.on.hands,.preventing.transmission.
. It.ensures.that.patients.are.always.in.a.sterile.environment.
8. Which.of.the.following.is.NOT.a.mechanism.identified.to.break.the.chain.of.infection?
. Hand.hygiene
. Isolation.precautions
. Proper.disinfection
. Patient.mobility
9. A.55-year-
old.patient.presents.with.a.blood.pressure.reading.of.145/92.mmHg..Based.on.the.ACC.clas
sifications,.what.category.does.this.patient.fall.into,.and.what.initial.nursing.intervention.shou
ld.be.considered?
. Normal;.recommend.lifestyle.changes
. Elevated;.schedule.a.follow-up.appointment
. Hypertension.Stage.1;.initiate.lifestyle.modifications.and.consider.medication
. Hypertension.Stage.2;.refer.to.a.specialist.immediately
10. Explain.why.it.is.important.for.a.client.to.hold.the.cane.on.the.opposite.side.of.the.injured.l
eg.
. It.allows.for.better.balance.and.weight.distribution.
. It.helps.to.strengthen.the.injured.leg.
. It.prevents.the.cane.from.getting.in.the.way.
. It.encourages.the.client.to.walk.faster.