2024_2025 WITH QUESTIONS
AND VERIFIED ANSWERS
WITH RATIONALES GRADE A+
1. A nurse is caring for a client who is experiencing a seizure. Which of the
following actions should the nurse take?
a) -Record the time and length of the seizure
b) -Restrain the clients extremes
c) -Place the client in the prone position
d) -Monitor the clients hemoglobin level
Record the time and length of the seizure
The nurse should monitor the length of time of the seizure to evaluate the type
of seizure and determine treatment required.
2. A nurse is caring for a client who is at risk for suicide. Which of the
following actions should the nurse take? (Select all that apply)
a) -Place the client on round-the-clock surveillance
b) Remove objects from the room that the client could use to harm
themselves
c) Search items brought into the client’s room by visitors
d) Refrain from asking the client if they intend to harm themselves
e) Screen the client for suicidal ideations
Place the client on round the clock surveillance
,Remove objects from the room that the client could use to harm themselves
Search items brought into the client’s room by visitors
Screen the client for suicidal ideations
3. A nurse is caring for a client who has an indwelling urinary catheter in
place. Which of the following actions is the priority for the nurse to take to
reduce the client’s risk of developing a healthcare associated infection?
a) Wipe down the clients bedside table with an antiseptic wipe.
b) Conduct informal audits of medical records to identify the number of
healthcare associated infections
c) Perform hand hygiene
d) Instruct the client on ways to reduce the risk for infection
Perform hand hygiene
According to evidence-based practice, hand hygiene among medical
professionals, clients, and visitors is the priority intervention to reduce the risk
for the client to develop a healthcare-associated infection.
4. A nurse is assisting with conducting a home hazard assessment for a client
who has dementia. Which of the following findings indicates an
understanding of home safety?
a) An extension cord is secured under a rug
b) A toaster is plugged in when not in use
c) The water heater is set to 55c (131f)
, d) The edges of stairs are marked with brightly colored tape
The edges of stairs are marked with brightly colored tape
The nurse should instruct the client to mark edges of stairs with brightly colored
tape to alert the client of the steps and reduce the risk of fall.
5. A nurse is checking a client’s allergy bracelet before administering a
medication and finds the client is allergic to that medication. The nurse
does not administer the medication to the client. This is an example of
which of the following unexpected events?
a) Near miss event
b) Client safety event
c) Adverse event
d) Sentinel event
Near miss event
A near-miss event is an error that could have harmed the client which almost
occurs, but was caught and avoided. The nurse noted the client had an allergy to
the medication prior to administering it, avoiding harm to the client.
6. A nurse is preparing a poster about fire safety for a community health fair.
The nurse should include on the poster that which of the following
components contains needed elects for fire to occur? (SATA)
, a) Carbon dioxide
b) Nitrogen
c) Cooking oil
d) Oxygen
e) Heat
Cooking oil
Oxygen
Heat
7. A nurse is assisting with teaching a class about evidence-based protocols
established by the CDC to prevent healthcare associated infections (HAIs).
Which of the following infections should the nurse include? (SATA)
a) Influenza infection
b) Catheter associated urinary tract infection
c) Mycobacterium tuberculosis infection
d) Central line associated bloodstream infection
e) Surgical site infection
Catheter associated urinary tract infection
Central line associated bloodstream infection
Surgical site infection
8. A nurse is assisting with teaching a class about warning signs from a co-
worker that might indicate future workplace violence. Which of the
following behaviors should the nurse include?