,
, Questions 1–70
1. A nurse enters the room of a client who is receiving oxygen by nasal
cannula. Which action should the nurse take first?
A. Check the client's oxygen saturation
B. Assess the client's respiratory effort
C. Ask the client about their pain level
D. Document the oxygen flow rate
Answer: B. Assess the client's respiratory effort.
Rationale: The nurse should first assess airway and breathing. Respiratory effort
provides immediate information about whether the client is experiencing
respiratory distress.
2. A nurse is preparing to administer medication to a client. Which action is
most important for preventing a medication error?
A. Ask another nurse to administer the medication
B. Compare the medication label with the MAR
C. Administer medications at the same time every day
D. Document the medication before administering it
Answer: B. Compare the medication label with the MAR.
Rationale: Comparing the medication label with the medication administration
record helps verify the correct medication and supports safe medication
administration.
3. A client with Clostridioides difficile infection requires which precautions?
A. Airborne
B. Droplet
C. Contact
D. Protective environment
, Questions 1–70
1. A nurse enters the room of a client who is receiving oxygen by nasal
cannula. Which action should the nurse take first?
A. Check the client's oxygen saturation
B. Assess the client's respiratory effort
C. Ask the client about their pain level
D. Document the oxygen flow rate
Answer: B. Assess the client's respiratory effort.
Rationale: The nurse should first assess airway and breathing. Respiratory effort
provides immediate information about whether the client is experiencing
respiratory distress.
2. A nurse is preparing to administer medication to a client. Which action is
most important for preventing a medication error?
A. Ask another nurse to administer the medication
B. Compare the medication label with the MAR
C. Administer medications at the same time every day
D. Document the medication before administering it
Answer: B. Compare the medication label with the MAR.
Rationale: Comparing the medication label with the medication administration
record helps verify the correct medication and supports safe medication
administration.
3. A client with Clostridioides difficile infection requires which precautions?
A. Airborne
B. Droplet
C. Contact
D. Protective environment
