Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
A nurse is assisting a client who has difficulty breathing. What is the first priority for this client?
✔✔Assess the client’s airway and breathing status.
A nurse is reinforcing teaching to a client about wound care. What is the first action the nurse
should take when cleaning the wound?
✔✔Don clean gloves before touching the wound area.
A nurse is caring for a client on a low-sodium diet. What food option should the nurse
recommend?
✔✔Fresh vegetables such as carrots and spinach.
A nurse is assisting a client in using a walker for ambulation. What is the correct technique?
✔✔Instruct the client to move the walker forward, then step with the weaker leg.
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,A nurse is reinforcing teaching to a client about taking their blood pressure medication. What
statement indicates the client understands the teaching?
✔✔“I will take my medication at the same time every day.”
A nurse is caring for a client who has been prescribed antibiotics. What is the nurse’s priority
action?
✔✔Monitor for signs of allergic reactions or side effects.
A nurse is performing an assessment on a client who has an indwelling urinary catheter. What is
an appropriate action?
✔✔Ensure the catheter is secured to the client’s leg to prevent pulling.
A nurse is caring for a client postoperatively who is having difficulty breathing. What is the most
appropriate action?
✔✔Encourage deep breathing and coughing exercises.
A nurse is caring for a client who has been on bed rest for several days. What intervention can
the nurse implement to promote mobility?
✔✔Encourage the client to perform passive range of motion exercises.
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, A nurse is reinforcing teaching to a client about pain management. What statement by the client
indicates understanding?
✔✔“I will let the nurse know when my pain starts, not just when it becomes severe.”
A nurse is assisting a client who is post-surgery and has limited mobility. What action will best
prevent skin breakdown?
✔✔Reposition the client at least every 2 hours.
A nurse is preparing to administer a medication through a nasogastric tube. What should the
nurse check first?
✔✔Verify proper tube placement by aspirating gastric contents.
A nurse is caring for a client who is being discharged after a stroke. What is the most important
teaching point for the nurse to emphasize?
✔✔The importance of physical therapy and regular follow-up care.
A nurse is caring for a client with a pressure injury. What is the most important intervention to
promote healing?
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