Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
A nurse is reinforcing discharge instructions for a client with a new colostomy. Which statement
indicates understanding?
A. I will clean around the stoma with alcohol
B. I should remove the pouch daily to air the stoma
C. ✔✔I will empty the pouch when it’s one-third full
D. I can expect the stool to always be liquid
A nurse is caring for a client who is prescribed mechanical soft diet. Which food should the
nurse provide?
A. ✔✔Mashed potatoes
B. Raw vegetables
C. Tough steak
D. Popcorn
A nurse is caring for a client who has a new prescription for a condom catheter. Which action
should the nurse take?
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,A. ✔✔Leave a space between the penis and the catheter tip
B. Use adhesive tape to secure the catheter
C. Shave the pubic hair before applying
D. Apply powder to the shaft before placement
A nurse is checking the radial pulse of a client. Which of the following is a normal finding?
A. 52 bpm
B. ✔✔76 bpm
C. 110 bpm
D. 124 bpm
A nurse is teaching a client how to use a metered-dose inhaler. Which instruction should the
nurse include?
A. Exhale as you press the inhaler
B. Inhale rapidly through your nose
C. ✔✔Hold your breath for 10 seconds after inhaling
D. Shake the inhaler after each puff
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,A nurse is evaluating a client who reports difficulty sleeping. Which recommendation is
appropriate?
A. Drink coffee an hour before bed
B. ✔✔Keep the room dark and quiet
C. Watch TV to relax
D. Take frequent naps during the day
A nurse is caring for a client who is in contact isolation. Which action should the nurse take?
A. Wear an N95 respirator
B. ✔✔Wear gloves and a gown when entering the room
C. Use sterile gloves
D. Keep the door open for airflow
A nurse is caring for a client who has orthostatic hypotension. Which finding is expected?
A. ✔✔Dizziness when standing
B. Increased blood pressure with position change
C. Flushed skin
D. Decreased heart rate when upright
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, A nurse is reinforcing education about fall prevention at home for an older adult. Which
statement shows understanding?
A. I will use scatter rugs in the hallway
B. I should wear socks without shoes on wood floors
C. ✔✔I will keep the hallway well-lit at night
D. I’ll store items I use daily on high shelves
A nurse is reinforcing teaching about preventing constipation. Which recommendation is
appropriate?
A. Limit fiber intake
B. ✔✔Increase fluid intake
C. Avoid walking after meals
D. Reduce fruit and vegetable consumption
A nurse is preparing to insert an indwelling urinary catheter in a female client. What action
should the nurse take first?
A. Open the sterile kit
B. ✔✔Perform hand hygiene
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