Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
What is the best method to prevent infection when caring for a client with a urinary catheter?
A. Change the catheter daily
✔✔ B. Perform hand hygiene before and after touching the catheter
C. Use petroleum jelly at the catheter insertion site
D. Apply a heating pad to the lower abdomen
A client is at risk for falls. What action should the nurse take first?
✔✔ A. Ensure the call light is within reach
B. Apply restraints to the client's wrists
C. Place a tray table across the bed
D. Encourage the client to ambulate alone
A nurse is measuring a client’s blood pressure. What indicates an accurate reading?
A. Placing the cuff over clothing
B. Using a cuff that is too small
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,✔✔ C. Supporting the client’s arm at heart level
D. Deflating the cuff immediately after inflation
What is the purpose of a gait belt?
A. To immobilize a client’s spine
✔✔ B. To assist with safe ambulation
C. To prevent foot drop
D. To keep linens in place
Which finding should the nurse report immediately after surgery?
✔✔ A. Respiratory rate of 8 breaths per minute
B. Pain level of 6 out of 10
C. Warm, dry skin
D. Oxygen saturation of 95%
What is the best way to identify a client before giving medication?
✔✔ A. Ask the client to state their full name and date of birth
B. Look at the room number
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,C. Ask the roommate for the client’s name
D. Check the medication label
A nurse is caring for a client with a pressure injury. What is an appropriate intervention?
A. Keep the client in one position
✔✔ B. Reposition the client every 2 hours
C. Massage over bony areas
D. Use plastic sheets for bedding
Which statement by the client indicates understanding of using an incentive spirometer?
A. “I will blow into the device forcefully.”
✔✔ B. “I will breathe in slowly and deeply.”
C. “I will use it once a day.”
D. “I only need to use it if I’m coughing.”
What should a nurse do before applying a wrist restraint?
A. Apply it loosely for comfort
B. Double-knot the ties
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, ✔✔ C. Get a provider’s prescription
D. Ask another nurse to apply it
A nurse is teaching a client how to use a walker. Which instruction is correct?
✔✔ A. Move the walker first, then step with the weaker leg
B. Step backward before moving the walker
C. Keep both feet behind the walker when walking
D. Drag the walker along the floor
A nurse notices a client’s IV site is swollen and painful. What should the nurse do first?
A. Elevate the arm
✔✔ B. Stop the infusion
C. Apply a cold compress
D. Flush the IV with saline
What is a priority action if a fire starts in a client’s room?
✔✔ A. Remove the client from danger
B. Call the fire department
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