100% correct
3. The nurse is teaching the client to self-administer a dose of low-molecular-weight heparin
(LMWH) SUBQ. Which instruction should the nurse include?
A. Massage the injection site to increase absorption.
B. Expel the air in the prefilled syringe prior to injection.
C. Rotate injections between the abdomen and gluteal areas.
D. Inject in abdominal area at least 2 in (5.1 cm) from the umbilicus.
100% Correct
5. A healthcare organization requires nurses to chart by exception. Which assessment should
the nurse document?
A. Contraction of the left pupil when light shines in the right eye.
B. Capillary refill of 2 seconds in the lower right foot.
C. Basilar lung sounds that are diminished in the left lung
D. Active bowel sounds in the lower right quadrant.
Rational : Abnormal finding
100% Correct
6. The nurse is caring for a male client with diminished circulation in the lower extremities. The
client washes his feet in the shower, but is unable to band safely dry them. While drying the
client's feet, the nurse should emphasize the need to thoroughly dry which area of the feet?
A. On dorsal surfaces.
B. Over the heels.
C. Around the ankles.
D. Between the toes.
100% Correct
7. The nurse is administering an intradermal (ID) injection to a client. Which action should the
nurse take?
A. Select upper arm as the injection site.
B. Massage the site gently after injection.
C. Ensure the bevel of the needle is pointing up.
D. Hold the syringe perpendicular to the skin.
100% correct
A. Provide a very well lit meeting space.
B. Use everyday language when explaining issues.
C. Underline key words on the written information.
D. Speak loudly and face the client.
100% Correct
, 9. The nurse is preparing to give an emergency sedative injection to an agitated client. Which
action by the nurse comprises a tort?
A. Administering the medication to a client behind a closed curtain
B. informing a client that the medication being administered is a vitamin.
C. Placing a client in restraints without having a healthcare provider's order.
D. Enlisting security personnel to assist with restraining the client.
10. Which client assessment should the nurse perform during nasopharyngeal suctioning?
A. Determine the elasticity of the client's skin turgor.
B. Auscultate the bowel sounds in all four quadrants.
C. Observe the client's skin and mucous membranes.
D. Palpate the client's pedal pulse volume bilaterally.
11. The nurse assesses an older adult woman's ability to perform activities of daily living (ADLs).
When observing the client ambulate, the nurse notes that her posture is upright, and her gait is
smooth and steady. Which action should the nurse take next?
A. Teach the client to shorten the stride to prevent falls.
B. Record the client's ability to perform ADLs safely
C. Determine the client's activity tolerance.
D. Initiate a fall risk protocol for the client.
100% correct
13. A client is admitted with reports of shortness of breath, dyspnea on exertion, and chest
pressure. The healthcare provider prescribes a medication that is unfamiliar to the nurse. When
checking the drug handbook, the nurse reads that the prescribed amount is an unusually large
dose. Which action should the mut take?
A. Consult pharmacist for dose clarification.
B. Administer the medication as prescribed.
C. Verify the prescribed dosage with healthcare provider
D. Give the dosage recommended in the drug handbook.
100% correct
14. A client receives a prescription for dextromethorphan 30 mg every 6 to 8 hours PO as
needed for cough. The bottle is labeled "Dextromethorphan for Oral Suspension, USP 30 mg
per 15 mL." How many tablespoons should the nurse instruct the client to take with each dose?
(Enter numerical value only ) 1 table spoon
100% correct
15. The nurse is interviewing a client with lower abdominal pain and dysuria, and needs to
question the client about sexual activity. Which approach is best for nurse to use?
A. Begin with questions that are less sensitive in nature.
B. Get the most difficult questions over with first.
C. Ask questions in a vague, non-specific format
3. The nurse is teaching the client to self-administer a dose of low-molecular-weight heparin
(LMWH) SUBQ. Which instruction should the nurse include?
A. Massage the injection site to increase absorption.
B. Expel the air in the prefilled syringe prior to injection.
C. Rotate injections between the abdomen and gluteal areas.
D. Inject in abdominal area at least 2 in (5.1 cm) from the umbilicus.
100% Correct
5. A healthcare organization requires nurses to chart by exception. Which assessment should
the nurse document?
A. Contraction of the left pupil when light shines in the right eye.
B. Capillary refill of 2 seconds in the lower right foot.
C. Basilar lung sounds that are diminished in the left lung
D. Active bowel sounds in the lower right quadrant.
Rational : Abnormal finding
100% Correct
6. The nurse is caring for a male client with diminished circulation in the lower extremities. The
client washes his feet in the shower, but is unable to band safely dry them. While drying the
client's feet, the nurse should emphasize the need to thoroughly dry which area of the feet?
A. On dorsal surfaces.
B. Over the heels.
C. Around the ankles.
D. Between the toes.
100% Correct
7. The nurse is administering an intradermal (ID) injection to a client. Which action should the
nurse take?
A. Select upper arm as the injection site.
B. Massage the site gently after injection.
C. Ensure the bevel of the needle is pointing up.
D. Hold the syringe perpendicular to the skin.
100% correct
A. Provide a very well lit meeting space.
B. Use everyday language when explaining issues.
C. Underline key words on the written information.
D. Speak loudly and face the client.
100% Correct
, 9. The nurse is preparing to give an emergency sedative injection to an agitated client. Which
action by the nurse comprises a tort?
A. Administering the medication to a client behind a closed curtain
B. informing a client that the medication being administered is a vitamin.
C. Placing a client in restraints without having a healthcare provider's order.
D. Enlisting security personnel to assist with restraining the client.
10. Which client assessment should the nurse perform during nasopharyngeal suctioning?
A. Determine the elasticity of the client's skin turgor.
B. Auscultate the bowel sounds in all four quadrants.
C. Observe the client's skin and mucous membranes.
D. Palpate the client's pedal pulse volume bilaterally.
11. The nurse assesses an older adult woman's ability to perform activities of daily living (ADLs).
When observing the client ambulate, the nurse notes that her posture is upright, and her gait is
smooth and steady. Which action should the nurse take next?
A. Teach the client to shorten the stride to prevent falls.
B. Record the client's ability to perform ADLs safely
C. Determine the client's activity tolerance.
D. Initiate a fall risk protocol for the client.
100% correct
13. A client is admitted with reports of shortness of breath, dyspnea on exertion, and chest
pressure. The healthcare provider prescribes a medication that is unfamiliar to the nurse. When
checking the drug handbook, the nurse reads that the prescribed amount is an unusually large
dose. Which action should the mut take?
A. Consult pharmacist for dose clarification.
B. Administer the medication as prescribed.
C. Verify the prescribed dosage with healthcare provider
D. Give the dosage recommended in the drug handbook.
100% correct
14. A client receives a prescription for dextromethorphan 30 mg every 6 to 8 hours PO as
needed for cough. The bottle is labeled "Dextromethorphan for Oral Suspension, USP 30 mg
per 15 mL." How many tablespoons should the nurse instruct the client to take with each dose?
(Enter numerical value only ) 1 table spoon
100% correct
15. The nurse is interviewing a client with lower abdominal pain and dysuria, and needs to
question the client about sexual activity. Which approach is best for nurse to use?
A. Begin with questions that are less sensitive in nature.
B. Get the most difficult questions over with first.
C. Ask questions in a vague, non-specific format
