Exam 2026/2027 Exam
Questions and Correct
Answers | New Update
A nurse is assisting with the plan of care for a client following a
transurethral resection of the prostate. Which of the following
interventions should the nurse include in the plan of care? - ANSWER
✔✔The nurse should irrigate the bladder using strict sterile technique
and maintain closed catheter drainage system to minimize the rick of
infection.
,A nurse is reviewing a client's electronic medical record and finds that an
assistive per sonnel recorder the client's temperature as 35.3 degrees
Celsius (95.5 degrees F) 2 hrs earlier. Which of the following actions
should the nurse take firsT? - ANSWER ✔✔check the clients temp
A nurse is receiving change-of-
shift report for four clients. Which of the following clients should the
nurse see first? - ANSWER ✔✔A client whose urinary output was
100mL for the past 12 hrs
A nurse in reinforcing teaching about weight loss with a female older
adult client who is overweight. Which of the following statements should
the nurse include in teaching? - ANSWER ✔✔keep fat intake to no
more that 30% of daily caloric intake.
A nurse is collecting data from a client who has iron deficiency anemia.
Which of the following findings should the nurse expect? - ANSWER
✔✔difficulty concentrating
A Nurse is collecting data from an older adult client who is 48 hr
postoperative following abdominal surgery. The provider writes a
prescription to advance the client to a re gular Diet. For which of the
,following findings should the nurse notify the provider? - ANSWER
✔✔The client has absent bowel sounds
A parent brings her adolescent son to an urgent care center and states.
"He is high on something and needs help" The client is
exhibiting agitation and paranoia and reports visual hallucinations. The
nurse should suspect intoxication with which of the following
substances? - ANSWER ✔✔Methamphetamines
A nurse notices an assistive personnel taking a nap in the break room
during he meal t ime. The AP appears drowsy while performing routine
tasks. Which of the following a ctions should the nurse take? -
ANSWER ✔✔Report the observations about the ap to the unit's
nurse manager.
A nurse is reinforcing teaching with a client who has a fluid volume
deficit about selec ting foods that have a high water content. The nurse
should include that which of the following raw foods contains the highest
amount of water per 1 cup serving? - ANSWER ✔✔cherry tomatoes
The nurse is position a client who is scheduled for a lumbar puncture.
The nurse should assist the client into which of the following positions? -
ANSWER ✔✔lateral recumbent
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, A nurse is talking with a client whose son died in a motor- vehicle crash
2 weeks ago. The client states "I really thought I'd be back to my usual
routines by now, but I can't think of anythingelse except my son is gone"
Which of the following responses should the nurse make? - ANSWER
✔✔Grieving for your son is hard work. It will take as much time as you
need to come to terms with your loss.
A nurse is assisting with monitoring a client who is at 40 weeks of
gestation and is in active labor. The nurse recognizes late deceleration
on the fetal monitor tracing. Whichof the following actions should the
nurse take? - ANSWER ✔✔Place the client in the lateral position.
A nurse manager is providing an in-
service on hand hygiene to assistive personnel. which of the following
information should the nurse manager include in the in-service? -
ANSWER ✔✔Remove rings when washing hands with soap and
water
A nurse is reinforcing home safety instructions with the parent of a
newborn. Which of the following statements should the nurse include in
the instructions? - ANSWER ✔✔Place your baby's crib away from
heat vents.
A nurse is preparing to administer a client's morning medications.