WITH CORRECT ANSWERS 2025-2026
a client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10. which of the following
statements should the nurse identify as an indication that the client understands the preoperative
teaching she received about pain management? - CORRECT ANSWER -it might help me to listen to music
while i'm lying in bed
a home health nurse is performing a follow-up visit for a client who has a gastrostomy tube through
which they receive intermittent feedings and medications. the client has recently developed diarrhea.
which of the following findings should the nurse identify as a possible cause of the diarrhea? - CORRECT
ANSWER -the client's caregiver washes out the feeding bag with warm water once every 24 hr
A nurse in a long-term care facility is caring for a client who dies during the nurse's shift. Identify the
sequence in which the nurse should perform the following steps. - CORRECT ANSWER -1) obtain the
pronouncement of death from the provider
2)remove the tubes and indwelling lines
3) wash the client's body
4) ask the client's family if they would like to view the body
5) place a name tag on the body
a nurse in a provider's office is assessing the deep tendon reflexes of a client. which of the following
images should the nurse identify as indicating the correct technique for eliciting the client's patellar
reflex? - CORRECT ANSWER -patella is the knee so..
a nurse is administering 1 L of 0.9% NaCl to a client who is postoperative and has fluid volume deficit.
which of the following changes should the nurse identify as an indication that the treatment was
successful? - CORRECT ANSWER -decrease in heart rate
, a nurse is administering an otic medication to an older adult client. which of the following actions should
the nurse take to ensure that the medication reaches the inner ear? - CORRECT ANSWER -press gently
on the tragus of the client's ear
a nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage.
which of the following types of transmission precautions should the nurse initiate? - CORRECT ANSWER -
contact precautions
a nurse is admitting a client who is having an exacerbation of heart failure. in planning this client's care,
when should the nurse initiate discharge planning? - CORRECT ANSWER -during the admission process
a nurse is assessing a client who has required bed rest for the past month. which of the following
findings should the nurse identify as an indication that the client has developed thrombophlebitis? -
CORRECT ANSWER -calf swelling
a nurse is assessing a client who reports increased pain following physical therapy. which of the
following questions should the nurse ask when assessing the quality of the client's pain? - CORRECT
ANSWER -is your pain sharp or dull?
a nurse is assessing a client's readiness to learn about insulin self-administration. which of the following
statements should the nurse identify as an indication that the client is ready to learn? - CORRECT
ANSWER -i can concentrate best in the morning
a nurse is assessing an older adult client's risk for falls. which of the following assessments should the
nurse use to identify the client's safety needs? (select all that apply) - CORRECT ANSWER -pupil clarity,
visual fields, visual acuity
a nurse is assessing four adult clients. which of the following physical assessment techniques should the
nurse use? - CORRECT ANSWER -ensure the bladder of the blood pressure cuff surrounds 80% of the
client's arm
a nurse is auscultating the anterior chest of a client newly admitted to a medical-surgical unit. listen to
the audio clip of what the nurse auscultates through his stethoscope and identify the type of breath he
hears - CORRECT ANSWER -normal breath sounds